지역사회 거주 노인의 기억력에 대한 자기 인식도 평가
Evaluation of Self-Awareness of Memory Impairment in Elderly Community
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Objectives: We aimed to evaluate discrepancies between self-awareness of memory functions and actual memory functions in the elderly community. Methods: A total of 369 individuals aged over 65 years from four elderly community centers completed clinical evaluation, neuropsychological batteries of the Korean version of the Consortium to Establish a Registry for Alzheimer’ s disease (CERAD-K), the Geriatric Depression Scale (GDS), the Instrumental Activities of Daily Living (IADL), and the Hachinski Ischemic Score. Results: Among the elderly particpants, 26.3% showed incorrect awareness regarding their memory function. Those with subjective memory complaints included 73.5% with no memory impairment,while those without memory complaints included 11.3% of those with amnestic mild cognitive impairment (aMCI) and 4.3% of those with Alzheimer’ s disease (AD). Subjective memory complaints were significantly associated with depression. Among the elderly with no memory complaints, incorrect awareness was associated with‘ no previous education’ (OR 3.6, 95% CI 1.3-9.8),‘ age over 80’ (OR 2.4, 95% CI 1.1-5.4), and‘ male’ (OR 2.3, 95% CI 1.0-5.2) ; however,it was not significantly associated with depression. Conclusion: Incorrect awareness of memory impairment is prevalent among the elderly. Further,elderly individuals of an advanced age with no education may have memory impairment without memory complaints.
Abstract
Objectives: We aimed to evaluate discrepancies between self-awareness of memory functions and actual memory functions in the elderly community. Methods: A total of 369 individuals aged over 65 years from four elderly community centers completed clinical evaluation, neuropsychological batteries of the Korean version of the Consortium to Establish a Registry for Alzheimer’ s disease (CERAD-K), the Geriatric Depression Scale (GDS), the Instrumental Activities of Daily Living (IADL), and the Hachinski Ischemic Score. Results: Among the elderly particpants, 26.3% showed incorrect awareness regarding their memory function. Those with subjective memory complaints included 73.5% with no memory impairment,while those without memory complaints included 11.3% of those with amnestic mild cognitive impairment (aMCI) and 4.3% of those with Alzheimer’ s disease (AD). Subjective memory complaints were significantly associated with depression. Among the elderly with no memory complaints, incorrect awareness was associated with‘ no previous education’ (OR 3.6, 95% CI 1.3-9.8),‘ age over 80’ (OR 2.4, 95% CI 1.1-5.4), and‘ male’ (OR 2.3, 95% CI 1.0-5.2) ; however,it was not significantly associated with depression. Conclusion: Incorrect awareness of memory impairment is prevalent among the elderly. Further,elderly individuals of an advanced age with no education may have memory impairment without memory complaints.
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