Efficacy of Short-Term Inpatient Rehabilitation for Dementia Patients and Caregivers: Prospective Cohort StudySchiffczyk C. · Romero B. · Jonas C. · Lahmeyer C. · Müller F. · Riepe M.W.
aDivision of Mental Health and Old Age Psychiatry, Department of Psychiatry and Psychotherapy II, Ulm University, Ulm, bAlzheimer Therapiezentrum Bad Aibling, Bad Aibling, and cPrivate Practice, Berlin, Germany
Background/Aims: The efficacy of nonpharmacological and multicomponent treatments in patients with dementia is under discussion, as is the ongoing debate which endpoints best measure efficacy. Methods: 194 dyads of dementia patients and their proxies interested in a combined short-term inpatient rehabilitative treatment were assessed in the patients' homes. Results: Analysis showed that cognition in male patients (cognitive part of the Alzheimer's Disease Assessment Scale: p = 0.048) and depressive mood in female patients were improved after treatment at the 3-month follow-up (Geriatric Depression Scale: p = 0.030). Moreover, the burden on male caregivers was reduced (behavioral pathology in Alzheimer's Disease Rating Scale: p = 0.002) at 3 months. Conclusion: Combined short-term rehabilitative treatment of patients and psychosocial intervention for caregivers is modestly effective in patients with dementia and their caregivers, but may be subject to gender-specific effects.
Prof. Matthias W. Riepe, MD
Division of Mental Health and Old Age Psychiatry, Psychiatry II, Ulm University
DE-89312 Günzburg (Germany)
C.S. and B.R. contributed equally to the work.
Accepted: January 19, 2013
Published online: April 5, 2013
Number of Print Pages : 13
Number of Figures : 4, Number of Tables : 3, Number of References : 54
Dementia and Geriatric Cognitive Disorders
Vol. 35, No. 5-6, Year 2013 (Cover Date: May 2013)
Journal Editor: Chan-Palay V. (Boston, Mass.)
ISSN: 1420-8008 (Print), eISSN: 1421-9824 (Online)
For additional information: http://www.karger.com/DEM