認知機能障碍를 보인 機能性精神障碍 老ᄉ患者들의 臨床的 考察

A Clinical Study on Cognitive Dysfuntion in the Eldery with Functional Mental Disorders

In order to compare the differences of the changes of the cognitive function between functional mental disorders with reversible cognitive impairment and organic mental disorders, Mini Mental State Examination and Brief Cognitive Rating Scale were administered in 14 patients with functional mental disorders and 16 patients with organic mental disorders. Their ages were 51 or more in years. The diagnoses of functional mental disorders were as follow; Affective disorder(lO), Schizophrenia(3)，Alcohol dependence(l). Patients with functional mental disorders showed less cognitive dysfuntion, but more depressive symptoms than patients with organic mental disorders. As the mental symptoms of the patients improved, the cognitive funtions improved concomitantly. And patients with functional mental disorders showed more cognitive dysfunctions in concentration, orientation, recall, and recent memory than in remote memory and registration. Orientation and concentration scores were important in differentiating between functional mental disorders and organic mental disorders.(Key Words, Functional Mental Disorder, Cognitive Dysfunction, Orientation, Concentration)