Relationship between Cognitive Performance and Depressive Symptoms in Chinese Older Adults: The China Health and Retirement Longitudinal Study (CHARLS)

Journal of Affective Disorders, Год журнала: 2020, Номер 281, С. 454 - 458

Опубликована: Дек. 21, 2020

Язык: Английский

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Comparative efficacy of interventions for reducing symptoms of depression in people with dementia: systematic review and network meta-analysis

BMJ, Год журнала: 2021, Номер unknown, С. n532 - n532

Опубликована: Март 24, 2021

Abstract Objective To describe the comparative efficacy of drug and non-drug interventions for reducing symptoms depression in people with dementia who experience as a neuropsychiatric symptom or have diagnosis major depressive disorder. Design Systematic review meta-analysis. Data sources Medline, Embase, Cochrane Library, CINAHL, PsycINFO, grey literature between inception 15 October 2020. Eligibility criteria study selection Randomised trials comparing usual care any other intervention targeting dementia. Main outcome measures Pairs reviewers screened studies, abstracted aggregate level data, appraised risk bias tool, which facilitated derivation standardised mean differences back transformed (on Cornell scale dementia) from bayesian random effects network meta-analyses pairwise meta-analyses. Results Of 22 138 citations screened, 256 studies (28 483 were included. Missing data posed greatest to findings. In meta-analysis including without disorder experiencing (213 studies; 25 177 dementia; variance 0.23), seven associated greater reduction compared care: cognitive stimulation (mean difference −2.93, 95% credible interval −4.35 −1.52), combined cholinesterase inhibitor (−11.39, −18.38 −3.93), massage touch therapy (−9.03, −12.28 −5.88), multidisciplinary (−1.98, −3.80 −0.16), occupational (−2.59, −4.70 −0.40), exercise social interaction (−12.37, −19.01 −5.36), reminiscence (−2.30, −3.68 −0.93). Except therapy, inhibitor, interaction, more efficacious than some interventions, no statistically significant was found Clinical methodological heterogeneity precluded specifically (22 1829 patients). Conclusions this systematic review, be registration PROSPERO CRD42017050130.

Язык: Английский

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Reminiscence therapy for older adults with Alzheimer's disease: A literature review

International Journal of Mental Health Nursing, Год журнала: 2020, Номер 29(3), С. 364 - 371

Опубликована: Янв. 26, 2020

Abstract The literature on the use of reminiscence therapy is vast in patients with dementia, but there minimal evidence older adults Alzheimer's disease. current review seeks to develop a unifying way administer that will be effective for used PRISMA guidelines search and data extraction. Results showed effectiveness disease, area cognition, depression, activities daily living, quality life. Additionally, effective, it must conducted regularly small group an average 45 min 8‐ 12‐week duration. Patients mild‐to‐moderate disease are most likely benefit photographs, videos, music associated their past experiences. This highlights innovative ways render individuals including technology‐aided applications.

Язык: Английский

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Depression in Alzheimer's Disease: A Delphi Consensus on Etiology, Risk Factors, and Clinical Management

Frontiers in Psychiatry, Год журнала: 2021, Номер 12

Опубликована: Фев. 26, 2021

Background: Alzheimer's disease (AD) and other forms of dementia are among the most common causes disability in elderly. Dementia is often accompanied by depression, but specific diagnostic criteria treatment approaches still lacking. This study aimed to gather expert opinions on depressed patient management reduce heterogeneity everyday practice. Methods: Prospective, multicenter, 2-round Modified Delphi survey with 53 questions regarding risk factors (11), signs symptoms (7), diagnosis (8), (27) depression dementia, a particular focus AD. The questionnaire was completed panel 37 physicians neurodegenerative diseases (19 neurologists, 17 psychiatrists, 1 geriatrician). Results: Consensus achieved 40 (75.5%) items: agreement 33 (62.3%) disagreement 7 (13.2%) them. Among relevant findings, elderly considered an early sign (prodromal) and/or factor, so routine cognitive check-ups patients should be adopted, aided clinical scales information from relatives. Careful interpretation neuropsychological assessment must carried out as it can undermine outcomes. As agreed, AD characterized somatic differentiated apathy presence sadness, depressive thoughts early-morning awakening. In later-phases, would include sleep-wake cycle reversal, aggressive behavior, agitation. Regardless stage accelerate its course, whereas antidepressants have opposite effect. Those that improve function dual or multimodal mode action were preferred: Duloxetine, venlafaxine/desvenlafaxine, vortioxetine, tianeptine, mirtazapine. Although may less effective than cognitively healthy patients, neither dosage nor duration differ. Anti-dementia cholinesterase inhibitors synergistic effect antidepressants. Exercise psychological interventions not applied alone before any pharmacological treatment, yet they do play part improving demented patients. Conclusions: sheds light several unresolved challenges Further studies recommendations for this comorbid population needed.

Язык: Английский

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Effects of reminiscence therapy in people with dementia: A systematic review and meta‐analysis

Journal of Psychiatric and Mental Health Nursing, Год журнала: 2022, Номер 29(6), С. 883 - 903

Опубликована: Март 29, 2022

WHAT IS KNOWN ABOUT ON THE SUBJECT?: Alternative option was developed to improve care due the increasing costs of cost and number people diagnosed with dementia. Reminiscence therapy is a commonly implemented alternative used in long-term facilities. designed for cognitive decline that also known as life review. THIS PAPER ADDS TO EXISTING KNOWLEDGE?: therapy, psychosocial interventions dementia care, can be assist recollect prior events, activities, experiences order their cognitive, mood, overall well-being. increased function quality reduced depressive neuropsychiatric symptoms among may considered useful non-pharmacological intervention living nursing homes or other The development global standard protocol application reminiscence necessary future randomized controlled trials (RCTs). ABSTRACT: Introduction an pharmaceutical provided during especially individuals However, effects remain inconclusive. Aim goal this study examine implementation Design Systematic literature review meta-analysis were conducted accordance PRISMA guidelines. Methods This searched systematically using 6 databases. eligibility criteria included patients dementia, applied quasi-experimental studies, published English language. PEDro scale assess methodological studies. performed random-effects model calculate pooled therapy. Stata 16.0 statistical analysis. Result A total 29 studies met criteria, including 3102 participants. Overall, functions decreased depression symptoms. Implication Practice

Язык: Английский

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Person-Centered Care in Persons Living With Dementia: A Systematic Review and Meta-analysis

The Gerontologist, Год журнала: 2020, Номер 62(4), С. e253 - e264

Опубликована: Дек. 14, 2020

Abstract Background and Objectives The concept of person-centered care has been utilized/adapted to various interventions enhance health-related outcomes ensure the quality delivered persons living with dementia. A few systematic reviews have conducted on use in context dementia care, but date, none analyzed intervention effect by type target outcome. This study aimed review used examine their effectiveness. Research Design Methods meta-analysis were conducted. We searched through 5 databases for randomized controlled trials that utilized from 1998 2019. Study was assessed using National Institute Health Clinical Excellence checklist. interest behavioral psychological symptoms (BPSD) cognitive function immediately after baseline measurement. Results In total, 36 studies systematically reviewed. Intervention types reminiscence, music, therapies, multisensory stimulation. Thirty included meta-analysis. showed a moderate size overall intervention, small one music therapy, reminiscence therapy BPSD function. Discussion Implications Generally speaking, immediate effects reducing improving function, although significance each outcome differed type. Thus, health providers should consider as vital element care.

Язык: Английский

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Immersive Virtual Reality Reminiscence Reduces Anxiety in the Oldest-Old Without Causing Serious Side Effects: A Single-Center, Pilot, and Randomized Crossover Study

Frontiers in Human Neuroscience, Год журнала: 2021, Номер 14

Опубликована: Янв. 18, 2021

Background: Dementia is one the major problems of aging societies, and, novel and effective non-drug therapies are required as interventions in oldest-old to prevent cognitive decline. Objective: This study aims examine efficacy safety reminiscence using immersive virtual reality (iVR reminiscence) focusing on anxiety that often appears with The secondary objective reveal preference for VR image types reminiscence: live-action (LA) or computer graphics (CG). Methods: was a pilot, open-label, randomized crossover which conducted January 2020 at single nursing home. subjects were randomly divided into two groups (A B) equal numbers, they alternately viewed images (LA CG) themed mid- late Showa era (A.D. 1955–1980) Japan. In group A, CG first, then LA (CG→ LA). B, opposite order (LA→ CG). Before viewing, responded Mini-Mental State Examination (MMSE) Japanese version State-Trait Anxiety Inventory (STAI) version. After viewing first second VR, STAI numerical rating scale (NRS) satisfaction side effects (nausea, dizziness, headache, tiredness). Results: Ten participated this study. values analyses presented mean (SD). age 87.1 years (4.2), MMSE 28.5 (1.8). total score before 36.1 (7.2), but it significantly decreased 26.8 (4.9) after ( P = 0.0010), further 23.4 (2.8) < 0.001). NRS tended be higher A LA) (CG vs. LA; 7.0 (2.3) 8.6 (1.5), 0.0993), while B CG), slightly lower than LA. There no serious effects. Conclusions: suggests iVR can reduce without causing Furthermore, impacts might better images.

Язык: Английский

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Effectiveness of reminiscence therapy in reducing agitation and depression and improving quality of life and cognition in long-term care residents with dementia: A systematic review and meta-analysis

Geriatric Nursing, Год журнала: 2021, Номер 42(6), С. 1497 - 1506

Опубликована: Окт. 29, 2021

Язык: Английский

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Effects of Reminiscence Therapy on Cognition, Depression and Quality of Life in Elderly People with Alzheimer’s Disease: A Systematic Review of Randomized Controlled Trials

Journal of Clinical Medicine, Год журнала: 2022, Номер 11(19), С. 5752 - 5752

Опубликована: Сен. 28, 2022

Patients with Alzheimer's disease (AD) present cognitive function deterioration, neuropsychiatric symptoms (NPS)-especially depression-and low quality of life (QoL). Management AD remains difficult, especially in the elderly. Reminiscence therapy (RT) is a well-known rehabilitation intervention that can be adopted nursing and residential care homes to restore autobiographical memory, ameliorate NPS, improve QoL people dementia. However, evidence-based efficacy RT for elderly patients determined.Here, we synthesized findings randomized controlled trials (RCTs) exploring effects on cognition, depression, AD, according most recent PRISMA statement. We searched RCTs PubMed, Web Science, Cochrane Central Register Controlled Trials, trial registries (i.e., clinicaltrials.gov International Clinical Trials Registry Platform World Health Organization). Two review authors extracted data interest, measures as outcomes.A total five articles were included final analysis. Findings globally showed RT, both administered individual or group sessions at least once week 30-35 min over period 12 weeks, effective supporting global ameliorating improving specific aspects AD.RT has potential routine non-pharmacological thanks its wider terms vitality emotional status promotion, positive implications patient's daily life. Despite such evidences, caution should used findings' generalizability relation paucity existing long-term follow-up.

Язык: Английский

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Effects of exergaming in older individuals with mild cognitive impairment and dementia: A systematic review and meta-analysis

Geriatric Nursing, Год журнала: 2023, Номер 51, С. 351 - 359

Опубликована: Апрель 24, 2023

Язык: Английский

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