• Title/Summary/Keyword: Cognitive Depression

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Effects of an emotional regulation program on maladaptive cognitive emotion regulation, stress, anxiety, and postpartum depression among South Korean mothers of premature infants in the neonatal intensive care unit

  • Choi, Hyo Sin;Lee, Kyung Eun;Shin, Yeonghee
    • Child Health Nursing Research
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    • v.27 no.1
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    • pp.24-33
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    • 2021
  • Purpose: This study aimed to evaluate the effects of a rational emotive behavior therapy (REBT)-based emotional regulation program for mothers of premature infants in the neonatal intensive care unit (NICU). Methods: The study utilized a nonequivalent control group pretest-posttest design. Seventeen mothers were recruited for the experimental group and 21 mothers for the control group. Data were collected from July 9, 2018, to Oct 12, 2018 from mothers of premature infants in the NICU regarding parental stress, state anxiety, depression, and maladaptive cognitive emotion regulation. The experimental group received eight sessions of the REBT-based emotional regulation program for 3~4 weeks, and the control group only received standard nursing care. Results: Significant differences were found between the two groups in maladaptive cognitive emotion regulation (Z=-3.88, p<.001), stress (Z=-2.76, p=.006), state anxiety (Z=-3.72, p<.001), and postpartum depression(Z=-2.62, p=.009) after the intervention in the experimental group. Conclusion: The REBT-based emotional regulation program for mothers of premature infants was effective for reducing maladaptive cognitive emotion regulation, stress, anxiety, and postpartum depression. Therefore, it may be necessary to provide an REBT-based emotional regulation program for mothers of premature infants in the NICU in clinical practice.

The Effects of a Cognitive Enhancement Group Training Program for Community-dwelling Elders (재가 노인을 위한 집단인지기능향상프로그램이 인지기능, 우울 및 삶의 질에 미치는 효과)

  • Han, Young-Ran;Song, Mi-Sook;Lim, Ji-Young
    • Journal of Korean Academy of Nursing
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    • v.40 no.5
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    • pp.724-735
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    • 2010
  • Purpose: In this study a cognitive enhancement group training program of 10 sessions was provided for communitydwelling elders and the effects on cognitive function, depression and quality of life were tested. Methods: A quasi-experimental study using a nonequivalent control group, pre-post design was used. The participants were 87 elders whose cognitive function was within the normal range. Of these elders, 45 were assigned to the experimental group and 42 to the control group. The intervention was conducted once a week for 10 weeks. Chi-square test, t-test, paired t-test, Wilcoxon rank sum test and Wilcoxon signed rank test were used to analyze the data. Results: After the program, the cognitive function (t=-2.85, p=.006), depression (z=2.82, p=.005) and quality of life (t=2.79, p=.007) of the experimental group was significantly better than those of the control group. Especially, immediate recall (z=2.45, p=.014) and concentration (z=2.58, p=.010) in the subcategory of cognitive function were significantly better than that of the control group. Conclusion: The findings indicate that the cognitive enhancement group training program was effective in enhancing the cognitive function, depression and quality of life for elders and could therefore be considered as a positive program for emotional and cognitive support for community-dwelling elders.

Effects of Color Therapy on the Elderly with Mild Cognitive Impairment: A Meta-Analysis (경도인지장애 노인에게 적용된 컬러테라피에 대한 효과: 메타분석)

  • Eun ja Chung;Hye-Ryoung Kim
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.1
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    • pp.551-556
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    • 2023
  • This study was attempted to confirm whether the color therapy intervention study on the elderly with mild cognitive impairment was effective in cognitive function and depression as a method of meta-analysis. In this study, the size of the effect of cognitive function and depression on the final eight studies of the experimental study was calculated through a domestic database from 2000 to October 2022. As a result, the statistically significant average effect size of the entire study was confirmed. In the test of the difference in effect size between groups, both cognitive function and depression were found to have significant effect sizes. Through this study, it was confirmed that calerotherapy is an effective intervention that can improve cognitive function and alleviate depression in the elderly with mild cognitive impairment. Based on the results of this study, it is necessary to develop an intervention program for the elderly with mild cognitive impairment using calerotherapy.

A Study on Pain, Physical Function, Cognitive Function, Depression and Agitation in Elderly Women with Dementia (여성 치매 노인의 통증, 신체적 기능, 인지적 기능, 우울, 초조에 관한 연구)

  • Kim, Sung Ja;Ryoo, Eon Na;Park, Kyung Sook
    • Korean Journal of Adult Nursing
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    • v.19 no.3
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    • pp.401-412
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    • 2007
  • Purpose: The purpose of this study was to determine the relationship between assessed pain, functional status, and emotional status in elderly women with dementia. Methods: The method was a descriptive correlational design. Subjects were sampled from 75 elderly women with dementia who were resident in nursing home. and their pain, functional status(physical function, cognitive function), emotional status(depression, agitation) were measured. The collected data were analyzed for correlations between pain and functional status and for emotional status using the SPSS 11.0 statistical program. Results: The pain degree of the aged women in dementia were as follows; between 0 and 27 points, average 4.04 points, which was a possible point extent. Looking at the grades in detail items, the wry face expression was shown highest, an average of 0.84 points. The relation with cognitive function was(r=-.259, p<.025) a minus relation. And the relation with physical function was (r=.406, p<.001) a plus one. The relation with depression was (r=.462, p<.001), plus one. And (r=.592, p<.001) a plus relation was found with agitation. Conclusion: Pain is associated with impaired functional and emotional status. Major efforts are needed to improve nursing assessment and management of pain in this cognitive impaired population.

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The Moderating Effect of Family Relationship on Depression in the Elderly (노년기 우울에 대한 가족관계 만족도의 중재효과)

  • Yoo, Junghun;Sung, Heayoung
    • 한국노년학
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    • v.29 no.2
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    • pp.717-728
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    • 2009
  • The purpose of this study is to examine the moderating effect of family relationship (relationship with spouse and adult children)about the impact of economical status and health(physical health, cognitive health) on depression. The data came from Korean Longitudinal Study of Ageing(KLoSA) 2005 of Korea labor institute. 2,566 individuals(male 1,535, female 1,031) with spouse and aged 65 and over were selected for this study. Using the multiple regression model, we found that significant effect of economical status, physical health and cognitive health on depression. Also relationship with spouse moderated the effect of economical status on depression and relationship with adult children moderated the effect of cognitive health on depression. The results of this study suggest that family relationship is important variable to reduce depression of the elderly.

The Differences of Serum Homocysteine Levels in Mild Cognitive Impairment and Dementia of Alzheimer's Type with or without Depressive Symptoms (경도인지장애, 알쯔하이머형 치매 환자에서 우울증상 유무에 따른 혈중 호모시스테인의 차이)

  • Hwangbo, Ram;Kim, Hyun;Lee, Kang Joon
    • Korean Journal of Psychosomatic Medicine
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    • v.22 no.1
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    • pp.40-45
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    • 2014
  • Objectives : Mild cognitive impairment(MCI) and dementia of Alzheimer's type(AD) are characterized by progressive decline of cognitive abilities and a wide range of neuropsychiatric symptoms like depression. Among various diagnostic tools of AD, many studies showed that elevated levels of serum total homocysteine are associated with increased risk of developing Alzheimer's disease, depression and other neuropsychiatric disorders. We investigated whether elevated homocysteine concentrations are associated with depressive symptoms in MCI and AD. Methods : A total of 86 patients diagnosed with MCI or AD participated. Total serum homocysteine levels in fasting blood samples were measured. We examined cognitive symptoms by MMSE-KC, Global Deterioration Scale(GDS), Clinical dementia rating(CDR) and depressive symptoms by Korean version of Geriatric Depression Scale(K-GDS). Results : The total serum homocysteine levels were significantly higher in MCI with depression than in MCI without depression. There was no significant difference in the mean homocysteine levels between AD patients with depression and AD patients without depression. The total homocysteine levels showed a negative correlation with MMSE-KC and a positive correlation with CDR, GDS. Conclusions : These findings suggest that elevated homocysteine level is a risk factor for the decline of cognitive function and depression. We found a significant relationship between elevated serum homocysteine level and depressive symptoms in MCI. But our study had several limitations, thus more research is needed to confirm this finding.

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The Effects of an Individual Cognitive Improvement Program on the Elderly with Mild Cognitive Impairments (경도인지장애 노인의 개인별 인지기능강화 프로그램적용의 효과)

  • Park, Inhyae;Choi, In-Hee;Kang, Seo Young;Kim, Younkyoung;Lee, Chong Mi
    • Research in Community and Public Health Nursing
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    • v.26 no.1
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    • pp.1-10
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    • 2015
  • Purpose: This study was conducted to investigate changes in cognitive functions, depression and life-satisfaction for elderly participants with mild cognitive impairments participating in an individual cognitive improvement program. Methods: A quasi-experimental with non-equivalent control group pretest-posttest design was implemented. The participants were senior citizens over 65 years of age who had been clinically diagnosed with mild cognitive impairments in G City and J Province (experimental group: 29, control group: 27). The experimental group participated in the individual cognitive improvement program based on Korean traditional tales and games for nine weeks. Results: After the intervention, only the participants in the experimental group reported significant improvement in K-MMSE (t=-2.5, p=.016), MoCA-K (t=-2.6, p=.008), depression (t=3.51, p=.001), and life satisfaction (t=-2.75, p=.008) when compared to those in the control group. Conclusion: These results indicated that the individual cognitive improvement program was effective in improving cognitive functions, depression, and life-satisfaction among the elderly with mild cognitive impairments. Therefore, the application of this individual cognitive improvement program developed in this study by visiting nurses may strengthen the cognitive functions of seniors with mild cognitive impairments.

Effects of Cognitive Function and Depression on Anxiety in Elderly People-Convergent approach (노인의 인지기능과 우울이 불안에 미치는 영향-융복합적 접근)

  • Lee, Jeong-Sook;Lee, Sun-Young
    • Journal of Digital Convergence
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    • v.13 no.8
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    • pp.401-408
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    • 2015
  • This study was done to examine the relation of cognitive function, depression and anxiety in elderly people above 65 years of age, and to identify factors influencing anxiety. The data were collected from June 1 to August 30 2014. Data were collected by questionnaire from 363 elderly people. The instruments for this study were MMSE-DS, depression, anxiety. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, and multiple linear regression with the SPSS/WIN 18.0 program. According to results, the significant factors influencing anxiety were sleeping time(${\beta}=-.249$, p<.001), depression(${\beta}=.218$, p<.001), cognitive function(${\beta}=-.209$, p<.001), occupation(${\beta}=-.133$, p=.006). The study reveals that it is necessary to develop a convergent program that maintain adequate sleep, prevents of cognitive impairment and decreases depression.

The Effect of Horticultural Therapy on Cognitive Function, Self-esteem, Depression and ADL of Elderly with Dementia (원예요법이 치매노인의 인지기능, 자아존중감, 우울 및 일상생활수행능력에 미치는 영향)

  • Park Jeong Sook;Lee Hyun Gi;Kim Mi Eun
    • Journal of Korean Public Health Nursing
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    • v.17 no.1
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    • pp.69-82
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    • 2003
  • Purpose: The purpose of this research was to evaluate the effect of horticultural therapy on cognitive function, self-esteem, depression and activities of daily living of elderly with dementia. Method: The research design was an one group pre and post-test study design. The subjects of this study were 7 elderly with dementia in K elderly institution in Daegu. Instruments used in this research were MMSE-K(Mini-mental state Examination Korean Version) developed by Kwon & Park, SES(Self-Esteem Scale) developed by Rosenberg. SDS(Self-Rating Depression Scale) developed by Zung and BADL(Bathel Activity Daily Living) developed by Bethel. One-hour horticultural therapy was offered to the study participants weekly for 12 weeks. Results: The results showed that self-esteem was significantly increased after the horticultural therapy. However, in terms of cognitive function. depression and ADL, there was no significant change after the horticultural therapy among these elderly. Conclusion: In this research. there were no obvious change in cognitive function. depression, and ADL after the horticultural therapy among participants. Although the difference was not statistically significant. descriptive statistics showed some difference in scores on these variables after the intervention. So, it is suggested to conduct a further research with larger samples and pre and post-test design with control group.

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The Relationship between Depression, Cognitive Function and the Instrumental Activities of Daily Living of Elderly Women Living Alone (재가 독거 여성노인의 우울, 인지기능 및 도구적 일상생활 수행능력 간의 관계)

  • Lim, Eun Ju
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.4
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    • pp.1849-1856
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    • 2013
  • The purpose of this study is to understand differences in cognitive function and the instrumental activities of daily living depending on whether elderly women living alone in Korea have depression and to determine the correlation between variables. The data were collected from April 2011 to April 2012 with a total of 1,426 women interviewed using a structured questionnaire. Based on examining the correlation between variables, a weak inverse correlation was shown between depression and cognitive function(r=-.208, p<.001), between cognitive function and the instrumental activities of daily living(r=-.256, p<.001), and a weak positive correlation was shown between depression and instrumental activities of daily living(r=.222, p<.001). According to these results, We should pay attention to come up with ways to promote and maintain the mental health of elderly women so that depression level can be reduced through the improvement of cognitive function and social activity level.