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주관적 인지 저하의 인지-의사소통 예측인자: 체계적 고찰 및 메타분석

Cognitive-Communicative Predictors of Subjective Cognitive Decline: A Systematic Review and Meta-Analysis

이미숙
특수교육재활과학연구소 (The Research Institute for Special Education & Rehabilitation Science)|2022.03|특수교육재활과학연구|제61권 제1호|pp. 299-324|DOI 10.23944/Jsers.2022.03.61.1.12

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키워드

메타분석Meta-analysis예측인자PredictorsSubjective cognitive decline인지-의사소통주관적 인지 저하Cognitive-communicative
주제분류기타사회과학

초록

고령화와 함께 주관적 인지 저하(SCD) 인구에 주목함으로써 이들의 인지-의사소통 변화를 파악하고 신경학적 질환을 예방하려는 시도가 증가하고 있다. 본 연구에서는 2005년 이후의 34개 논문을 대상으로 체계적 검토 및 메타분석을 시행하여 9개 인지적 예측인자, 5개 의사소통적 예측인자, 3개 기타 예측인자를 검증하고 제시하였다. 필수적인 질 지표, 평가자간 신뢰도를 통해 연구의 질을 평가하고, 메타분석을 활용해 효과크기, 동질성 및 출판편의를 검증하였다. 주요 연구 결과는 다음과 같다. 첫째, 3개 예측인자의 평균 효과크기가 유의하였고, 특히 의사소통적 예측인자는 가장 높은 수준으로 분석되었다. 둘째, 인지적 예측인자 중 대부분의 영역들이 유의하였고, 의사소통적 및 기타 예측인자는 모든 영역에서 유의한 효과크기를 보였다. 셋째, 기억력, 단어유창성, 연령이 각각 가장 높은 예측력을 갖는 것으로 나타났다. 본 연구는 SCD를 예측하는 증거 기반적 지침으로 활용될 수 있으며, 일상생활에서의 예방적 중재를 고안하고 효과성을 증진하는 데 유용할 것이다.

Abstract

With an ageing population, concerns about subjective cognitive decline (SCD) are becoming an increasingly relevant topic that arises in identifying the cognitive- communicative change and preventing neurological disorders. The purpose of this study was to review literatures on predictors of SCD systematically, and to propose their effect sizes using a meta-analysis method. Thirty-four researches published since 2005, meeting the inclusion and exclusion criteria, were entered into the analysis. Predictive values were pooled from cognition (9 domains), communication (5 domains), and other (3 domains). We tested the quality of this study by essential quality indicators and inter-rater reliability. We also performed a meta-analysis for calculating effect size, and verifying homogeneity and publication bias. The main findings were as follows. Firstly, average effect sizes of 3 predictors in SCD were all significant. Communicative value was especially the highest.Secondly, most domains of the cognitive predictor were significant. All communicative and other domains were also significant as predictors. Lastly, memory, word fluency, and age had high-level effect sizes in each predictor. Our results provide the evidence-based information to predict SCD. This study may contribute to designing the preventive intervention for SCD in daily life and increasing its effect.

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Cognitive-Communicative Predictors of Mild Cognitive Impairment: A Systematic Review and Meta-Analysis이미숙한국청각언어재활학회 · Audiology and Speech Research2020 · 제16권 제4호The Efficacy of Cognitive-Communicative Intervention in Subjective Cognitive Decline: A Systematic Review and Meta-AnalysisMi Sook Lee한국청각언어재활학회 · Audiology and Speech Research2023 · 제19권 제1호주관적 인지 저하 노인의 의사소통 파트너 교육이 인지-의사소통 중재에 미치는 영향이미숙특수교육재활과학연구소 · 특수교육재활과학연구2023 · 제62권 제2호The Profile of Task Performances for Cognitive-Communicative Intervention in Subjective Cognitive DeclineMi Sook Lee한국청각언어재활학회 · Audiology and Speech Research2023 · 제19권 제2호주관적 인지 저하와 경도인지장애에 대한 가정 기반 인지-의사소통 중재의 효과이미숙특수교육재활과학연구소 · 특수교육재활과학연구2022 · 제61권 제4호통합적 인지-의사소통 중재 모델을 구성하는 변인의 비교: 경도인지장애와 일반 노인의 프로파일을 중심으로이미숙특수교육재활과학연구소 · 특수교육재활과학연구2025 · 제64권 제1호

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