- 주정의존 환자에서 7분선별검사를 이용한 인지장애의 평가
- ㆍ 저자명
- 전진숙,윤한철,이광영,오병훈,Cheon. Jin-Sook,Yoon. Han-Cheol,Lee. Kwang-Young,Oh. Byoung-Hoon
- ㆍ 간행물명
- 생물정신의학
- ㆍ 권/호정보
- 2001년|8권 2호|pp.258-265 (8 pages)
- ㆍ 발행정보
- 대한생물정신의학회
- ㆍ 파일정보
- 정기간행물| PDF텍스트
- ㆍ 주제분야
- 기타
Objectives : Chronic alcohol consumption has been known to result in various neurocognitive deficits. Many neuropsychological studies revealed that the major disturbances occurred in the executive function, learning and short-term memory, visuospatial performance function, perceptuo-motor skills, and abstraction and problem solving abilities. This study was done to identify which cognitive areas might be mainly affected. Methods : The cognitive disturbance was evaluated using the Korean Version of the Mini Mental State Examination(MMSEK) and the 7 Minute Screen(7MS) in male inpatients with alcohol dependence(N=3 : as well as in age and education level matched healthy male controls(N=30). Four individual tests of the 7MS were consisted of the Benton Temporal Orientation Test, the Enhanced Cued Recall, the Clock Drawing and the Category Fluency. Results : 1) The average scores of four individual test of the 7MS for the alcoholics were $2.77{pm}4.38$ for the Benton Temporal Orientation Test, $13.90{pm}2.02$ for the Memory Test(the Cued Recall $6.77{pm}1.94$, the Uncued Recall $7.10{pm}2.45$), $5.84{pm}1.86$ for the Clock Drawing, and $12.58{pm}3.29$ for the Category Fluency. Except the Benton Temporal Orientation Test, there were statistically significant differences between test scores of alcoholics and those of controls(p<0.01). 2) The alcoholics who had MMSE-K score <24 were 9.68%. The average(${pm}S.D.$) score of the MMSE-K for the patient group($27.23{pm}2.62$) was significantly(p<0.001) lower than that of the healthy controls($29.20{pm}1.24$). There were no statistically significant differences between four individual test scores of the 7MS of alcoholics with the MMSE-K score <24(N=3) and those of alcoholics with the MMSE-K score ${geq}24$(N=28). 3) Four individual test scores of the 7MS seemed to have statistically significant association with such variables as MMSE-K, duration of alcohol drinking, blood magnesium concentration, liver function and thyroid function. Conclusion : Mild deficits of cognitive areas such as orientation, memory, visuospatial abilities and verbal fluency could be found in alcohol dependence.