• Title/Summary/Keyword: cognitive variables

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Predictors of Cognitive Improvement during 12 Weeks of Antidepressant Treatment in Patients with Major Depressive Disorder

  • Lee, Jeong-Ok;Kim, Ju-Wan;Kang, Hee-Ju;Hong, Jin-Pyo;Kim, Jae-Min
    • Clinical Psychopharmacology and Neuroscience
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    • v.16 no.4
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    • pp.461-468
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    • 2018
  • Objective: Cognitive disturbance is one of the major symptoms of depression and may be improved by treatment with antidepressants. This study aimed to investigate the predictors of cognitive improvement in patients with major depressive disorder (MDD) who were taking antidepressants. Methods: This study included 86 patients with MDD who completed 12 weeks of antidepressant monotherapy. Cognitive symptoms were assessed using the Perceived Deficits Questionnaire-Korean version (PDQ-K), which addresses four domains of cognitive functioning (attention/concentration, retrospective memory, prospective memory, and organization/planning) and was administered at study entry and at the 12-week end point. A variety of demographic, clinical, and treatment-related variables were evaluated as predictors of changes in total and domain scores. Results: All PDQ-K domains showed significant improvement after 12 weeks of antidepressant treatment. More severe initial depressive symptoms, fewer sick-leave days at study entry, and reduced use of concomitant anxiolytics/hypnotics during treatment were significantly associated with greater cognitive improvement. Conclusion: Cognitive symptoms are more responsive to antidepressant treatment in patients with severe MDD. Reduced use of anxiolytics and hypnotics could improve the cognitive functioning of patients with MDD taking antidepressants.

Effect of College Students' Perceived Stress, Cognitive Response to Stress, and Somatization on Heart Rate Variability (대학생의 지각된 스트레스, 인지적 스트레스, 신체화가 심박변이도에 미치는 영향)

  • Park, Keum Suk;Yoon, Hea Min
    • Journal of Korean Biological Nursing Science
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    • v.21 no.3
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    • pp.178-187
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    • 2019
  • Purpose: The purpose of this study was to investigate how college students' perceived stress, cognitive stress, and somatization affect their heart rate variability (HRV). Methods: This study is a cross-sectional survey research on 191 university students, registered at the G University. The perceived stress scale (PSS) and cognitive stress response scale, were used to assess level of stress. The somatization symptom scale of the Symptom Check List 90 (SCL-90), was used to assess level of somatization caused by stress. To assess heart rate variability (HRV), we conducted a five-minute test using a pulse wave analyzer, to analyze short-term HRV. Results: The SCL-90 somatization score had relatively high positive correlation (p< .001) with cognitive stress, but low positive correlation (p< .001) with perceived stress. Cognitive stress response had low negative correlation (p< .001) with 1nSDNN and 1nRMSSD among HRV parameters. Perceived stress was not correlated with HRV. Multiple regression analysis showed that variables of perceived stress, cognitive stress, and somatization symptoms, could not explain HRV. By contrast, one of the HRV indicators, 1nSDNN, was affected by age, gender, and aggressive-hostile thought, the latter being a subscale of the cognitive stress response scale. Conclusion: This study suggests that stress evaluation for people in early adulthood will be more effective, if the evaluation examines cognitive stress and heart rate variability.

A Study on Theory of Planned Behavior of Accounting Information Classes in the Digital Convergence Era (디지털 융복합 시대에 회계정보수업의 TPB에 관한 연구)

  • Lee, Shin-Nam
    • Journal of Digital Convergence
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    • v.13 no.9
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    • pp.169-175
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    • 2015
  • The significant changes of convergence study in the 21st century is the shift from theoretical-based instruction to computer-based instruction. This study investigated the student's cognitive engagement in TPB(Theory of Planned Behavior) of accounting information classes in the Digital Convergence Era. Hypothesis test was conducted from 99 accounting information learners from four year course university in the Gyeonggi-do. A questionnaire was given and analyzed. The results showed. First, the TPB variables han a positive effect on intrinsic curiosity of students. Second, the subjective norm of TPB variables could develop student's enjoyment. Subject norm could have a positive effect on enjoyment. The results of this study may contribute to propose desirable ways of improving the psychological states in the relationship between TPB and cognitive engagement. In the future, variables of cognitive engagement will be compliment to analyze.

A Study on the Cognitive Maps of the Elderly Living in Apartment Area (고령인구의 거주지 인지도 특성에 관한 연구)

  • Kwon, Soonjung;Jeong, Dawoon;Oh, Yeinn
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.24 no.1
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    • pp.25-32
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    • 2018
  • Purpose: This study was conducted to figure out the cognitive characteristics of the elderly living in apartment complex in order to construct basic data for the design of sustainable and age friendly apartment area. Methods: Cognitive map was used to identify and analyze the elderly residents' status of residential environment cognitions. The elderly living in Gongreung-dong apartment was randomly interviewed outdoor area and requested to draw cognitive maps on their living environment. 26 valid cognitive maps collected were analyzed, classified into two different types: Line type and Dot type. The average age, cognitive distance, length of residence, number of elements in the map(complexity) were then compared by Line and Dot type, as well as by gender. Correlations among variables also were analysed. Results: Males showed a tendency to draw dot types, which means they are place-centered, and females drew line types more than males, which means they are way-centered. The average cognitive distance of male group was greater than that of female group. As the age went up, the number of perceived place and the cognitive distance decreased. Oder people tended to draw line types rather than dot types. As the cognitive distance was longer, the perceived place and the number of lines increased. Implications: The age was more related to the recognition of the residential environment. The younger the residents were, the more they recognized the elements. The points that were represented by dots in the cognitive maps are places for memories for the individuals. Creating more memorable spaces will affect the cognition of residents on living environment. It is better to improve the cognitive environments before cognitive abilities of residents decrease.

The Effect of Perceived Justice on Organizational Commitment and Innovative Behavior in a Simplified Personnel System : Focusing on the Roles of Cognitive Attitude and Cognitive Intensity (조직구성원의 직급단계축소에 대한 공정성 지각이 조직몰입과 혁신적 업무행동에 미치는 영향 : 인지태도 및 인지강도의 역할을 중심으로)

  • You, Jong-Ok;Yang, Sung-Byung
    • Journal of Information Technology Services
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    • v.18 no.4
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    • pp.1-22
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    • 2019
  • Companies have attempted to build a rational and future-oriented new personnel system in order to adapt and survive in a rapidly changing environment. Recently, Samsung, LG, SK, and CJ, which are large domestic corporations, have been introducing new types of simplified personnel systems competitively. Although there are several prior studies that tried to classify these simplified personnel systems from a strategic point of view, there is a lack of empirical research in terms of the specific types from the perspective of employees. Therefore, in this study, an empirical study on the simplified personnel system which has currently been highlighted was carried out. The relationship between perceived justice (i.e., distributive justice and procedural justice) and organizational effectiveness (i.e., organizational commitment and innovative behavior) were tested. In addition, the mediating role of cognitive attitude as well as the moderating role of cognitive intensity in the simplified personnel system were investigated. The results of structural equation model using 157 survey data show that both distributive and procedural justice have a positive effect on cognitive attitude toward the simplified personnel system, which in turn leads to increased organizational commitment and innovative behavior. Interestingly, it is found that cognitive intensity intensifies the effect of distributive justice on cognitive attitude, whereas it attenuates the influence of procedural justice as expected. This study is among one of the first empirical studies focusing on the simplified personnel system and expands the concept of related variables such as perceived justice, cognitive attitude, and cognitive intensity in this context. Moreover, by clarifying the causal relationship between perceived justice and organizational effectiveness through the roles of cognitive attitude and cognitive intensity, it could provide several practical implications to managers who are interested in the introduction and early settlement of simplified personnel systems in a successful manner.

Effect of cognitive function and oral health status on mastication ability in elderly individuals (노인의 인지기능과 구강건강상태가 저작능력에 미치는 영향)

  • Choi, Ma-I;Noh, Hee-Jin;Han, Sun-Young;Mun, So-Jung
    • Journal of Korean society of Dental Hygiene
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    • v.19 no.1
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    • pp.65-78
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    • 2019
  • Objectives: This study was conducted to characterize the impact of cognitive function and oral health status on mastication in senior citizens, ${\geq}65$ years of age, using senior centers in the city of Wonju, South Korea. Methods: A cross-sectional study consisting of a simple oral examination and survey questionnaires was performed in 154 individuals. General characteristics, subjective masticatory function, objective masticatory function, cognitive function, and oral health status were collected as variables. Correlation and multiple linear regression analyses were conducted. A p-value of <0.05 was considered to be statistically significant. Results: The subjective masticatory function was scored using the 5-point Likert scale. When subjective masticatory function was analyzed in groups according to cognitive function, the mean subjective masticatory function scores were 4.31, 4.09, and 3.29 in the normal group (cognitive score of ${\geq}16$), suspected dementia group (cognitive score of 1215), and mild dementia group (cognitive score of ${\leq}11$), respectively. Thus, subjective masticatory function decreased along with decreasing cognitive function. When cognitive function, subjective masticatory function, and objective masticatory function were compared with indicators of oral health status (number of functional teeth, oral dryness), subjective masticatory function exhibited a significant positive correlation with objective masticatory function (r=0.635, p<0.01), cognitive function (r=0.292, p<0.01), and total number of functional teeth, including prosthetic appliances (dentures) (r=0.305, p<0.01). According to the regression analysis, age, sex, number of functional teeth, and cognitive function affected subjective masticatory function. Conclusions: The results of this study revealed that age, sex, number of functional teeth, and cognitive function affected subjective masticatory function, whereas oral dryness did not. Therefore, dental professionals must consider subjective masticatory function when providing oral care in senior patients with low cognitive function.

Leisure Activities, Cognitive Function and Depression in Female Elderly (여성 노인의 여가활동, 인지기능 및 우울에 관한 연구)

  • Kim, Ok Soo;Yang, Sook Ja;Kim, Jung Hee;Kim, Nam Young;Jeon, Hae Ok
    • Korean Journal of Adult Nursing
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    • v.19 no.3
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    • pp.436-446
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    • 2007
  • Purpose: The purpose of this study was to investigate cognitive function, leisure activities and depression in female elderly, to examine the relationships among those variables and to investigate leisure activities and depression according to cognitive function. Methods: The subjects were 105 female elderly visiting two senior citizen centers in Seoul, Korea. Data were collected from November to December 2006. The participants were assured of anonymity and confidentiality. All information was collected through face-to-face interviews using questionnaires. Results: 26.0% of the participants were cognitive impaired but not demented and 17.3% were demented. The level of depression was severe and 77.9% of the subjects were depressed. The subjects were not actively engaging in leisure activities. There were significant correlations between cognitive function, leisure activities and depression in female elderly. Demented or CIND subjects were more actively engaging in extra family fulfillment type leisure activities than normal subjects, Conclusion: These findings showed the need for a program for female elderly regarding leisure activities. When counseling the elderly, nurses must consider their cognitive function, leisure activities and depression.

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A Comparative Study of ADL Performance of Cognitive Function in Elderly (노인의 인지기능에 따른 일상생활동작 수행능력 비교 연구)

  • Lee, Kwang-Jae;Kim, Soon-Ja
    • Journal of Korean Physical Therapy Science
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    • v.19 no.2
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    • pp.55-61
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    • 2012
  • Background : The purpose of this study is to provide the basic data according to cognitive function, that will help activities of daily living of the elderly through the comparative study of activities daily living and functional training. Methods : The subjects of this study 122 patients 65 years old or more ADL and cognitive function assessment was evaluated. They were registered in the Elderly in nursing homes and welfare centers, located in Gyeonggi. All study participants had a sufficient explanation for the purposes of research and evaluation methods and procedures for the elderly. The survey period 17 October to 11 November 2011 was conducted through face-to-face survey was conducted. Results : Cognitive function according to the K-MMSE score of 24 points or more, 23 to 18 points, 17 points or less were classified. Ability to perform activities of daily living (personal hygiene, bathing, toilet use, stair climbing, dressing, stool control, urinary control, gait, chair/bed, etc.) according to the degree of cognitive function by evaluating the ability to perform daily living compared results in all variables were statistically significant (p<.5). Conclusion : As a result, the higher cognitive functions can be seen that the higher the ability to perform activities of daily living.

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Repurchase intention toward fast fashion brands - Product characteristics, consumer characteristic, and cognitive dissonance - (패스트 패션 브랜드에 대한 재구매 의도 - 제품 특성, 소비자 특성, 인지부조화 -)

  • Jeon, Kyung Sook;Park, Hye-Jung
    • The Research Journal of the Costume Culture
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    • v.23 no.6
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    • pp.940-954
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    • 2015
  • The purpose of this study is to identify the antecedents of repurchase intention toward fast fashion brands. Perceived quality, perceived price, deindividuation, and overly trendy styles, which are product characteristic variables, and fashion innovativeness, which is a consumer characteristic variable, were considered as antecedents. It was hypothesized that product and consumer characteristics influence repurchase intention toward fast fashion brands not only directly, but also indirectly through cognitive dissonance. Data were gathered by surveying university students in Seoul using convenience sampling. Three hundred and fifty-two questionnaires were used in the statistical analysis. SPSS was used for exploratory factor analysis, and AMOS was used for confirmatory factor analysis and path analysis. The factor analysis of product characteristics revealed four dimensions: "perceived quality", "perceived price", "deindividuation", and "overly trendy styles", and the factor analysis of consumer characteristics revealed one dimension. The factor analysis of cognitive dissonance revealed two dimensions, "regrets" and "perceived uncertainty." The hypothesized path test proved that perceived quality, deindividuation, overly trendy styles, and fashion innovativeness influence repurchase intention directly. Perceived price and deindividuation influence repurchase intention indirectly through the factor of cognitive dissonance, which is the perceived uncertainty, indicating the importance of cognitive dissonance. The results indicate effective marketing strategies should be used to decrease consumers' cognitive dissonance, and suggestions for future study are provided.

Cognitive Function in Breast Cancer Patients Receiving Adjuvant Chemotherapy (항암화학요법을 받은 유방암 환자의 인지기능)

  • Kim, Kyung-Hae;Chung, Bok-Yae;Kim, Gyung-Duck;Byun, Hye-Sun;Choi, Eun-Hee;Cho, Eun-Jung
    • Asian Oncology Nursing
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    • v.12 no.1
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    • pp.1-11
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    • 2012
  • Purpose: This study reviewed articles related to breast cancer, cognitive function and chemotherapy available in 4 databases. Methods: The researcher reviewed 32 pieces of literature that were published between January 2001 and November 2011. Results: Within the last decade, several studies have investigated whether adjuvant treatment of breast cancer affects cognitive function. A number of prospective studies have reported inconsistent results regarding whether chemotherapy affects cognitive function. Approximately half of the studies reported subtle cognitive decline in a wide range of domains among some breast cancer patients following chemotherapy, and others did not. Conclusion: Breast cancer patients receiving adjuvant chemotherapy showed the most deterioration and the most persistent decline in cognitive function. Since cognitive impairment is subtle, if evident at all, discrepant findings are due to hormonal, physiological, psychological or temporal confounding variables and differences in study design. Especially, that chemotherapy may impair memory, executive function, attention and visuospatial function in women with breast cancer.