The Effect of Subjective Physical and Mental Health on Cognitive Decline in the Elderly.
- Author:
Yunyoung KWON
1
;
Sang Joon SON
;
Yunhwan LEE
;
Jong Hwan BACK
;
Jai Sung NOH
;
Sang Hyun KOH
;
Hyun Chung KIM
;
Jinju KIM
;
Mi Ae PARK
;
Chang Hyung HONG
Author Information
1. Department of Psychiatry, Ajou University School of Medicine, Suwon, Korea. antiaging@ajou.ac.kr
- Publication Type:Original Article
- Keywords:
Subjective mental health;
Subjective physical health;
Cognition;
Elderly
- MeSH:
Aged;
Chronic Disease;
Cognition;
Cohort Studies;
Depression;
Follow-Up Studies;
Humans;
Logistic Models;
Mental Health;
Surveys and Questionnaires
- From:Journal of Korean Geriatric Psychiatry
2013;17(1):32-36
- CountryRepublic of Korea
- Language:Korean
-
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 (beta=0.18, p<0.01) and SRMH (beta=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 (beta=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.
