• 동의신경정신과학회지
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• 제25권3호
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• pp.243-252
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• 2014

Objectives: This study was designed to investigate the dose-dependent effects of Gastrodia elata Blume for memory improvement. Methods: This study was a 12-weeks, double blind, and comparative clinical study. Those who were eligible worked with a group of healthy seniors, all 60 years of age or older. 22 subjects were randomized either to Gastrodia elata Blume powder form that was steeped in hot water or placebo. We measured the faculty of memory by using MMSE-K, Digit Span, Letter Fluency Test, Word List Memory Test, and Trail Making Test, and again after 12 weeks. Results: 1) Neither Gastrodia elata Blume groups nor control have a difference in MMSE-K, Digit Span, Letter Fluency Test, and Trail Making Test. 2) Gastrodia elata Blume group showed significant advances in immediate recall 1 and 2 of Word List Memory Test, and 3 g group show better results than the 4 g group. 3) 4 g Gastrodia elata Blume group showed significant advances in the recognition of Word List Memory Test. Conclusions: The results suggest that positive effects on memory improvement due to Gastrodia elata Blume depend on the amount.

• 동의신경정신과학회지
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• 제24권1호
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• pp.27-44
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• 2013

Objectives : This study was designed to investigate the effects of Gastrodia elata Blume on the improvement of memory. Methods : This study was a 12 week, double blind, comparative clinical study. There were eligible who worked with a group of healthy seniors, all 60 years of age or older. 50 subjects were randomized either to Gastrodia elata Blume in powder form and steep in hot water or placebo. We measured the faculty of memory by using K-DRS, MMSE-K, Digit Span, Letter Fluency Test, Word List Memory Test, and the Trail Making Test, and after 12 weeks we measured the faculty of memory again using the same methods. Results : Gastrodia elata Blume steeps in the hot water group significantly increased. Initiation, perseveration level, and Memory level of K-DRS and MMSE-K score. There were no considerable differences between three groups in Digit Span and Trail Making Test score. Gastrodia elata Blume group showed significant advances in Letter Fluency Test and recognition of Word List Memory Test. Conclusions : The results suggest that Gastrodia elata Blume may have positive effects on memory improvement and function of the frontal lobe activation.

• 생물정신의학
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• 제21권4호
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• pp.175-181
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• 2014

Objectives It was the aim to examine the association of the thyroid-related hormones with cognitive function, depression, and subjective memory impairment in community-dwelling elders with questionable dementia. Methods The sample consisted of 399 community residents with 'questionable dementia' aged 60 or over in whom serum thyroid-related hormones [thyroid stimulating hormone (TSH) and thyroxine] had been assayed. Cognitive impairment was defined using the Korean version of the Consortium Establish a Registry for Alzheimer's Disease. Depression was diagnosed using the Korean version of Geriatric Depression Scale and subjective memory complaint (SMC) was checked using the subjective memory complaints questionnaire (SMCQ). Age, gender, education, and the presence of apolipoprotein E {\varepsilon}4 were included as covariates. Results There was a significant positive association between verbal fluency test (VFT) score and serum TSH levels (p = 0.01). There was a significant negative association between SMCQ total score and word list memory test (WLMT)(p = 0.002) or word list recall test (WLRT) score (p = 0.013). Conclusions Lower serum TSH levels were associated with semantic memory (VFT), and we found that SMC was associated with episodic memory (WLMT and WLRT) in this sample.

• 대한한의학회지
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• 제43권2호
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• pp.61-74
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• 2022

Objectives: This study aimed to explore the short-term effects of bilateral masticatory training using an intraoral device on memory and concentration, which is an advanced form of Gochi, compared to the unilateral form with gum. Methods: Thirty young healthy participants (age, 16-30 years) were screened and randomly assigned to one of two sequences in a crossover design. The participants assigned to sequence A (n=15) performed bilateral mastication using an intraoral device with a total of 300 taps, followed by unilateral mastication using gum with the same number of repetitions and frequency, separated by a 7-day washout period. A reverse order was used for sequence B. The primary and secondary outcomes were the digit span test result and the symbol digit modality test and the word list recall results, respectively, which were conducted before and after each intervention. Results: Symbol digit modality test scores increased by 12.03±8.33 with bilateral mastication, which was significantly higher than that obtained with chewing gum (5.17 points;95% confidence interval: 0.99, 9.34; p<0.05). Changes in the digit span test and word list recall scores were not significantly different between the two groups. In the digit span test forward, symbol digit modality test, and word list recall test, bilateral mastication was not inferior to unilateral mastication in improving memory and concentration. Conclusions: Bilateral masticatory exercises using an intraoral device are not inferior to unilateral mastication with gum for improving memory in healthy young individuals. Further research is needed to determine the efficacy of bilateral masticatory training on cognitive function.

• 생물정신의학
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• 제20권3호
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• pp.104-110
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• 2013

Objectives : The aim of this study was to examine the prospective impact of the apolipoprotein E (APOE) ${\varepsilon}4$ on cognitive performance in the community-dwelling elderly individuals with Alzheimer's disease (AD). Methods : The total number of subjects was 30 (12 men and 18 women) who were diagnosed with AD from a Korean project of "Early Detection of Dementia". People aged 65-85 years were included in the analysis. The eight neuropsychological domains from the Korean version of Consortium to Establish a Registry of Alzheimer's Disease (CERAD-K) were conducted to test subjects. They have been followed at 24-month intervals with the same assessments at each interval. Their cognitive performance at 2 year intervals was compared by the occurrence of the APOE ${\varepsilon}4$. Results : The impact of ${\varepsilon}4$ allele was significant in the Word List Memory Test (WLMT, F = 4.345, df = 1, p = 0.021) and Word List Recall Test (WLRT, F = 5.569, df = 1, p = 0.033). Conclusions : The APOE ${\varepsilon}4$ allele was significantly correlated especially with verbal episodic memory domain in community-dwelling elders diagnosed with AD.

• 동의신경정신과학회지
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• 제28권4호
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• pp.401-408
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• 2017

Objectives: The purpose of this study is to obtain the differential variable and learning effect of the serial position effect, targeting individuals aged 60 years and over. A total of 89 individuals were categorized into the following groups: Alzheimer's group, vascular dementia group, elderly depression group, and normal group. Methods: Considering the size of the groups used for comparison, of the total 89 participants, 28 were in the Alzheimer's group, 24 in the vascular dementia group, 16 in the elderly depression group, and 21 were randomly chosen for the normal group. In the CERAD-K word list memory test, 10 words were shown to the subjects. We then asked them to freely recall the words. After changing the order of the words three times, the same process was followed. Results: First, a significant difference was observed among the groups in terms of word recalling rate. The analysis conducted afterward showed that, as predicted, the depressed group showed significantly better performance in recalling the words. Second, the vascular dementia patients and the Alzheimer's patients showed, as predicted, better recall of the largest recency region of words shown. Third, the normal group and the elderly depressed group showed a high-performance rate, proving that the reiterative method can contribute to the recalling process. Thus, we demonstrated that the Alzheimer's group showed the deterioration of short memory recalling skills and the elderly depressed showed deteriorated output performance skill.

• 아동학회지
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• 제25권6호
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• pp.105-115
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• 2004

The 60 subjects of this study were 3rd, and 6th grade elementary and undergraduate university students. The instrument of 44 items had two typical and two atypical exemplars from 11 semantic categories. Each subject was exposed individually to the word list and asked to categorize each item. At test, subjects generated five items that came to mind in each category. Data was analyzed by 2-way ANOVA, age (3) $\times$ category of typicality (2). All main effects and the interaction effect between age and typicality were significant. There were no significant differences among age groups on typical lists while significant differences between university and elementary school students (Grades 3 and 6) were found on atypical lists. Thus, the knowledge base might be an important factor in implicit memory.

• 생물정신의학
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• 제23권2호
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• pp.63-68
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• 2016

Objectives Haenyeo are Korean professional women breath-hold divers in Jeju island. The aim of this study was to investigate the clinical characteristics of depressed Haenyeo group, compared to non-Haenyeo depressed group. Methods This study included 75 Haenyeo and 340 non-Haenyeo with depressive disorders recruited from the Dementia Early Detection Program in Jeju island. Structural diagnostic interviews were performed using the Korean version of Mini International Neuropsychiatric Interview. All patients completed the questionnaires, including the Subjective Memory Complaints Questionnaire (SMCQ), the Patient Health Questionnaire-15 (PHQ-15), and the Blessed dementia scale. Depression was evaluated by the Korean version of short form the Geriatric Depression Scale (K-SGDS) and cognition was assessed by the Korean version of the Consortium to Establish a Registry for Alzheimer's Disease (CERAD) assessment packet. Results Although the mean scores of the K-SGDS were similar between Haenyeo and non-Haenyeo depressed groups, the Haenyeo group showed a higher mean score on the PSQ-15 (p < 0.001, ANCOVA adjusting for age, the K-SGDS and education). The Haenyeo group showed poorer performance on the Korean Version of Frontal Assessment Batter (p < 0.001), the Mini-Mental State Examination in the Korean version of the CERAD Assessment Packet (p < 0.018), the word fluency test (p < 0.001), and the word list memory test (p = 0.012) in ANCOVA adjusting for age and education. The mean SMCQ score was higher in the Haenyeo depressed group than in the non-Haenyeo depressed group. Conclusions The Haenyeo depressed group shows cognitive dysfunction, especially frontal lobe dysfunction, compared to the non-Haenyeo depressed group, indicating the Haenyeo depressed group may have more severe frontolimbic dysfunction due to chronic exposure to hypoxia. The Haenyeo depressed group suffers more somatic symptoms than the non-Haenyeo depressed group.

• 인지과학
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• 제25권4호
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• pp.385-416
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• 2014

본 연구는 외향성이라는 성격 특성에 따른 정서적 단어의 기억 수행의 차이를 연구하기 위해, 신호 탐지 분석법을 적용하여 기억 변별력과 재인 반응 편향을 분석하였다. 참여자들은 부호화 시에 제시되는 정서 단어에 대하여 정서 범주 판단과제를 수행하고, 이어서 재인 검사를 받았다. 또한 단어 재인에 미치는 과제의 난이도와 성격의 상호작용 조사하기 위해, 부호화와 인출 사이의 기간을 달리한 두 개의 실험이 수행되었다. 파지 지연기간이 짧은(5분) 저난이도 과제(Study I)에서는 특히 저빈도 단어에 대해, 외향성이 낮은 사람일수록 더 좋은 기억 수행(높은 d')을 보였으며, 재인 반응 편향에는 외향성에 따른 차이가 없었다. 특히, 외향성이 높을수록 오류 재인 후에 과신하는 경향이 높았다. 파지기간이 긴(한 달) 고난이도 과제(Study II)의 경우, 기억 수행은 외향성에 따른 차이가 없이 전반적으로 저조하였나, 고빈도-긍정 단어에서만 외향성이 높은 개인일수록 훨씬 자유로운 반응 준거(높은 적중률과 높은 오경보율)를 적용하는 재인 수행의 특성을 보이는 것이 관찰되었으며, 이런 긍정단어에 대한 자신의 재인에 과신하는 경향도 높았다. 본 결과는 기억 수행이 저조해질 때, 외향성이 높은 개인들이 내적 통제 과정에 더 취약해 지며, 이런 성격차이는 긍정단어의 기억의 재인 준거나 재인 반응에 대한 확신에 영향을 미칠 수 있음을 보인다. 즉 기억의 흔적이 약할 때, 외향성이 높은 개인들은 긍정적 정서가의 단어에 특정적으로 기억 보고와 확신 편향을 보일 수 있음을 시사한다.

• 정신신체의학
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• 제27권2호
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• pp.155-163
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• 2019

연구목적 본 연구의 목적은 알츠하이머형 치매 및 경도인지장애 환자에서 내측두엽 위축 정도의 차이에 따른 중증도, 신경인지기능 및 행동심리증상을 비교하는 것이다. 방 법 본 연구는 단면 연구로서, 알츠하이머형 치매 및 경도인지장애로 진단받은 114명을 대상으로 하였다. 내측두엽 위축은 표준화된 시각 기반 척도(Scheltens scales)에 의해 평가되었으며, 대상군은 두 그룹으로 분류되었다. 중증도는 임상치매평가척도(Clinical dementia rating, CDR)와 전반적 퇴화 척도(Global deterioration scale, GDS)로 평가되었으며 신경인지기능은 한국어판 간이 블레스드 검사(The Korean version of the short blessed test, SBT-K), 한국형 CERAD (The Korean version of the consortium to establish a registry for Alzheimer's disease, CERAD-K), 행동심리증상은 한국형 신경정신행동검사(The Korean version of the Neuropsychiatric Inventory, K-NPI)로 평가되었다. 내측두엽 위축의 정도에 따른 중증도와 신경인지기능 및 행동심리증상의 차이를 분석하기 위해 독립표본 t-test를 시행하였다. 결 과 내측두엽 위축의 중증도가 높은 군은 낮은 군에 비하여 CDR, SBT-K, 그리고 CERAD-K의 하부항목 중 네가지 항목에서 유의하게 낮은 점수를 보였다(p<0.05). 결 론 내측두엽 위축과 중증도 및 신경인지기능 사이에는 유의한 양의 상관관계가 나타났으나 행동심리증상과는 유의한 상관관계가 나타나지 않았다. 내측두엽 위축의 평가는 인지장애의 진단과 치료에 잠재적 이점을 제공할 것으로 생각된다. 행동심리증상과 뇌구조의 연관성에 대해서는 추가적인 연구가 필요할 것으로 보인다.