Literacy and Cognitive Aging in the Elderly Korean Population

& (2016). Literacy and Cognitive Aging in the Elderly Korean Population. Korean Journal of Psychology: General, 35(3), 435-453, https://doi.org/10.22257/kjp.2016.09.35.3.435

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Abstract

Illiteracy as well as low education are known risk factors of developing dementia. Lack of reserve has been suggested as a possible mechanism underlying increased risk for dementia in this population. We believe that the same mechanism, or reserve, would be related to normal cognitive aging. This study was conducted to examine whether illiteracy moderated the patten of age-related cognitive change and was related to increased risk for cognitive decline in follow-up tests in normal Korean elderly subjects. Standardized Regression Based(SRB) Model was utilized to detect cognitive decliner controlling regression to mean, practice effect and measurement error. The main results were as follows. First, the illiterate performed poorly on all area of cognitive function including attention, initiation/perseveration, construction, conceptualization and memory than the literate. Second, age-related cognitive change was faster in the illiterate than the literate in all cognitive areas in cross-sectional analysis. Third, the rate of cognitive decliner was about five times higher in the illiterate than the literate group, and the odds ratio of the illiterate was 3.62. These results suggested that lack of reserve, measured by literacy, may have negative influence on normal cognitive aging as well as dementia. Acquiring literacy could prevent cognitive aging and dementia.

keywords: Illiteracy, Cognitive aging, Dementia, Longitudinal Study, Cognitive Reserve, K-DRS, 문맹, 인지 노화, 치매, 종단연구, 인지 자원, K-DRS

Reference

김호영, 최진영, 석정서 (2010). 한국판 치매평가 검사(K-DRS)를 이용한 노인인지 기능 평가에서 변화유의성 탐지: 50세 이상장노년 검사-재검사 규준 연구. 한국심리학회지: 임상, 29(2), 505-523.

국립국어원 (2008). 국민의 기초 문해력 조사.서울: 국립국어원.

문혜성 (2001). 한국노인의 문식성과 인지 기능(석사학위 청구 논문). 성신 여자 대학교, 서울, 한국

문혜성, 최진영 (2004). 한국 장노년 성인의 문식성과 신경심리기능. 대한 노인 정신의학,8(2), 113-120.

박종환, 권용철 (1989). 노인용 한국판 Mini- Mental State Examination(MMSE-K)의 표준화 연구-제2편: 구분점 및 진단적 타당도-. 신 경정신의학회지, 28(3), 508-513.

박종환, 이양현, 김희철 (1999). 어느 농촌 노인들에서 인지 기능의 6년 추적. 신경정신의학회지, 38(1), 181-189.

사수연, 최진영, 석정서 (2011). 범주유창성과제로 평가한 한국 노인들의 의미지식구조. 한국심리학회지: 일반, 30(1), 227-242.

서울대학교 국어교육연구소 (1999). 한국어 교육학 사전. 서울: 대교.

최진영 (1998). 한국판 치매 평가 검사. 서울:학지사.

10.

최진영 (2006). 노인용 기억 장애 검사. 서울:학지사.

11.

통계청 (2010). 인구 주택 총조사. [http://kosis. kr]

12.

한홍무, 염태호, 신영우, 김교현, 윤도준, 정근재 (1986). Beck Depression Inventory의 한국판 표준화 연구. 신경정신의학회지, 25(3),487-500.

13.

Albert, M. S., & Heaton, R. K. (1988). Intelligence testing. In M. S. Albert & M. B. Moss (Eds.), Geriatric neuropsychology (pp. 10- 32). New York: The Guilford Press.

14.

Albert, M. S., & Teresi, J. A. (1999). Reading ability, education, and cognitive status assessment among older adults in Harlem, New York City. American Journal of Public Health, 89(1), 95-97.

15.

APA. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC.: American Psychiatric Association.

16.

Ardila, A., & Rosselli, M. (1989). Neuropsychological characteristics of normal aging. Developmental Neuropsychology, 5(4), 307-320.

17.

Barnes, D. E., Tager, I. B., Satariano, W. A., & Yaffe, K. (2004). The relationship between literacy and cognition in well-educated elders. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 59(4), M390- M395.

18.

Bonaiuto, S., Rocca, W., Lippi, A., Luciani, P., Turtu, F., Cavarzeran, F., & Amaducci, L. (1990). Impact of education and occupation on prevalence of Alzheimer’s disease (AD) and multi-infarct dementia (MID) in Appignano, Macerata Province, Italy. Neurology, 40(suppl 1), 346-346.

19.

Butler, S. M., Ashford, J. W., & Snowdon, D. A. (1996). Age, education, and changes in the Mini-Mental State Exam scores of older women: Findings from the Nun Study. Journal of the American Geriatrics Society, 44(6), 675-681.

20.

Chelune, G. J., Naugle, R. I., Lüders, H., Sedlak, J., & Awad, I. A. (1993). Individual change after epilepsy surgery: Practice effects and base-rate information. Neuropsychology, 7(1), 41- 52.

21.

Chey, J., Na, D. G., Tae, W. S., Ryoo, J. W., & Hong, S. B. (2006). Medial temporal lobe volume of nondemented elderly individuals with poor cognitive functions. Neurobiology of Aging, 27(9), 1269-1279.

22.

Chodosh, J., Reuben, D. B., Albert, M. S., & Seeman, T. E. (2002). Predicting cognitive impairment in high-functioning communitydwelling older persons: MacArthur Studies of Successful Aging. Journal of the American Geriatrics Society, 50(6), 1051-1060.

23.

Christensen, H., Korten, A. E., Jorm, A. F., Henderson, A. S., Jacomb, P. A., Rodgers, B., & Mackinnon, A. J. (1997). Education and decline in cognitive performance: compensatory but not protective. International Journal of Geriatric Psychiatry, 12(3), 323-330.

24.

Dehaene, S., Cohen, L., Morais, J., & Kolinsky, R. (2015). Illiterate to literate: behavioural and cerebral changes induced by reading acquisition. Nature Reviews Neuroscience, 16(4), 234-244.

25.

Dotson, V. M., Kitner-Triolo, M. H., Evans, M. K., & Zonderman, A. B. (2009). Effects of race and socioeconomic status on the relative influence of education and literacy on cognitive functioning. Journal of the International Neuropsychological Society, 15(04), 580-589.

26.

Farmer, M. E., Kittner, S. J., Rae, D. S., Bartko, J. J., & Regier, D. A. (1995). Education and change in cognitive function: The epidemiologic catchment area study. Annals of Epidemiology, 5(1), 1-7.

27.

Federman, A. D., Sano, M., Wolf, M. S., Siu, A. L., & Halm, E. A. (2009). Health literacy and cognitive performance in older adults. Journal of the American Geriatrics Society, 57(8), 1475-1480.

28.

Gatz, M., Mortimer, J. A., Fratiglioni, L., Johansson, B., Berg, S., Andel, R., Pedersen, N. L. (2007). Accounting for the relationship between low education and dementia: a twin study. Physiology & Behavior, 92(1), 232-237.

29.

Hall, K., Gao, S., Unverzagt, F., & Hendrie, H. (2000). Low education and childhood rural residence: risk for Alzheimer’s disease in African Americans. Neurology, 54(1), 95.

30.

Hermann, B. P., Wyler, A. R., Vanderzwagg, R., LeBailly, R. K., Whitman, S., Somes, G., & Ward, J. (1991). Predictors of neuropsychological change following anterior temporal lobectomy: role of regression toward the mean. Journal of Epilepsy, 4(3), 139-148.

31.

Hulette, C., Welsh-bohmer, K., Murray, M., Saunders, A., Mash, D., & McIntyre, L. (1998). Neuropathological and neuropsychological changes in “normal” aging: evidence for preclinical Alzheimer disease in cognitively normal individuals. Journal of Neuropathology & Experimental Neurology, 57(12), 1168.

32.

Jones, R. (2003). Racial bias in the assessment of cognitive functioning of older adults. Aging & Mental Health, 7(2), 83-102.

33.

Kim, S., Hwang, T., Lee, K., Kang, P., Cho, H. & Bae, Y. (2009). Apolipoprotein E Polymorphism and Cognitive Function Change of the Elderly in a Rural Area, Korea. Journal of Preventive Medicine and Public Health 42(4), 261-266.

34.

Kim, K. W., Park, J. H., Kim, M. -H., Kim, M. D., Kim, B. -J., Kim, S. -K., Woo, J. I. (2011). A nationwide survey on the prevalence of dementia and mild cognitive impairment in South Korea. Journal of Alzheimer’s Disease, 23(2), 281-291.

35.

Kim, J., Yoon, J. H., Kim, S. R., & Kim, H. (2014). Effect of literacy level on cognitive and language tests in Korean illiterate older adults. Geriatrics & Gerontology International, 14(4), 911-917.

36.

Koizumi, H. (2004). The concept of ‘developing the brain’: a new natural science for learning and education. Brain and Development, 26(7), 434-441.

37.

Laboratory of Comparative Human Cognition. (1983). Culture and cognitive development. In P. Mussen (Ed.), Handbook of child psychology. Vol 1: History, theories and methods (pp. 342- 397). New York: John Wiley & Sons.

38.

Lecours, A., Mehler, J., Parente, M. A., Aguiar, L. R., Da Silva, A. B., Caetano, M., Dumais, C. (1987). Illiteracy and brain damage: 2. Manifestations of unilateral neglect in testing “auditory comprehension” with iconographic materials. Brain and Cognition, 6(3), 243-265.

39.

Lecours, A., Mehler, J., Parente, M. A., Beltrami, M. C., De Tolipan, L. C., Cary, L., Dehaut, F. (1988). Illiteracy and brain damage 3: A contribution to the study of speech and language disorders in illiterates with unilateral brain damage (initial testing). Neuropsychologia, 26(4), 575-589.

40.

Lee, J., Chang, S., Jang, H., Chang, J., Suh, G., Jung, H., Cho, M. (2008). Illiteracy and the incidence of Alzheimer’s disease in the Yonchon County survey, Korea. International Psychogeriatrics, 20(05), 976-985.

41.

Manly, J. J., Schupf, N., Tang, M. X., & Stern, Y. (2005). Cognitive decline and literacy among ethnically diverse elders. Journal of Geriatric Psychiatry and Neurology, 18(4), 213- 217.

42.

Manly, J. J., Schupf, N., Tang, M., Weiss, C., & Stern, Y. (2007). Literacy and cognitive decline among ethnically diverse elders. In Y. Stern (Eds.), Cognitive reserve: Theory and applications(pp. 219-235). New York and London: Taylor & Francis.

43.

Manly, J. J., Touradji, P., Tang, M. X., & Stern, Y. (2003). Literacy and memory decline among ethnically diverse elders. Journal of Clinical and Experimental Neuropsychology, 25(5), 680-690.

44.

McSweeny, A. J., Naugle, R. I., Chelune, G. J., & Lüders, H. (1993). “T scores for change”: An illustration of a regression approach to depicting change in clinical neuropsychology. The Clinical Neuropsychologist, 7(3), 300-312.

45.

Morais, J. & Kolinsky, R. (2000). Biology and culture in the literate mind. Brain and Cognition, 42(1), 47.

46.

Morris, J. C. (1993). The Clinical Dementia Rating (CDR): current version and scoring rules. Neurology, 43, 2412-2414.

47.

Oldfield, R. C. (1971). The assessment and analysis of handedness: The Edinburgh Inventory. Neuropsychologia 9, 97-114..

48.

Ostrosky-Solis, F., Ardila, A., Rosselli, M., Lopez-Arango, G., & Uriel-Mendoza, V. (1998). Neuropsychological test performance in illiterate subjects. Archives of Clinical Neuropsychology, 13(7), 645-660.

49.

Salthouse, T. A. (2010). Selective review of cognitive aging. Journal of the International Neuropsychological Society, 16(5), 754-760.

50.

Sano, M., Devanand D. P., Richards, M., Miller, L. W., Marder, K., Bell, K., Albert, M., et al. (1995). A standardized technique for establishing onset and duration of symptoms of Alzheimer’s disease. Arch Neurol, 52(10), 961-966.

51.

Shay, K. A., Duke, L. W., Conboy, T., Harrell, L. E., Callaway, R., & Folks, D. G. (1991). The clinical validity of the Mattis Dementia Rating Scale in staging Alzheimer’s dementia. Journal of Geriatric Psychiatry and Neurology, 4(1), 18-25.

52.

Snowdon, D. A., Ostwald, S. K., & Kane, R. L. (1989). Education, survival, and independence in elderly Catholic sisters, 1936-1988. American Journal of Epidemiology, 130(5), 999-1012.

53.

Stern, Y. (2002). What is cognitive reserve? Theory and research application of the reserve concept. Journal of the International Neuropsychological Society, 8(03), 448-460.

54.

Stern, Y. (2009). Cognitive reserve. Neuropsychologia, 47(10), 2015-2028.

55.

Stern, Y., Alexander, G. E., Prohovnik, I., & Mayeux, R. (1992). Inverse relationship between education and parietotemporal perfusion deficit in Alzheimer’s disease. Annals of Neurology, 32(3), 371-375.

56.

Terry, R., & Katzman, R. (2001). Life span and synapses: will there be a primary senile dementia? Neurobiology of Aging, 22(3), 347- 348.

57.

United Nations, Department of Economic and Social Affairs, Population Division (2011). World Population Prospects: The 2010 Revision, Volume I: Comprehensive Tables. ST/ESA/SER.A/ 313.

58.

Valenzuela, M. J., & Sachdev, P. (2006). Brain reserve and dementia: a systematic review. Psychological Medicine, 36(04), 441-454.

59.

Yesavage, J. A., Brink, T. L., Rose, T. L., Lum, O., Huang, V., Adey, M., & Leirer, V. O. (1983). Development and validation of a geriatric depression screening scale: a preliminary report. Journal of Psychiatric Research, 17(1), 37-49.

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Article Contents

Vol.35 No.3

Literacy and Cognitive Aging in the Elderly Korean Population

Abstract

Reference

Korean Journal of Psychology: General