KMID : 0869220130170010014
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Journal of Korean Geriatric Psychiatry 2013 Volume.17 No. 1 p.14 ~ p.19
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The Effect of Living with Spouse on Cognitive Decline and
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Son Ji-Hyun
Han Doug-Hyun Kee Baik-Seok
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Abstract
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Objective£º The aim of this study was to determine whether living with spouse contributes to cognitive decline and depressive symptom among elderly people.
Methods£º939 participants were recruited through Keum-Cheon center for dementia in Seoul. All subjects were assessed using the Korean version of Mini-Mental Status Examination (MMSE-K), Korean version of Consortium to Establish a Registry for Alzheimer¡¯s disease (CERAD-K) and Geriatric Depression Scale (GDS). Furthermore, epidemiological factors (age, sex, education year, and characteristics of family) assessed to find correlation with cognitive decline.
Results£ºControlling for gender, age, and education year, living with spouse was significantly associated with cognitive decline (B=-0.486, S.E=0.203, Wald=0.331, Exp (B)=1.107, p=0.01). Living with spouse group has lower depressive symptom, compared to living without spouse group (F=14.6, p£¼0.01).
Conclusion£ºCorrectly, our results suggest that spouse absent state may accelerate cognitive decline and depression. Further, elderly people living alone should be closely monitored for both depression and cognitive impairment.
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KEYWORD
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Living with spouse, MMSE-K, GDS, CERAD-K
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