Fonseca Luciana Mascarenhas, Navatta Anna Carolina Rufino, Bottino Cássio M C, Miotto Eliane Correa
Old Age Research Group, Department of Psychiatry, Brazil.
Department of Paediatrics, Federal University of São Paulo, São Paulo, Brazil.
Dement Geriatr Cogn Dis Extra. 2015 Sep 18;5(3):330-40. doi: 10.1159/000438858. eCollection 2015 Sep-Dec.
There is a close genetic relationship between Alzheimer's disease (AD) and Down syndrome (DS), AD being the most severe mental disorder affecting ageing individuals with DS. The objective of the present study was to evaluate the efficacy of cognitive rehabilitation interventions in DS patients with AD by means of a critical literature review.
Because AD is progressive and irreversible, treatment is aimed at delaying and reducing the cognitive and functional decline in order to preserve or improve quality of life. The effects that pharmacological treatments and cognitive interventions have on elderly individuals with AD are well documented. Recent clinical trials have investigated the use of pharmacological treatment in DS patients with AD, generating preliminary results that have been unfavourable.
There is a clear lack of studies addressing the efficacy of cognitive rehabilitation interventions in DS patients with AD, and there is an urgent need for studies providing evidence to inform decisions regarding the appropriate choice of treatment strategies.
阿尔茨海默病(AD)与唐氏综合征(DS)之间存在密切的遗传关系,AD是影响老年DS患者的最严重精神障碍。本研究的目的是通过严格的文献综述评估认知康复干预对患有AD的DS患者的疗效。
由于AD是进行性且不可逆的,治疗旨在延缓和减少认知及功能衰退,以维持或改善生活质量。药物治疗和认知干预对老年AD患者的影响已有充分记录。最近的临床试验研究了药物治疗在患有AD的DS患者中的应用,产生的初步结果并不理想。
明显缺乏关于认知康复干预对患有AD的DS患者疗效的研究,迫切需要开展研究以提供证据,为治疗策略的恰当选择提供决策依据。