본문 바로가기
HOME> 논문 > 논문 검색상세

논문 상세정보

운동재활훈련이 알츠하이머 노인의 우울정서와 정신행동증상에 미치는 효과
The Effects of Training in Exercise Rehabilitation on Depressive mood, BPSD in Elderly with Alzheimer's Disease

조성현    (보람요양병원   ); 김철용    (울산과학대학교 물리치료과  );
  • 초록

    Purpose : The purpose of this study is to examine the effects of training in exercise rehabilitation on depressive emotion, behavioral and psychological symptoms(BPSD) caused by Alzheimer's disease elders. Methods : The subjects of this study were 34 patients with Alzheimer's disease over 65 and assigned randomly into one of two groups, each with 17 people. The experimental group was treated by training in exercise rehabilitation executed 60 minutes, 3 times a week for 8 weeks. The results of the experiment were analyzed using samples t-test along with averages and standard deviations as the statistical methods for data analyses. Results : The results of this study were as follows. First, the experimental group showed statistically significant improvements in the areas of depressive emotion(SGDS) compared to control group. Second, the experimental group showed statistically significant improvements in the severity of behavioral and psychological symptoms and subjective degrees of pain of care givers(NPI-Q) compared to control group. Conclusion : Based on the results of this study, training in exercise rehabilitation have an effect on depressive mood and BPSD in elderly with Alzheimer's disease.

  • 주제어

    Exercise rehabilitation .   Depressive mood .   Psychological-Behavioral symptoms.  

  • 참고문헌 (51)

    1. 김상윤. 경도인지장애의 임상소견. 대한치매학회지. 2003;2(2):96-100. 
    2. 김설향. 치매노인을 위한 신체자극 운동프로그램 개발. 한국사회체육학회지, 2005; 25:503-15. 
    3. 김영숙. 회상을 적용한 집단미술치료프로그램이 치매노인의 인지기능, 우울과 삶의 질에 미치는 효 과. 경북대학교 대학원. 박사학위논문. 2004. 
    4. 김혜순, 이여진, 박광희 등. 인지건강증진 프로그램이 노인의 인지기능, 우울 및 삶의 질에 미치는 효과. 한국콘텐츠학회. 2010;10(8):227-39.     
    5. 대한신경정신의학회. 치매-일찍 알고 밝게 살자. 서울. 조선일보사. 2002. 
    6. 대한치매학회. 치매 임상적 접근. 서울. 아카데미아. 2006. 
    7. 박현숙. 치매노인의 인지기능, 일상생활능력 및 평형성에 대한 운동프로그램의 유용성. 서울기술과 학대학교 대학원. 석사학위 논문. 2009. 
    8. 배재남. DSM-III-R 주요 우울증에 대한 geriatric depression scale의 정확 진단도. 서울대학교 대학원. 석사학위 논문. 1996. 
    9. 보건복지가족부. 치매노인유병률조사. 2008. 
    10. 연병길, 서국희, 류성곤 등. 정상노인 및 노인 치매 환자와 우울증 환자의 삶의 질 비교. 노인정신의학. 1999;3(2):157-64. 
    11. 이은희, 이정화. 몬테소리 프로그램이 치매노인의 인지기능, 우울, 대인관계 및 일상생활 수행능력 에 미치는 영향 연구. 한국노인복지학회. 2005; 30:237-61. 
    12. 조맹제, 배재남, 서국희 등. DSM-III-R 주요우울증에 대한 한국어판 Geriatric depression scale(GDS) 의 진단적 타당성 연구. 신경정신의학. 1999;38 (1):48-63. 
    13. Alexopoulos GS. New concepts for prevention and treatment of late-life depression. Am J Psychiatry. 2001;158(6):835. 
    14. Arkin SM. Elder Rehab: A student- supervised exercise program for Alzheimer's patients. Gerontologist. 1999;39(6):729-35. 
    15. Bartels SJ, Clark RE, Peacock WJ et al. Medicare and medicaid costs for schizophrenia patients by age cohort compared with costs for depression, dementia and medically ill patients. Am J Geriat Psychiat. 2003;11(6):648-57. 
    16. Blumenthal JA, Babyak MA, Moore KA et al. Effects of exercise training on older patients with major depression. Arch Intern Med. 1999;159 (19):2349-56. 
    17. Bondareff W. Neuropathology of psychotic symptoms in Alzheimer's disease. Int Psychogeriatr. 1996;8 (3):233-7. 
    18. Carpenter B, Ruckdeschel K, Ruckdeschel, H et al. R-E-M psychotherapy: A manualized approach for long-term care residents with depression and dementia. Clin Gerontol. 2002;25:25-49. 
    19. Cedazo-Minguez A, Popescu O., Blanco-Millian JM et al. Apolipoprotein E and beta-amyloid regulation of glycogen synthase kinase-3beta. J Neurochem. 2003;87(5):1152-64. 
    20. Chung JA, Cummings JL. Neurobehavioral & neuropsychiatric symptoms in Alzheimer's disease: Characteristrics and treatment. Neurol Clin. 2000;18(4):829-46. 
    21. Corey-Bloom J. Alzheimer's disease. American academy of neurology. Continuum Dementia. Pliladelphia. PA. 2004;10(1): 29-47. 
    22. Fiatarone MA, O''Neill EF, Ryan ND et al. Exercise training and nutritional supplementation for physical frailty in very elderly people. New Engl J Med. 1994;330(25):1769-75. 
    23. Forsell Y, Jorm AF, Winblad B. Outcome of Depression in Demented and Non-demented Elderly: Observations from a three-year follow-up in a community- based study. Int J Geriatr Psych. 1994;9(1):5-10. 
    24. Frisoni GB, Padovani A, Wahlund LO. The predementia diagnosis of Alzheimer disease. Alz Dis Assoc Dis. 2004;18(2):51-53. 
    25. Hui JS, Wilson RS, Bennett DA et al. Rate of cognitive decline and mortality in Alzheimer's disease. Neurology. 2003;61(10):1356-61. 
    26. Jhoo JH, Kim KW, Huh Y et al. Prevalence of dementia and its subtypes in an elderly urban Korean population: results from the Korean Longitudinal Study on Health and Aging(KLoSHA). Dement Geriatr Cogn. 2008;26(3):270-76. 
    27. Kaufer DI, Cummings JL, Ketchel P et al. Validation of the NPI-Q, a Brief Clinical Form of the Neuropsychiatric Inventory. J Neuropsych Clin N. 2000;12(2):233-9. 
    28. Kawas C, Gray S, Brookmeyer R et al. Age-specific incidence rates of Alzheimer's disease: The Baltimore Longi- tudinal Study of Aging. Neurology. 2000;54(11):2072-77. 
    29. Knopman DS, DeKosky ST, Cummings J et al. Practice parameter: Diagnosis of Demetia. Report of the Quality Standards Subcommittee of the American Academy of Neurology. Neurology. 2001;56(9):1143-53. 
    30. Knopman D, Donohue JA, Guttreman EM. Patterns of care in the early stages of Alzheimer's disease: Impairments to timely diagnosis. J Am Geriatr Soc. 2000;48(3):300-4. 
    31. Larson EB, Wang L, Brown JD et al. Exercise is associated with reduced risk for incident dementia among persons 65years of ages or order. Ann Intern Med. 2006;144(2):73-81. 
    32. Labbe EE, Welsh MC, Delaney D. Effects of consistent aerobic exercise on the psychological functioning of women. Percept Mot Skills. 1988; 67(3):919-25. 
    33. Linda E, Carlson BB, Sherwin HM. Relat- ionships between Dehydroepiandrosterone sulfate(DHEAs) and cortisol(CRT) plasma levels and everyday memory in Alzheimer's disease patients compared to healthy controls. Horm Behav. 1999;35(3): 254-63. 
    34. Low LF, Brodaty H, Draper B. A Study of premorbid personality and behavioral and psychological symptoms of dementia in nursing home residents. Int J Geriatr Psych. 2002;17(8): 779-83. 
    35. Mather AS, Rodriguez C, Guthrie MF et al. Effects of exercise on depressive symptoms in older adults with poorly responsive depressive disorder. Brit J Psychiat. 2002;180(5):411-5. 
    36. Mathews RM, Clair AA, Kosloski K. Keeping the beat: Use of rhythmic during exercise activities for the elderly with dementia. Am J Alzheimers Dis Other Demens. 2001;16(6):377-80. 
    37. McKhann G, Drachman D, Folstein M et al. Clinical diagnosis of Alzheimer's disease: report of the NINCDS-ADRDA work group under the auspices of department of health and human services task force on Alzheimer's disease. Neurology. 1984;34(7):939-44. 
    38. Morris JC, Storandt M, Miller JP et al. Mild cognitive impairment represents early-stage Alzheimer disease. Arch Neurol. 2001;58(3):397-405. 
    39. O'Connor PJ, Aenchbacker III LE, Dishman RK. Physical activity and depression in the elderly. J Aging & Physical Activity. 1993;1(1):34-58. 
    40. Prince JA, Zetterberg H, Andreasen N et al. APOE epsilom 4 allele is associated with reduced cerebrospinal fluid levels of a beta 42. Neurology. 2004;63(11): 2116-228. 
    41. Raggi A, Iannaccone S, Marcone A et al. The effects of a comprehensive rehabilitation program of Alzheimer's disease in a hospital setting. Behav Neurol. 2007;18(1):1-6. 
    42. Ransford CP. A role for amines in the antidepressant effect of exercise: a review. Med Sci Sports Exerc. 1982; 14(1):1-10. 
    43. Sadock BJ, Sadock VA. Comprehensive textbook of Psychiatry. 8th ed. New York. Lippincott Williams and Wilkins. 2005:3671-83. 
    44. Snowden M, Sato K, Roy-Byrne P. Assessment and treatment of nursing home residents with depression or behavioral symptoms associated with dementia: A review of the literature. J Am Geriatr Soc. 2003;51(9):1305-17. 
    45. Tallis R, Fillit HM. Brocklehurst's Textbook of Geriatric Medicine. 6th ed. Churchill & Livingstone. 2003. 
    46. Teri L, Gibbons LE, McCurry SM et al. Exercise plus behavioral management in patients with Alzheimer disease: A randomized controlled. JAMA. 2003;290(15):2015-22. 
    47. Yesavage J. Differential diagnosis between depression and dementia. Am J Med. 1993;94(5):23-28. 
    48. Yesavage JA, Brink L, Rose TL et al. Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiat Res. 1983; 17(1):37-49. 
    49. Williams CL, Tappen RM. Effect of exercise on mood in nursing home residents with Alzheimer's disease. AM J Alzheimer Dis Other Demen. 2007;22(5):389-97. 
    50. Williams CL, Tappen RM. Exercise training for depressed older adults with Alzheimer's disease. Aging Ment Health. 2008; 12(1):72-80. 
    51. 대한노인정신의학회. 한국형 치매 평가검사. 서울. 학지사. 2003. 
  • 이 논문을 인용한 문헌 (1)

    1. Kim, Soo-Yeon ; Baek, Soon-Gi 2015. "The Effect of Combined Cognitive-Motor Learning Program with Mild Cognitive Impairment Elderly Patients" 디지털융복합연구 = Journal of digital convergence, 13(10): 587~595     

 저자의 다른 논문

  • Kim, Cheol-Yong (13)

    1. 2000 "아마추어 씨름 선수들의 부상 발생 양상과 물리치료 이해도에 관한 연구" 대한물리치료학회지 = The journal of Korean Society of Physical Therapy 12 (2): 107~119    
    2. 2000 "VAS 평가표를 이용한 동통에 대한 분석" 대한물리치료학회지 = The journal of Korean Society of Physical Therapy 12 (2): 165~174    
    3. 2002 "물리치료학에서의 문제중심학습(Problem Based Learning)" 대한물리치료사학회지 = The journal of Korean academy of physical therapist 9 (4): 141~153    
    4. 2002 "치매의 진단과 치료" 대한물리치료사학회지 = The journal of Korean academy of physical therapist 9 (3): 171~178    
    5. 2003 "마사지가 좌골신경 절단 마우스의 골격근에 미치는 영향" 대한물리치료학회지 = The journal of Korean Society of Physical Therapy 15 (2): 19~51    
    6. 2003 "상완와관절의 수동하방활주운동이 오십견환자의 외전운동과 관절 내 움직임에 미치는 영향" 대한물리치료학회지 = The journal of Korean Society of Physical Therapy 15 (3): 126~152    
    7. 2003 "물리적자극이 좌골신경 절단 마우스의 골격근에 미치는 영향" 대한물리치료사학회지 = The journal of Korean academy of physical therapist 10 (2): 216~225    
    8. 2010 "아기띠를 사용하여 보행 시 팔의 보조가 목, 허리 및 다리 근활성도에 미치는 영향" 대한물리의학회지 = Journal of the korean society of physical medicine 5 (3): 323~330    
    9. 2011 "The Effect of Pelvic Inclination on Gait Elements and Weight Bearing of Healthy Adults" Journal of international academy of physical therapy research 2 (2): 294~300    
    10. 2011 "물리치료사의 사회적 지지가 환자의 심리적 디스트레스에 미치는 영향 : 환자의 조절초점을 중심으로" 대한물리의학회지 = Journal of the korean society of physical medicine 6 (3): 331~339    

 활용도 분석

  • 상세보기

    amChart 영역
  • 원문보기

    amChart 영역


  • NDSL :
  • 대한물리의학회 : 저널

유료 다운로드의 경우 해당 사이트의 정책에 따라 신규 회원가입, 로그인, 유료 구매 등이 필요할 수 있습니다. 해당 사이트에서 발생하는 귀하의 모든 정보활동은 NDSL의 서비스 정책과 무관합니다.

원문복사신청을 하시면, 일부 해외 인쇄학술지의 경우 외국학술지지원센터(FRIC)에서
무료 원문복사 서비스를 제공합니다.

NDSL에서는 해당 원문을 복사서비스하고 있습니다. 위의 원문복사신청 또는 장바구니 담기를 통하여 원문복사서비스 이용이 가능합니다.

이 논문과 함께 이용한 콘텐츠
이 논문과 함께 출판된 논문 + 더보기