디지털융복합연구 (Journal of Digital Convergence)

  • 제18권12호
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  • Pages.343-351
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  • 2020
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  • 2713-6434(pISSN)
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  • 2713-6442(eISSN)
한국디지털정책학회 (The Society of Digital Policy and Management)
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인지기능 및 인지훈련효과의 관련변인에 관한 예비연구

A preliminary study on factors affecting cognitive function and cognitive training effects

  • 김영경 (충북대학교 인간심리연구소)
  • Kim, Youngkyoung (Research Institute of Human Mind, Chungbuk National University)
  • 투고 : 2020.10.06
  • 심사 : 2020.12.20
  • 발행 : 2020.12.28
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초록

본 연구는 노인을 대상으로 인지기능에 관한 교육과 함께 주의, 기억, 실행기능, 기억책략 등을 다루는 인지과제를 수행하는 인지훈련을 실시하여 훈련 이전의 인지기능 수준은 어떤 개인적 특성과 관련이 있는지, 주관적 인지감퇴는 실제적인 인지감퇴를 반영하는지, 인지훈련의 효과는 어떤 개인 특성과 관련이 있는지를 알아보기 위해 수행되었다. 연구 참가자는 건강한 노인 20명으로 14회기의 인지훈련을 주 1회, 회기당 2시간씩 진행하였으며 사전 및 사후로 검사를 실시하였다. 연구 결과, 인지기능은 연령과 자아존중감, 성격 특질 중 외향성과 개방성이 관련이 있는 것으로 나타났으며, 주관적인 인지감퇴는 객관적인 인지기능보다는 우울, 불안, 성격, 자기효능감, 자아존중감, 주관적 연령과의 상관이 유의하였다. 또한 인지훈련을 통해 전반적인 인지기능을 측정하는 정신상태, 기억, 전두엽기능 검사 점수가 향상되었으며 인지훈련의 효과는 연령, 주관적 인지감퇴, 불안, 자기효능감, 자아존중감, 주관적 연령, 성격과 관련이 있는 것으로 나타났다. 이러한 결과는 어떤 특성의 노인이 인지노화에 취약한지 알려주며, 인지훈련의 효과를 높이기 위해 교육 참가자의 특성을 고려해야 한다는 것을 시사한다.

The present study investigated the related variables of cognitive function, subjective cognitive decline and cognitive training effects. The cognitive training was composed of mete-cognitive education and cognitive task performing. Twenty older adults attended for 14 weeks and were tested before and after the training. Results show that their cognitive level was related with age, self-esteem and personality traits. And subjective cognitive decline was related depression, anxiety, personality traits, self-efficacy, self-esteem and subjective age, but it does not reflect objective cognitive impairments. Their cognitive test scores were enhanced after training in MMSE, memory and executive function, and enhanced scores were related with age, subjective cognitive decline, anxiety, self-efficacy, self-esteem, subjective age and personality traits. Findings suggest one's personality and psychological state need to be considered for the effects of cognitive training.

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참고문헌

  1. KOSIS. (2020). 2020 Ststistics for the elderly.
  2. I. Bergman, M. Blomberg & O. Almkvis. (2007). The importance of impaired physical health and age in normal cognitive aging. Scandinavian Journal of Psychology, 48(2), 115-125. https://doi.org/10.1111/j.1467-9450.2007.00594.x
  3. D. M. Compton, L. D. Bachman, D. Brand & T. L. Avet. (2000). Age-associated changes in cognitive function in highly educated adult: Emerging myths and realities. International Journal of Geriatric Psychiatry, 15(1), 75-85. https://doi.org/10.1002/(SICI)1099-1166(200001)15:1<75::AID-GPS81>3.0.CO;2-M
  4. E. Biringer et al. (2005). The association between depression, anxiety, and cognitive function in the elderly general population-The Hordaland Health Study. International Journal of Geriatric Psychiatry, 20(10), 989-997. https://doi.org/10.1002/gps.1390
  5. M. Luchetti, A. Tettacciano, Y. Stephan & A. R. Sutin. (2016). Personality and cognitive decline in older adults: Data from a longitudinal sample and meta-analysis. Journal of Gerontology: Psychological Sciences, 71(4), 591-601. DOI: 10.1093/geronb/gbu184.
  6. A. Terracciano et al. (2014). Personality and risk of Alzheimer's disease: New data and meta-analysis. Alzheimer's Dement, 10(2), 179-186. DOI: 10.1016/j.jalz.2013.03.002.
  7. Y. K. Kim & J. K. Gho. (2018). The effects of a cognitive enhancement program in healthy and cognitive impaired older adults of senior welfare center users. Journal of Human Development, 25(4), 45-63. DOI: 10.15284/kjhd.2018.25.4.45.
  8. H. K. Kim, Y. S. Kim, & T. Y. Kim (2011). Effects of age, education and gender on multiple cognitive measures of Korean older adults. Korean Journal of Clinical Psychology, 30(3), 681-701. https://doi.org/10.15842/kjcp.2011.30.3.004
  9. R. W. H. M. Ponds, M. P. J. van Boxtel & J. Jolles. (2000). Age-related changes in subjective cognitive functioning. Educational Gerontology, 26, 67-81. DOI: 10.1080/036012700267402.
  10. F. Clement, S. Belleville & S. Gauthier. (2008). Cognitive complaint in mild cognitive impairment and Alzheimer's disease. Journal of International Neuropsychological Society, 14, 222-232. https://doi.org/10.1017/S1355617708080260
  11. A. Eschen, M. Martin, US. Gasser & M. Kliegel. (2009). Prospective and retrospective memory complaints in mild cognitive impairment and mild Alzheimer's disease. Brain Impair, 10(01), 59-75. https://doi.org/10.1375/brim.10.1.59
  12. S. A. Lee, W. H. Lee, J. Y. Song, & J W. Baek (2011). Association between subjective memory complaints and objective functions in the elderly. Korean Journal of Clinical Psychology, 30(1), 247-261. https://doi.org/10.15842/kjcp.2011.30.1.013
  13. J. Studer, A. Donati, J. Popp & A. Gunten. (2014). Subjective cognitive decline in patients with mild cognitive impairment and healthy older adults: Association with personality traits. Geriatrics and Gerontology International, 14, 589-595. https://doi.org/10.1111/ggi.12139
  14. E. Giogkaraki, M. P. Michaelides, & F. Constantinidou. (2013). The role of cognitive reserve in cognitive aging: Results from the neurocognitive study on aging. Journal of Clinical and Experimental Neuropsychology, 35(1), 1024-1035. https://doi.org/10.1080/13803395.2013.847906
  15. A. L. Gross & G. W. Rebok. (2011). Memory training and strategy use in older adults: Results from the ACTIVE study. Psychology and Aging, 26, 503-517. https://doi.org/10.1037/a0022687
  16. K. W. Schaie & S. L. Willis. (1986). Can decline in adult intellectual functioning be reversed? Developmental Psychology, 22, 223-232. https://doi.org/10.1037/0012-1649.22.2.223
  17. J. K. Fairchild & F. R. Scogin. (2010). Training to enhance adult memory (TEAM): An investigation of the effectiveness of a memory training program with older adults. Aging & Mental Health, 14(3), 364-373. https://doi.org/10.1080/13607860903311733
  18. E. Cavallini, A. Pagnin & T. Vecchi. (2003). Aging and everyday memory: the beneficial effect of memory training. Archives of Gerontology and Geriatrics, 37, 241-257. https://doi.org/10.1016/S0167-4943(03)00063-3
  19. A. L. Gross & G. W. Rebok. (2011). Memory training and strategy use in older adults: Results from the ACTIVE study. Psychology and Aging, 26, 503-517. https://doi.org/10.1037/a0022687
  20. Y. K. Kim & H. R. Ghim. (2015). The effects of a cognitive enhancement program for the elderly. Journal of Developmental Psychology, 28(4), 87-108.
  21. B. R. Payne, J. J. Jackson, P. L. Hill, X. Gao, B. W. Roberts & E. A. L. Stine-Morrow. (2012). Memory self-efficacy predicts responsiveness to inductive reasoning training in older adults. Journal of Gerontology, Series B: Psychological Sciences and Social Sciences, 67(1), 27-35. DOI: 10.1093/geronb/gbr073.
  22. R. West, D. K. Bagwell & A. Dark-Freudeman. (2008). Self-efficacy and memory aging: The impact of a memory intervention based on self-efficacy. Aging, Neuropsychology, and Cognition, 15, 302-329. https://doi.org/10.1080/13825580701440510
  23. L. McDonald-Miszczak, C. Hertzog & D. F. Hultsch. (1995). Stability and accuracy of metamemory in adulthood and aging: A longitudinal analysis. Psychology and Aging, 10, 553-565. https://doi.org/10.1037//0882-7974.10.4.553
  24. J. C. Morris et al.. (1989). The consortium to establish a registry for Alzheimer's Disease (CERAD). Part I: Clinical and neuropsychological assessment of Alzheimer's Disease. Neurology, 39, 1159- 1165. https://doi.org/10.1212/WNL.39.9.1159
  25. K. U. Kim, S. Y, Kim, J. H. Kim, S. I. Woo, J. I. Woo, J. C. Yoon,... S. H. Han (2003). CERAD-K. Seoul: Seoul National University Publishing Cultural Center.
  26. A. F. Jorm & P. Jacomb. (1989). The Informant Questionnaire onCognitive Decline in the Elderly (IQCODE): Sociodemographiccorrelates, reliability, validity and some norms. PsychologicalMedicine, 19, 1015-1022.
  27. B. Canada, Y. Stephan, J. Caudroit & A. Jaconelli. (2013). Personality and subjective age among older adults: the mediating role of age-group identification. Aging & Mental Health, 17(8), 1037-1043. DOI: 10.1080/13607863.2013.807420.
  28. S. Y. Kim, J. M. Kim, J. A. Yoo, K. Y. Bae, S. W. Kim, S. J. Yang, I. S. Shin, & J. S. Yang. (2010). Standardization and validation of big five inventory-Korean version(BFI-K) in Elders. Biological Psychiatry, 17(1), 15-25.
  29. M. Sherer & J. E. Maddux. (1982). The self-efficacy scale: construction & validation. Psychological Reports, 51, 663-667. https://doi.org/10.2466/pr0.1982.51.2.663
  30. M. Rosenberg. (1965). Society and the adolescent self-image. Princeton, NJ: Princeton University Press.
  31. J. A. Yesavage, T. L. Brink, T. L. Rose, O. Lum, V. Huang, M. B. Adey & V. O. Leirer. (1983). Development and validation of a geriatric depression screening scale: A preliminary report. Journal of Psychiatric Research, 17, 37-49. https://doi.org/10.1016/0022-3956(82)90033-4
  32. N. A. Pacha, G. J. Byrne, H. Siddle, N. Koloski, E. Harley & E. Arnorld. (2007). Development and validationof the Geriatric Anxiety Inventory. International Psychogeriatrics, 19, 103-114. https://doi.org/10.1017/S1041610206003504
  33. R. M. Clarnette, O. P. Almeida, H. Forstl, A. Paton & R. N. Martins. (2001). Clinical characteristics of individuals with subjective memory loss in western Australia: Results from a cross-sectional survey. International Gournal of Geriatric Psychiatry, 16, 168-174. https://doi.org/10.1002/1099-1166(200102)16:2<168::AID-GPS291>3.0.CO;2-D
  34. T. Hanninen et al. (1994). Subjective memory complaints and personality traits in normal elderly subjects. Journal of the American Geriatrics Society, 42(1), 1-4. DOI: 10.1111/j.1532-5415.1994.tb06064.x.
  35. A. Pearman & M. Storandr. (2004). Predictors of subjective memory in older adults. Journal of Gerontology, Series B: Psychological Sciences and Social Sciences, 59(1), 4-6.
  36. T. M. Liew. (2020). Subjective cognitive decline, anxiety symptoms, and the risk of mild cognitive impairment and dementia. Alzheimer's Research & Therapy, 12, 1-9. DOI: 10.1186/s13195-020-00673-8.
  37. E. Borella, B. Carretti, F. Riboldi & R. Beni. (2010). Working memory training in older adults: Evidence of transfer and maintenance effects. Psychology and Aging, 25(4), 767-778. https://doi.org/10.1037/a0020683
  38. J. M. L. Postigo, J. V. Hernandez-Viadel & J. J. R. Trives. (2010). Efficacy of a group memory training method for older adults based on visualization and association techniques: A randomized, controlled trial with a placebo group. Applied Cognitive Psychology, 24, 956-968. https://doi.org/10.1002/acp.1596