a School of Aging Studies , University of South Florida , Tampa , FL , USA.
b Department of Psychological Science , University of North Carolina at Charlotte , Charlotte , NC , USA.
Clin Gerontol. 2019 Jul-Sep;42(4):421-434. doi: 10.1080/07317115.2019.1590489. Epub 2019 Mar 21.
: To evaluate the cognitive, neuropsychiatric, and quality of life outcomes of computer-based cognitive training and social interaction on people with mild to moderate dementia. : Ten individuals with dementia were recruited to complete a cognitive training regimen. They were randomly assigned to a high social interaction (HSI) group (n = 5) and low social interaction (LSI) group (n = 5). Eight of the original 10 participants completed the cognitive training and were evaluated on cognitive abilities, neuropsychiatric symptoms (NPS), and quality of life (QoL). : Mean scores for the HSI group increased on cognitive assessments, where mean scores for the LSI group saw decline, or stability. There was an overall reduction in the frequency and severity of NPS presentation in both the HSI and LSI group. Mixed results were found for mean changes in QoL. : These results support the idea of social interaction influencing cognitive outcomes, cognitive training influencing NPS, and both social interaction and cognitive training influencing QoL. The findings illustrate the feasibility and importance of incorporating social activity to computerized cognitive training for people with dementia. : Cognitive training that incorporates social interaction may be a promising intervention for individuals with dementia experiencing NPS.
: 评估基于计算机的认知训练和社交互动对轻度至中度痴呆患者的认知、神经精神和生活质量结果。 : 招募了 10 名痴呆症患者完成认知训练方案。他们被随机分配到高社交互动(HSI)组(n=5)和低社交互动(LSI)组(n=5)。最初的 10 名参与者中有 8 名完成了认知训练,并在认知能力、神经精神症状(NPS)和生活质量(QoL)方面进行了评估。 : HSI 组的认知评估平均得分增加,LSI 组的平均得分则下降或保持稳定。HSI 和 LSI 组的 NPS 发作频率和严重程度均总体降低。QoL 的平均变化结果喜忧参半。 : 这些结果支持社交互动影响认知结果、认知训练影响 NPS 以及社交互动和认知训练都影响 QoL 的观点。这些发现说明了将社交活动纳入计算机认知训练对痴呆症患者的可行性和重要性。 : 结合社交互动的认知训练可能是治疗有 NPS 症状的痴呆症患者的一种有前途的干预措施。