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지역 사회 노인의 주관적 기억 감퇴와 관련 요인에 관한 연구

A Study of Factors Influencing Subjective Memory Complaints among Community Dwelling Elderly

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Objective:We examined the factors influencing subjective memory complaints among community dwelling elderly in urban area. Methods:The subjects of this research were 160 community-dwelling elderly people without dementia and major depressive disorder. The questionnaires regarding the socio-demographic characteristics were conducted by each person. They include Korean version of Subjective Memory Complaints Questionnaires (SMCQ), Korean version of Short Geriatric Depression Scale (SGDS-K) and Korean version of Mini-Mental State Examination (K-MMSE). Subjective memory complaints were defined as above 4 points of SMCQ. Results:39.38% of the subjects had subjective memory complaints. There were significant associations between subjective memory complaints and SGDS-K (p<0.001), physical illness (p=0.001), but there was no association with K-MMSE (p=0.383). Conclusion:There is a discrepancy between subjective memory complaints and actual cognitive impairments. This discrepancy suggests that the depressive disorders including minor depressive disorder and subsyndromal depression, might play a role in the subjective memory complaints rather than actual cognitive impairments in community-dwelling elderly people. Therefore, the treatments for the depressive disorders should be considered in dealing with the subjective memory complaints.

Abstract

Objective:We examined the factors influencing subjective memory complaints among community dwelling elderly in urban area. Methods:The subjects of this research were 160 community-dwelling elderly people without dementia and major depressive disorder. The questionnaires regarding the socio-demographic characteristics were conducted by each person. They include Korean version of Subjective Memory Complaints Questionnaires (SMCQ), Korean version of Short Geriatric Depression Scale (SGDS-K) and Korean version of Mini-Mental State Examination (K-MMSE). Subjective memory complaints were defined as above 4 points of SMCQ. Results:39.38% of the subjects had subjective memory complaints. There were significant associations between subjective memory complaints and SGDS-K (p<0.001), physical illness (p=0.001), but there was no association with K-MMSE (p=0.383). Conclusion:There is a discrepancy between subjective memory complaints and actual cognitive impairments. This discrepancy suggests that the depressive disorders including minor depressive disorder and subsyndromal depression, might play a role in the subjective memory complaints rather than actual cognitive impairments in community-dwelling elderly people. Therefore, the treatments for the depressive disorders should be considered in dealing with the subjective memory complaints.

참고문헌 (30)

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