The Effects of a Cognitive Behavior Program on Cognition, Depression, and Activities of Daily Living in Elderly with Cognitive Impairment

인지행동 프로그램이 인지기능저하 노인의 인지기능, 우울, 일상생활 수행능력에 미치는 효과

  • Published : 2007.12.31

Abstract

Purpose: This study was conducted to investigate the effects of a cognitive behavior program on cognition, depression, and activities of daily living in elderly with Cognitive Impairment. Method: The research design was a nonequivalent control group pretest-posttest design. There were 21 subjects in the experimental group and 19 in the control group among 40 senior residents in a Hall for the elderly in the city of S. The subjects scores ranged from 15 to 23 on the MMSE-K(Korean Version of Mini-Mental State Examination) over age 65. The length of time for data collection and intervention was from Jun 26 to September 1, 2006. The cognitive behavior program consisted of 'Facing problem behavior', 'Searching for a coping skill', and 'Training in the coping skill'. It was applied to the experimental group twice a week, fifty minutes per session for six weeks. Result: Cognition(t=-4.232, p< .001) and IADL(t=-2.939, p< .01) in the experimental group were significantly higher than those of the control group. Depression in the experimental group was significantly less than the control group(t=3.870, p< .01). However, ADL in the experimental group was not significantly higher than the control group. Conclusion: These findings confirmed that a cognitive behavior program contributed to improving cognition and IADL, and to reducing depression in the elderly with Cognitive Impairment.

Keywords

References

  1. Bae, J. N. (1996). Validation of Geriatric Depression Scale, Korean Version(GDS) in the assessment of DSM-III-R major depression. Unpublished master's thesis, Seoul National University, Seoul
  2. Bae, S. S., Kim, D. H., Woo, Y. G., Oh, J. J., Min, K. B., & Lee, S. H., et al. (1999). Development of dementia care model in a community. Korean J Health Policy Adm, 9(1), 30-71
  3. Cho, M. J., Hahm, B. J., Jhoo, J. H., Bae, J. N., & Kwon, J. S. (1998). Prevalence of cognitive impairment and depressive symptoms among the elderly in an urban community. J Korean Neuropsychiatr Assoc, 37(2), 352-362
  4. Cho, Y. Y. (2005). A case study on the effectiveness of medical care recreation affected to the old with dementia: Focused on the acknowledgment function and the ability of accomplishing daily life. Unpublished master's thesis, Hannam University, Deajeon
  5. Choi, S. H. (1997). The effects of exercise program on health of the elderly in senior citizen's center. J Korean Community Health Nurs Acad Soc, 11(2), 38-56
  6. Choi, Y. H., & Kim, S. E. (1999). A study or the evaluation of health behavior practice of the aged. J Korea Gerontol Soc, 19(1), 119-130
  7. Ellis, A. (1962). Reason and emotion in psychotherapy. New York: Lyle Stuart
  8. Go, Y. G. (1998). Current status of adult day care and short stay services. J Welfare Aged, 1(1), 9-56
  9. Ji, H. R. (2003). The effects of dementia nursing intervention program on cognitive function, depression, activities of daily living, and social behavior in the elderly with mild dementia. Unpublished doctoral dissertation, Chonnam University, Gwangju
  10. Kasl-Gcdley, J., & Gatz, M. (2000). Psychosocial interventions for individuals with dementia: An integration of theory, therapy, and a clinical understanding of dementia. Clin Psychol Rev, 20(6), 755-782 https://doi.org/10.1016/S0272-7358(99)00062-8
  11. Kemp, B. J., & Mitchell, J. M. (1992). Functional assessment in geriatric mental health. In J. E. Birren and associates: handbook of mental health and aging. San Diego: Academic press
  12. Kim, B. S. (1999). Vascular dementia, pathophysiology and classification. J Korean Geriatr Psychiatry, 3(2), 95-100
  13. Kim, J. M., Kang, S. G., &: Jang, H. G. (2003). Review of psychotherapy of Alzheimer's disease. Emotional Disturbances Learn Disabil, 19(4), 157-181
  14. Kim, J. S. (1997). The effective of cognitive stimulation training on elderly persons with dementia. J Korean Comm Nurs, 8(2), 197-201
  15. Kim, J. S., & Jung, J. S. (2005). The effects of a folk play program on cognition, ADL, and problematic behavior in the elderly with dementia. J Korean Acad Nurs, 35(6), 1153-1162 https://doi.org/10.4040/jkan.2005.35.6.1153
  16. Korea National Statistical Office (2006). Population projections for Korea
  17. Korea National Statistical Office (2001). Population projections for Korea
  18. Kwon, Y. C., & Park, J. H. (1989). Standardization of Korean Version of the Mini-Mental State Examination(MMSE-K) for use in the elderly: Part II . diagnostic validity. J Korean Neuropsychiatr Assoc, 28(1), 125-135
  19. Lee, E. C., Song, J. E., An, S. K., Oh, B. H., Lee, B. S., & Oh, H. C., et al. (1999). Therapeutic effects of psychosocial programs in the day care service on cognitive impairment and depressive symptoms In the elderly patients. J Korean Neuropsychiatr Assoc, 38(5), 933-943
  20. Lee, H. K. (2002). Group psychotherapy: Theory and practice. J Korean Neuropsychiatr Assoc, 41(2), 189-200
  21. Lopez, M. A., & Mermelstein, R. J. (1995). A cognitive-behavioral program to improve geriatric rehabilitation outcome. Gerontologist, 35(5), 696-700 https://doi.org/10.1093/geront/35.5.696
  22. Meichenbaum, D. (1977). Cognitive-behavior modification: An integrative approach. New York: Plenum Press
  23. Min, S. G., Go, K. B., Kim, K. B., Kim, B. H., Kim, L, S: Kim, J. J., et al. (1998). Modern psychiatry(3rd ed.). Seoul: Iljogak
  24. Son, S. B. (1998). Differences in cognitive function and activities of daily living between two groups with and without depression among patients with senile dementia. Unpublished master's thesis, Yonsei University, Seoul
  25. Taylor, S., & Aspinwall, L. (1990). Psychosocial aspects of chronic illness. In P. T. Costa & C. R. VandenBos (Eds.), Psychological aspects of serious illness: Chronic conditions, fatal diseases, and clinical care. Washington DC: American Psychological Association
  26. Thompson, L. W., Gallagher, D., & Breckenridge, J. S. (1987). Comparative effectiveness of psychotherapies for depressed elders. J Consult Clin Psychol, 55(3), 385-390 https://doi.org/10.1037/0022-006X.55.3.385
  27. Thompson, S. C. (1993). Successful adjustment to chronic illness: Expending the focus to include aging and physical outcomes. Health Psychologist, 15(2), 3-4
  28. Zarit, S. H., Zarit, J. M., & Reever, K. E. (1982). Memory training for severe memory loss: Effects on senile dementia patients and their families. Gerontologist, 22(4), 373-377 https://doi.org/10.1093/geront/22.4.373