• Title/Summary/Keyword: Mild cognitive impairment

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The Effect of IADL on life satisfaction in the elderly with dementia and mild cognitive impairment: Multiple Mediating Effects of Subjective Expectation and Depression

  • Lee, Hyoung-Ha
    • Journal of the Korea Society of Computer and Information
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    • v.27 no.7
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    • pp.125-135
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    • 2022
  • In this study, using KLoSA data, it was verified whether subjective expectations and depression had a multi-mediated effect on life satisfaction of the elderly with dementia and mild cognitive impairment. As a result of the analysis, first, it was analyzed that the higher the IADL of the elderly with dementia and mild cognitive impairment, the lower the subjective expectation, the higher the depression, and the lower the life satisfaction. Second, it was analyzed that as the subjective expectations of the elderly with dementia and mild cognitive impairment increased, depression decreased and life satisfaction increased. Third, it was analyzed that IADL in the elderly with dementia and mild cognitive impairment not only directly affects life satisfaction, but also indirectly affects life satisfaction through subjective expectations and depression, so it has a multi-mediated effect. Therefore, it is necessary to expand subjective expectations by expanding service providers that can support daily life restrictions for the elderly with dementia and mild cognitive impairment, providing regular programs by experts to reduce depression, and establishing new national pension benefits for dependents.

Hospital Selection Factors of Patients with Mild Cognitive Impairment (경도 인지장애 환자의 병원선택 요인)

  • Park, Jin-Ju;Oh, Myung-Hwa;Kim, Seung-Il;Kim, Hye-Mi
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.7
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    • pp.441-448
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    • 2019
  • The purpose of this is to investigate the factors of hospital selection in patients with mild cognitive impairment and to provide information to clinicians and medical institutions in preparation for the ongoing admission of patients with mild cognitive impairment. This study was carried out on 36 participants who agreed to participate in the study from May 1st, 2018 to September 30th, 2018. Data collection was performed using K-MMSE and hospital selection factor tool was modified and supplemented according to the study. The results of this study suggest that the distance from the residence or work place shall be closer to that of the hospital, with the easy of transportation, easy administrative procedure, hospital reputation, new services, service or physical therapy and occupation therapy(p <.05). The conclusion of this study is to inform the clinician about the selection factors of patients with mild cognitive impairment and change the marketing strategy of medical institutions prepare to mild cognitive impairment

Research Trend on Cognition Training Method using Computer Software (컴퓨터 소프트웨어를 이용한 인지 훈련 방법의 연구 동향)

  • Lee, Juhyeon;Oh, Doyeong;Koo, Kyo-In
    • Journal of Biomedical Engineering Research
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    • v.35 no.6
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    • pp.185-191
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    • 2014
  • Mild cognitive impairment is status between healthy people and dementia patients. In order to prevent dementia or slow its progression, cognitive interventions could be effective. In this paper, review of the cognitive intervention with computer software was undertaken. Previous reports showed that the cognitive intervention with additional equipment could practical to the mild cognitive impairment.

Effects of Color Therapy on the Elderly with Mild Cognitive Impairment: A Meta-Analysis (경도인지장애 노인에게 적용된 컬러테라피에 대한 효과: 메타분석)

  • Eun ja Chung;Hye-Ryoung Kim
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.1
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    • pp.551-556
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    • 2023
  • This study was attempted to confirm whether the color therapy intervention study on the elderly with mild cognitive impairment was effective in cognitive function and depression as a method of meta-analysis. In this study, the size of the effect of cognitive function and depression on the final eight studies of the experimental study was calculated through a domestic database from 2000 to October 2022. As a result, the statistically significant average effect size of the entire study was confirmed. In the test of the difference in effect size between groups, both cognitive function and depression were found to have significant effect sizes. Through this study, it was confirmed that calerotherapy is an effective intervention that can improve cognitive function and alleviate depression in the elderly with mild cognitive impairment. Based on the results of this study, it is necessary to develop an intervention program for the elderly with mild cognitive impairment using calerotherapy.

The Effect of Aerobic Exercise on Brain-Derived Neurotrophic Factor (BDNF) in Individuals with Mild Cognitive Impairment: a Systematic Review and Meta-Analysis of a Randomized Controlled Trials

  • Kim, Hyun-Joong;Lee, DongJin;Lee, YeonSeop
    • Physical Therapy Rehabilitation Science
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    • v.11 no.3
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    • pp.304-310
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    • 2022
  • Objective: Mild cognitive impairment (MCI) is a condition in which cognitive and executive functions are reduced, and older adults with MCI are ten times more likely to develop dementia than healthy older adults. Expression of brain-derived neurotrophic factor (BDNF) through aerobic exercise is associated with increased cognitive and executive functions. in this review, randomized controlled trials (RCTs) on the effects of aerobic exercise on BDNF in individuals with mild cognitive impairment are summarized and qualitatively and quantitatively analyzed to suggest the necessity of aerobic exercise. Design: a systematic review and meta-analysis. Methods: RCTs were searched for changes in BDNF through aerobic exercise using four international databases. Quality assessment and quantitative analysis were performed using RevMan 5.4. Quantitative analysis was quantified with a standardized mean difference (SMD) and presented as a random effect model. Results: Three RCTs evaluated BDNF in 123 patients with MCI. There was a significant improvement in the experimental group that performed aerobic exercise compared to the control group. The results analyzed using the random effects model were SMD = 0.48. Conclusions: In this review, we reported the effects and mechanisms of aerobic exercise in individuals with MCI. As a result of synthesizing RCTs that performed aerobic exercise, a significant increase in BDNF was confirmed.

Effect of the Laughter Therapy Combined with Cognitive Reinforcement Program for the Elderly with Mild Cognitive Impairment (경도인지장애 노인에게 적용한 웃음요법병합 인지강화 프로그램의 효과)

  • Ji, Eunjoo;Kim, Oksoo
    • Korean Journal of Adult Nursing
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    • v.26 no.1
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    • pp.34-45
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    • 2014
  • Purpose: The purpose of this study was to investigate the effect of laughter therapy and cognitive reinforcement program on self-efficacy, depression and cognitive functions of the elderly with mild cognitive impairments (MCI). Methods: The study design was a non-equivalent control group pre and posttest design. Thirty-six subjects over the age of 65 with a diagnosis of mild cognitive impairment were assigned either to a treatment or a comparison group. Data were collected from February 7 to March 27, 2012 in the dementia supporting center. An eight week treatment program that included laughter therapy coupled with a cognitive reinforcing program including hand exercise, laughter dance routine, laughter technic and cognitive training for attention, memory, orientation and execution skill. Results: MoCA-K (t=-6.86, p<.001) and Stroop test CW correct (t=-2.54, p=.008), self-efficacy (t=-3.62, p=.001) in the treatment group were significantly higher than those of the comparison group. Reported depression (t=2.29, p=.014), Stroop test CW error (U=53.50, p<.001) in the treatment group was significantly less than the comparison group. Conclusion: In this study, the treatment was effective in improving self-efficacy, cognitive function and reducing depression in the elderly with MCI.

The Effect of Social Participation on Cognitive Impairment Degree among Korean Older Adults: Comparative Study between Urban and Rural Area (사회참여활동이 고령자 인지기능 손상 정도에 미치는 영향: 도시와 농촌 간 차이 분석)

  • Kang, Joo Young
    • The Journal of the Korea Contents Association
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    • v.20 no.10
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    • pp.326-337
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    • 2020
  • The purpose of this study is to analyze the effect of social participation types on cognitive impairment degree(normal, mild, severe cognitive function) by urban and rural difference. The research was performed by multinomial logistic regression with the data of elderly 5,668 over 55 years of age from the sixth wave(2016) and the seventh wave(2018) of the Korean Longitudinal Study of Ageing. Results show that social participation reduces the risk of cognitive impairment on both urban and rural older adults regardless of types, but the types of social participation, which are effective to reduce the risk of cognitive impairment, are different between urban and rural area. According to residential area, types of social participation, which are effective to decline the risk of being mild or severe cognitive impairment and the risk of being severe cognitive impairment relative to mild, are different. These findings suggest that, in order to prevent cognitive impairment and reduce the severity, social participation is strongly recommended and appropriate supports are required. This implies policy and intervention efforts considering the urban and rural difference are needed.

A Study on Clinical Characteristics of Patients with Mild Cognitive Impairment at Convalescent Hospitals (요양병원에 내원한 경도인지장애환자의 진료특성에 관한 연구)

  • Kim, Youn-Jeong;Kim, Doo Ree;Kim, Kwang-Hwan
    • Journal of the Korea Convergence Society
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    • v.9 no.8
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    • pp.77-85
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    • 2018
  • Dementia among the diseases occurring in the old age is recognized as a disease to be solved at the national level and systematic management is being carried out. However, the awareness and response of the mild cognitive disorder, which is the middle stage of normal aging and dementia, are insufficient and social costs are increasing every year. The subjects of the study were 303 hospitalized patients whose primary diagnosis was mild cognitive impairment (F067) in a nursing hospital located in one district in 2016. The number of days of hospitalization was shorter in autumn and longer in winter or in hospital discharge. The cost of treatment for patients with mild cognitive impairment is lower in autumn and higher in winter or in 'discharge' of medical treatment results. The total cost of medical treatment was high in the winter by season in the ADL 6-12 and ADL 13-20 groups. Difference in the cost of medical treatment according to the characteristics of medical treatment, the medical expenses were the highest when the number of corporal disease was 5 ~ 8. In the medical treatment results, the ADL 6-12 point group and the ADL 13-20 point group had high medical expenses in 'continue'. Considering the clinical characteristics of mild cognitive impairment and considering that 10-15% of the patients with mild cognitive impairment progress to dementia every year, early detection and treatment of mild cognitive impairment is an effective and potentially important task for reducing potential social and dementia patients.

The Effect of Virtual Reality Program Combining Transcranial Direct Current Stimulation on Depression, Hand Function, Cognition, and Daily Life Activities of Patients with Mild Cognitive Disorders (경두개직류전류자극을 결합한 가상현실프로그램이 경도인지장애환자의 우울, 손기능, 인지와 일상생활활동에 미치는 영향)

  • Ko-Un Kim;Bo-Ra Kim;Tae-Gyu An
    • Journal of The Korean Society of Integrative Medicine
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    • v.11 no.1
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    • pp.53-62
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    • 2023
  • Purpose : This study evaluated the effects of transcranial direct current stimulation and a virtual reality program on the depression, hand functions, cognitive function, and activities of daily living of patients with mild cognitive impairment by dividing 20 patients with mild cognitive impairment and depression. The 20 patients were divided into a treatment group (transcranial direct current stimulation + a virtual reality program) and a control group (placebo transcranial direct current stimulation + a placebo virtual reality program). Methods : This study allocated ten subjects to the treatment group and ten subjects to the control group. The treatment was given five times per week for six weeks (30 sessions), and each session was 30 minutes. This study screened depression by using SGDS-K, a short geriatric depression scale, to examine depression before and after treatment intervention. This study also used the box and block test, NCSE, and FIM to evaluate hand functions, cognitive function, and activities of daily living, respectively. Results : The results showed that depression significantly decreased, hand functions significantly increased, cognitive function significantly improved, and activities of daily living significantly increased after intervention in the treatment and control groups. The magnitude of changes in depression, hand functions, cognitive function, and activities of daily living was significantly different between the two groups after intervention (p>.05). Conclusion : The results showed that the application of transcranial direct current stimulation and a virtual reality program could improve cognitive function, hand functions, and activities of daily living by decreasing depression. Therefore, it can be concluded that the simultaneous application of transcranial direct current stimulation and a virtual reality program is an intervention method, which can be applied for decreasing depression, enhancing hand functions, improving cognitive function, and increasing activities of daily living in patients with mild cognitive impairment.

Brain Connectivity Analysis using 18F-FDG-PET and 11C-PIB-PET Images of Normal Aging and Mild Cognitive Impairment Participants (정상 노화군과 경도인지장애 환자군의 18F-FDG-PET과 11C-PIB-PET 영상을 이용한 뇌 연결망 분석)

  • Son, S.J.;Park, H.
    • Journal of Biomedical Engineering Research
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    • v.35 no.3
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    • pp.68-74
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    • 2014
  • Recent research on mild cognitive impairment (MCI) has shown that cognitive and memory decline in this disease is accompanied by disruptive changes in the brain functional network. However, there have been no graph-theoretical studies using $^{11}C$-PIB PET data of the Alzheimer's Disease or mild cognitive impairment. In this study, we acquired $^{18}F$-FDG PET and $^{11}C$-PIB PET images of twenty-four normal aging control participants and thirty individuals with MCI from ADNI (Alzheimer's Disease Neuroimaging Initiative) database. Brain networks were constructed by thresholding binary correlation matrices using graph theoretical approaches. Both normal control and MCI group showed small-world property in $^{11}C$-PIB PET images as well as $^{18}F$-FDG PET images. $^{11}C$-PIB PET images showed significant difference between NC (normal control) and MCI over large range of sparsity values. This result will enable us to further analyze the brain using established graph-theoretical approaches for $^{11}C$-PIB PET images.