치매 환자의 유언 및 관련 사안들에 대한 지역사회 일반인의 인식 및 태도
A Provincial Population-Based Survey on Attitudes towards Wills of Individuals with Dementia and Related Issues
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ObjectivesZZThis study investigated the attitudes of a provincial population towards wills of individuals with dementia and related concerns to prevent civil disputes related to dementia in an aging society. MethodsZZThe target population was registered residents in a province aged 19 years or older. The population forming the sampling frame was 1478821 (as of May 31, 2013). With a confidence interval of 2% and significance level of 5%, 2540 participants were sampled. This survey used a structured questionnaire composed of two main parts : seven items of general information (sex, age, residence, marital status, education, occupation, and income) and Testamentary Capacity- Related Questionnaire-12 items (TCRQ-12) comprising four items of basic knowledge and eight items of specific situational questions, using a five point Likert scale. ResultsZZThe respondents were favorable toward the guarantee of will-making capacity of individuals with dementia. Self-relatedness, disadvantageousness and undue influence are significantly associated with objection to the will of individuals with dementia. In the pre-evaluation of testamentary capacity of individuals with dementia, the respondents responded strongly and with more favorable attitudes for evaluation by medical specialists than by lawyers. Last, in acceptance of the denial of self-related will due to dementia, negative response was dominant over positive response. ConclusionZZAlthough it would be desirable that the will or testamentary capacity of individuals with dementia should be guaranteed for maximum, institutional and professional approaches are necessary to prevent civil disputes related to dementia.
Abstract
ObjectivesZZThis study investigated the attitudes of a provincial population towards wills of individuals with dementia and related concerns to prevent civil disputes related to dementia in an aging society. MethodsZZThe target population was registered residents in a province aged 19 years or older. The population forming the sampling frame was 1478821 (as of May 31, 2013). With a confidence interval of 2% and significance level of 5%, 2540 participants were sampled. This survey used a structured questionnaire composed of two main parts : seven items of general information (sex, age, residence, marital status, education, occupation, and income) and Testamentary Capacity- Related Questionnaire-12 items (TCRQ-12) comprising four items of basic knowledge and eight items of specific situational questions, using a five point Likert scale. ResultsZZThe respondents were favorable toward the guarantee of will-making capacity of individuals with dementia. Self-relatedness, disadvantageousness and undue influence are significantly associated with objection to the will of individuals with dementia. In the pre-evaluation of testamentary capacity of individuals with dementia, the respondents responded strongly and with more favorable attitudes for evaluation by medical specialists than by lawyers. Last, in acceptance of the denial of self-related will due to dementia, negative response was dominant over positive response. ConclusionZZAlthough it would be desirable that the will or testamentary capacity of individuals with dementia should be guaranteed for maximum, institutional and professional approaches are necessary to prevent civil disputes related to dementia.
참고문헌 (35)
- American Psychiatric Association, "Diagnostic and Statistical Manual of Mental Disorders (DSM-5)" (2013), American Psychiatric Association
- clinical psychiatry, "Kaplan & Sadock’s synopsis of psychiatry behavioral sciences", pp.2015, Sadock BJ
- "Population projections: general and processed statistics, statistics on population"[URL]
- Youn JC, "Epidemiology of dementia", Psychiatry Invest, 2, pp.28~39 (2005)
- Prince M, "The global prevalence of dementia: a systematic review and metaanalysis", Alzheimers Dement, 9, pp.63~75 (2013)
- Kim KW, "A nationwide survey on the prevalence of dementia and mild cognitive impairment in South Korea", J Alzheimers Dis, 23, pp.281~291 (2011)
- You Joung Kim, "Prevalence and Trends of Dementia in Korea: A Systematic Review and Meta-Analysis", Journal of Korean Medical Science, 29(7), pp.903~912 (2014), 대한의학회
- Kang IO, "Economic cost of dementia patients according to the limitation of the activities of daily living in Korea", Int J Geriatr Psychiatry, 22, pp.675~681 (2007)
- Banerjee S, "The macroeconomics of dementia--will the world economy get Alzheimer’s disease", Arch Med Res, 43, pp.705~709 (2012)
- Foot DK, "Boom, bust and echo" (2002), Stoddart
- Shulman KI, "Psychiatric issues in retrospective challenges of testamentary capacity", Int J Geriatr Psychiatry, 20, pp.63~69 (2005)
- Shulman KI, "Assessment of testamentary capacity and vulnerability to undue influence", Am J Psychiatry, 164, pp.722~727 (2007)
- "Population stastics on registration of resident"[URL]
- "Research aids: sample size calculator and sample size formula"[URL]
- Neufeld E, "Enhanced measurement sensitivity of hopeless ideation among older adults at risk of self-harm:reliability and validity of Likert-type responses to the Beck Hopelessness Scale", Aging Ment Health, 14, pp.752~756 (2010)
- Peer IN, "Wills, testamentary capacity and undue influence", Bull Am Acad Psychiatry Law, 9, pp.15~22 (1981)
- Wimo A, "Alzheimer Disease International. The worldwide economic impact of dementia 2010", Alzheimers Dement, 9, pp.1~11 (2013)
- Quentin W, "Cost-of-illness studies of dementia: a systematic review focusing on stage dependency of costs", Acta Psychiatr Scand, 121, pp.243~259 (2010)
- Schulz R, "Family caregiving of persons with dementia:prevalence, health effects, and support strategies", Am J Geriatr Psychiatry, 12, pp.240~249 (2004)
- 김영희, "현행민법상 유언의 방식에 관한 연구", 가족법연구, 20(2), pp.117~160 (2006), 한국가족법학회
- 전혜정, "민법상 유언상속에 관한 연구", 가족법연구, 20(3), pp.151~180 (2006), 한국가족법학회
- Peisah C, "The wills of older people: risk factors for undue influence", Int Psychogeriatr, 21, pp.7~15 (2009)
- Jacoby R, "How to assess capacity to make a will", BMJ, 335, pp.155~157 (2007)
- Brown PF, "Assessments of mental capacity in psychiatric inpatients: a retrospective cohort study", BMC Psychiatry, 13, pp.115~ (2013)
- Practical use of adult guardianship system for the protection of the elderly, "Electric Power", 2016, 89~
- Kennedy KM, "Testamentary capacity: a practical guide to assessment of ability to make a valid will", J Forensic Leg Med, 19, pp.191~195 (2012)
- Shulman KI, "Contemporaneous assessment of testamentary capacity", Int Psychogeriatr, 21, pp.433~439 (2009)
- "Banks vs Goodfellow. 1870. LR 5 QB 549", ~ (1870)
- Widera E, "Finances in the older patient with cognitive impairment: “He didn’t want me to take over”", JAMA, 305, pp.698~706 (2011)
- White B, "Competence to consent", pp.154~184 (1994), Georgetown University Press
- Dunn LB, "Assessing decisional capacity for clinical research or treatment: a review of instruments", Am J Psychiatry, 163, pp.1323~1334 (2006)
- Lui VW, "Structured assessment of mental capacity to make financial decisions in Chinese older persons with mild cognitive impairment and mild Alzheimer disease", J Geriatr Psychiatry Neurol, 26, pp.69~77 (2013)
- Lai JM, "Everyday decision-making ability in older persons with cognitive impairment", Am J Geriatr Psychiatry, 16, pp.693~696 (2008)
- Sherod MG, "Neurocognitive predictors of financial capacity across the dementia spectrum: normal aging, mild cognitive impairment, and Alzheimer’s disease", J Int Neuropsychol Soc, 15, pp.258~267 (2009)
- Marson DC, "Assessing financial capacity in patients with Alzheimer disease:a conceptual model and prototype instrument", Arch Neurol, 57, pp.877~884 (2000)