노년기 주관적 기억력 감퇴의 예측인자 : 한국인의 건강과 노화에 관한 종적 연구 결과
Predictors for Subjective Memory Complaints in the Elderly : The Results from Korean Longitudinal Study on Health and Aging (KLoSHA)
0
조회
0
다운로드
8
인용
0
참고문헌
키워드
초록
고학력의 정상 노인에서 타인에 비해 자신의 기억력이 나쁘다고 호소하는 주관적 기억감퇴는 경미한 우울감이나 전두엽 기능 저하에 대한 예민한 주관적 지각일 가능성이 높으므로, 적극적인 진단 평가와 지속적인 추적 관찰이 요구된다.
Abstract
Objectives：We investigated the predictors of subjective memory complaints in the community-dwelling normal elderly. Methods：This study was conducted as a part of Korean Longitudinal Study on Health and Aging (KLoSHA). 747 nondemented community-dwelling elderly aged 65 years or older were recruited. All participants underwent clinical evaluation for dementia and psychiatric disorder conformed to the Korean version of the Consortium to Establish a Registry for Alzheimer’s Disease (CERAD-K) Clinical Assessment Battery and Korean version of Mini-International Neuropsychiatric Interview, respectively. Word list recall test, frontal assessment battery, Mini Mental Status Examination (MMSE-KC) and Korean version of Geriatric depression scale (GDS-K) were administered to evaluate episodic memory, frontal function, global cognition and depression, respectively. Subjective memory complaint was defined in two different ways: worse than one’s past (SMC-P) and worse than others of one’s age (SMC-O). Results：In highly educated elderly, minor depressive disorder (OR=7.23, 95% C.I.= 2.29-22.86) and frontal dysfunction (OR=2.48, 95% C.I.=1.29-4.77) significantly increased the risk of SMC-O. However, they did not influence the risk of SMC-P. In low educated elderly, both the minor depressive disorder and frontal dysfunction did not influence the risk of SMCO as well as that of SMC-P. Conclusion：SMC-O can be a sensitive subjective recognition of mild depression and/or frontal dysfunction in highly educated normal elderly. (J Korean Neuropsychiatr Assoc 2007;46(6):560-565)
참고문헌 (29)
- Bola KI, "Memory com-plaints in older adults Fact or fiction? Arch Neurol 1991;48", pp.61~64
- J.M. Ryu, "노년기 주관적 기억력 감퇴", 46(6), pp.565~
- Turvey CL, "Memory com-plaint in a comunity sample aged 70 and older", 48, pp.1435~1441 (2000)
- Wang PN, "Sub-jective memory complaint in relation to cognitive performance and depression: a longitudinal study of a rural Chinese population", 48, pp.295~299 (2000)
- Derouesne C, "Memory com-plaints in young and elderly subjects", 14, pp.291~301 (1999)
- McGlone J, "Screening for early dementia using memory complaints from patients and relatives", pp.1189~1193
- Sunderland A, "Subjective memory asesment and test performance in elderly adults", pp.376~384
- Christensen H, "Complaints of cognitive decline in the elderly a comparison of reports by subjects and informants in a community survey", pp.365~374
- Helkala EL, "Subjective memory complaints and personality traits in normal elderly subjects", pp.1~4
- Purser JL, "Memory complaint is not necessary for diagnosis of mild cognitive impairment and does not predict 10-year trajectories of functional disability, word recal, or short portable mental status questionnaire limitations", 54, pp.335~338 (2006)
- Rabin LA, "Self- and informant reports of executive function on the BRIEF-A in MCI and older adults with cognitive complaints", 21, pp.721~732 (2006)
- Baune BT, "The asociation between depressive mood and cognitive performance in an elderly general population - the MEMO Study", 22, pp.142~149 (2006)
- American Psychiatric Asociation&American Psychiatric Asociation, "Task Force on DSM-IV. Diagnostic and statistical manual of mental disorders: DSM-IV-TR. 4th ed" (2000), Washington, DC: American Psychi-atric Asociation
- Le JH, "Develop-ment of the Korean version of the Consortium to Establish a Registry for Alzheimers Disease Assessment Packet (CERAD-K) clinical and neuropsychological asesment bateries", 57, pp.47~53 (2002)
- Yo SW, "Validity of Korean Version of the Mini-international Neuropsychiatric interview", 2, pp.50~55 (2006)
- Lee DY, "The prevalence of dementia in older people in an urban population of Korea: the Seoul study", 50, pp.1233~1239 (2002)
- Dubois B, "The FAB: a Frontal As-sesment Batery at bedside", 55, pp.1621~1626 (2000)
- Bae JN, "Development of the Korean version of the Geriatric Depresion Scale and its short form among elderly psychiatric patients", 57, pp.297~305 (2004)
- Riedel-Heller SG, "Do memory complaints indicate the presence of cognitive impairment? Results of a field study", 249, pp.197~204 (1999)
- Minet TS, "Subjective me-mory complaints in an elderly sample: a cross-sectional study" (2007), In pres
- Jorm AF, "Do cognitive complaints either predict future cognitive decline or reflect past cognitive decline? A longitudinal study of an elderly community sample", 27, pp.91~98 (1997)
- Jungwirth S, "Subjective memory complaints and objective memory impair-ment in the Vienna-Transdanube aging community", 52, pp.263~268 (2004)
- Gerlings MI, "Asocia-tion between memory complaints and incident Alzheimers disease in elderly people with normal baseline cognition", 156, pp.531~537 (1999)
- Reid LM, "Subjective memory complaints and cog-nitive impairment in older people", 22, pp.471~485 (2006)
- Schofield PW, "Asociation of subjective memory complaints with subsequent cogni-tive decline in comunity-dwelling elderly individuals with baseline cognitive impairment", 154, pp.609~615 (1997)
- Jonker C, "Memory complaints and memory impairment in older individuals", 44, pp.44~49 (1996)
- Okonek A, "initial neuropsychological and cerebral metabolic findings of a longitudinal study", pp.23~44
- Reese CM, "Effects of age and ability on self-reported memory functioning and knowledge of memory aging", 167, pp.221~240 (2006)
- Tsai DH, "Predictors of subjective memory complaint in cognitively normal relatives of patients with Alzheimer’s disease", 18, pp.384~388 (2006)