• 제목/요약/키워드: Neurocognitive functioning

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만성 정신분열병 환자들의 인지 기능과 정서 인식 능력의 관련성 (The Relationship between Neurocognitive Functioning and Emotional Recognition in Chronic Schizophrenic Patients)

  • 황혜리;황태연;이우경;한은선
    • 생물정신의학
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    • 제11권2호
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    • pp.155-164
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    • 2004
  • Objective:The present study examined the association between basic neurocognitive functions and emotional recognition in chronic schizophrenia. Furthermore, to Investigate cognitive variable related to emotion recognition in Schizophrenia. Methods:Forty eight patients from the Yongin Psychiatric Rehabilitation Center were evaluated for neurocognitive function, and Emotional Recognition Test which has four subscales finding emotional clue, discriminating emotions, understanding emotional context and emotional capacity. Measures of neurocognitive functioning were selected based on hypothesized relationships to perception of emotion. These measures included:1) Letter Number Sequencing Test, a measure of working memory;2) Word Fluency and Block Design, a measure of executive function;3) Hopkins Verbal Learning Test-Korean version, a measure of verbal memory;4) Digit Span, a measure of immediate memory;5) Span of Apprehension Task, a measure of early visual processing, visual scanning;6) Continuous Performance Test, a measure of sustained attention functioning. Correlation analyses between specific neurocognitive measures and emotional recognition test were made. To examine the degree to which neurocognitive performance predicting emotional recognition, hierarchical regression analyses were also made. Results:Working memory, and verbal memory were closely related with emotional discrimination. Working memory, Span of Apprehension and Digit Span were closely related with contextual recognition. Among cognitive measures, Span of Apprehension, Working memory, Digit Span were most important variables in predicting emotional capacity. Conclusion:These results are relevant considering that emotional information processing depends, in part, on the abilities to scan the context and to use immediate working memory. These results indicated that mul- tifaceted cognitive training program added with Emotional Recognition Task(Cognitive Behavioral Rehabilitation Therapy added with Emotional Management Program) are promising.

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두부외상 환자에서 전두엽 손상과 신경인지기능 변화에 따른 주관적인 증상 연구 (The Study of the Subjective Symptoms according to Frontal Lobe Damage and Change in Neurocognitive Function in Traumatic Head Injury Patients)

  • 김준원;한덕현;기백석;박두병
    • 대한불안의학회지
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    • 제8권1호
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    • pp.31-40
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    • 2012
  • Objective : The purpose of this study was to analyze the correlation between symptom severity and neurocognitive factors in traumatic head injury patients. In addition, the effect of frontal lobe damage on these parameters was examined. Methods : We selected 18 patients who had brain damage for the moderate to severe traumatic brain injury (MSTBI) group, and 17 patients who met the diagnostic criteria for post-traumatic stress disorder (PTSD) without the finding of brain damage for the comparison group. For the evaluation of neurocognitive function, K-WAIS, Rey-Kim Memory Test, K-FENT, WCST, and MMPI-2 were used. Results : The results of the comparison (using the malingering scale) revealed that the values of PDS and PK, which express the severity of symptoms, and the values of the validity scale F, F (B), and F (P) were significantly higher in the overly-expressed group. F (B) in overly-expressed group and PK, Pt, and Sc in the properly-expressed group had significant correlation with the severity of symptoms. F (B), S, and Stroop error inhibition in PTSD, and PK, Pt, Sc, and MQ in MSTBI had significant correlation with the severity of symptoms. The results of the comparison based on the finding of frontal lobe damage revealed that PDS, EIQ, and MQ ware significantly higher in the group without brain damage. Conclusions : It was revealed that each neurocognitive factor was correlated with the severity of symptoms. There was a decrease in complaints or symptoms reported by the frontal lobe injury group, and this is believed to be due to degenerative change in the personality and emotional functioning of these patients following frontal lobe damage.

인지훈련 프로그램이 급성 허혈성 뇌졸중 환자의 인지기능과 일상생활 수행능력에 미치는 효과 (Effects of a Cognitive Training Program on Cognitive Function and Activities of Daily Living in Patients with Acute Ischemic Stroke)

  • 오은영;정미숙
    • 대한간호학회지
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    • 제47권1호
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    • pp.1-13
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    • 2017
  • Purpose: The purpose of this study was to examine the effects of a cognitive training program on neurocognitive task performance and activities of daily living (ADL) in patients who had a stroke. Methods: The research design for this study was a nonequivalent control group non-synchronized design. Patients were assigned to the experimental (n=21) or control group (n=21). The experimental group received a 4-week cognitive training program and usual care (i.e., rehabilitation service), while the control was received usual care only. Cognitive function was measured with a standardized neurocognitive test battery and ADL was assessed at baseline and one and two months after completion of the intervention. Repeated measures ANOVA was used to determine changes in cognitive function and ADL over 2 months. Results: The interaction of group and time was significant indicating that the experimental group showed improvement in attention, visuospatial function, verbal memory, and executive function compared to the control group which had a sustained or gradual decrease in test performance. A significant group by time interaction in instrumental ADL was also found between the experimental group with gradual improvement and the control group showing no noticeable change. Conclusion: Findings show that the cognitive training program developed in this study is beneficial in restoring cognitive function and improving ADL in patients following a stroke. Further study is needed to investigate the long-term relationship between cognitive training participation and cognitive improvement and effective functioning in daily living.

노년기의 마음이론: 신경인지적 접근 (Theory of Mind in Old Age: A Review from a Neurocognitive Perspective)

  • 박민
    • 한국노년학
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    • 제30권3호
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    • pp.743-757
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    • 2010
  • 마음이론이란 자기 자신과 타인의 믿음, 바람, 의도와 같은 마음 상태를 추론하는 능력을 가리킨다. 마음이론에 대한 대다수의 연구는 아동과 자폐증 환자에 초점을 맞춘 것이었으나 정상적인 노화 과정을 겪고 있는 노인과 치매 노인을 대상으로 한 연구도 이루어지고 있다. 본 논문에서는 마음이론의 노화에 대한 기존 연구 결과들을 개관하고 신경영상 기법의 활용과 실생활에 근거한 마음이론 측정 과제의 적용과 같은 향후 연구 방향을 제안한다. 아직까지 마음이론 능력의 노화가 다른 인지적 측면과 어떻게 관련되어 있는가와 같은 문제에 대해 논쟁이 이루어지고 있기는 하지만 마음이론의 관점에 근거한 노화 연구는 노인의 인지적 기능과 사회적 기능에 대한 이해를 증진시킬 것으로 기대된다.

보드 게임을 활용한 반 구조화된 DIRFloortime® 치료가 고기능 자폐스펙트럼 장애 아동의 언어 이해 및 정보처리 지표 기능향상에 미치는 효과 (Effects of Semi-structured DIRFloortime® Therapy Using Board Games on Verbal Comprehension and Processing Speed Index in Children With High Functioning Autism Spectrum Disorders)

  • 정희승
    • 한국신경인지재활치료학회지
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    • 제10권2호
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    • pp.35-44
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    • 2018
  • 목적: 본 연구는 반 구조화된 $DIRFloortime^{(R)}$ 치료가 고기능 자폐스펙트럼장애 아동의 언어이해 지표 및 정보처리 지표 기능향상에 미치는 효과를 알아보고자 하였다. 방법: 연구대상자의 일반적인 특성인 자폐정도, 전체지능, 언어이해지표 와 정보처리 지표를 측정하였다. 중재 방법으로 사용한 것은 전문가 내용타당도를 확보한 후, 수정 보완하여 보드게임을 활용한 반 구조화된 $DIRFloortime^{(R)}$ 치료 중재 프로그램을 사용하였다. 유사 실험 설계로 한 집단 사전 사후 검사 실험 설계를 하였으며 유의수준 .05에서 t 검증을 통해서 사전 및 사후 검사를 하였다. 결과: 프로그램 실시 후, 언어이해 지표는 사후검사 시, 통계적으로 유의한 수준 (p<.001) 유의미한 차이가 잇는 것으로 나타났으며, 정보처리 지표에서도 통계적으로 유의미한 효과가 있는 것으로 나타났다(p<.001). 결론: 보드게임을 활용한 반 구조화된 $DIRFloortime^{(R)}$ 치료 고기능 자폐스펙트럼 장애 아동들의 언어이해 및 정보처리 지표 기능 향상에 효과가 있었다.