Cognitive Therapy for dementia patients: a systematic review
Abstract
BACKGROUND: Cognitive therapy is a well-established intervention for treating elderly suffering from dementia. In particular, reality orientation and skills training seem to be effective interventions for reversing cognitive impairment among elderly, although findings are inconclusive. Therefore, a systematic update of the existing evidence of cognitive therapy for people suffering from dementia is needed. AIM: To review existing scientific evidence regarding the efficacy of cognitive therapies for elderly suffering from dementia. METHODS: Studies were retrieved from several bibliographic databases (January 2009 to December 2017) with prespecified selection criteria, data extraction, and methodological quality assessment. RESULTS: In total, 10 reality orientation, 25 skills training, and 12 mixed trials were identified as meeting the inclusion criteria and were systematically reviewed. Results from reality orientation trials showed minor effects for cognitive assessments, while skills training trials and mixed trials showed contradicting effects on cognition. Effects on other outcomes (e.g., daily functioning, depression, language) were limited or not found. CONCLUSIONS: Skills training trials and mixed trials seem to affect cognitive impairment in a positive way, although the results are inconclusive. Comparison between studies was difficult due to differences in form of intervention. Because findings are inconclusive, more structuralized and comparable randomized controlled trials are needed.
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Preliminary results indicate that cognitive stimulation may improve quality of life and well-being of caregivers of people with AD and dementia.
“However, preliminary results indicate that CS may improve QoL and well-being of caregivers of people with AD and dementia (69, 70, 74).”
From The Multidisciplinary Approach to Alzheimer’s Disease and Dementia. A Narrative Review of Non-Pharmacological Treatment (2018) · cites this paper as [74]
Cognitive stimulation improves general cognitive functioning in patients with mild-to-moderate dementia.
“Several studies reported an improvement of general cognitive functioning in patients with mild-to-moderate dementia after CS sessions of variable length (69–74).”
From The Multidisciplinary Approach to Alzheimer’s Disease and Dementia. A Narrative Review of Non-Pharmacological Treatment (2018) · cites this paper as [74]
The association of cognitive stimulation and cognitive training did not result in better outcomes than single interventions.
“Some studies documented the association of CS and CT did not result in better outcomes than single interventions (73, 74).”
From The Multidisciplinary Approach to Alzheimer’s Disease and Dementia. A Narrative Review of Non-Pharmacological Treatment (2018) · cites this paper as [74]
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- Authors
- Carrion, C., Folkvord, F., Anastasiadou, D., & Aymerich, M.
- Affiliations
- Universitat Oberta de Catalunya (ES)
- Venue
- Dementia and Geriatric Cognitive Disorders
- Publisher
- S. Karger AG
- Published
- 2018
- Volume
- 46
- Issue
- 1-2
- Pages
- 1-26
- ISSN
- 1420-8008 (ISSN-L)
- 1421-9824
- OpenAlex
- W2886726056
- Cited by
- 91
- References
- 60
- Citations by year
- 2026: 6 · 2025: 12 · 2024: 8 · 2023: 12 · 2022: 20 · 2021: 13 · 2020: 12 · 2019: 7 · 2018: 1
- FWCI
- 1.27
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Dementia and Geriatric Cognitive Disorders (publishedVersion)
- PubMed (publishedVersion)
- The Oberta in Open Access (Universitat Oberta de Catalunya) (submittedVersion)
- Radboud Repository (Radboud University) (submittedVersion)
- VU Research Portal (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Cognitive Functions and Memory
- Life Sciences › Neuroscience › Cognitive Neuroscience › Hearing Loss and Rehabilitation
- Keywords
- cognitive therapy, dementia, reality orientation, skills training, cognitive impairment, older adults, daily functioning, depression, language
- MeSH terms
- Adaptation, Psychological, Aged, Alzheimer Disease, Cognition, Cognition Disorders, Depressive Disorder, Female, Humans, Language, Male, Reality Testing, Cognitive Behavioral Therapy, Randomized Controlled Trials as Topic, Treatment Outcome
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