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Cited by 47Dementia and Cognitive Impairment ResearchMindfulness and Compassion InterventionsCancer-related cognitive impairment studies

Group Therapy for Patients with Mild Cognitive Impairment and Their Significant Others: Results of a Waiting-List Controlled Trial

Joosten-Weyn Banningh, Liesbeth W.A., Prins, Judith B., Vernooij-Dassen, Myrra J.F.J., Wijnen, Hugo H., Olde Rikkert, Marcel G.M., Kessels, Roy P.C.·2011·Gerontology
DOI 10.1159/000315933
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Abstract

Background: Patients with mild cognitive impairment (MCI) have to deal with an uncertain prognosis and also face a multitude of memory-related problems and psychosocial consequences. A newly developed group programme proved to be feasible, however, it needed confirmation by a controlled study. Aim: This controlled study evaluates this group therapy for MCI patients aimed to help them accept and manage the memory problems and the psychosocial consequences. The programme combines elements from psychoeducation, cognitive rehabilitation and cognitive-behavioural therapy. Patients and Methods: Ninety-three MCI patients received treatment, with 30 patients being first assigned to a waiting list, thus serving as their own control group. Pre- and post-treatment acceptance and helplessness were assessed using subscales of the Illness Cognition Questionnaire, while distress and general well-being were gauged with the Geriatric Depression Scale and subscales of the RAND-36. Results: Linear mixed model analyses showed that, relative to the controls, acceptance had increased more in the intervention group compared to the waiting-list period (p = 0.034). Distress and general well-being showed no changes. Treatment responders demonstrating a clinically significant effect on acceptance and two of three secondary outcome measures had higher baseline levels of helplessness and fewer self-reported memory complaints in daily life than patients who did not improve. Conclusion: The intervention helped the patients deal better with their uncertain future in that they were overall better able to accept their condition, with especially the female patients showing a decrease in helplessness cognitions, although the effects were relatively small.

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  • There has only been one study to date investigating the effectiveness of a CBT group intervention for people diagnosed with MCI.

    “There has only been one study to date investigating the effectiveness of a CBT group intervention for people diagnosed with MCI (Banningh et al., 2011).”

    From Psychosocial adjustment to Mild Cognitive Impairment: The role of illness perceptions, cognitive fusion and cognitive impairment. (2021) · cites this paper as Banningh et al., 2011

    The Intervention and Introduction describe a CBT-based group programme for patients with MCI and say this trial aimed to test its effectiveness. The Discussion calls it the first controlled study of this group therapy, but that does not establish that it was the only study investigating effectiveness; the Introduction also describes an earlier pilot study of the programme. (LLM, conf=0.84)

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  • Among the 26 papers on MCI, 8 described manualized psychotherapeutic interventions and 18 described psychoeducational interventions in addition to cognitive rehabilitation, cognitive training, mindfulness-based stress reduction, behavioral activation, or a recovery model approach.

    “Amongst them, 8 papers described manualized psychotherapeutic interventions [36, 37, 39, 42, 43, 62–64] and 18 papers described psychoeducational interventions in addition to cognitive rehabilitation, cognitive training, mindfulness-based stress reduction, behavioral activation, or a recovery model approach [38, 44–54, 57–60, 65, 67].”

    From Psychotherapeutic interventions in individuals at risk for Alzheimer’s dementia: a systematic review (2022) · cites this paper as [62]

    The Intervention section describes a structured, ten-session CBT-based group therapy programme for patients with MCI, supporting its identification as a psychotherapeutic intervention. Our copy does not establish that the programme was manualized, and this individual trial does not substantiate the citing review’s counts of 8 and 18 papers. (LLM, conf=0.78)

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  • Psychotherapeutic and psychoeducational interventions for older adults in pre-dementia stages are feasible, and the degree of cognitive impairment in the pre-dementia stages may not necessarily influence the ability to learn skills such as psychotherapeutic or mindfulness interventions.

    “This review depicts that psychotherapeutic and psychoeducational interventions for older adults in pre-dementia stages are feasible and may suggest that the degree of cognitive impairment in the pre-dementia stages may not necessarily influence the ability to learn skills such as psychotherapeutic or mindfulness interventions [39, 42, 46, 47, 62, 63].”

    From Psychotherapeutic interventions in individuals at risk for Alzheimer’s dementia: a systematic review (2022) · cites this paper as [62]

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  • In Banningh et al. (2011), participants improved in adaptive appraisals after receiving CBT (p = 0.034) compared to the waiting list period, but distress (p = 0.34) and general well-being (p = 0.78) did not improve.

    “Results showed that participants improved in adaptive appraisals after receiving CBT (p = 0.034) compared to the waiting list period.In contrast, distress (p = 0.34) and general well-being (p = 0.78) did not improve.”

    From Psychosocial adjustment to Mild Cognitive Impairment: The role of illness perceptions, cognitive fusion and cognitive impairment. (2021) · cites this paper as Banningh et al., 2011

  • A total of five research groups have described psychotherapeutic interventions in individuals with mild cognitive impairment.

    “A total of five research groups have described psychotherapeutic interventions in individuals with mild cognitive impairment [36, 37, 39, 42, 43, 62–64].”

    From Psychotherapeutic interventions in individuals at risk for Alzheimer’s dementia: a systematic review (2022) · cites this paper as [62]

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Cites

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Research works printed but not linked: 5

  1. [4]4. Feldman HH, Jacova C: Mild cognitive im- pairment. Am J Geriatr Psychiatry 2005; 13: 645-655.
  2. [12]12. Vernooij-Dassen MJFJ, Moniz-Cook ED: How can the quality of home-based inter- ventions be improved? Dementia 2005; 4: 163-169.
  3. [33]33. Herrmann N, Mittmann N: A validation study of the Geriatric Depression Scale Short Form. Int J Geriatr Psychiatry 1996; 11: 457- 460.
  4. [41]41. Dekkers M, Joosten-Weyn Banningh LW, El- ing PA: Awareness in patients with mild cog- nitive impairment. Tijdschr Gerontol Geri- atr 2009; 40: 17-23.
  5. [45]45. Cheston R, Jones K, Gilliard J: Group psy- chotherapy and people with dementia. Ag- ing Ment Health 2003; 7: 452-461.

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Authors
Joosten-Weyn Banningh, L. W. A., Prins, J. B., Vernooij-Dassen, M. J. F. J., Wijnen, H. H., Olde Rikkert, M. G. M., & Kessels, R. P. C.
Affiliations
  • Radboud University Nijmegen (NL)
  • Rijnstate Hospital (NL)
  • Radboud University Medical Center (NL)
ORCID
Venue
Gerontology
Publisher
S. Karger AG
Published
2010-07-20
Volume
57
Issue
5
Pages
444-454
ISSN
  • 0304-324X (ISSN-L)
  • 1423-0003
DOI
10.1159/000315933
OpenAlex
W2057500061
Semantic Scholar
d46f054d08210703abe5f54875938f0795ee98b8
Cited by
47
References
52
Citations by year
2026: 4 · 2025: 1 · 2024: 1 · 2023: 1 · 2022: 6 · 2021: 1 · 2020: 4 · 2019: 4 · 2018: 3 · 2017: 1 · 2016: 4 · 2015: 3 · 2014: 3 · 2013: 6 · 2012: 4
FWCI
2.40
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Gerontology (publishedVersion)
  • PubMed (publishedVersion)
  • Radboud Repository (Radboud University) (submittedVersion)
Funders
  • Radboud Universiteit
  • Alzheimer Nederland
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
  • Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Cancer-related cognitive impairment studies
Keywords
mild cognitive impairment, group therapy, acceptance, helplessness, illness cognitions, memory impairment, psychosocial consequences, cognitive rehabilitation, cognitive behavioral therapy, psychoeducation, significant others, well-being, depression, sex differences
MeSH terms
Activities of Daily Living, Aged, Female, Humans, Male, Memory Disorders, Psychotherapy, Group, Surveys and Questionnaires, Social Adjustment, Waiting Lists, Geriatric Assessment, Cognitive Behavioral Therapy, Mental Competency, Treatment Outcome, Outcome Assessment, Health Care, Cognitive Dysfunction

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