Challenges With Manual-Based Multimodal Psychotherapy for People With Alzheimer’s Disease: A Case Study
Open accessAbstract
Earlier detection of dementia requires increased knowledge of how to help people in the early stages of dementia. However, few studies have focused on how psychotherapy should be adapted to improve the outcome of therapy for people with Alzheimer’s disease. The aims of the present study were to identify and to explore possible obstacles encountered during the use of manual-based psychotherapy for people with early-stage Alzheimer’s disease. The study found that individual adaptations to the treatment manual were necessary, particularly the modification of memory aids in order to adapt them to patients’ functional level and previous experience with modern technology. In addition, caregivers were essential for both treatment and homework completion, while reduced awareness constituted an obstacle for adherence to the manual.
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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 [36]
The Description of the Treatment (p. 3) describes a structured, manual-based psychotherapy intervention, so this paper fits the cited group of manualized interventions. However, the study concerns people with mild Alzheimer’s disease, not mild cognitive impairment (Introduction, p. 1); it does not support classifying this paper as an MCI study. The 8- and 18-paper counts are the citing authors’ aggregation, not findings attributed to this individual paper. (LLM, conf=0.85)
Experimental — accuracy not yet measuredA 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 [36]
The Introduction (p. 1) discusses psychotherapy and cognitive rehabilitation, and the References (p. 6) include two intervention trials in people with mild cognitive impairment. But this paper studies people diagnosed with Alzheimer’s disease (Participants, p. 2), and it does not establish that five research groups described interventions for mild cognitive impairment. (LLM, conf=0.84)
Experimental — accuracy not yet measuredThree 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 [36]
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Cited by
Sorted by citations
Tonga, J. B., Šaltytė Benth, J., Arnevik, E. A., Werheid, K., Korsnes, M. S., & Ulstein, I. D. (2021) · International Psychogeriatrics · doi:10.1017/s1041610220000216 · Cited by 42 · see citing works
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- Authors
- Tonga, J. B., Karlsoeen, B. B., Arnevik, E. A., Werheid, K., Korsnes, M. S., & Ulstein, I. D.
- Affiliations
- Department of Old Age Psychiatry, Oslo University Hospital, Ullevaal, Norway
- Oslo University Hospital (NO)
- University of Oslo (NO)
- Humboldt-Universität zu Berlin (DE)
- Venue
- American Journal of Alzheimer's Disease & Other Dementias®
- Publisher
- SAGE Publications
- Published
- 2015-09-17
- Volume
- 31
- Issue
- 4
- Pages
- 311-317
- ISSN
- 0888-4897 (ISSN-L)
- 1533-3175
- 1938-2731
- PMC
- PMC10852715
- OpenAlex
- W2279975165
- Cited by
- 11
- References
- 45
- Citations by year
- 2026: 1 · 2024: 1 · 2022: 2 · 2020: 4 · 2017: 3
- FWCI
- 0.81
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- American Journal of Alzheimer s Disease & Other Dementias® (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Nasjonalforeningen for Folkehelsen
- Sykehuset Telemark
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Cognitive Functions and Memory
- Keywords
- Alzheimer's disease, early-stage dementia, multimodal psychotherapy, treatment adaptation, memory aids, caregivers, homework adherence, barriers to treatment
- MeSH terms
- Aged, Agnosia, Alzheimer Disease, Awareness, Female, Humans, Male, Memory, Middle Aged, Psychotherapy, Caregivers
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