Giulietti M V, Spatuzzi R, Fabbietti P, Vespa A
Scientific and Technological Area, Department of Neurology, INRCA-IRCCS National Institute of Health and Science on Aging, 60124 Ancona, Italy.
Department of Mental Health, ASP Basilicata, 85100 Potenza, Italy.
Brain Sci. 2023 Mar 13;13(3):484. doi: 10.3390/brainsci13030484.
Bachground In this study, we hypothesize that mindfulness-based interventions (MBIs) may improve well-being and the related outcomes in Alzheimer's dementia patients (AD-P) at an early stage. MBIs consist of the practice of consciously observing the psychic contents in the present moment (thoughts, sensations, feelings, and other events). This attention allows one to become aware of the psychic contents and integrate them, thus favoring the quality of life and an increase in the mood of practitioners. Methods The randomized controlled study enrolled 22 AD-P at an early stage (age ≥ 60 years) treated with MBIs and 22 patients without treatment (six months of MBI training). Tests (T0-T1 six months): Mini-Mental State Examination (MMPI); Spiritual Well-Being (SWB); Beck Depression Inventory (BDI); SF36. Test-Caregiver: Everyday Cognition scales (ECOG). Results AD-P with mindfulness: Improvement of ECOG ( = 0.026), quality of life ( < 0.001), spiritual well-being ( < 0.001); decrease in depression BDI ( < 0.001). The MMSE remains unchanged. The control group of untreated patients showed a significant worsening in all these dimensions. Conclusions MBI training is effective in increasing quality of life and preventing worsening in patients with early-stage Alzheimer's dementia.
背景 在本研究中,我们假设基于正念的干预措施(MBIs)可能会改善早期阿尔茨海默病患者(AD-P)的幸福感及相关结果。MBIs包括有意识地观察当下心理内容(想法、感觉、情感及其他事件)的练习。这种关注能让人意识到心理内容并将其整合,从而有利于提高生活质量和改善练习者的情绪。方法 这项随机对照研究纳入了22名接受MBIs治疗的早期AD-P患者(年龄≥60岁)和22名未接受治疗的患者(进行为期六个月的MBI训练)。测试(T0-T1六个月):简易精神状态检查表(MMPI);精神幸福感(SWB);贝克抑郁量表(BDI);SF36。对照顾者的测试:日常认知量表(ECOG)。结果 接受正念训练的AD-P患者:ECOG改善(=0.026),生活质量提高(<0.001),精神幸福感提高(<0.001);抑郁BDI降低(<0.001)。MMSE保持不变。未治疗患者的对照组在所有这些方面均显著恶化。结论 MBI训练对提高早期阿尔茨海默病患者的生活质量和预防病情恶化有效。