Purpose: The purpose of this study was to determine the effect of a 2-week somatosensory stimulation program on cognitive function and ADL of patients with brain damage. Methods: The sample consisted of two groups of patients with stroke: 10 patients with a mean age of 59.0 years who were treated with somatosensory stimulation, and 9 patients with a mean age of 51.78 years, who were not treated with somatosensory intervention. A nonequivalent control group non-synchronized design was used to assess the functional recovery after stroke. Instruments used in this study were MMSE-K for cognitive function and FIM for ADL. Results: The hypothesis 1 that "Patients with stroke who were treated with the somatosensory stimulation program will show higher MMSE-K score than that of the non-treatment group" was supported(Z = -2.390, p = .017). The hypothesis 2 that "Patients with stroke who were treated with the somatosensory stimulation program will show higher FIM score than that of the non-treatment group", however, was partially supported(social cognition: Z = -2.204, p = .045). Conclusion: Somatosensory stimulation was effective to patients with stroke in improving their cognitive function. These findings suggest that somatosensory input can be adopted to nursing intervention for functional recovery after stroke.
Geriatric depression is associated with pathological changes in the brain and increases the risk of cognitive impairment or dementia. However, high cognitive reserve, such as high education, can delay or minimize clinical manifestations of pathologies involving the brain, so the effect of geriatric depression on cognitive impairment or dementia may vary depending on the education level. In this study, the author analyzed data from the Korean Longitudinal Study of Aging (KLoSA) to examine whether the effect of geriatric depression on cognitive function differed depending on education level. Among the 10,254 subjects registered in the KLoSA, the 4,905 subjects who met the inclusion criteria were analyzed by stepwise regression analysis. The results were as follows: first, depressive symptoms predicted low cognitive function after 12 years; second, the negative effect of depressive symptoms on cognitive function after 12 years was higher in the old adult group than in the young adult group; and third, the effect of age was significant only in the low-educated group. These results suggest that depressive symptoms in low-educated old adults may increase the risk of development of dementia in the long term.
This study analyzed 4,284 elderly people aged 65 or older by SPSS 22.0 in the 7th data of 「2018 Korean Longitudinal Study of Ageing(KLoSA)」 to confirm the effect of the health-promoting behavior of the elderly on life satisfaction through cognitive function. The cognitive function level of the subjects was 13.8% doubtful about dementia, 23.8% cognitive decline, and 62.4% normal, and the satisfaction level of life was 59.304 points. The results of the study were as follows: First, the difference in cognitive function according to demographic characteristics was significant in gender, age, education, religion, and marriage factors. Second, the satisfaction of the elderly's life according to demographic characteristics was confirmed to have significant differences in gender, age, education, religion, and marriage factors. Third, the satisfaction of the elderly's life was significantly positive in drinking and regular exercise factors among independent variable the health-promoting behavior when cognitive function was mediated. On the other hand, The significant negative effect of the restriction of daily life activities was confirmed. In this way, the mediating effect of cognitive function was verified in the effect of the health-promoting behavior on the satisfaction of the elderly life.
International Journal of Advanced Culture Technology
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v.6
no.3
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pp.44-52
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2018
The purpose of this study was to assess the effects and find the correlation of LOTCA-G and SS-QOL on the cognitive function and quality of life of elderly stroke patients. The time period of the experiment was from March 1, 2018 to March 30, 2018, and the study sample was composed of 102 stroke out-patients who participated in the rehabilitation center in G-city and received treatment of LOTCA-G and SS-QOL. The raw scores of the cognitive function of the elderly stroke patients varied depending on their gender, age, education, and marital status, but the differences were not statistically significant. Second, the raw scores of the quality of life of the elderly stroke patients varied depending on their gender, age, education, and marital status, but only marital status showed significance (p <0.01). The elderly stroke patients' cognitive function and the quality of life showed a statistically significant correlation (p <0.01). LOTCA-G and SS-QOL generally showed significant correlation even among sub-categories, but energy, one of the sub-categories of quality of life, did not show significant correlation with any of the other sub-categories of cognitive function. By combining the study results, it was possible to see that there were high levels of correlation between cognitive function and quality of life in elderly stroke patients shown through LOTCA-G and SS-QOL. Based on this study, if the raw scores of cognitive function and quality of life could be validated and various basic data could be provided for increasing quality of life, it can be considered that the stroke patients' quality of life will be improved.
The purpose of this study was to examine the predictors of burnout among informal caregivers of older adults. One hundred thirty seven caregivers who had provided care to older adults over 60 years of age for more than one month were included in the study. Most of the caregivers were white (91%) and female (78%). Mean ages of the caregivers were 64 years and 78% of them were married. Seventy percent of the older adults suffered from Alzheimer and related disease. In this study, caregivers reported that they experienced burnout once a month. The scores of emotional exhaustion and reduced personal accomplishment of the caregivers were in the moderate burnout range. To examine the predictors of burnout, discriminant analysis was used. Caregivers were divided by two groups based on the sum of scores (cutpoint=6) on three dimensions of burnout after each dimension was categorized into high(3), moderate(2), and low(1). Nine predictors were included in the analysis : Caregiver's age, employment status, Instrumental Activities of Daily Living (IADL) of the older adult, presence of dementia of the older adult, caregiver's empathy toward the older adult (emotional and cognitive), and 3 coping strategies (negative, problem-focused, cognitive reconstructioning). Caregivers who reported high burnout showed higher cognitive empathy toward the older adults than those who showed low burnout. Caregivers who experienced high burnout used negative coping more often, and cognitive reconstructioning coping and problem focused coping less often than their counterparts. Wilks' Lambda was .78 indicating that differences between the two groups were significant. Cognitive empathy and cognitive reconstructioning coping showed high standardized canonical discriminat function coefficients over .40. Discriminant function with 9 predictors correctly classified 71% of the sample. In conclusion, informal caregivers also experienced certain level of burnout. Cognitive empathy and coping strategies predicted burnout experience of the caregivers. Based on this study, nursing intervention to the informal caregivers to improve their cognitive empathy toward the older adults and to modify their coping strategies in a way to reduce burnout experience can be applied. Further research to develop effective nursing interventions for the purpose of reducing burnout experience by modifying predictors was suggested.
Self-reported difficulties in speech-in-noise (SiN) recognition are common among tinnitus patients. Whereas hearing impairment that usually co-occurs with tinnitus can explain such difficulties, recent studies suggest that tinnitus patients with normal hearing sensitivity still show decreased SiN understanding, indicating that SiN difficulties cannot be solely attributed to changes in hearing sensitivity. In fact, cognitive control, which refers to a variety of top-down processes that human beings use to complete their daily tasks, has been shown to be critical for SiN recognition, as well as the key to understand cognitive inefficiencies caused by tinnitus. In this article, we review studies investigating the association between tinnitus and cognitive control using behavioral and brain imaging assessments, as well as those examining the effect of tinnitus on SiN recognition. In addition, three factors that can affect cognitive control in tinnitus patients, including hearing sensitivity, age, and severity of tinnitus, are discussed to elucidate the association among tinnitus, cognitive control, and SiN recognition. Although a possible central or cognitive involvement has always been postulated in the observed SiN impairments in tinnitus patients, there is as yet no direct evidence to underpin this assumption, as few studies have addressed both SiN performance and cognitive control in one tinnitus cohort. Future studies should aim at incorporating SiN tests with various subjective and objective methods that evaluate cognitive performance to better understand the relationship between SiN difficulties and cognitive control in tinnitus patients.
Jung, Mi Sook;Kim, Hyunli;Lee, Yeji;Kim, Mijung;Chung, Eunyoung
Osong Public Health and Research Perspectives
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v.8
no.5
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pp.308-317
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2017
Objectives: We aimed to examine the effects of various leisure activities on cognitive impairment in young-old (aged 65-74 years) and old-old (aged ${\geq}75$ years) adults. Methods: In total, 10,279 elderly Korean individuals from the 2014 Korean National Survey on Older Adults' cohort were enrolled in our study. Cognitive impairment was assessed using the standardized score of the Mini-Mental State Examination for Dementia Screening, whereas leisure activities were recorded via self-reporting of the extent and type of leisure activity the subjects involved in over the past year. Multivariate logistic regression was used to assess the effect of leisure activities on cognitive impairment, while controlling for potential covariates. Results: The subjects were more likely to participate in cognitive activities than in non-exercise physical activities. After controlling for selected covariates, involvement in cognitive activities was found to be a significant predictor of cognitive impairment in both the groups, whereas involvement in non-exercise physical activities was not a predictor of cognitive impairment in individuals aged ${\geq}75$ years. Moreover, depressive symptoms, rural residence, and hearing difficulties were common predictors of cognitive impairment among elderly-Korean-individuals. Conclusion: Leisure activity involvement may help delay cognitive impairment, which is often concomitant with aging. Hence, an early intervention service may significantly benefit both young-old and old-old individuals.
The purposes of this study were to measure Shangri-La Syndrome through the difference age(i.e. chronological age-cognitive age) of Korean in their 40s and 50s, and to examine the variables which have an effect on the syndrome, requirements of Shangri-La Syndrome and means to look young. The research was conducted on 365 men and women in their 40s and 50s from Ulsan, Busan, and Seoul. The statistical analysis methods used for the study were reliability analysis, factor analysis, frequencies analysis, t-test, correlation analysis, ANOVA, Duncan test, and regression analysis. The results of this study are as follows : First, difference age showed to be 9.5 on the average and appeared to be largest in terms of feel and interests ages and smallest in terms of look and health ages. Second, it was found that Shangri-La Syndrome was influenced by health and self-love factors from among physical and social-psychological characteristics, and age, educational status, job, and hobby out of demographic characteristics. Third, it was shown that health body was the most important condition for a living with Shangri-La Syndrome and clothing was the most effective tool available for young appearances.
The purpose of this study was to investigate methodological and theoretical problems in measuring the acquisition of national identity of in-country and over-seas Korean adolescents. The subjects consisted of 574 incountry and overseas (Chinese, Russia and Japan) Korean adolescents (total 509), 15 to 25 years of age. Data were collected with the use of a questionaire, the Scale of National Identity. The results were that (1) the concept of national identity was organized on two dimensions (cognitive vs. sociocultural). The former consisted of 6 cognitive characteristics (uniqueness, sameness, continuity, acceptability, respectability and royalty). The sociocultural dimension consisted of the cognition of 7 sociocultural characteristics (history, norm, fraternity, symbol, consanguinity, Korean language and nationality). Except for consanguinity, there was a close relationship within each and between the 6 cognitive characteristics. Also there was a close relationship within each and between the 7 sociocultural characteristics of national identity. (2) Some demographic variables, such as age of respondents, place of birth and level of understanding of Korean language contributed to acquisition of national identity. (3) Among several demographic variables, nationality was the most explainable.
This study examined the effects of conditions of generation(0, 1, or 2 cognitive operations) and task difficulty in children's recall. Subjects were 40 children in each age group, 8-year-olds and 10-year-olds. Each subject was shown 12 simple or difficult multiplication problems in one of the conditions of generation. After a buffer task, subjects were required to recall correct answers to the problems in random order. The data were analyzed by ANOVA and simple main effect analyses. Results showed that generation effect(GE) occurred among children younger than 12, and GE improved with age. Learning from cognitive operations was more effective than learning through simple repetition. Easier tasks led to greater GE, a phenomenon explained by procedures used in this study.
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