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Cognitive Therapy for Dementia Patients: A Systematic Review
Carme Carrion1,2, Frans Folkvord3,4,5, Dimitra Anastasiadou3
1UOC eHealth Center (eHC), Universitat Oberta de Catalunya (UOC), Barcelona, Spain.
Dementia and Geriatric Cognitive Disorders
|August 10, 2018
Summary
Cognitive therapy, including reality orientation and skills training, shows mixed results for dementia patients. More research is needed to confirm the effectiveness of these interventions for cognitive impairment in the elderly.
Area of Science:
- Gerontology
- Neuroscience
- Psychiatry
Background:
- Cognitive therapy is a recognized treatment for elderly individuals with dementia.
- Reality orientation and skills training show potential for reversing cognitive impairment, but evidence is not definitive.
- A systematic review is necessary to update the evidence on cognitive therapy's efficacy in dementia.
Purpose of the Study:
- To systematically review the scientific evidence on the effectiveness of cognitive therapies for elderly individuals diagnosed with dementia.
Main Methods:
- A comprehensive literature search was conducted across multiple databases from January 2009 to December 2017.
- Studies were selected based on predefined criteria, and data extraction and quality assessment were performed systematically.
Main Results:
- Ten reality orientation, 25 skills training, and 12 mixed trials met the inclusion criteria.
- Reality orientation trials indicated minor cognitive effects; skills training and mixed trials yielded inconsistent cognitive outcomes.
- Limited or no effects were observed on other outcomes such as daily functioning, depression, and language.
Conclusions:
- Skills training and mixed cognitive therapy trials suggest potential benefits for cognitive impairment, though results remain inconclusive.
- Variations in intervention formats hindered direct study comparisons.
- Further structured and comparable randomized controlled trials are essential due to inconclusive findings.
Keywords:
Alzheimer therapyCognitive therapyDementiaReality orientationSkills trainingSystematic reviewMore Related Videos
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