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KMID : 0869220050090020108
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Journal of Korean Geriatric Psychiatry
2005 Volume.9 No. 2 p.108 ~ p.111
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Difference between Subjective and Objective Estimates of Dementia in the Community Elderly
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박종한/Park JH
홍미령/장병원/변용찬/Hong MR/Jang BW/Byun YC
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Abstract
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Objective: Evaluation of how much the presence of dementia is underdiagnosed or misdiagnosed in the elderly population by themselves.
Methods: The number of self-professed dementia cases was compared to the estimated number of cases with cognitive impairment based on the Korean version of the Mini-Mental State Examination (MMSEK) employed in a nationwide survey "Need assessment of the long-term care in the elderly" in three representative areas of Korea. The would-be dementia cases were analyzed.
Results: Only eighteen (0.7%) of 2,638 reported the presence of dementia while 414 (15.7%) were diagnosed as having questionable cognitive impairment and 385 (14.6%) as having definite cognitive impairment on the MMSEK. On the other hand, some of the self-professed "dementia" cases were not impaired on the MMSEK.
Conclusion: The public should be educated on clinical manifestations of dementia for its early diagnosis and appropriate treatment because they are mostly without understanding about dementia.
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