인지기능장애 노인환자에서 보호자용 노인우울검사의 유용성
A Usefulness of Caregiver Version of Geriatric Depression Scale in the Elderly Patients with Cognitive Dysfunction
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참고문헌
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초록
Background: It was difficult to obtain the elderly patients’ own report of their depressive symptoms, who had cognitive dysfunction. This study was aimed to evaluate the clinical usefulness of the collateral source version of elderly depression scale and to examine its correlation with patient version of elderly depression scale in the elderly patients with cognitive dysfunction. Methods: Thirty five elderly subjects with mild cognitive impairment (MCI), 32 elderly subjects with probable Alzheimer’s disease (AD) according to the National Institute of Neurological and Communicative Diseases and Stroke/Alzheimer’s Disease and Related Disorders Association (NINCDS-ADRDA) criteria and 19 controls with subjective memory impairment with normal cognition completed the Korean form of geriatric depression scale (KGDS) and the collateral source version of KGDS (CS-KGDS). All subjects were also evaluated using the Korean version of the Mini-Mental Status Examination (K-MMSE) and the Clinical Dementia Rating (CDR). Results: There was no significant correlation between the KGDS and the CS-KGDS (r=0.160, p>0.05). The CS-KGDS was significant correlated with the K-MMSE (r=-0.272, p=0.001). The CS-KGDS was assessed more severely in AD group than in control and MCI groups (F[2,82]=10.60, p<0.001). The mean difference between the KGDS and the CS-KGDS was 6.44±9.01 (paired t=-6.630, p<0.001). There was more difference between the KGDS and the CS-KGDS according to the severity of cognitive dysfunction. Conclusions: Although the CS-KGDS could be a useful tool for the elderly depressive symptom, it seemed to have some limitations to evaluate the elderly with dementia.
Abstract
Background: It was difficult to obtain the elderly patients’ own report of their depressive symptoms, who had cognitive dysfunction. This study was aimed to evaluate the clinical usefulness of the collateral source version of elderly depression scale and to examine its correlation with patient version of elderly depression scale in the elderly patients with cognitive dysfunction. Methods: Thirty five elderly subjects with mild cognitive impairment (MCI), 32 elderly subjects with probable Alzheimer’s disease (AD) according to the National Institute of Neurological and Communicative Diseases and Stroke/Alzheimer’s Disease and Related Disorders Association (NINCDS-ADRDA) criteria and 19 controls with subjective memory impairment with normal cognition completed the Korean form of geriatric depression scale (KGDS) and the collateral source version of KGDS (CS-KGDS). All subjects were also evaluated using the Korean version of the Mini-Mental Status Examination (K-MMSE) and the Clinical Dementia Rating (CDR). Results: There was no significant correlation between the KGDS and the CS-KGDS (r=0.160, p>0.05). The CS-KGDS was significant correlated with the K-MMSE (r=-0.272, p=0.001). The CS-KGDS was assessed more severely in AD group than in control and MCI groups (F[2,82]=10.60, p<0.001). The mean difference between the KGDS and the CS-KGDS was 6.44±9.01 (paired t=-6.630, p<0.001). There was more difference between the KGDS and the CS-KGDS according to the severity of cognitive dysfunction. Conclusions: Although the CS-KGDS could be a useful tool for the elderly depressive symptom, it seemed to have some limitations to evaluate the elderly with dementia.
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