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      KCI등재후보

      노인 만성 조현병 환자군에서 병태생리, 인지기능, 병식, 삶의 질 간의 관련성 = The Relationship among Psychopathology, Cognitive Function, Insight and Quality of Life in Elderly Patients with Chronic Schizophrenia

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      https://www.riss.kr/link?id=A100146817

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      다국어 초록 (Multilingual Abstract) kakao i 다국어 번역

      Objective:The aim of this study was to investigate the association with psychopathology, cognitive function, insight and quality of life (QOL) in elderly patients with chronic schizophrenia over age 55. Methods:103 schizophrenic patients over age 55 with illness duration over 10 years, are enrolled in a cross-sectional study. The subjects were assessed by the Korean version of 4th Revision of Schizophrenia Quality of Life Scale, Korean Version of Scales to Assessment Unawareness of Mental Disorder, Positive and Negative Syndrome Scale (PANSS) and the cognitive function battery designed for this study. Multiple regression stepwise selection models were executed to identify the relations among variables, and the contributing factors to QOL. Results:Among schizophrenic patients with lower illness-severity with PANSS total score below 75, higher PANSS positive subscale score and lower number of hospitalization were related to lower QOL. Among patients with higher illness-severity with PANSS total score of 75 and over, higher PANSS general psychopathology subscale score, better intelligence, better delayed recall function, worse attention, better awareness of medication effect and later onset were related to lower QOL. Conclusion:Results of our study suggest that improvement in positive symptom and general psychopathology could increase the QOL in elderly patients with chronic schizophrenia over age 55. And the management which could improve attention, awareness of need for medication would attribute the QOL.
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      Objective:The aim of this study was to investigate the association with psychopathology, cognitive function, insight and quality of life (QOL) in elderly patients with chronic schizophrenia over age 55. Methods:103 schizophrenic patients over age ...

      Objective:The aim of this study was to investigate the association with psychopathology, cognitive function, insight and quality of life (QOL) in elderly patients with chronic schizophrenia over age 55. Methods:103 schizophrenic patients over age 55 with illness duration over 10 years, are enrolled in a cross-sectional study. The subjects were assessed by the Korean version of 4th Revision of Schizophrenia Quality of Life Scale, Korean Version of Scales to Assessment Unawareness of Mental Disorder, Positive and Negative Syndrome Scale (PANSS) and the cognitive function battery designed for this study. Multiple regression stepwise selection models were executed to identify the relations among variables, and the contributing factors to QOL. Results:Among schizophrenic patients with lower illness-severity with PANSS total score below 75, higher PANSS positive subscale score and lower number of hospitalization were related to lower QOL. Among patients with higher illness-severity with PANSS total score of 75 and over, higher PANSS general psychopathology subscale score, better intelligence, better delayed recall function, worse attention, better awareness of medication effect and later onset were related to lower QOL. Conclusion:Results of our study suggest that improvement in positive symptom and general psychopathology could increase the QOL in elderly patients with chronic schizophrenia over age 55. And the management which could improve attention, awareness of need for medication would attribute the QOL.

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      목차 (Table of Contents)

      • Abstract
      • 서론
      • 대상 및 방법
      • 결과
      • 고찰
      • Abstract
      • 서론
      • 대상 및 방법
      • 결과
      • 고찰
      • REFERENCES
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      참고문헌 (Reference)

      1 김진훈, "한국어판 정신분열병 삶의 질 척도의 개발과 PANSS와의 관련성" 대한신경정신의학회 45 (45): 401-410, 2006

      2 송지영, "병식 평가 척도-한국판(SUMD-K)의 신뢰도와 타당도 검증" 대한신경정신의학회 45 (45): 307-315, 2006

      3 김호영, "노인 기억장애 검사(Elderly Memory-disorder Scale)의 검사-재검사에서 변화의 유의성" 한국심리학회 29 (29): 441-460, 2010

      4 Leucht S, "What does the PANSS mean?" 79 : 231-238, 2005

      5 Young DA, "Unawareness of illness and neuropsychological performance in chronic schizophrenia" 10 : 117-124, 1993

      6 Galletly CA, "Treating cognitive dysfunction in patients with schizophrenia" 25 : 117-124, 2000

      7 Sidlova M, "The quality of life of patients suffering from schizophrenia--a comparison with healthy controls" 155 : 173-180, 2011

      8 Kay SR, "The positive and negative syndrome scale(PANSS)for schizophrenia" 13 : 261-276, 1987

      9 Yeom TH, "The manual of Korean version Wechsler Adult Inteligence Scale"

      10 Corrigan PW, "The construct validity of subjective quality of life for the severely mentally ill" 183 : 281-285, 1995

      1 김진훈, "한국어판 정신분열병 삶의 질 척도의 개발과 PANSS와의 관련성" 대한신경정신의학회 45 (45): 401-410, 2006

      2 송지영, "병식 평가 척도-한국판(SUMD-K)의 신뢰도와 타당도 검증" 대한신경정신의학회 45 (45): 307-315, 2006

      3 김호영, "노인 기억장애 검사(Elderly Memory-disorder Scale)의 검사-재검사에서 변화의 유의성" 한국심리학회 29 (29): 441-460, 2010

      4 Leucht S, "What does the PANSS mean?" 79 : 231-238, 2005

      5 Young DA, "Unawareness of illness and neuropsychological performance in chronic schizophrenia" 10 : 117-124, 1993

      6 Galletly CA, "Treating cognitive dysfunction in patients with schizophrenia" 25 : 117-124, 2000

      7 Sidlova M, "The quality of life of patients suffering from schizophrenia--a comparison with healthy controls" 155 : 173-180, 2011

      8 Kay SR, "The positive and negative syndrome scale(PANSS)for schizophrenia" 13 : 261-276, 1987

      9 Yeom TH, "The manual of Korean version Wechsler Adult Inteligence Scale"

      10 Corrigan PW, "The construct validity of subjective quality of life for the severely mentally ill" 183 : 281-285, 1995

      11 Dickerson FB, "Subjective quality of life in outpatients with schizophrenia: clinical and utilization correlates" 98 : 124-127, 1998

      12 Narvaez JM, "Subjective and objective quality of life in schizophrenia" 98 : 201-208, 2008

      13 안현정, "Seoul Neuropsychological Screening Battery-Dementia Version (SNSB-D): A Useful Tool for Assessing and Monitoring Cognitive Impairments in Dementia Patients" 대한의학회 25 (25): 1071-1076, 2010

      14 Wilkinson G, "Self-report quality of life measure for people with schizophrenia : the SQLS" 177 : 42-46, 2000

      15 Macpherson R, "Relationship between insight, educational background and cognition in schizophrenia" 168 : 718-722, 1996

      16 Bossers WJ, "Recommended measures for the assessment of cognitive and physical performance in older patients with dementia: a systematic review" 2 : 589-609, 2012

      17 Tomotake M, "Quality of life and its predictors in people with schizophrenia" 58 : 167-174, 2011

      18 Eack SM, "Psychiatric symptoms and quality of life in schizophrenia: a meta-analysis" 33 : 1225-1237, 2007

      19 Yamauchi K, "Predictors of subjective and objective quality of life in outpatients with schizophrenia" 62 : 404-411, 2008

      20 Ritsner MS., "Predicting quality of life impairment in chronic schizophrenia from cognitive variables" 16 : 929-937, 2007

      21 Ritsner MS, "Predicting domain-specific insight of schizophrenia patients from symptomatology, multiple neurocognitive functions, and personality related traits" 149 : 59-69, 2007

      22 Häfner H, "Onset and early course as determinants of the further course of schizophrenia" (407) : 44-48, 2000

      23 Heinrichs RW, "Neurocognitive deficit in schizophrenia:a quantitative review of the evidence" 12 : 426-445, 1998

      24 Sadock BJ, "Kaplan & Sadock’s synopsis of psychiatry: behavioral sciences/clinical psychiatry" Wolter Kluwer/Lippincott Williams & Wilkins 467-488, 2007

      25 Sadock BJ, "Kaplan & Sadock’s comprehensive textbook of psychiatry" Lippincott Williams & Wilkins 659-, 2000

      26 Alptekin K, "Is quality of life associated with cognitive impairment in schizophrenia?" 29 : 239-244, 2005

      27 Mingrone C, "Insight in stable schizophrenia: relations with psychopathology and cognition" 54 : 484-492, 2013

      28 Chan GW, "Hospital and community-based care for patients with chronic schizophrenia in Hong Kong--quality of life and its correlates" 38 : 196-203, 2003

      29 Maat A, "GROUP Investigators. Social cognition and quality of life in schizophrenia" 137 : 212-218, 2012

      30 Bankole AO, "Factors affecting quality of life in a multiracial sample of older persons with schizophrenia" 15 : 1015-1023, 2007

      31 Kao YC, "Effects of age of onset on clinical characteristics in schizophrenia spectrum disorders" 10 : 63-, 2010

      32 Bender S, "Conditioned blocking and schizophrenia: a replication and study of the role of symptoms, age, onset-age of psychosis and illness-duration" 49 : 157-170, 2001

      33 O’Donnell BF, "Cognitive impairment in schizophrenia: a life span perspective" 22 : 398-405, 2007

      34 Iqbal Z, "Cognitive approach to depression and suicidal thinking in psychosis. 2. Testing the validity of a social ranking model" 177 : 522-528, 2000

      35 Yasuda M, "Clinical features of lateonset schizophrenia in Japan: comparison with early-onset cases" 13 : 244-249, 2013

      36 Amador XF, "Awareness of illness in schizophrenia" 17 : 113-132, 1991

      37 Amador XF, "Assessment of insight in psychosis" 150 : 873-879, 1993

      38 McGrath J, "A systematic review of the incidence of schizophrenia : the distribution of rates and the influence of sex, urbanicity, migrant status and methodology" 2 : 13-, 2004

      39 Birchwood M, "A self-report Insight Scale for psychosis : reliability, validity and sensitivity to change" 89 : 62-67, 1994

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      학술지 이력

      학술지 이력
      연월일 이력구분 이력상세 등재구분
      2027 평가예정 재인증평가 신청대상 (재인증)
      2021-02-22 학술지명변경 외국어명 : Journal of Korean Geriatirc Psychiatry -> Journal of Korean Geriatric Psychiatry KCI등재
      2021-01-01 평가 등재학술지 유지 (재인증) KCI등재
      2018-01-01 평가 등재학술지 유지 (등재유지) KCI등재
      2015-01-01 평가 등재학술지 선정 (계속평가) KCI등재
      2013-01-01 평가 등재후보 1차 FAIL (등재후보1차) KCI등재후보
      2012-01-01 평가 등재후보학술지 유지 (기타) KCI등재후보
      2010-01-01 평가 등재후보학술지 선정 (신규평가) KCI등재후보
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      학술지 인용정보

      학술지 인용정보
      기준연도 WOS-KCI 통합IF(2년) KCIF(2년) KCIF(3년)
      2016 0.19 0.19 0.22
      KCIF(4년) KCIF(5년) 중심성지수(3년) 즉시성지수
      0.31 0.28 0.593 0
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