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KMID : 0605720170230030147
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Journal of the Korean Society of Biological Therapies in Psychiatry
2017 Volume.23 No. 3 p.147 ~ p.154
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Factors associated with Quality of Life in Community-Dwelling Elderly with Cognitive Impairment
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Kim Nam-Jun
Shin Il-Seon
Shin Hee-Young
Kim Jae-Min
Kim Sung-Wan
Yoon Jin-Sang
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Abstract
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Objectives：This study aimed to investigate the factors affecting the quality of life(QOL) of community-dwelling elderly with cognitive impairment
Methods：This was a community-based, cross-sectional study that included 490 elderly subjects aged ≥60 years. Subjects completed a questionnaire that encompassed sociodemographic characteristics, health behavior, and chronic medical illness. Korean MMSE in the Korean version of the Consortium to Establish a Registry for Alzheimer’s Disease(CERAD) assessment packet(MMSE-KC), the Korean version of Quality of Life-Alzheimer’s Disease(KQOL-AD) and the Short Form of Geriatric Depression Scale(SGDS) were also evaluated. Cognitive impairment was defined as having a test scores 1.5 SD below MMSE-KC norms adjusted for age, gender, and education. A stepwise multiple linear regression analysis was performed to determine factors associated with QOL.
Results：The participants were allocated into cognitive impairment group(mean age=73.07, N=127) and no cognitive impairment group(mean age=72.51, N=363). The mean score for self-rated KQOL-AD was 26.45 in the former and 28.62 in the latter. The SGDS score(β=?0.741, p<0.001) was significantly associated with QOL in the former. SGDS score(β=?0.711, p<0.001), education(β=0.136, p<0.001), and living conditions(β=0.117, p=0.001) were factors significantly associated with QOL in the latter.
Conclusion：Self-rated symptoms of depression were significantly associated with QOL in both groups of community- dwelling elderly. Thus, appropriate psychiatric management of depression in elderly is needed to enhance QOL.
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KEYWORD
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Aged, Quality of life, Cognition, Depression
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