Therapeutic psychosocial intervention for elderly subjects with very mild Alzheimer disease in a community: the tajiri project
| Autor: | Kenichi Meguro, Atsushi Yamadori, Hiroshi Ishii, Kyoko Ohe, Emiko Tsuchiya, Etsuko Kimura, Junichi Ishizaki, Yasuyoshi Sekita |
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| Rok vydání: | 2002 |
| Předmět: |
Male
medicine.medical_specialty Activities of daily living Clinical Dementia Rating Alzheimer Disease Activities of Daily Living medicine Memory span Dementia Humans Prospective Studies Psychiatry Aged Aged 80 and over Memory Disorders Cognitive disorder Social Support medicine.disease Cognitive test Psychiatry and Mental health Clinical Psychology Treatment Outcome Physical therapy Female Geriatrics and Gerontology Alzheimer's disease Psychology Cognition Disorders Gerontology Psychosocial |
| Zdroj: | Alzheimer disease and associated disorders. 16(4) |
| ISSN: | 0893-0341 |
| Popis: | Elderly subjects with mild memory impairment but not apparent dementia are the focus of early intervention trials. To examine the effects of structural psychosocial intervention for elderly subjects with very mild Alzheimer disease, i.e., Clinical Dementia Rating 0.5. The design is a prospective study. The experimental group (14 Clinical Dementia Rating 0.5 subjects) and the control group (11 Clinical Dementia Rating 0.5 subjects) were studied. Subjects with cerebrovascular disease as shown by magnetic resonance imaging were excluded. The experimental group participated in activities in a day-care-like setting once a week over a period of 6 months, whereas the control group did not. Each group was reevaluated after approximately 9 months. The effects of intervention were evaluated by cognitive tests, affective scales, a global clinical measure, an observation scale in the sessions, and a projective test. The experimental group showed a significant improvement on the word fluency test, whereas the control group showed a significant decline on the Mini-Mental State Examination, the digit span, and the Trail Making-A test. The experimental group revealed significantly higher levels on the Mini-Mental State Examination and the digit span compared with the control group after the 6-month intervention. A significant improvement was found for the global clinical measure, the observation scale, and the projective test in the experimental group after the intervention. After controlling the potential confounders (age, educational level, baseline cognitive, and affective status) in a multiple regression analysis, the same results were found. We considered that psychosocial intervention had beneficial effects for subjects with very mild Alzheimer disease. |
| Databáze: | OpenAIRE |
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