Journal of Digital Convergence (디지털융복합연구)

The Society of Digital Policy and Management (한국디지털정책학회)
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The Effects of Cognitive Stimulation Circulative Program on the Depression and Social Cognitive Ability of Stroke Patients

뇌졸중 환자의 우울 및 사회인지 능력에 대한 인지자극순환프로그램의 효과

  • Do, Ji-Hye (Dept. of Occupational Therapy, Yonsei University Graduate school) ;
  • Kim, Eun-Joo (Dept. of Occupational Therapy, Jeonju University)
  • 도지혜 (연세대학교 작업치료학과 대학원) ;
  • 김은주 (전주대학교 작업치료학과)
  • Received : 2019.05.03
  • Accepted : 2019.06.20
  • Published : 2019.06.28
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Abstract

Poststroke depression can have a secondary effect on social cognition, and this can lead to behavioral problems. The purpose of this study was to verify the effects of a Cognitive Stimulation Circulative Program(CSCP) based on occupational therapy. The participants of this study were 12 stroke patients. The CSCP was organized in such a way to promote the cognitive process. This program were carried out as a circuit program(16 sessions). As a result of this study, the depression scale of the subjects had statistically significant benefit(p<.05). Also, the evaluation results verified partial improvement in quality of life, and the relationship change scale which was used to evaluate role of physical and social cognitive function ability had statistically significant benefit(p<.05). The above results of this study verified that the CSCP was an efficient intervention program that reduces the depression of stroke patients and improve their social cognitive function ability, thus enhancing the quality of life.

이 연구의 목적은 뇌졸중 후 발생가능한 정서적, 사회인지 문제의 중재를 위해 작업 치료에 기초한 인지자극순환프로그램(CSCP ; Cognitive Stimulation Circulative Program)의 효과를 확인하는 것이다. 이 연구에는 12명의 뇌졸중 환자가 참여하였고 CSCP는 인지과정을 촉진시키는 방법으로 조직화되었으며 총 16회기의 순환 프로그램으로 실시되었다. 프로그램의 효과를 알아보기 위하여 우울증 척도와 관계 변화 척도, 삶의 질 평가 도구를 사용하였다. 연구결과 피험자의 우울증 척도와 역할의 물리적 및 사회적 인지 기능 능력을 평가하기 위해 사용된 관계 변화 척도는 통계적으로 유의미한 변화가 있었다(p<.05). 또한, 삶의 질 영역 중에서 신체적 역할, 사회적 기능의 항목에서 의미있는 향상이 있었다. CSCP가 뇌졸중 환자의 우울을 감소시키고 사회인지 기능을 향상시켜 삶의 질을 향상시키는 효율적인 중재 프로그램으로 사용 가능함을 입증하였다.

Keywords

Table 1. Comparison of depression, social cognition and QOL in participations

DJTJBT_2019_v17n6_439_t0001.png 이미지

References

  1. L. Caeiro, J. M. Ferro, C. O. Santos & M. L. Figueira. (2006). Depression in acute stroke. Journal Psychiatry Neuroscience, 31(6), 377-383.
  2. I. I. Kneebone & E. Dunmore. (2000). Psychological management of post stroke depression. British Journal of Clinical Psychology, 39(1), 53-65. https://doi.org/10.1348/014466500163103
  3. M. L. Hackett, C. Yapa., V. Parag. & C. S. Anderson. (2005). Frequency of depression after stroke. A systematic review of observational studies. Stroke, 36(6), 1330-1340. https://doi.org/10.1161/01.STR.0000165928.19135.35
  4. N. H. Fultz, M. B. Ofstedal, A. R. Herzog & R. B. Wallacc. (2003). Additive and interactive effects of comorbid physical and mental conditions of functional health. Journal of Aging and Health, 15(3), 465-481. https://doi.org/10.1177/0898264303253502
  5. H. Brodaty, A. Withall, A. Altendorf & P. S. Sachdev. (2007). Rates of depression at 3 and 15 months poststroke and their relationship with cognitive decline: The sydney stroke study. The American Journal of Geriatric Psychiatry, 15(6), 477-486. https://doi.org/10.1097/JGP.0b013e3180590bca
  6. Y. G. Kim. (2009). The study on the necessity of occupational therapy for social cognition disability. Journal of Korean Society of Occupational Therapy, 17(4), 25-35.
  7. Y. N. Cho. (2010). The Effects of Computerized Cognitive Rehabilitation on Cognitive Function in Elderly Post-stroke Patient. Daegu University, Daegu.
  8. R. I. Hwang, J. Y. Lim & Y. W. Lee. (2009). A comparison of the factors influencing the life satisfaction of the elderly according to their cognitive impairment level. Journal of Korean Academy of Nurse, 39(5), 622-631. https://doi.org/10.4040/jkan.2009.39.5.622
  9. S. C. Kim & H. K. Kim. (2014). Cognitive Deficits in Depressed Patients : Evidence from a Paired-task Analysis. The Korean Journal of Rehabilitation Psychology, 21(2), 151-169.
  10. S. D. Yoo, M. H. Jeon & S. B. Pyeon. (2009). Relationship between the severity of poststroke depression (PSD) and cognitive function in the patients with stroke. Annals of Rehabilitation Medicine, 33(5), 527-532.
  11. H. Dam, M. Harhoff, P. K. Andersen & L. V. Kessing. (2007). Increased risk of treatment with antidepressants in stroke compared with other chronic illness. International Clinical Psychopharmacology, 22(1), 13-19.
  12. Y. Funaki, F. Kaneko & H. Okamura. (2005). Study on factors associated with changes in quality of life of demented elderly persons in group homes. Scandinavian Journal of Occupational Therapy, 12(1), 4-9. https://doi.org/10.1080/11038120510031725
  13. M. Y. Jung. et al. (2011). Group Dynamics in Occupational therapy, 3e, Seoul : Koonja.
  14. J. A. Yesavage. et al. (1983). Development and validation of a geriatric depression screening scale: A preliminary report. Journal of Psychiatric Reserach, 17(1), 37-39.
  15. B. S. Kee & C. W. Lee. (1995). A Preliminary Study for the Standardization of Geriatric Depression Scale in Korea. Journal of the Korean Neuropsychiatric Association, 34(6), 1875-85.
  16. A. Schlein & B. G. Guerney. (1971). Relationship enhancement. CA: Jossey-Bass, SanFrancisco.
  17. S. M. Moon. (1980). A study on the Effect of Human Relationship Training Group Counseling. Gyeogsang National University paper, 19. 195-204.
  18. M. H. Yang. (2002). Effect of Psychodrama on Personal Relationship of College Students. A master's thesis. Cheju National University, Jeju.
  19. J. E. Ware, M. Kosinski, J. E. Dewey & B. Gandek. (2001). How to score and interpret single-item health statues measure: A manual for users of the SF-8 health survey. RI: Quality Metric Incorporate, Lincoln.
  20. J. W. Kim. (2013). Improving cognitive abilities for people with alzheimer's disease: Application and effect of reality orientation therapy(ROT). Phonetics and speech sciences, 5(1), 27-38. https://doi.org/10.13064/KSSS.2013.5.1.027
  21. S. Y. Sim, J. Y. Baek, H. S. Jung & T. H. Cha. (2015). Effects of Physical Activities and Cognitive Activities on EEG and Occupational Performance in Mild Dementia. Institute of Special Education & Rehabilitation Science, 54(4), 453-469.
  22. Y. Y. You & Y. A. Yang. (2009). The effects of exercise with cognitive activity on balance performing ability in the elderly with dementia. The Journal of Korean Society of Occupational Therapy, 17(3), 15-26.
  23. Y. J. Jang & S. S. Jung. (2012). Effect of cognitive rehabilitation program on cognitive function, depression, and activities of daily living among patients with strokes. The Journal of Korean Academic Society of Adult Nursing, 24(3), 305-316. https://doi.org/10.7475/kjan.2012.24.3.305
  24. J. M. Lee. (2012). The correlation between relationship ability and activities of daily living(ADL) performance ability of patients with traumatic brain injury(TBI). Therapeutic Science for Neurorehabilitation, 1(1), 71-79. https://doi.org/10.22683/TSNR.2012.1.1.071
  25. H. S. Kim, Y. J. Yi, K. H. Park, U. K. Kang & B. M. Lee. (2010). Effects of cognition promoting program on cognitive function, depression and quality of life in elderly. Journal of the Korea Contents Association, 10(8), 227-239. https://doi.org/10.5392/JKCA.2010.10.8.227
  26. K. E. Shin. (2014). Effect of virtual reality game on old patient's depression, Relationship and Life Satisfaction. Dongshin University, Naju.