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Clinical Manifestations.

Agustina Melnitzky1, Alice Baez Lovera1, Waleska Berrios2

  • 1Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.

Alzheimer'S & Dementia : the Journal of the Alzheimer'S Association
|December 25, 2025
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Summary
This summary is machine-generated.

The Montessori Method (MM) shows promise for individuals with Major Neurocognitive Disorder (MND), stabilizing cognitive function and reducing anxiety. This approach also maintained caregiver stress levels in a pilot study.

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Area of Science:

  • Gerontology and Neurodegenerative Diseases
  • Cognitive Rehabilitation Strategies
  • Psychosocial Interventions for Dementia

Background:

  • The Montessori Method (MM), adapted for Major Neurocognitive Disorder (MND), utilizes cognitive stimulation (CS) principles and Person-Centered Care.
  • MM aims to enhance participation, independence, and address deficits in language, memory, and orientation through tailored activities.
  • Caregiver collaboration is emphasized for continued CS at home.

Purpose of the Study:

  • To explore the effects of group CS sessions using the MM on patients with MND and their caregivers.
  • To evaluate changes in cognitive performance, mood, quality of life, patient functionality, and caregiver stress.

Main Methods:

  • A pilot study involving 10 patients with MND and their caregivers over three months.
  • MM-based CS sessions were implemented, with assessments before and after the intervention.
  • Standardized measures included MMSE, HADS, SF-36, Zarit Burden Interview, and Lawton and Brody Index.

Main Results:

  • Cognitive performance (MMSE) remained stable; anxiety decreased, while depression slightly increased.
  • Patient functional status was stable or improved; self-perceived mental health improved, but general health perception declined.
  • Caregiver stress levels showed minimal change throughout the study.

Conclusions:

  • MM-based CS appears effective in maintaining cognitive and emotional abilities in patients with MND, notably reducing anxiety.
  • The intervention demonstrated potential for improving self-perceived mental health in patients and stabilizing caregiver stress.
  • Further research with larger samples is recommended to confirm the efficacy of MM for MND interventions.