Impact of a cognitive rehabilitation intervention on neuropsychiatric symptoms in mild to moderate Alzheimer's disease
Abstract
The main goal of this study was to evaluate the impact of a cognitive rehabilitation programme on 12 behavioural and psychological symptoms of dementia (BPSD) in patients with mild to moderate Alzheimer's disease (AD). This six-month single-blind block-randomised cross-over controlled study was conducted with 15 mild to moderate AD participants and their caregivers. All participants received a four-week home-based cognitive rehabilitation programme to learn/re-learn an instrumental activity of daily living. They were assessed up until three months following the end of the intervention. The Neuropsychiatric Inventory (NPI-12) was employed to evaluate patients' BPSD at seven assessment points during the course of the study. A general linear mixed model analysis performed on the NPI data revealed that aberrant motor behaviours (AMB) increased significantly more in the treatment condition than in the control condition. In addition, both groups registered a significant reduction of delusional symptoms during the second half of the study. Employing a multi-symptom approach to assess participants' BPSD, this cross-over randomised controlled study showed that an individualised cognitive rehabilitation intervention was generally well-tolerated by mild to moderate AD patients. Future cognitive rehabilitation studies conducted with this population should pay attention to AMB symptom changes.
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After cognitive rehabilitation interventions, there was a significant reduction of delusional symptoms with a large effect size; however, aberrant motor behavior increased significantly in the treatment condition when compared to the control group.
“After interventions, there was a significant reduction of delusional symptoms with a large effect size; however, aberrant motor behavior increased significantly in the treatment condition when compared to the control group [34].”
From Nonpharmacological Interventions to Reduce Behavioral and Psychological Symptoms of Dementia: A Systematic Review (2015) · cites this paper as [34]
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Cognitive training for people with mild to moderate dementia
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- Authors
- Brunelle-Hamann, L., Thivierge, S., & Simard, M.
- Affiliations
- Institut Universitaire en Santé Mentale de Québec (CA)
- Corresponding author
- Simard, Martine
- ORCID
- Simard, Martine
- Venue
- Neuropsychological Rehabilitation
- Publisher
- Informa UK Limited
- Published
- 2014-10-14
- Volume
- 25
- Issue
- 5
- Pages
- 677-707
- ISSN
- 0960-2011 (ISSN-L)
- 1464-0694
- OpenAlex
- W2064750704
- Cited by
- 29
- References
- 75
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 2 · 2022: 5 · 2021: 3 · 2020: 3 · 2019: 4 · 2018: 1 · 2017: 4 · 2016: 3 · 2015: 1 · 2014: 1
- FWCI
- 2.29
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Neuropsychological Rehabilitation (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Cognitive Functions and Memory
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Keywords
- cognitive rehabilitation, Alzheimer's disease, behavioral and psychological symptoms of dementia, neuropsychiatric symptoms, delusional symptoms, home-based intervention, instrumental activities of daily living, caregivers, Neuropsychiatric Inventory
- MeSH terms
- Activities of Daily Living, Aged, Aged, 80 and over, Alzheimer Disease, Cognition, Female, Humans, Male, Neuropsychological Tests, Single-Blind Method, Treatment Outcome, Cross-Over Studies
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