Kurz Alexander, Pohl Corina, Ramsenthaler Michaela, Sorg Christian
Department of Psychiatry and Psychotherapy, Klinikum rechts der Isar, Technische Universitaet Muenchen, Munich, Germany.
Int J Geriatr Psychiatry. 2009 Feb;24(2):163-8. doi: 10.1002/gps.2086.
To explore the benefits of a multi-component cognitive rehabilitation programme in patients with mild cognitive impairment (MCI).
Patients with MCI (n = 18) and patients with mild dementia in Alzheimer's disease (n = 10) participated in a 4-week cognitive rehabilitation programme in a day clinic setting. The intervention was provided in group format and included activity planning, self-assertiveness training, relaxation techniques, stress management, use of external memory aids, memory training, and motor exercise.
After 4 weeks, MCI patients showed significant improvements on activities of daily living, mood, verbal and nonverbal episodic memory. In contrast, patients with mild dementia exhibited a non-significant increase in verbal memory but no other changes. MCI subjects allocated to the waiting list control condition (n = 12) showed a significant re-test effect on verbal episodic memory, but no improvement of everyday activities or mood.
The study demonstrates that patients with MCI benefit from a multi-component cognitive rehabilitation programme with regard to activities of daily living, mood, and memory performance.
探讨多成分认知康复计划对轻度认知障碍（MCI）患者的益处。
18例MCI患者和10例轻度阿尔茨海默病痴呆患者在日间诊所环境中参加了为期4周的认知康复计划。干预以小组形式进行，包括活动规划、自信训练、放松技巧、压力管理、使用外部记忆辅助工具、记忆训练和体育锻炼。
4周后，MCI患者在日常生活活动、情绪、言语和非言语情景记忆方面有显著改善。相比之下，轻度痴呆患者言语记忆有不显著增加，但无其他变化。分配到等待名单对照组的MCI受试者（n = 12）在言语情景记忆方面有显著的重测效应，但日常生活活动或情绪无改善。
该研究表明，MCI患者在日常生活活动、情绪和记忆表现方面受益于多成分认知康复计划。
