정상 노인 및 노인 치매 환자와 우울증 환자의 삶의 질 비교

• 영문명: Comparison Study of Quality of Life in Depressed, Demented and Normal Elderly
• 발행기관: 대한노인정신의학회
• 저자명: 연병길(Byeong Kil Yeon) 서국희(Guk Hee Suh) 류성곤(Seong Gon Ryu) 임종우(Jong-Woo Lim) 방현숙(Hyeon Soog Bang) 신지용(Jee Yong Shin) 한창환(Chang Hwan Han)
• 간행물 정보: 『노인정신의학』노인정신의학 제3권 제2호, 157~164쪽, 전체 8쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 1999.12.30

영문 초록

The elderly people are often afflicted with chronic illnesses of which depression and dementia comprise substantial proportion. The authors tried to figure out the impact of depression and dementia on the quality of life of elderly. 1,300 community residents over 65 years of age were selected by random sampling. Using Geriatric Mental State-Automated Geriatric Examination for Computer Assisted Taxonomy, the authors selected 3 groups of subjects, namely dementia group (N=113), depression group (N=157), normal control group (N=289). The 3 groups of subjects were examined with General Health Questionnaire 12-Quality of Life, Geriatric Depression Scale, Mini-Mental State Exam-K, and Physical Self-Maintenance Scale. The results were compared between groups and the correlations of each scales were examined. The quality of life was lower in the older, female, lower educational groups. The quality of life was significantly lower in dementia group and depression group than in normal elderly group. The subjective quality of life of depressed elderly got lower with increasing severity of depression. Demented elderly had low quality of life but no correlation was found between subjective quality of life and severity of depression. The score of Mini-Mental State Exam-K was found to have significant correlation with the quality of life in demented group. The quality of life of normal elderly and those with dementia had significant correlation with Physical Self-Maintenance Scale. Conclusively, the quality of life was decreased in both normal elderly group and dementia group. The severity of depressive symptoms were correlated with the decrease of quality of life in depression group, whereas the degree of cognitive impairment had significant correlation with quality of life in dementia group. Therefore, the subjective quality of life must be considered in the treatment of the depression and dementia, and further study about the relation between psychopathology and the various aspects of living and the quality of life in the elderly is needed.

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삶의 질 치매 우울증 노인 Quality of life Depression Dementia Elderly