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KMID : 0385620200240020025
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Korean Journal of Psychopathology
2020 Volume.24 No. 2 p.25 ~ p.35
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The effectiveness of the multifactorial memory enhancement program for community-dwelling elderly who complain of subjective cognitive impairment: A randomized controlled trial
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Kim Hyo-Jin
Yim Seon-Jin
Lee Joon-Noh
Lee Won-Hye
Han Joo-Hyun
Kim Kyung-Mi
Kim Ka-Young
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Abstract
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Objectives: This study explored the effects of nonpharmacological multifactorial memory improvement program (‘Ssing-Ssing Doonoi baljeonso (SSD)’) developed by the National Center of Mental Health in 2015 in community-dwelling elderly complaining of subjective memory impairment (SMI).
Methods: A randomized, controlled, 8-weeks trial of SSD with double-blind assessments at baseline and end-point of treatment. A total of 117 elderlies with SMI were recruited from 10 community-based welfare centers in Seoul, Korea. Participants were randomly assigned to two groups: SSD and art therapy group. 8 sessions of treatment were administrated to the groups.
Results: SSD significantly improved immediate recall, delayed recall of word memory test, all items of the logical memory test, and immediate recall, delayed recall, and recognition of the visuospatial function test (all p<0.05). Korean short version of Geriatric Depression Scale(S-GDS-K) was also significantly improved, and Memory Efficacy Questionnaire(MEQ), Prospective-Retrospective Memory Questionnaire(PRMQ), and Korean Dementia Screening Questionnaire(K-DSQ) were all significantly improved. In particular, compared to the art therapy group, the K-DSQ showed better results(time * group, F(1, 114)=6.585, p=0.012, η2=0.055), and S-GDS-K was a tendency to improve in SSD group (time * group, F(1, 114)=3.596, p=0.060, η2=0.031).
Conclusion: Our multifactorial memory training program significantly enhanced memory, visuospatial function, mood and subjective memory efficacy. Compared with art therapy, SSD had more advantages in memory function of daily life and showed a tendency to improve depression. It is likely to be applied as a nonpharmacological treatment for the prevention of cognitive decline in the elderly with SMI/MCI.
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KEYWORD
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Cognitive training, Subjective memory impairment, Community, Elderly
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