A cognitive behavioural group therapy for patients diagnosed with mild cognitive impairment and their significant others: Feasibility and preliminary results

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Publication year
2008Author(s)
Number of pages
10 p.
Source
Clinical Rehabilitation, 22, 8, (2008), pp. 731-740ISSN
Publication type
Article / Letter to editor

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Organization
Geriatrics
Medical Psychology
SW OZ DCC NRP
Journal title
Clinical Rehabilitation
Volume
vol. 22
Issue
iss. 8
Languages used
English (eng)
Page start
p. 731
Page end
p. 740
Subject
DCN 1: Perception and Action; DCN 2: Functional Neurogenomics; DI-BCB_DCC_Theme 3: Plasticity and Memory; EBP 1: Determinants of Health and Disease; EBP 2: Effective Hospital Care; IGMD 5: Health aging / healthy living; NCEBP 11: Alzheimer Centre; NCEBP 14: Cardiovascular diseases; NCEBP 4: Quality of hospital and integrated care; NCEBP 8: Psychological determinants of chronic illness; Neuropsychology and rehabilitation psychology; UMCN 3.2: Cognitive neurosciences; Neuro- en revalidatiepsychologieAbstract
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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- Academic publications [227613]
- Electronic publications [107286]
- Faculty of Medical Sciences [86193]
- Faculty of Social Sciences [28417]
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