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      Overview of the Korean Longitudinal Study on Cognitive Aging and Dementia

      research-article
      1 , 2 , 3 , 4 , 5 , 6 , 7 , 1 , 8 , 1 , 9 , 1 , 1 , 10 , 1 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 17 , 1 , 1 , 18 , 19 , 1 , 1 , 1 , 15 , 20
      Psychiatry Investigation
      Korean Neuropsychiatric Association
      Community, Multicenter, Longitudinal, Prospective, Cohort study, Cognitive ageing, Dementia, Mild cognitive impairment, Korea

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          Abstract

          Objective

          Due to an unprecedented rate of population aging, South Korea is facing a dementia epidemic. For this reason, the Korean Longitudinal Study on Cognitive Aging and Dementia (KLOSCAD) was launched in 2009 with support from the Korean Health Industry Development Institute to investigate the epidemiology, biopsychosocial risk factors, and outcomes of dementia and dementia-related conditions.

          Methods

          The KLOSCAD is the first nationwide multi-center population-based prospective cohort study. In October 2010, 12,694 individuals were randomly sampled from residents aged 60 years or older who lived in 13 districts across South Korea. In the baseline assessment, which was conducted from November 2010 through October 2012, 6,818 (53.7%) individuals participated. Follow-up assessments have been conducted every two years, with the first follow-up assessment conducted between November 2012 and October 2014, and the second between November 2014 and October 2016. The third is now in progress, and will span from November 2016 to October 2018. Diagnosis of cognitive disorders, neuropsychological battery, behavioral and psychological symptoms of dementia, activities of daily living, physical and neurologic examination and laboratory tests, life styles, quality of life, and identification of death were evaluated in each assessment.

          Results

          The cumulative drop-out rate at the second follow-up assessment was 38.7%. Dementia and mild cognitive impairment were 5.0% and 27.0%, respectively.

          Conclusion

          The KLOSCAD may provide strong scientific evidence for advancing the fight against dementia both in Korea and globally.

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          Most cited references33

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          The MOS social support survey.

          This paper describes the development and evaluation of a brief, multidimensional, self-administered, social support survey that was developed for patients in the Medical Outcomes Study (MOS), a two-year study of patients with chronic conditions. This survey was designed to be comprehensive in terms of recent thinking about the various dimensions of social support. In addition, it was designed to be distinct from other related measures. We present a summary of the major conceptual issues considered when choosing items for the social support battery, describe the items, and present findings based on data from 2987 patients (ages 18 and older). Multitrait scaling analyses supported the dimensionality of four functional support scales (emotional/informational, tangible, affectionate, and positive social interaction) and the construction of an overall functional social support index. These support measures are distinct from structural measures of social support and from related health measures. They are reliable (all Alphas greater than 0.91), and are fairly stable over time. Selected construct validity hypotheses were supported.
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            Vascular dementia: diagnostic criteria for research studies. Report of the NINDS-AIREN International Workshop.

            Criteria for the diagnosis of vascular dementia (VaD) that are reliable, valid, and readily applicable in a variety of settings are urgently needed for both clinical and research purposes. To address this need, the Neuroepidemiology Branch of the National Institute of Neurological Disorders and Stroke (NINDS) convened an International Workshop with support from the Association Internationale pour la Recherche et l'Enseignement en Neurosciences (AIREN), resulting in research criteria for the diagnosis of VaD. Compared with other current criteria, these guidelines emphasize (1) the heterogeneity of vascular dementia syndromes and pathologic subtypes including ischemic and hemorrhagic strokes, cerebral hypoxic-ischemic events, and senile leukoencephalopathic lesions; (2) the variability in clinical course, which may be static, remitting, or progressive; (3) specific clinical findings early in the course (eg, gait disorder, incontinence, or mood and personality changes) that support a vascular rather than a degenerative cause; (4) the need to establish a temporal relationship between stroke and dementia onset for a secure diagnosis; (5) the importance of brain imaging to support clinical findings; (6) the value of neuropsychological testing to document impairments in multiple cognitive domains; and (7) a protocol for neuropathologic evaluations and correlative studies of clinical, radiologic, and neuropsychological features. These criteria are intended as a guide for case definition in neuroepidemiologic studies, stratified by levels of certainty (definite, probable, and possible). They await testing and validation and will be revised as more information becomes available.
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              A normative study of the CERAD neuropsychological assessment battery in the Korean elderly.

              This study aimed to explore the effects of age, education and gender on the performance of eight tests in the Korean version of the CERAD neuropsychological assessment battery and to provide normative information on the tests in the Korean elderly. The battery was administered to 618 healthy volunteers aged from 60 to 90. People with serious neurological, medical and psychiatric disorders, including dementia, were excluded. Multiple linear regression analyses were performed to assess the relative contribution of the demographic factors on the score of each cognitive test. Age, education, and gender were found to have significant effects on the performance of many tests in the battery. Based on these results, 4 overlapping age normative tables (60 to 74, 65 to 79, 70 to 84, and 75 to 90 years of age) with 3 educational strata (0 to 3 years, 4 to 6 years, and 7 years and more) for both genders are presented. The normative information will be useful for a clinical interpretation of the CERAD neuropsychological battery in Korean elderly as well as for comparing the performance of the battery across countries.
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                Author and article information

                Journal
                Psychiatry Investig
                Psychiatry Investig
                PI
                Psychiatry Investigation
                Korean Neuropsychiatric Association
                1738-3684
                1976-3026
                August 2018
                9 August 2018
                : 15
                : 8
                : 767-774
                Affiliations
                [1 ]Department of Neuropsychiatry, Seoul National University Bundang Hospital, Seongnam, Republic of Korea
                [2 ]Department of Psychiatry, Yonsei University Wonju Severance Christian Hospital, Wonju, Republic of Korea
                [3 ]Department of Psychiatry, Dongguk University Gyeongju Hospital, Gyeongju, Republic of Korea
                [4 ]Department of Psychiatry, National Center for Mental Health, Seoul, Republic of Korea
                [5 ]Department of Psychiatry, Gyeongsang National University School of Medicine, Jinju, Republic of Korea
                [6 ]Department of Neuropsychiatry, Soonchunhyang University Bucheon Hospital, Bucheon, Republic of Korea
                [7 ]Department of Psychiatry, School of Medicine, Chungnam National University, Daejeon, Republic of Korea
                [8 ]Department of Psychiatry, School of Medicine, Konkuk University, Konkuk University Chungju Hospital, Chungju, Republic of Korea
                [9 ]Department of Neuropsychiatry, Jeju National University Hospital, Jeju, Republic of Korea
                [10 ]Department of Neuropsychiatry, Changwon Gyeongsang National University Hospital, Changwon, Republic of Korea
                [11 ]Department of Psychiatry, School of Medicine, Konkuk University, Konkuk University Medical Center, Seoul, Republic of Korea
                [12 ]Department of Neuropsychiatry, Kyunggi Provincial Hospital for the Elderly, Yongin, Republic of Korea
                [13 ]Department of Psychiatry, Bongseng Memorial Hospital, Busan, Republic of Korea
                [14 ]Department of Neuropsychiatry, Seoul National University Hospital, Seoul, Republic of Korea
                [15 ]Department of Psychiatry, Seoul National University College of Medicine, Seoul, Republic of Korea
                [16 ]Department of Neuropsychiatry, Inje University Sanggye Paik Hospital, Seoul, Republic of Korea
                [17 ]Department of Psychiatry, Dankook University Hospital, Cheonan, Republic of Korea
                [18 ]Department of Psychiatry, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Republic of Korea
                [19 ]Department of Psychiatry, Kangwon National University School of Medicine, Chuncheon, Republic of Korea
                [20 ]Department of Brain and Cognitive Science, Seoul National University College of Natural Sciences, Seoul, Republic of Korea
                Author notes
                Correspondence: Ki Woong Kim, MD, PhD Department of Brain and Cognitive Science, Seoul National University College of Natural Sciences, Seoul, Republic of Korea, Department of Neuropsychiatry, Seoul National University College of Medicine and Seoul National University Bundang Hospital, 82 Gumi-ro 173beon-gil, Bundang-gu, Seongnam 13620, Republic of Korea Tel: +82-31-787-7432, Fax: +82-31-787-4058, E-mail: kwkimmd@ 123456snu.ac.kr
                Article
                pi-2018-06-02
                10.30773/pi.2018.06.02
                6111226
                30086611
                cda1d598-d3e1-4f20-9d1a-78ffaa7b2c63
                Copyright © 2018 Korean Neuropsychiatric Association

                This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 1 May 2018
                : 18 May 2018
                : 2 June 2018
                Categories
                Original Article

                Clinical Psychology & Psychiatry
                community,multicenter,longitudinal,prospective,cohort study,cognitive ageing,dementia,mild cognitive impairment,korea

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