Reabilitação Neuropsicológica Grupal de idosos institucionalizados com Défice Cognitivo sem Demência

Giseli Fabiana Silva; Helena Maria Espírito Santo; Marina Fernandes Costa; Diana Catarina Marques Cardoso; Filomena Vicente; Sónia do Carmo Martins; Laura Lemos

doi:10.7342/ismt.rpics.2015.1.2.21

Authors

Giseli Fabiana Silva Miguel Torga Higher Education Institute https://orcid.org/0000-0003-3606-4607
Helena Maria Espírito Santo Miguel Torga Higher Education Institute https://orcid.org/0000-0003-2625-3754
Marina Fernandes Costa Instituto Superior Miguel Torga, Coimbra, Portugal https://orcid.org/0000-0001-9791-720X
Diana Catarina Marques Cardoso Instituto Superior Miguel Torga, Coimbra, Portugal
Filomena Vicente Instituto Superior Miguel Torga, Coimbra, Portugal
Sónia do Carmo Martins Instituto Superior Miguel Torga, Coimbra, Portugal
Laura Lemos Instituto Superior Miguel Torga, Coimbra, Portugal https://orcid.org/0000-0002-9624-8312

DOI:

https://doi.org/10.7342/ismt.rpics.2015.1.2.21

Keywords:

Cognitive impairment no dementia, Neuropsychological group rehabilitation, Depression, Loneliness

Abstract

Background: Aging is often characterized by cognitive impairment that sometimes exceeds the expected for normal aging. These changes that do not meet the criteria for dementia establish the cognitive impairment no dementia (CIND) that, regardless of etiology, has a high conversion rate to dementia. Aims: To investigate the effect of a Group Neuropsychological Rehabilitation Program (GNRP) in the cognitive, executive, and emotional functioning of institutionalized elderly with CIND. Methods: The sample included 24 elderly individuals, aged between 67 and 92 years. Twelve elderly underwent the GNRP and twelve elderly stayed on a waiting list. The study had a quasi-experimental design and was blind in the re-assessment. The ten interventions took 90 minutes per session, once a week. The pre and post-intervention assessment included the Montreal Cognitive Assessment, the Mini-Mental State Examination, the Frontal Assessment Battery, the Geriatric Anxiety Inventory, and the Loneliness Scale. Results: The ANCOVAs showed a significant effect of the GNRP on the improvement of executive functioning (ɳ² = 0.26) and feelings of loneliness (ɳ² = 0.77), both with statistically significant differences (p < 0.05) between the baseline and the post-intervention. The comparison deteriorated in the cognitive functioning and depressive symptoms (p < 0.05), suggesting that the GNRP prevents that deterioration, but ANCOVA was significant only for cognitive functioning (ɳ² = 0.26). Conclusion: The GNRP in institutionalized elderly with CIND offers promising results and shows efficacy in improving executive functioning and feelings of loneliness. Larger and more diverse samples and the study of the generalization and maintenance of long-term results are now needed.

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