A cognitive behavioural group therapy for patients diagnosed with mild cognitive impairment and their significant others: feasibility and preliminary results
Abstract
Objective: To evaluate the feasibility and present preliminary results of a cognitive behavioural group therapy for patients with mild cognitive impairment and their significant others. Design: One group pretest—posttest design. Subjects: Twenty-two patients with mild cognitive impairment and their significant others, running in four group programmes. Intervention: The main goal of the cognitive behavioural group therapy was to strengthen adaptive behaviour in 10 weekly 2-hour sessions. Main measures: Distress and mood: The RAND-36, Geriatric Depression Scale — short form; Acceptance and helplessness: Subscales Acceptance and Helplessness from the Illness Cognition Questionnaire; Marital satisfaction: Maudsley Marital Questionnaire; Alertness to memory failure and behaviour changes: Informant Questionnaire on Cognitive Decline in the Elderly and the Revised Memory and Behaviour Problems Checklist Burden. The burden of caregiving reported by the significant others: Sense of competence Questionnaire and Behaviour Problems Checklist Burden, Hindrance subscale. Results: No changes were found on distress and mood measures in both patients and their significant others. Patients showed a significant increased level of acceptance (P<0.05) and a trend for an increased marital satisfaction (P<0.1). The significant others reported an increased awareness of memory and behavioural problems (P<0.05). Attendance was high, indicating a high motivation for this intervention. Conclusion: Preliminary results show evidence for positive changes after a cognitive behavioural group therapy for patients with mild cognitive impairment and their significant others. In addition, the developed programme is applicable and feasible. The programme's effectiveness should be studied further, with an estimated sample size of 70 couples in a controlled study design.
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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 [64]
Three research groups have chosen a cognitive behavioral therapy (CBT)-based approach and investigated the therapeutic effects in follow-up assessments ranging from immediate post-intervention up to 12 months follow-up.
“Three research groups have chosen a cognitive behavioral therapy (CBT)-based approach and investigated the therapeutic effects in follow-up assessments, ranging from immediate post-intervention up to 12 months follow-up [36, 37, 39, 62–64].”
From Psychotherapeutic interventions in individuals at risk for Alzheimer’s dementia: a systematic review (2022) · cites this paper as [64]
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 [64]
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Self-citationChoice of Psychotherapy Approach
Marouf, F. (2020) · Psychotherapy in Later Life · doi:10.1017/9781108693905.005
- Authors
- Joosten-Weyn Banningh, L. W., Kessels, R. P., Olde Rikkert, M. G., Geleijns-Lanting, C. E., & Kraaimaat, F. W.
- Affiliations
- Department of Medical Psychology, Radboud University Nijmegen Medical Centre, Department of Geriatrics, Alzheimer Centre Nijmegen, Radboud University Nijmegen Medical Centre,
- Radboud University Nijmegen (NL)
- Department of Geriatrics, Alzheimer Centre Nijmegen, Radboud University Nijmegen Medical Centre
- Rijnstate Hospital (NL)
- Radboud University Medical Center (NL)
- ORCID
- Kessels, Roy PC
- Venue
- Clinical Rehabilitation
- Publisher
- SAGE Publications
- Published
- 2008-08
- Volume
- 22
- Issue
- 8
- Pages
- 731-740
- ISSN
- 0269-2155 (ISSN-L)
- 1477-0873
- OpenAlex
- W2105431400
- Cited by
- 53
- References
- 34
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 5 · 2023: 2 · 2022: 2 · 2021: 2 · 2020: 5 · 2019: 3 · 2018: 3 · 2017: 1 · 2015: 4 · 2014: 4 · 2013: 2 · 2012: 7
- FWCI
- 2.57
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Rehabilitation (publishedVersion)
- PubMed (publishedVersion)
- Radboud Repository (Radboud University) (submittedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Health Professions › Pharmacy › Nursing care and research
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Cancer-related cognitive impairment studies
- Keywords
- mild cognitive impairment, group cognitive behavioral therapy, significant others, caregivers, couples, marital satisfaction, caregiver burden, feasibility
- MeSH terms
- Adaptation, Psychological, Aged, Aged, 80 and over, Cognition Disorders, Feasibility Studies, Female, Humans, Male, Middle Aged, Brief Psychiatric Rating Scale, Psychotherapy, Group, Cognitive Behavioral Therapy, Caregivers, Self Efficacy
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