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Vol. 34, No. 3-4, 2012
Issue release date: December 2012
Free Access
Dement Geriatr Cogn Disord 2012;34:244–255
(DOI:10.1159/000343931)

Systematic Review of Neuropsychological Outcomes in Dementia from Cognition-Based Psychological Interventions

Spector A. · Orrell M. · Hall L.
Research Department of Clinical Educational and Health Psychology, University College London, London, UK
email Corresponding Author

Abstract

Background/Aims: Although there is increasing evidence for the effectiveness of cognition-based psychological interventions in dementia, little is known about which neuropsychological domains are more amenable to change. Method: A systematic search identified randomised controlled trials grouped according to intervention type (cognitive training/cognitive stimulation). Methodological quality was evaluated. Results: Of the 129 studies identified, 18 met the inclusion criteria; 11 were ‘Cognitive Training’ and 7 ‘Cognitive Stimulation’. For Cognitive Training, it was not possible to conclude which (if any) domains are most amenable to change. For Cognitive Stimulation, there was good evidence for general cognitive enhancement, more specifically in language and memory. Conclusions: Further in-depth trials are needed to determine neuropsychological processes more clearly.


 Outline


 goto top of outline Key Words

  • Cognition
  • Dementia
  • Neuropsychology
  • Cognitive training
  • Cognitive stimulation

 goto top of outline Abstract

Background/Aims: Although there is increasing evidence for the effectiveness of cognition-based psychological interventions in dementia, little is known about which neuropsychological domains are more amenable to change. Method: A systematic search identified randomised controlled trials grouped according to intervention type (cognitive training/cognitive stimulation). Methodological quality was evaluated. Results: Of the 129 studies identified, 18 met the inclusion criteria; 11 were ‘Cognitive Training’ and 7 ‘Cognitive Stimulation’. For Cognitive Training, it was not possible to conclude which (if any) domains are most amenable to change. For Cognitive Stimulation, there was good evidence for general cognitive enhancement, more specifically in language and memory. Conclusions: Further in-depth trials are needed to determine neuropsychological processes more clearly.

Copyright © 2012 S. Karger AG, Basel


 goto top of outline Author Contacts

Dr. Aimee Spector
Research Department of Clinical
Educational & Health Psychology, University College London
1–19 Torrington Place, London WC1E 7HB (UK)
E-Mail a.spector@ucl.ac.uk


 goto top of outline Article Information

Accepted: October 2, 2012
Published online: November 23, 2012
Number of Print Pages : 12


 goto top of outline Publication Details

Dementia and Geriatric Cognitive Disorders

Vol. 34, No. 3-4, Year 2012 (Cover Date: December 2012)

Journal Editor: Chan-Palay V. (Boston, Mass.)
ISSN: 1420-8008 (Print), eISSN: 1421-9824 (Online)

For additional information: http://www.karger.com/DEM


Copyright / Drug Dosage / Disclaimer

Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher or, in the case of photocopying, direct payment of a specified fee to the Copyright Clearance Center.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in goverment regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.

Abstract

Background/Aims: Although there is increasing evidence for the effectiveness of cognition-based psychological interventions in dementia, little is known about which neuropsychological domains are more amenable to change. Method: A systematic search identified randomised controlled trials grouped according to intervention type (cognitive training/cognitive stimulation). Methodological quality was evaluated. Results: Of the 129 studies identified, 18 met the inclusion criteria; 11 were ‘Cognitive Training’ and 7 ‘Cognitive Stimulation’. For Cognitive Training, it was not possible to conclude which (if any) domains are most amenable to change. For Cognitive Stimulation, there was good evidence for general cognitive enhancement, more specifically in language and memory. Conclusions: Further in-depth trials are needed to determine neuropsychological processes more clearly.



 goto top of outline Author Contacts

Dr. Aimee Spector
Research Department of Clinical
Educational & Health Psychology, University College London
1–19 Torrington Place, London WC1E 7HB (UK)
E-Mail a.spector@ucl.ac.uk


 goto top of outline Article Information

Accepted: October 2, 2012
Published online: November 23, 2012
Number of Print Pages : 12


 goto top of outline Publication Details

Dementia and Geriatric Cognitive Disorders

Vol. 34, No. 3-4, Year 2012 (Cover Date: December 2012)

Journal Editor: Chan-Palay V. (Boston, Mass.)
ISSN: 1420-8008 (Print), eISSN: 1421-9824 (Online)

For additional information: http://www.karger.com/DEM


Copyright / Drug Dosage

Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher or, in the case of photocopying, direct payment of a specified fee to the Copyright Clearance Center.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in goverment regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.