• 셀메드
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• 제7권3호
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• pp.13.1-13.10
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• 2017

Nutrition is one of the factors influencing cognitive functions. But, the role of nutrition on cognitive functions within the elderly is recognized to a lesser degree. The aim of this academic endeavor was to analyze the affiliation between nutritional status and cognitive functions of the elderly in Korea. 316 subjects, of 114 male and 201 female aged above 65 years, were gathered from university hospital clinics, Elderly Welfare Centers, and Health Welfare Centers located in the district of Seoul, Gyeonggi province, and Incheon in Korea. The cognitive function was tested by the Korean-Mini Mental State Examination (K-MMSE) questionnaire. Nutrition intake was assessed by a 24-hour recall, a food frequency questionnaire (FFQ). Nutrition adequacy and quality were assessed by the Nutrition Screening Initiative (NSI) checklist, the nutritional adequacy ratio (NAR), and the mean adequacy ratio (MAR). The elderly with normal cognitive function status displayed significantly higher levels of calcium, riboflavin, thiamin, folate, vitamin C, vitamin E, vitamin B6, phosphorous, potassium, iron, niacin, zinc, animal fat, animal protein, polyunsaturated fatty acids, total protein, vegetable oil, vegetable protein, fiber than levels of the elderly with moderate cognitive impairment. The K-MMSE score positively correlated with of high consumption of pork, white radish, sea mustard, tomato, tangerine, grape, apple, and ice cream, and K-MMSE was negatively associated with high intake of potato, anchovy, fish cake, and mushroom. The findings suggest that nutritional status is affiliated with cognitive function within the elderly of Korea. The consumption of variety of foods and nutrients ensures adequate cognitive function in the Korean elderly.

• 한국학교보건학회지
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• 제23권2호
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• pp.256-265
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• 2010

Purpose: The purpose of this study was to identify the psychological problems of the children in early stage and provide basic data for develop the children's mental health promotion programs. Methods: There were 270 subjects who were fist and forth grade of elementary school and the data was collected through their parents. This study use Child Problem-Behavior Screening Questionnaire that was divided into five sub-scales, including internal problems, external problems, cognitive problems, abuse problems and psychosomatic problems. Each sub-scales have one cutting points, children whose scores above the cutting points means abnormal in correspond subscale. Results: 1) The most appearing problems was psychosomatic problems with 10.8% of subjects and next internal problems with 8.6% of subjects in elementary school student. 2) For distribution of mental behavior development according to gender, there was significant difference in psychosomatic problems between male and female (p =.009). 3) For distribution of mental behavior development according to grade, the results showed that significant difference in internal problems (p =.000) and total scores of CPSQ (p =.012) between first grade and forth grade. Conclusion: When we develop children's mental health promotion program, it is necessary to considerate the gender and grade characteristics.

• 한국사회복지학
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• 제44권
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• pp.318-345
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• 2001

The purpose of this research was to develop and evaluate a preventive mental health program for the depression among the elderly in community. Based on the review of literature, intervention program for preventing depression among the elderly was developed. In particular, the program focuses on enhancing the sense of control which is from social cognitive theory. The preventive mental health program consists of two parts: Tan-Hak and Social intervention program. Tan-Hak was oriented to cognitive change and activities, while social intervention program dealt with some social skills for relationship, stress management, motivation of social activities (volunteer activities), positive future designing, etc. For the evaluation of this program, we employed depression scale and medical measurement such as hormone test before and after the program, and in-depth interview of subjects. Overall, this program was successful in some points. First, through the pre and post test, this program has positive effect on strengthening the sense of control, and consequently, lowering depression level. Secondly, 18 people started this program called "smile class" at first time, and none of them turned out until the end of the program. This implies that the program was interesting to the elderly.

• 대한간호학회지
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• 제14권2호
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• pp.47-54
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• 1984

In an attempt to take Comprehensive nursing care the author tested cognitive function and psychiatric disturbance produced by normal adults. Mini-mental state and simple reaction time were tested and general health questionnaire was conducted two hundred subjects. The data were analyzed statistically and the results follow: 1. The score of mini-mental state of the elderly group was less significant than that of the younger group in the tests of cognitive dysfunction. The score of MMS of the female group, the illiteracy group less significant than that of other groups in the test of cogntive dysfunction. 2. Reaction time of the elderly group was slower than that of the younger group. Reaction time of the female group was slower than that of the male group. Reaction time of the illiteracy group was the slowest & the unskilled group was slower than that of the other groups. 3. As a result of the results of psychiatric disturbance the score of general health questionnaire of the elderly group was significantly higher than that of the younger group in the tests of psychiatric disturbance. The test of psychiatric disturbance sho-wed that the score of general health questionnaire of the female group was significantly higher than that of the male group in the tests of psychiatric disturbance. The illiteracy group was the highest in the psychiatric disturbance among other groups and the unskilled group was significantly higher than the other groups. 4. Education had higher correlation to mini-men-tat state, while age negative correlation in comparison with other variables age had higher correlation to reaction time, while education had negative correlation in comparison with other variables. Sex had low correlation in these tests.

• 대한간호학회지
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• 제38권1호
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• pp.1-10
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• 2008

Purpose: The purpose of this study was to examine cognitive functions, depression, and life satisfaction among the elderly receiving visiting nursing services. Methods: The subjects of this study consisted of 221 elderly individuals who were receiving visiting nursing services from a public health center located in Gyeonggi-do. The Mini-mental State Examination Korea version (MMSE-K), Geriatric Depression Scale-short form-Korea version (GDS-K), and Life Satisfaction Scale were utilized to determine cognitive functions, depression, and life satisfaction, Collected data was analyzed by the SPSS PC Win 12,0 program. Results: The prevalence of cognitive impairment (MMSE-K$\leq$24) was 86.4%, and the proportion of severe depression (GDS-K$\leq$10) was 22,6%, Older age, lower education, and low income were associated with cognitive impairment, and low education, no religion, and low income were associated with depression. Cognitive function negatively correlated with depression. Life satisfaction level was fairly low and was not associated with any variables. Conclusion: The high prevalence of cognitive impairment and low life satisfaction status were determined among low-income elderly who were registered at a visiting health care center. Thus, in the future at visiting health care services, efficient and various programs for the elderly should be tried, to improve cognitive functions and reduce depression. Additionally, consistent evaluation studies for those programs will be required.

• 보건의료산업학회지
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• 제13권1호
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• pp.67-78
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• 2019

Objectives: To identify the factors affecting the cognitive function according to the education level of people aged 65 or older. Methods: This study used the data from the 2014 survey of living conditions and welfare needs of Korean older adults. A total of 10,248 people were analyzed in the final analysis, not including those who responded by proxy and those who did not participate in cognitive function tests. Cognitive function was measured by Mini Mental State Examination -Dementia Screening(MMSE-DS), and logistic regression was performed using the SPSS/WIN 24.0 program. Results: There were differences in factors affecting cognitive function depending on the education level. Overall, regular exercise had a positive effect on maintaining cognitive function, and the higher the education level, the more important it was to maintain the Instrumental Activities of Daily Living(IADL). In addition, for lower education levels, improving the life satisfaction was important to prevent the decline of cognitive function. Conclusions: Based on the results of this research, it is suggested that customized approaches shoud be taken according to education level when developing and implementing programs to prevent the decline of cognitive function.

• 한국엔터테인먼트산업학회논문지
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• 제15권5호
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• pp.175-188
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• 2021

본 연구는 2019년 청소년건강행태조사 자료를 이용하여 비수도권과 수도권 청소년들의 정신건강이 평생 음주, 평생 흡연경험에 미치는 영향을 파악해 보고자 하였다. 연구대상은 중학교 400개교, 고등학교 400개교 총 800개교의 60,100명의 대상자 가운데 조사에 참여한 전체 청소년 57,303명을 대상으로 하였으며, 이 중 중학생이 29,384명, 고등학생이 27,919명으로 선정하였다. 연구결과 비수도권의 경우, 평생 음주, 평생 흡연 경험에 유의한 영향을 미치는 정신 건강은 주관적 건강인지, 스트레스인지, 피로회복정도, 슬픔과 절망감 경험, 자살생각, 자살계획, 자살시도가 유의한 것으로 나타났다. 수도권의 경우, 평생 음주, 평생 흡연 경험에 유의한 영향을 미치는 정신 건강은 스트레스인지, 피로회복정도, 슬픔과 절망감 경험, 자살생각, 자살시도는 유의한 것으로 나타났다. 이러한 결과를 바탕으로 청소년들의 음주문제가 정신건강 특성에 영향을 미치는 것으로 보아 수도권과 비수도권 청소년들의 지역별 정신 건강요인을 고려한 방향설정과 교육프로그램의 재평가를 통해 보다 효과적인 청소년들의 음주예방을 위한 중재 및 교육프로그램 개발을 위한 노력이 필요하다.

• 한국콘텐츠학회논문지
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• 제12권1호
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• pp.416-429
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• 2012

본 연구는 회복지향의 통합재활프로그램이 만성정신분열병 환자의 증상, 인지 사회적 기능, 재활동기, 정신건강회복수준에 미치는 효과를 검증하고자 시도되었다. 이 프로그램은 인지분화, 정서관리, 직업재활, 가족교육으로 구성된 4개의 소프로그램과 함께 동기강화프로그램이 포함되어 있다. 연구대상은 지방소재의 일개 국립병원에 입원한 정신신분열증 환자로, 실험군 18명과 대조군 16명으로 구성된 비동등성 대조군 전후시차 설계를 사용하였다. 수집된 자료는 SPSS 12.0을 이용하여 통계 분석하였다. 프로그램의 효과를 검증한 결과, 인지 사회적 기능에 별다른 효과를 나타내지 못했으나, 재활동기수준(유지단계에서 p=.027)과 정신건강회복수준(p=.039)에서만 실험군과 대조군에서 유의한 차이를 나타내어 제한적인 효과를 나타내었다. 입원세팅에서 단기간의 회복지향의 통합재활프로그램은 증상감소나 기능향상보다는 재활 동기나 정신건강회복수준을 향상시키는데 보다 효과적으로 활용될 수 있는 가능성이 있는 것으로 보인다. 임상세팅에서 보다 회복지향적인 서비스를 제공하기 위한 노력이 필요하다.

• 한국보건간호학회지
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• 제31권2호
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• pp.209-219
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• 2017

Purpose: The purpose of this study was to identify the gender differences in the cognitive function and nutritional status among elderly people living in the community. Methods: This study used data from the 2014 National Survey on the Elderly and focused on 10,054 respondents who answered that they did not have dementia. The Korean version of Mini-Mental State Examination for Dementia Screening and the Nutrition Screening Initiative were used. IBM SPSS Statistics 23.0 was used to conduct statistical analyses. Results: The cognitive function score was 25.30 for men, which was higher than for women. The percentage of subjects who showed cognitive decline was 25.5% for males and 50.2% for females, which was statistically significant (p<.001). There were statistically significant differences in the nutritional status between males and females (p<.001). There was a statistically significant negative correlation between the cognitive function and nutritional status in both men and women (p<.001, p<.001). Conclusion: These results showed that the intervention to maintain cognitive functioning should be provided to elderly women with a low education level or high number of chronic diseases and medication, and an intervention to prevent the cognitive decline of the elderly should include nutritional management for health and function maintenance.

• 대한불안의학회지
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• 제18권2호
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• pp.101-108
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• 2022

Objective : The purpose of this study was to investigate depression, anxiety, trauma experience, and suicidal tendency among patients who were hospitalized in a community treatment center and to identify the factors that were associated with each symptom. Methods : A total of 213 patients who were hospitalized in the Tae-reung community treatment center between March 16, 2020 and April 30, 2020 were recruited into this study. A self-report questionnaire or interview by mental health professionals was used to assess PHQ-2, GAD-7, PC-PTSC and P4 screener. In 90 patients who completed the survey, multiple regression modeling was conducted to identify the burden of each psychiatric symptoms and associated demographic characteristics. Results : Female gender was significantly positively associated with GAD-7 score, score of each GAD-7 subscale of 1, 2, 3 or 4 (nervous, control of worry, worry, and trouble relaxing), and sum of GAD-7 subscale scores reflecting cognitive and emotional experience of anxiety (1. nervous+2. control of worry+3. worry+7. afraid). Previous psychiatric history and, number of counseling service used were significantly positively associated with the PHQ-2 score and the duration of isolation was significantly negatively associated with the PHQ-2 score. Conclusion : These results showed that depression and anxiety symptoms were more prevalent in COVID-19 patients at the community treatment center than in the general population. Among the demographic characteristics, female gender was positively associated with cognitive and emotional experience of anxiety. It shows the necessity of an appropriate psychiatric intervention protocol and health-policy preparation for community treatment centers.