경도인지장애의 인지-의사소통 중재를 위한 과제별 수행 프로파일
The Profile of Task Performances for Cognitive-Communicative Intervention in Mild Cognitive Impairment
2
조회
0
다운로드
8
인용
0
참고문헌
키워드
초록
경도인지장애(mild cognitive impairment: MCI)의 인지-의사소통 중재 시 수행상의 특성을 고려해야 한다. 이를 위해 인지-의사소통의 과제별 수행 프로파일이 제시될 필요가 있다. 본 연구에는 기억상실형 MCI(amnestic MCI: aMCI)의 두 하위 유형인 단일영역형 aMCI(sd-aMCI) 28명, 다영역형 aMCI(md-aMCI) 24명, 정상 통제군 30명이 참여하였고, 이들은 5개 인지-의사소통 영역의 16개 하위 과제를 수행하였다. 주요 연구 결과는 다음과 같다. 첫째, 대부분의 인지-의사소통 과제에서 세 집단 간에 유의미한 차이를 보였다. 둘째, 두 MCI 집단의 대면이름대기, 단어유창성, 담화는 대부분의 인지 과제와 상관성이 유의하였다. 셋째, 의사소통의 예측 과제는 sd-aMCI 집단의 작업기억, 문제해결력 등, 그리고 md-aMCI 집단의 추론력, 집행기능 등이었다. 본 연구는 MCI에 대한 증거 기반적 중재를 계획하고 중재 효과를 극대화하는 데 기여할 수 있을 것이다.
Abstract
It is necessary to intervene in mild cognitive impairment(MCI) discriminately. Accordingly, the performance profiles by cognitive-communication tasks should be suggested for intervention in MCI. Fifty-two single- and multiple-domain amnestic MCI(sd-aMCI 28, md-aMCI 24) and thirty control subjects performed 16 subtasks for the 5 cognitive-communication domains. The main findings were as follows. Firstly, three groups had significant differences in performances of most cognitive-communication tasks. Secondly, several communication tasks(confrontation naming, word fluency, discourse) were significantly correlated with most cognitive tasks in two MCI groups. Thirdly, cognitive tasks including working memory and problem solving were found to be the best predictors of communication in sd-aMCI group. Performances of cognition like reasoning and executive function were strong predictors of communication in md-aMCI group. Current study provides the evidence-based information to support cognitive-communication intervention in MCI. These results also can contribute to increase the efficacy of intervention.
참고문헌 (64)
- Alexopoulos, P., "Progression to dementia in clinical subtypes of mild cognitive impairment", Dementia and Geriatric Cognitive Disorders, 22(1), pp.27~34 (2006)
- Aretouli, E., "Everyday functioning in mild cognitive impairment and its relationship with executive cognition", International Journal of Geriatric Psychiatry, 25(3), pp.224~233 (2010)
- Bartres-Faz, D., "Neuropsychological and genetic differences between age-associated memory impairment and mild cognitive impairment entities", Journal of the American Geriatric Society, 49(7), pp.985~990 (2001)
- Berisha, V., "Tracking discourse complexity preceding Alzheimer’s disease diagnosis : A case study comparing the press conferences of Presidents Ronald Reagan and George Herbert Walker Bush", Journal of Alzheimer's Disease, 45(3), pp.959~963 (2015)
- Brambati, S. M., "Single-and multiple-domain amnestic mild cognitive impairment : Two sides of the same coin", Dementia and Geriatric Cognitive Disorders, 28(6), pp.541~549 (2009)
- Brandt, J., "Selectivity of executive function deficits in mild cognitive impairment", Neuropsychology, 23(5), pp.607~618 (2009)
- Cannizzaro, M. S., "Analysis of narrative discourse structure as an ecologically relevant measure of executive function in adults", Journal of Psycholinguistic Research, 42, pp.527~549 (2013)
- Chow, T. W., "Overlap in frontotemporal atrophy between normal aging and patients with frontotemporal dementias", Alzheimer Disease and Associated Disorders, 22(4), pp.327~335 (2006)
- Drummond, C., "Deficits in narrative discourse elicited by visual stimuli are already present in patients with mild cognitive impairment", Frontiers in Aging Neuroscience, 96(7), pp.1~11 (2015)
- Fischer, P., "Conversion from subtypes of mild cognitive impairment to Alzheimer dementia", Neurology, 68(4), pp.288~291 (2007)
- Fleming, V. B., "Early detection of cognitive-linguistic change associated with mild cognitive impairment", Communication Disorders Quarterly, 35(3), pp.146~157 (2014)
- Fleming, V. B., "Complex discourse production in mild cognitive impairment: Detecting subtle changes", Aphasiology, 22(7-8), pp.729~740 (2008)
- Folenza, O. V., "Diagnostic transitions in mild cognitive impairment subtypes", International Psychogeriatrics, 21(6), pp.1088~1095 (2009)
- Harris, J. L., "Communication wellness check-up: Age-related changes in communicative abilities", Aphasiology, 22(7-8), pp.813~825 (2008)
- "건강보험 통계연보 2017" (2019)[URL]
- 강연욱, "K-MMSE(Korean-Mini Mental State Examination)의 노인 규준 연구", 한국심리학회지:일반, 25(2), pp.1~12 (2006), 한국심리학회
- 강연욱, "서울신경심리검사" (2003), Human Brain Research & Consulting Co
- Kessels, R. P. C., "Social cognition and social functioning in patients with amnestic mild cognitive impairment or Alzheimer’s dementia", Journal of Neuropsychology, 15(2), pp.186~203 (2021)
- Kessels, R. P. C., "Assessment of working-memory deficits in patients with mild cognitive impairment and Alzheimer’s dementia using Wechsler’s Working Memory Index", Aging Clinical and Experimental Research, 23(5-6), pp.487~490 (2011)
- 김보선, "중고령층과 초고령층 담화 산출의 통일성과 효율성 비교", Audiology and Speech Research, 15(1), pp.63~70 (2019), 한국청각언어재활학회
- 김향희, "문항반응이론을 적용한한국판 보스톤 이름대기 검사 단축형(K-BNT-15) 개발", 한국콘텐츠학회 논문지, 13(12), pp.321~327 (2013), 한국콘텐츠학회[DOI]
- 김향희, "파라다이스 한국판 웨스턴 실어증 검사" (2012), 파라다이스복지재단
- Kim, S. R., "Abstract word definition in patients with amnestic mild cognitive impairment", Behavioural Neurology, 2015, pp.1~8 (2015)
- Kirova, A. M., "Working memory and executive function decline across normal aging, mild cognitive impairment, and Alzheimer’s disease", BioMed Research International, 2015, pp.1~9 (2015)
- Klekociuk, S. Z., "Reducing false positive diagnoses in mild cognitive impairment: The importance of comprehensive neuropsychological assessment", European Journal of Neurology, 21(10), pp.1330~1336 (2014)
- Klekociuk, S. Z., "Exploring the validity of mild cognitive impairment(MCI)subtypes : Multiple-domain amnestic MCI is the only identifiable subtype at longitudinal follow-up", Journal of Clinical and Experimental Neuropsychology, 36(3), pp.290~301 (2014)
- Kochan, N. A., "Functional alterations in brain activation and deactivation in mild cognitive impairment in response to a graded working memory challenge", Dementia and Geriatric Cognitive Disorders, 30(6), pp.553~568 (2010)
- 이미숙, "외상성 뇌손상 환자의 인지-화용언어 능력에 대한 평가도구 개발 및 적용", 박사, 언어병리학협동과정, pp.2013
- 이미숙, "노화와 인지-의사소통" (2021), 군자출판사
- 이미숙, "신경언어장애 용어집" (2020), 학지사
- 이미숙, "Higher Order Cognition and Communication: A Preliminary Study for the Development of Brief Test of Cognitive-Communication Disorders", Audiology and Speech Research, 16(3), pp.236~244 (2020), 한국청각언어재활학회
- 이미숙, "연령층에 따른 노인의 비유언어 이해와 인지-언어 능력 간 상관성", 특수교육재활과학연구, 57(4), pp.115~137 (2018), 특수교육재활과학연구소[DOI]
- 이미숙, "A Preliminary Study for the Development of Informant-Report Scale on Cognitive-Linguistic Abilities of the Elderly: Focused on Mild Cognitive Impairment and Alzheimer’s Disease", Audiology and Speech Research, 16(2), pp.167~174 (2020), 한국청각언어재활학회
- 이미숙, "노년기 인지-언어 능력에 대한 정보제공자 보고형 평가척도(ISCOLE): 신뢰도, 타당도, 객관적 평가와의 상관성을 중심으로", 특수교육재활과학연구, 60(1), pp.265~288 (2021), 특수교육재활과학연구소[DOI]
- 이미숙, "인지-의사소통장애 간편검사(BCCD)의 신뢰도 및 타당도 연구", Communication Sciences and Disorders, 25(4), pp.872~889 (2020), 한국언어청각임상학회
- 이미숙, "인지-의사소통장애 간편검사(BCCD)" (2021), 인싸이트
- 이미숙, "정상 노년층, 경도인지장애, 알츠하이머성 치매의 언어 산출 특성", Dementia and Neurocognitive Disorders(대한치매학회지), 10(3), pp.69~79 (2011), 대한치매학회
- Lemons, P. P., "Questions for assessing higher-order cognitive skills: It’s not just Bloom’s", CBE Life Sciences Education, 12(1), pp.47~58 (2013)
- Masdeu, J. C., "Neuroimaging as a marker of the onset and progression of Alzheimer’s disease", Journal of the Neurological Sciences, 236(1-2), pp.55~64 (2005)
- McAlister, C., "Examination of variables that may affect the relationship between cognition and functional status in individuals with mild cognitive impairment: A meta-analysis", Archives of Clinical Neuropsychology, 31(2), pp.123~147 (2016)
- Morris, J. C., "The clinical dementia rating (CDR): Current version and scoring rules", Neurology, 43(11), pp.2412~2414 (1993)
- Mueller, K. D., "Declines in connected language are associated with very early mild cognitive impairment: Results from the Wisconsin registry for Alzheimer's prevention", Frontiers in Aging Neuroscience, 9, pp.1~14 (2018)
- Murphy, K. J., "Verbal fluency patterns in amnestic mild cognitive impairment are characteristic of Alzheimer’s type dementia", Journal of the International Neuropsychological Society, 12(4), pp.570~574 (2006)
- Paivio, A., "Dual coding theory : retrospect and current status", Canadian Journal of Psychology, 45(3), pp.255~287 (1991)
- 박미선, "한국 노인을 위해 수정된 Trail Making Test(TMT)의 규준 연구", Korean Journal of Clinical Psychology, 22(1), pp.247~259 (2003), 한국임상심리학회
- Patterson, J. P., "Language intervention strategies in aphasia and related neurogenic communication disorders", pp.64~160 (2008), Lippincott, Williams & Wilkins
- Paula, J. J., "Executive functions as predictors of functional performance in mild Alzheimer's dementia and mild cognitive impairment elderly", Estudos de Psicologia, 18(1), pp.117~124 (2013)
- Peach, R. K., "인지-의사소통장애: 정보 처리 접근" (2020), 학지사
- Petersen, R. C., "Mild cognitive impairment as a diagnostic entity", Journal of Internal Medicine, 256(3), pp.183~194 (2004)
- Petersen, R. C., "Current concepts in mild cognitive impairment", Archives of Neurology, 58(12), pp.1985~1992 (2001)
- Piekema, C., "Dissociating the neural correlates of intra-item and inter-item working-memory binding", PLoS One, 5(4), pp.1~8 (2010)
- Reppermund, S., "Impairment in instrumental activities of daily living with high cognitive demand is an early marker of mild cognitive impairment : The Sydney Memory and Ageing Study", Psychological Medicine, 43(11), pp.2437~2445 (2013)
- Rogers, S. L., "The underlying mechanisms of semantic memory loss in Alzheimer’s disease and semantic dementia", Neuropsychologia, 46(1), pp.12~21 (2008)
- Sabbagh, M. N., "Functional, global and cognitive decline correlates to accumulation of Alzheimer’s pathology in MCI and AD", Current Alzheimer Research, 7(4), pp.280~286 (2010)
- Schneider-Garces, N. J., "Span, CRUNCH, and beyond: Working memory capacity and the aging brain", Journal of Cognitive Neuroscience, 22(4), pp.655~669 (2010)
- Singh-Manoux, A., "Subjective cognitive complaints and mortality : Does the type of complaint matter", Journal of Psychiatric Research, 48(1), pp.73~78 (2014)
- Summers, M. J., "Neuropsychological measures predict decline to alzheimer’s dementia from mild cognitive impairment", Neuropsychology, 26(4), pp.498~508 (2012)
- Taler, V., "Language performance in Alzheimer’s disease and mild cognitive impairment : A comparative review", Journal of Clinical and Experimental Neuropsychology, 30(5), pp.501~556 (2008)
- Thomas, K. R., "Longitudinal trajectories of informant-reported daily functioning in empirically-defined subtypes of mild cognitive impairment", Journal of the International Neuropsychological Society, 23(6), pp.521~527 (2017)
- Troyer, A. K., "The quantified process approach to neuropsychological assessment", pp.185~202 (2006), Psychology Press
- Wadley, V. G., "Changes in everyday function in individuals with psychometrically defined mild cognitive impairment in the Advanced Cognitive Training for Independent and Vital Elderly Study", Journal of the American Geriatrics Society, 55(8), pp.1192~1198 (2007)
- Weiner, M. F., "Language in Alzheimer’s disease", The Journal of Clinical Psychiatry, 69(8), pp.1223~1227 (2008)
- Yaffe, K., "Subtype of mild cognitive impairment and progression to dementia and death", Dementia and Geriatric Cognitive Disorders, 22(4), pp.312~319 (2006)
- Yeom, T., "A manual for K-WAIS" (1992), Korea Psychology
