Efficacy of cognitive stimulation therapy for older adults with vascular dementia
Open accessAbstract
BACKGROUND: Cognitive stimulation therapy (CST) is an evidence-based psychosocial intervention for people with mild-to-moderate dementia due to various etiological factors. OBJECTIVE: The aim of the present study was to assess the efficacy of the CST program, Italian adaptation -CST-IT-, in individuals who have vascular dementia (VaD). METHODS: Older adults with mild-to-moderate VaD (N = 35) were assigned to one of two programs: one group (N = 21) attended the 14 sessions of the CST-IT program, while the other, active control group (N = 14) took part in alternative activities. The following domains were examined: cognitive functioning, quality of life, mood, behavior, functional activities of daily living. RESULTS: Compared with the active controls, the CST-IT group showed a greater improvement in general cognitive functioning after the intervention (i.e. score increase on the Mini-Mental State Examination and decrease on the Alzheimer's Disease Assessment Scale - Cognitive subscale). A trend towards improvement was also identified in short-term/working memory - the backward digit span task- and perceived quality of life (Quality of Life - Alzheimer's Disease scale). No significant differences emerged between the two groups for the other domains considered. CONCLUSION: The present results support the efficacy of CST in people with vascular dementia.
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Cognitive Stimulation Therapy is currently considered the evidence-based non-pharmacological treatment of choice for the cognitive symptoms of mild-to-moderate dementia of any etiology, including vascular dementia.
“CST is currently considered the evidence-based NPT of choice for the cognitive symptoms of mild-to-moderate dementia of any etiology, including vascular one (80–83).”
From The Multidisciplinary Approach to Alzheimer’s Disease and Dementia. A Narrative Review of Non-Pharmacological Treatment (2018) · cites this paper as [83]
Cognitive Stimulation Therapy is at present the only non-pharmacological treatment for which international randomized controlled trials consistently demonstrated significant improvements to cognition and quality of life using the same culturally adapted CST program.
“Moreover, CST is at present, the only one for which international RCTs consistently demonstrated significant improvements to cognition and QoL, using the same CST program which has been culturally adapted using standardized guidelines.”
From The Multidisciplinary Approach to Alzheimer’s Disease and Dementia. A Narrative Review of Non-Pharmacological Treatment (2018) · cites this paper as [83]
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- Authors
- Piras, F., Carbone, E., Faggian, S., Salvalaio, E., Gardini, S., & Borella, E.
- Affiliations
- Fondazione Santa Lucia (IT)
- University of Padua (IT)
- Centro Servizi Anni Sereni Scorzè, Italy
- University of Parma (IT)
- Venue
- Dementia & Neuropsychologia
- Publisher
- FapUNIFESP (SciELO)
- Published
- 2017-12
- Volume
- 11
- Issue
- 4
- Pages
- 434-441
- ISSN
- 1980-5764 (ISSN-L)
- PMC
- PMC5770003
- OpenAlex
- W2782788273
- Cited by
- 54
- References
- 45
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 7 · 2023: 10 · 2022: 12 · 2021: 6 · 2020: 6 · 2019: 3 · 2018: 2
- FWCI
- 2.47
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by
- Locations
- Dementia & Neuropsychologia (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (publishedVersion, other-oa)
- Americanae (AECID Library) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Redalyc (Universidad Autónoma del Estado de México) (submittedVersion)
- Padua Research Archive (University of Padova) (submittedVersion, cc-by)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Life Sciences › Neuroscience › Neurology › Neurological Disease Mechanisms and Treatments
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Cognitive Functions and Memory
- Keywords
- cognitive stimulation therapy, vascular dementia, older adults, psychosocial interventions, cognitive function, quality of life, mood, behavior, activities of daily living, working memory, Italian adaptation
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
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