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EPA-1657 – The Impact of a Neuropsychological Rehabilitation Group Program (NRGP) on Cognitive and Emotional Functioning in Institutionalized Elderly

Published online by Cambridge University Press:  15 April 2020

L. Lemos ,
H. Espirito-Santo ,
G.F. Silva ,
M. Costa ,
D. Cardoso ,
F. Vicente ,
S. Martins ,
V. Vigário ,
F. Rodrigues  and
C.S. Neves
...Show all authors
L. Lemos
Affiliation:
Research & Development Department, Instituto Superior Miguel Torga, Coimbra, Portugal
H. Espirito-Santo
Affiliation:
Research & Development Department, Instituto Superior Miguel Torga, Coimbra, Portugal
G.F. Silva
Affiliation:
Research & Development Department, Instituto Superior Miguel Torga, Coimbra, Portugal
M. Costa
Affiliation:
Research & Development Department, Instituto Superior Miguel Torga, Coimbra, Portugal
D. Cardoso
Affiliation:
Research & Development Department, Instituto Superior Miguel Torga, Coimbra, Portugal
F. Vicente
Affiliation:
Research & Development Department, Instituto Superior Miguel Torga, Coimbra, Portugal
S. Martins
Affiliation:
Research & Development Department, Instituto Superior Miguel Torga, Coimbra, Portugal
V. Vigário
Affiliation:
Research & Development Department, Instituto Superior Miguel Torga, Coimbra, Portugal
F. Rodrigues
Affiliation:
Research & Development Department, Instituto Superior Miguel Torga, Coimbra, Portugal
C.S. Neves
Affiliation:
Research & Development Department, Instituto Superior Miguel Torga, Coimbra, Portugal
V. Pascoal
Affiliation:
Research & Development Department, Instituto Superior Miguel Torga, Coimbra, Portugal
A.L. Pinto
Affiliation:
Research & Development Department, Instituto Superior Miguel Torga, Coimbra, Portugal
S. Moitinho
Affiliation:
Research & Development Department, Instituto Superior Miguel Torga, Coimbra, Portugal

Abstract

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Introduction

Cognitive rehabilitation techniques, reminiscence therapy, and reality orientation therapy, have shown an impact on cognition, life satisfaction, mood, and on the progression of cognitive decline in elderly.

Objectives

To test the effectiveness of a NRGP on the cognitive and emotional functioning of institutionalized elderly.

Methods

.

Design

single blind randomized controlled study with paired groups.

Participants

Coimbra institutionalized elderly, aged between 64-92 (N = 88) with cognitive impairment no dementia, mostly women (75.0%).

Intervention

randomization of participants to the rehabilitation group/RG (n = 41) and to the comparison/waiting-list group/CG (n = 23). NRGP involved groups of five elders, and took 90 min. per day, once a week, for 10 weeks.

Measurements

Mini-Mental State Examination/MMSE, Frontal Evaluation Battery/FAB, Geriatric Depression Scale/GDS.

Analysis

We used general linear model with repeated measures analysis of variance.

Results

RG improved significantly on cognitive, and executive function (p < 0.001), and CG worsened on cognitive, executive function, and mood (p < 0.01). There was a significant effect on the MMSE, FAB, and GDS scores, after excluding pre-rehabilitation scores as covariates [F (1, 81) = 43.98, p < 0.001; η2 = 0.35; F(1, 80) = 28.37, p < 0.001; η2 = 0.26; F(1, 79) = 19.66, p < 0.001; η2 = 0.20].

Conclusions

A NRGP including cognitive rehabilitation, reminiscence therapy, and reality orientation proved to be effective on cognitive and executive functioning, and on depressive symptoms of institutionalized elders with cognitive impairment no dementia.

Type
E05 - e-Poster Oral Session 05: Childhood and Geriatry, Depression
Information
European Psychiatry , Volume 29 , Issue S1: Abstracts of the 22nd European Congress of Psychiatry , 2014 , pp. 1
Copyright
Copyright © European Psychiatric Association 2014
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