Department of Nursing Home Medicine, EMGO+, VU University Medical Center, Van der Boechorststraat 7, 1081 BT Amsterdam, The Netherlands.
Expert Rev Neurother. 2011 Dec;11(12):1769-81; quiz 1782. doi: 10.1586/ern.11.167.
Memory problems are generally quite prominent in dementia and they have a significant impact on everyday functioning. Medication developed for Alzheimer's disease, for example, acetylcholinesterase inhibitors, can slow down the increase of cognitive impairment for a while. In addition to pharmacotherapy, psychosocial treatment methods are also used, some of which have a positive effect on cognition, for example, cognitive rehabilitation, cognitive stimulation therapy and movement therapy. However, more research is needed. This article first describes the consequences of memory problems on the everyday life of people with dementia and summarizes research findings on how people with dementia experience and cope with their illness. We then discuss the most frequently applied psychosocial treatments for cognitive problems in dementia.
记忆问题在痴呆症中通常非常突出,并且对日常功能有重大影响。例如,为治疗阿尔茨海默病而开发的药物,乙酰胆碱酯酶抑制剂,可以暂时减缓认知障碍的加重。除了药物治疗外,还使用心理社会治疗方法,其中一些对认知有积极影响,例如认知康复、认知刺激疗法和运动疗法。但是,还需要更多的研究。本文首先描述了记忆问题对痴呆症患者日常生活的影响,并总结了关于痴呆症患者如何体验和应对疾病的研究结果。然后,我们讨论了痴呆症认知问题最常应用的心理社会治疗方法。