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      노년기 인지장애 환자 우울의 핵심증상에 대한 네트워크 분석 = Network Analysis of Central Symptoms of Depression in Elderly Cognitive Disorder Patients

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      https://www.riss.kr/link?id=A108044696

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      다국어 초록 (Multilingual Abstract)

      Objectives This study aimed to identify central symptoms of depression in elderly cognitive disorder patients through network analysis.
      Methods A total of 222 participants, 61 male and 104 female suffering from a cognitive disorder, participated in the dementia screening test and were given Mini-Mental Status Examination in the Korean Version of the CERAD Assessment Packet or Mini-Mental Status Examination for Dementia Screening and Korean Form of Geriatric Depression Scale (GDS-K) at a public health center in Gyeonggi-do, Korea. This study used network analysis to identify the centrality in the symptom network of depression among elderly cognitive disorder patients.
      Results Among 30 nodes included in our network analysis, 435 edges were available, and 50 edges had a meaningful relationship. According to the centrality results of the study, we found that GDS-K item 16, “Do you feel depressed and discouraged?” item 3, “Do you feel like you’re living in vain?” and item 15, “Do you enjoy being alive?” were the key symptoms. Also, there was a difference in symptom correlations between cognitive disorder patients and normal participants.
      Conclusion The results suggest that depressive mood, discouragement, worthlessness and loss of pleasure should be the priority intervention goals in intervening in depressive symptoms of the elderly with cognitive disabilities.
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      Objectives This study aimed to identify central symptoms of depression in elderly cognitive disorder patients through network analysis. Methods A total of 222 participants, 61 male and 104 female suffering from a cognitive disorder, participated in th...

      Objectives This study aimed to identify central symptoms of depression in elderly cognitive disorder patients through network analysis.
      Methods A total of 222 participants, 61 male and 104 female suffering from a cognitive disorder, participated in the dementia screening test and were given Mini-Mental Status Examination in the Korean Version of the CERAD Assessment Packet or Mini-Mental Status Examination for Dementia Screening and Korean Form of Geriatric Depression Scale (GDS-K) at a public health center in Gyeonggi-do, Korea. This study used network analysis to identify the centrality in the symptom network of depression among elderly cognitive disorder patients.
      Results Among 30 nodes included in our network analysis, 435 edges were available, and 50 edges had a meaningful relationship. According to the centrality results of the study, we found that GDS-K item 16, “Do you feel depressed and discouraged?” item 3, “Do you feel like you’re living in vain?” and item 15, “Do you enjoy being alive?” were the key symptoms. Also, there was a difference in symptom correlations between cognitive disorder patients and normal participants.
      Conclusion The results suggest that depressive mood, discouragement, worthlessness and loss of pleasure should be the priority intervention goals in intervening in depressive symptoms of the elderly with cognitive disabilities.

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      참고문헌 (Reference)

      1 김수영 ; 김진선 ; 윤현숙, "치매노인을 돌보는 가족부양자의 우울과 삶의 만족 예측요인" 한국노년학회 24 (24): 111-128, 2004

      2 한지원 ; 김태희 ; 주진형 ; 박준혁 ; 김정란 ; 유승호 ; 문석우 ; 추일한 ; 이동우 ; 윤종철 ; 도연자 ; 이석범 ; 김문두 ; 김기웅, "치매 선별용 간이정신상태검사(Mini-Mental State Examination for Dementia Screening;MMSE-DS)와 단축형 MMSE-DS(SMMSE-DS)의 한국 노인 정상규준 연구" 대한노인정신의학회 14 (14): 27-37, 2010

      3 정광석 ; 안준호 ; 방수영 ; 최순호 ; 김성윤, "우울증 여부에 따른 경도인지장애 환자의 신경심리학적 특징 비교" 대한노인정신의학회 16 (16): 104-110, 2012

      4 박소영, "노인의 건강 특성과 사회적 관계망이 우울 증상 수준에 미치는 영향: 성별 조절 효과를 중심으로" 한국보건사회연구원 38 (38): 154-190, 2018

      5 김민선 ; 최현정, "경계선 성격의 핵심증상 및 우울 증상과의 동반이환: 네트워크 분석" 한국임상심리학회 39 (39): 257-273, 2020

      6 Fried EI, "What are ‘good’ depression symptoms? Comparing the centrality of DSM and non-DSM symptoms of depression in a network analysis" 189 : 314-320, 2016

      7 Girgus JS, "The gender difference in depression:are elderly women at greater risk for depression than elderly men?" 2 : 35-, 2017

      8 Ryu KH, "The characteristics of depression in dementia patients" 19 : 117-129, 2000

      9 Park SC, "The centrality of depression and anxiety symptoms in major depressive disorder determined using a network analysis" 271 : 19-26, 2020

      10 Rubio A, "Suicide and Alzheimer’s pathology in the elderly : a case-control study" 49 : 137-145, 2001

      1 김수영 ; 김진선 ; 윤현숙, "치매노인을 돌보는 가족부양자의 우울과 삶의 만족 예측요인" 한국노년학회 24 (24): 111-128, 2004

      2 한지원 ; 김태희 ; 주진형 ; 박준혁 ; 김정란 ; 유승호 ; 문석우 ; 추일한 ; 이동우 ; 윤종철 ; 도연자 ; 이석범 ; 김문두 ; 김기웅, "치매 선별용 간이정신상태검사(Mini-Mental State Examination for Dementia Screening;MMSE-DS)와 단축형 MMSE-DS(SMMSE-DS)의 한국 노인 정상규준 연구" 대한노인정신의학회 14 (14): 27-37, 2010

      3 정광석 ; 안준호 ; 방수영 ; 최순호 ; 김성윤, "우울증 여부에 따른 경도인지장애 환자의 신경심리학적 특징 비교" 대한노인정신의학회 16 (16): 104-110, 2012

      4 박소영, "노인의 건강 특성과 사회적 관계망이 우울 증상 수준에 미치는 영향: 성별 조절 효과를 중심으로" 한국보건사회연구원 38 (38): 154-190, 2018

      5 김민선 ; 최현정, "경계선 성격의 핵심증상 및 우울 증상과의 동반이환: 네트워크 분석" 한국임상심리학회 39 (39): 257-273, 2020

      6 Fried EI, "What are ‘good’ depression symptoms? Comparing the centrality of DSM and non-DSM symptoms of depression in a network analysis" 189 : 314-320, 2016

      7 Girgus JS, "The gender difference in depression:are elderly women at greater risk for depression than elderly men?" 2 : 35-, 2017

      8 Ryu KH, "The characteristics of depression in dementia patients" 19 : 117-129, 2000

      9 Park SC, "The centrality of depression and anxiety symptoms in major depressive disorder determined using a network analysis" 271 : 19-26, 2020

      10 Rubio A, "Suicide and Alzheimer’s pathology in the elderly : a case-control study" 49 : 137-145, 2001

      11 Lee C, "Sex differences in depressive symptom networks among community-dwelling older adults in South Korea : a network comparison test" 2021

      12 Olin JT, "Provisional diagnostic criteria for depression of Alzheimer disease : rationale and background" 10 : 129-141, 2002

      13 Borgatti SP, "Network analysis in the social sciences" 323 : 892-895, 2009

      14 Borsboom D, "Network analysis : an integrative approach to the structure of psychopathology" 9 : 91-121, 2013

      15 Lyketsos CG, "Major and minor depression in Alzheimer’s disease : prevalence and impact" 9 : 556-561, 1997

      16 National Institute of Dementia, "Korean dementia observatory 2020"

      17 Kan KJ, "How to compare psychometric factor and network models" 8 : 35-, 2020

      18 Epskamp S, "Estimating psychological networks and their accuracy : a tutorial paper" 50 : 195-212, 2018

      19 Carstensen LL, "Emotional experience in everyday life across the adult life span" 79 : 644-, 2000

      20 Kee BS, "Elderly depression" 3 : 61-71, 1999

      21 Shahpesandy H, "Different manifestation of depressive disorder in the elderly" 26 : 691-695, 2005

      22 Kim KW, "Development of the Korean Version of the Consortium to Establish a Registry for Alzheimer’s Disease Assessment Packet (CERAD-K): Clinical and Neuropsychological Assessment Batteries" Seoul National University Press 2003

      23 Kim SY, "Depression in dementia" 3 : 18-23, 2004

      24 Tekin S, "Depression in dementia" 7 : 252-259, 2001

      25 Lee JS, "Connecting the dots : a comparison of network analysis and exploratory factor analysis to examine psychosocial syndemic indicators among HIV-negative sexual minority men" 43 : 1026-1040, 2020

      26 Jung IK, "A preliminary study on standardization of Korean form of geriatric depression scale" 37 : 340-351, 1997

      27 van Wanrooij LL, "A network approach on the relation between apathy and depression symptoms with dementia and functional disability" 31 : 1655-1663, 2019

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