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The Effect of Subjective Physical and Mental Health on Cognitive Decline in the Elderly

Other Title
노인에서 주관적으로 지각한 신체 및 정신건강수준이 인지감퇴에 미치는 영향
Authors
권, 윤영 | 손, 상준  | 이, 윤환  | 백, 종환 | 노, 재성  | 고, 상현 | 김, 현정 | 김, 진주 | 박, 미애 | 홍, 창형
Citation
Journal of Korean geriatric psychiatry, 17(1). : 31-35, 2013
Journal Title
Journal of Korean geriatric psychiatry
ISSN
1226-6329
Abstract
Objectives: The aim of this study was to describe subjective physical and mental health assessed by the single item self-rated physical health (SRPH), and self-rated mental health (SRMH) had influence on the cognitive decline in community-dwelling elderly.



Methods: This study was based on the Suwon Project, a cohort comprising of non-random convenience samples of ethnic Koreans aged 60 years and above. 1,356 individuals were assessed at 2 time points 2 years apart for questionnaire which included demographic characteristics, medical history, Korean Mini-Mental State Examination (K-MMSE), Korean version of Geriatric Depression Scale (SGDS-K), SRPH, and SRMH. Multiple logistic regression was used to assess K-MMSE score change from the SRPH, and SRMH.



Results:At baseline, both SRPH (β=0.18, p<0.01) and SRMH (β=0.19, p<0.01) score positively associated with the K-MMSE score. At follow-up, subjects with baseline lower SRMH score had significantly greater decline in K-MMSE score (β=0.09, p=0.007). However, baseline SRPH score showed no effect to follow up K-MMSE score before and after adjusting age, sex, education, number of chronic disease, SGDS-K, and baseline K-MMSE score (p=0.89).



Conclusion:Brief and easily collected subjective mental health may predict the risk of cognitive decline, but subjective physical health may not.
Keywords
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Psychiatry & Behavioural Sciences
Journal Papers > School of Medicine / Graduate School of Medicine > Preventive Medicine & Public Health
Ajou Authors
노, 재성  |  손, 상준  |  이, 윤환  |  홍, 창형
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