Savazzi Federica, Isernia Sara, Farina Elisabetta, Fioravanti Raffaella, D'Amico Alessandra, Saibene Francesca Lea, Rabuffetti Marco, Gilli Gabriella, Alberoni Margherita, Nemni Raffaello, Baglio Francesca
IRCCS Fondazione don Carlo Gnocchi ONLUS, Milan, Italy.
Research Unit on Psychology of the Art, Università Cattolica del Sacro Cuore, Milan, Italy.
Front Psychol. 2020 Jul 16;11:1467. doi: 10.3389/fpsyg.2020.01467. eCollection 2020.
Increasing evidence suggests that non-pharmacological therapies impact on neuropsychiatric symptoms and quality of life in people with Alzheimer's disease. Among these, art-based interventions seem particularly suitable for elders' rehabilitation as they act both on cognitive functions and quality of life. However, their benefits are not yet appropriately explored. The main aim of this quasi-experimental study was to test the feasibility and the likely efficacy of a novel multi-dimensional visual art intervention for people with Alzheimer's disease (PWAD), named Art, Colors, and Emotions treatment (ACE-t). A group of PWAD ( = 10) was recruited from the Memory Clinic of Don Gnocchi Foundation to take part in the ACE-t. A historical control group that followed a usual care program ( = 10) was used for comparison. We considered both feasibility output (adherence and acceptability) and efficacy outcome measures (neuropsychological and neurobehavioral scales). We observed a good adherence to and acceptability of the ACE-t. The following significant intervention-related changes were also observed in ACE-t with respect to usual care: improvement in general cognition, as assessed with the Alzheimer's Disease Assessment Scale-Cognitive, amelioration in language, and in executive functions, and reduction in Neuropsychiatric Inventory Scale score. In conclusion, ACE-t could be considered as a suitable intervention for the rehabilitation of PWAD, with positive effects on the cognitive and the behavioral status. ACE is a promising new art-based intervention that merits further research, including confirmatory trials of our preliminary results.
越来越多的证据表明,非药物疗法会影响阿尔茨海默病患者的神经精神症状和生活质量。其中,基于艺术的干预措施似乎特别适合老年人康复,因为它们对认知功能和生活质量都有作用。然而,其益处尚未得到充分探索。这项准实验研究的主要目的是测试一种名为“艺术、色彩与情感疗法”(ACE-t)的新型多维视觉艺术干预对阿尔茨海默病患者(PWAD)的可行性和可能的疗效。一组PWAD(n = 10)从唐·诺基基金会记忆诊所招募,参与ACE-t治疗。使用一个遵循常规护理方案的历史对照组(n = 10)进行比较。我们考虑了可行性指标(依从性和可接受性)和疗效指标(神经心理学和神经行为量表)。我们观察到对ACE-t有良好的依从性和可接受性。与常规护理相比,ACE-t还出现了以下与干预相关的显著变化:用阿尔茨海默病评估量表-认知部分评估的总体认知功能改善、语言和执行功能改善,以及神经精神症状量表评分降低。总之,ACE-t可被视为PWAD康复的合适干预措施,对认知和行为状态有积极影响。ACE是一种有前景的新型基于艺术的干预措施,值得进一步研究,包括对我们初步结果的验证性试验。