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Efficacy of Short-Term Inpatient Rehabilitation for Dementia Patients and Caregivers: Prospective Cohort Study

Schiffczyk C.a · Romero B.b, c · Jonas C.a · Lahmeyer C.a · Müller F.b · Riepe M.W.a
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 Dement Geriatr Cogn Disord 2013;35:300-312 (DOI:10.1159/000348357)

Abstract

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.

 

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