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The Evaluation of the effectiveness of the program of the cognitive rehabilitation of patients with MCI and early dementia of Alzheimer's type

Published online by Cambridge University Press:  16 April 2020

R. Wojtynska ,
A. Wlazlo ,
E. Trypka ,
A. Zimny  and
D. Frydecka
R. Wojtynska
Affiliation:
Department of Psychiatry, Medical University of Wroclaw, Wroclaw, Poland
A. Wlazlo
Affiliation:
Dolnośląskie Centrum Zdrowia Psychicznego, Hospital, Wroclaw, Poland
E. Trypka
Affiliation:
Department of Psychiatry, Medical University of Wroclaw, Wroclaw, Poland
A. Zimny
Affiliation:
Department of General and Interventional Radiology, Medical University of Wroclaw, Wroclaw, Poland
D. Frydecka
Affiliation:
Department of Psychiatry, Medical University of Wroclaw, Wroclaw, Poland

Abstract

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Introduction

Applying programs of early cognitive intervention, concentrated on psychological influences, constitutes the important component of comprehensive medical influences nonpharmacological, influencing to the improvement in psychological functioning, in cognitive areas and qualities of life.

Aims

Evaluation of the effectiveness of the multimedia program of the cognitive rehabilitation (cognitive training, psychoeducation), directed at patients with MCI and with early stage in the AD.

Objectives

Outpatients, N = 75, average of the age: 68.6 (10.14 SD), above 45 years,; MMSE > 20, I group - MCI (N = 34): with the intervention (N = 18), without (N = 16), II group - AD (N = 29): with intervention, (N = 15), without (N = 14), III group - CG: patients without cognitive disorders (N = 12).

Methods

Randomized, clinical trial. Diagnosis on the base: of clinical interview, of examining a mental state, physical, TK, MRI, of laboratory tests, screening neuropsychological (MMSE, CDT, Demtect, Fluencial). Patients participated in 6 week’s program of the cognitive rehabilitation (4 × during the week) and 18 household conditions. The evaluation of the cognitive functioning, mental state, of functioning in the everyday life, of approval of illness, of satisfaction from the life, qualities of life, caregiver burden were being before and after intervention.

Results

An improvement in cognitive functioning was get in selected aspects: of cognitive functioning (linguistic functions, memory, attention, of visual-motor coordination), of mental state, qualities of life.

Conclusions

Nonpharmacological influences, spreading through cognitive training and psychoeducation, at patients with dementia or MCI constitute essential element correcting their functioning in the process psychological rehabilitation.

Type
P01-500
Information
European Psychiatry , Volume 26 , Issue S2: Abstracts of the 19th European Congress of Psychiatry , March 2011 , pp. 504
Copyright
Copyright © European Psychiatric Association2011
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