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Psychotherapeutic Interventions for Dementia: a Systematic Review
Paweena Sukhawathanakul1, Alexander Crizzle2, Holly Tuokko3
1Centre on Aging, University of Manitoba, Winnipeg, MB.
Canadian Geriatrics Journal : CGJ
|September 6, 2021
Summary
Psychotherapeutic interventions show promise in aiding older adults with cognitive impairment to adjust to life changes. These therapies, particularly those focusing on meaning and problem-solving, effectively reduce depressive symptoms and improve acceptance.
Area of Science:
- Gerontology
- Psychology
- Clinical Research
Background:
- Limited comprehensive reviews exist on psychotherapeutic interventions for dementia.
- Focus on adjustment and acceptance outcomes for older adults with cognitive impairment is needed.
Purpose of the Study:
- To assess the impact of various psychotherapeutic interventions on acceptance and adjustment in older adults with cognitive impairment.
- To review studies evaluating interventions for individuals with cognitive impairment and their caregivers.
Main Methods:
- Systematic search of PubMed, PsycINFO, and CINAHL (2003-2019).
- Included 24 articles examining psychotherapeutic effects on acceptance, adjustment, internalizing symptoms, quality of life, self-esteem, and well-being.
- Fifteen studies focused on individuals with cognitive impairment; nine included caregivers.
Main Results:
- Diverse interventions (CBT, mindfulness, meaning-based) impacted acceptance and adjustment outcomes.
- Reductions in depressive symptoms were the most frequent outcome, especially with problem-focused and meaning-based therapies.
- Mixed results were observed for helplessness, quality of life, self-esteem, and life satisfaction.
Conclusions:
- Psychotherapeutic interventions offer support for improving acceptance and adjustment in older adults with cognitive impairment.
- Evidence suggests particular effectiveness in reducing depressive symptoms.
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