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논문 기본 정보

자료유형
학술저널
저자정보
이지상 (고신대학교) 전진숙 (고신대학교) 변현우 (고려대학교) 김강률 (고신대학교) 이지웅 (고신대학교) 최영식 (고신대학교) 오병훈 (연세대학교)
저널정보
대한생물치료정신의학회 생물치료정신의학 생물치료정신의학 제17권 제2호
발행연도
2011.12
수록면
257 - 266 (10page)

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Objectives:The aims of this study were to examine changes of cognitive function and its characteristics, and to identify influencing factors on cognitive fuction in patients with thyroid disorders.
Methods:Data of 98 patients with thyroid disorders(16 males and 82 females) recruited from thyroid clinic in the Endocine Center of Kosin University Gospel Hospital were obtained by semi-structred interviews and MoCA-K(Korean Version of the Montreal Cognitive Assessment) and Korean version of the HDRS-17(Hamilton Depression Rating Scale-17).
Results:1) The cognitive dysfunction was seen in 24 patients with thyroid disorders(24.49%). The total scores of the MoCA-K tests in thyroid patients with cognitive dysfunction(18.42±3.75) were significantly(p<0.001) lower than those of controls(26.43±2.01). Their subtest scores of the MoCA-K such as visuospatial/executive, naming, attention, language, abstraction, delayed recall were also lower than those of controls. 2) The thyroid patients with MoCA-K ≤22 showed higher age and onset age of thyroid disorders, and had lower education and HDL-cholesterol(p<0.001 respectively). 3) Total scores of the MoCA-K tests in patients with thyroid disorders had positive correlation with education(ρ=0.583, p<0.01), and had negative correlation with age(ρ=-0.462, p<0.01) and onset age of thyroid disorders(ρ=-0.494, p<0.01). Otherwise, triiodothyronine and HDL-cholesterol had positive correlation, and sex and triglyceride had negative correlation with some subtest scores of the MoCA-K.
Conclusions:The cognitive dysfunction accompanied in about 1/4 of patients with thyroid disorders. The finding that the cognitive function in thyroid disorders seemed to be mainly associated with age and onset age of thyroid disorders, suggested a possibility of an important role of aging mechanism.

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UCI(KEPA) : I410-ECN-0101-2013-513-001381725