경도인지장애 환자에서 전산화 인지훈련 프로그램의 효과: 예비연구
The Effectiveness of Computerized Cognitive Training Program for Older Adults With Mild Cognitive Impairment: Preliminary Study
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Objective: As the elderly population increases, the proportion of neurocognitive disorder is increasing. Accordingly, research on cognitive intervention therapy to prevent neurocognitive disorder is also becoming active. In particular, this study attempted to evaluate changes in cognitive function before and after training and verify their effectiveness by implementing a computerized cognitive training program for patients with mild cognitive impairment. Methods: A computerized cognitive training program was conducted for 15 patients with mild cognitive impairment. It was conducted twice a week, 30 minutes, and 16 times for 8 weeks, and neurocognitive function was evaluated before and after training. The neurocognitive function tests are as follows; Seoul Neuropsychological Screening Battery, Korean version of Montreal Cognitive Assessment (K-MoCA), Clinical Dementia Rating (CDR), Korean Instrumental Activity of Daily Living (K-IADL), Korean Neuropsychiatric Inventory (K-NPI), and Memory Age-associated Complaint Questionnaire (MAC-Q). Results: There was a statistically significant improvement in memory domain after the implementation of the computerized cognitive training program, but no significant changes in attention, language ability, visuospatial function, and frontal lobe executive function. Among the memory areas, the Seoul Verbal Learning Test: Delayed Recall, Rey Complex Figure Test: Delayed Recall, and Rey Complex Figure Test: Recognition are showed significant improvement. In addition, there was a significant improvement in CDR (sum of box) and K-MoCA scores. There was no statistically significant difference in K-IADL and K-NPI. Conclusion: Computerized cognitive training programs have been effective in improving memory in patients with mild cognitive impairment. In order to verify the effectiveness of dementia prevention, a long-term study of a larger number is needed. The results of this preliminary study will help develop and apply cognitive training contents in the future.
Abstract
Objective: As the elderly population increases, the proportion of neurocognitive disorder is increasing. Accordingly, research on cognitive intervention therapy to prevent neurocognitive disorder is also becoming active. In particular, this study attempted to evaluate changes in cognitive function before and after training and verify their effectiveness by implementing a computerized cognitive training program for patients with mild cognitive impairment. Methods: A computerized cognitive training program was conducted for 15 patients with mild cognitive impairment. It was conducted twice a week, 30 minutes, and 16 times for 8 weeks, and neurocognitive function was evaluated before and after training. The neurocognitive function tests are as follows; Seoul Neuropsychological Screening Battery, Korean version of Montreal Cognitive Assessment (K-MoCA), Clinical Dementia Rating (CDR), Korean Instrumental Activity of Daily Living (K-IADL), Korean Neuropsychiatric Inventory (K-NPI), and Memory Age-associated Complaint Questionnaire (MAC-Q). Results: There was a statistically significant improvement in memory domain after the implementation of the computerized cognitive training program, but no significant changes in attention, language ability, visuospatial function, and frontal lobe executive function. Among the memory areas, the Seoul Verbal Learning Test: Delayed Recall, Rey Complex Figure Test: Delayed Recall, and Rey Complex Figure Test: Recognition are showed significant improvement. In addition, there was a significant improvement in CDR (sum of box) and K-MoCA scores. There was no statistically significant difference in K-IADL and K-NPI. Conclusion: Computerized cognitive training programs have been effective in improving memory in patients with mild cognitive impairment. In order to verify the effectiveness of dementia prevention, a long-term study of a larger number is needed. The results of this preliminary study will help develop and apply cognitive training contents in the future.
참고문헌 (33)
- "Statistics Korea"[URL]
- 홍지연, "치매안심센터를 이용하는 치매 노인 가족의 치매 지식과 태도가 돌봄 평가에 미치는 영향", 노인간호학회지, 22(4), pp.348~357 (2020), 한국노인간호학회[DOI]
- 김두리, "국내 경도인지장애 노인의 비약물적 중재에 대한 통합적 문헌고찰", 한국융합학회논문지, 8(5), pp.243~253 (2017), 한국융합학회[DOI]
- Henderson AS, "Epidemiology of dementia disorders", Adv Neurol, 51, pp.15~25 (1990)
- Petersen RC, "Mild cognitive impairment : clinical characterization and outcome", Arch Neurol, 56, pp.303~308 (1999)
- 임현정, "기억력 저하를 호소하는 환자에서 음주 여부에 따른 인지기능 차이: 주관적인지 저하, 경도인지장애, 알츠하이머형치매 집단 비교", 대한신경과학회지, 40(1), pp.29~38 (2022), 대한신경과학회
- 오응석, "경도인지장애", 대한신경과학회지, 34(3), pp.167~175 (2016), 대한신경과학회[DOI]
- Gates N, "Cognitive exercise and its role in cognitive function in older adults", Curr Psychiatry Rep, 12, pp.20~27 (2010)
- Ball K, "Effects of cognitive training interventions with older adults : a randomized controlled trial", JAMA, 288, pp.2271~2281 (2002)
- Kueider AM, "Computerized cognitive training with older adults : a systematic review", PLoS One, 7, pp.e40588~ (2012)
- Jak AJ, "Crosswords to computers : a critical review of popular approaches to cognitive enhancement", Neuropsychol Rev, 23, pp.13~26 (2013)
- Owen AM, "Putting brain training to the test", Nature, 465, pp.775~778 (2010)
- Hughes TF, "Interactive video gaming compared with health education in older adults with mild cognitive impairment : a feasibility study", Int J Geriatr Psychiatry, 29, pp.890~898 (2014)
- Gates NJ, "Cognitive and memory training in adults at risk of dementia : a systematic review", BMC Geriatr, 11, pp.55~ (2011)
- Wilson RS, "Participation in cognitively stimulating activities and risk of incident Alzheimer disease", JAMA, 287, pp.742~748 (2002)
- Petersen RC, "Mild cognitive impairment as a diagnostic entity", J Intern Med, 256, pp.183~194 (2004)
- 안현정, "Seoul Neuropsychological Screening Battery-Dementia Version (SNSB-D): A Useful Tool for Assessing and Monitoring Cognitive Impairments in Dementia Patients", Journal of Korean Medical Science, 25(7), pp.1071~1076 (2010), 대한의학회
- 강연욱, "혈관성 인지장애 선별검사로서 Korean-Montreal Cognitive Assessment(K-MoCA)의 신뢰도, 타당도 및 규준 연구", Korean Journal of Clinical Psychology, 28(2), pp.549~562 (2009), 한국임상심리학회[DOI]
- Morris JC, "The clinical dementia rating(CDR) : current version and scoring rules", Neurology, 43, pp.2412~2414 (1993)
- Reisberg B, "Global deterioration scale(GDS)", Psychopharmacol Bull, 24, pp.661~663 (1988)[DOI]
- 강수진, "한국판 Instrumental Activities of Dalily Living의 타당도와 신뢰도", 대한신경과학회지, 20(1), pp.8~14 (2002), 대한신경과학회
- Cummings JL, "The neuropsychiatric inventory : comprehensive assessment of psychopathology in dementia", Neurology, 44, pp.2308~2314 (1994)
- Crook TH 3rd, "Assessment of memory complaint in age-associated memory impairment : the MAC-Q", Int Psychogeriatr, 4, pp.165~176 (1992)
- Zokaei N, "Cognitive training in the elderly : bottlenecks and new avenues", J Cogn Neurosci, 29, pp.1473~1482 (2017)
- González-Palau F, "The effects of a computer-based cognitive and physical training program in a healthy and mildly cognitive impaired aging sample", Aging Ment Health, 18, pp.838~846 (2014)
- Hill NT, "Computerized cognitive training in older adults with mild cognitive impairment or dementia : a systematic review and meta-analysis", Am J Psychiatry, 174, pp.329~340 (2017)
- Zuschnegg J, "Effectiveness of computer-based interventions for community-dwelling people with cognitive decline : a systematic review with meta-analyses", BMC Geriatr, 23, pp.229~ (2023)
- Zhang H, "Effect of computerised cognitive training on cognitive outcomes in mild cognitive impairment : a systematic review and meta-analysis", BMJ Open, 9, pp.e027062~ (2019)
- Shyu YL, "A communitybased computerised cognitive training program for older persons with mild dementia : a pilot study", Australas J Ageing, 41, pp.e82~e93 (2022)
- Society for Cognitive Intervention, "Neuropsychological rehabilitation and people with dementia", pp.107~ (2020), Hakjisa
- Richards M, "Lifetime antecedents of cognitive reserve", J Clin Exp Neuropsychol, 25, pp.614~624 (2003)
- Belchior PDC, "Cognitive training with video games to improve driving skills and driving safety among older adults", pp.2007
- Torres ACS, "Cognitive effects of video games on old people", Int J Disabil Hum Dev, 10, pp.55~58 (2011)