Journal of Korean Geriatric Psychiatry

노인정신의학

pISSN 1226-6329 / eISSN 2733-4600


노인정신의학

대한노인정신의학회 (16권1호 31-37)

Association between Depression and Education Level in Alzheimer’s Dementia : A CREDOS (Clinical Research Center for Dementia of South Korea) Study

알츠하이머 치매 환자에서 교육 수준과 우울증의 연관성

송지혜(Jihye Song);명우재(Woojae Myung);이유진(Yujin Lee);김상하(Sangha Kim);윤혜연(Hyeyeon Yoon);최준배(Junbae Choi);강효신(Hyo Shin Kang);임신원(Shinn-Won Lim);나덕렬(Duk L. Na);김성윤(Seong Yoon Kim);이재홍(Jae-Hong Lee);한설희(Seol-Heui Han);최성혜(Seong Hye Choi);김상윤(SangYun Kim);김도관(Doh Kwan Kim)

Abstract

Objectives:We aimed to identify the association depression with education level in patients with Alzheimer’s dementia (AD). Methods:We examined 911 patients with AD in CREDOS (Clinical Research Center for Dementia of South Korea) study and designed cross-sectional study. Each patient underwent psychiatrical, neurological and medical examination, interview for caregivers, laboratory tests, neuropsychological tests, and brain MRI. Cognitive function was measured using Korean version of Mini-Mental State Examination, Global Deterioration Scale and Clinical Dementia Rating. Psycho-Behavioral symptom was measured using Caregiver-Administered Neuropsychiatric Inventory. Daily Living was measured using Barthel Index for daily living activities and Seoul-Instrumental Activities of Daily Living. Depressive symptoms using the Korean version of the Short form on Geriatric Depression Scale were measured. Education was classified into low, intermediate, and high levels. 621 patients were performed APOE genotyping among the 911 patients. Results:Out of the 911 patients, 477 were low education, 287 were intermediate education, and 147 were high education. 341 patients had depression. In logistic regression model we confirmed low education was the risk factor of depression (OR 2.26, 95% CI 1.66-3.07). Conclusion:This study confirmed that low education was associated with depression in Alzheimer’s dementia.

Keywords

알츠하이머 치매,우울증,교육, Alzheimer’s dementia,Depression,Education