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KMID : 0869220200240010001
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Journal of Korean Geriatric Psychiatry
2020 Volume.24 No. 1 p.1 ~ p.9
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Frequency of Depressive Disorders According to Cognitive Continuum in the Elderly Living in the Community
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Jo Kyung-Hwa
Kwon Song-Ok
Han Ji-Won
Kim Ki-Woong
Kwak Kyung-Phil
Kim Bong-Jo
Kim Shin-Gyeom
Kim Jeong-Lan
Moon Seok-Woo
Park Joon-Hyuk
Youn Jong-Chul
Lee Dong-Young
Lee Dong-Woo
Lee Seok-Bum
Lee Jung-Jae
Jeong Hyun-Ghang
Kim Tae-Hui
Park Jae-Young
Jeong Hyeon
Ryu Seung-Ho
Jhoo Jin-Hyeong
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Abstract
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Objective: We investigated the frequency of depressive disorders in the elderly with normal cognition (NC), mild cognitive impairment (MCI) and dementia patients living in the community to find out the association between cognitive disorders and depressive disorders in the community dwelling elderly.
Methods: 6,262 baseline study subjects from November 2010 through October 2012 were enrolled based on the Korean longitudinal study on cognitive aging and dementia which is the first nationwide multi-center population based prospective cohort study in Korea. Diagnosis of MCI, dementia, major depressive disorder (MDD), minor depressive disorder (mDD) and subsyndromal depression (SSD) was made by psychiatrists with expertise in dementia based on the appropriate diagnostic criteria.
Results: 4,303 NC, 1,737 MCI, 222 dementia were enrolled. The frequency of MDD, mDD, SSD were highest in dementia and lowest in NC and showed significant difference among three groups. The odds ratio also increased significantly in MCI and dementia compared with NC showing highest odds ratio in dementia.
Conclusion: Our findings propose that MCI and dementia in the community dwelling elderly were significantly associated
with various types of depressive disorders showing highest association tendency in dementia.
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KEYWORD
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Depression, Dementia, Mild cognitive impairment, Community
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