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改善遗忘型轻度认知障碍老年人的主观幸福感:一项积极心理学干预的随机试验。

Enhancing Subjective Wellbeing in Older Individuals with Amnestic Mild Cognitive Impairment: A Randomized Trial of a Positive Psychology Intervention.

作者信息

Tsiflikioti Konstantina, Moraitou Despoina, Pezirkianidis Christos, Papantoniou Georgia, Sofologi Maria, Kougioumtzis Georgios A, Tsolaki Magdalini

机构信息

Faculty of Medicine, Leiden University, 2333 ZA Leiden, The Netherlands.

School of Psychology, Faculty of Philosophy, Aristotle University, 54124 Thessaloniki, Greece.

出版信息

Behav Sci (Basel). 2023 Oct 13;13(10):838. doi: 10.3390/bs13100838.

Abstract

OBJECTIVES

This pilot study aims to explore the potential of a positive psychology intervention (PPI) in enhancing the subjective well-being of older individuals with amnestic mild cognitive impairment (MCI), a precursor to dementia.

DESIGN AND SETTING

A randomized trial was conducted, initially recruiting 51 participants aged 65 and above from the Greek Association of Alzheimer's Disease and Related Disorders in Thessaloniki, Greece. The study employed a control-experimental group setup. To ensure randomization, each participant was assigned a unique number, and a random number generator was used for group allocation.

PARTICIPANTS

A total of 41 eligible participants with amnestic mild cognitive impairment (MCI) were included in the study after screening.

INTERVENTION

The intervention consisted of a 3-week positive psychology program (PPI) where the PERMA Profiler questionnaire was administered at three intervals: pre-intervention, post-intervention, and one month after completion.

MAIN OUTCOME MEASURES

The subjective well-being of participants.

RESULTS

The analysis, conducted mainly through mixed-measures ANOVAs, supported the study's hypotheses, revealing that the 3-week PPI led to increased PERMA model scores and overall well-being, which persisted even after one month. Conversely, non-participants experienced declines in most domains except for Positive Emotion and Meaning, which demonstrated improvement and recovery during follow-up.

CONCLUSIONS

These findings suggest the potential of PPI in enhancing the subjective well-being of older adults with amnestic MCI, with implications for addressing dementia-related challenges. Further investigation is warranted to pinpoint PPI effects on MCI and tailor interventions for improved subjective well-being.

摘要

目的

这项初步研究旨在探索积极心理学干预(PPI)在提高患有遗忘型轻度认知障碍(MCI,痴呆症的前驱症状)的老年人主观幸福感方面的潜力。

设计与背景

进行了一项随机试验,最初从希腊塞萨洛尼基的希腊阿尔茨海默病及相关疾病协会招募了51名65岁及以上的参与者。该研究采用了对照组-实验组设置。为确保随机化,为每位参与者分配一个唯一的编号,并使用随机数生成器进行分组。

参与者

经过筛选,共有41名符合条件的患有遗忘型轻度认知障碍(MCI)的参与者被纳入研究。

干预措施

干预包括一个为期3周的积极心理学项目(PPI),在三个时间点进行PERMA Profiler问卷调查:干预前、干预后和完成后一个月。

主要观察指标

参与者的主观幸福感。

结果

主要通过混合测量方差分析进行的分析支持了该研究的假设,表明为期3周的PPI导致PERMA模型得分和整体幸福感增加,甚至在一个月后仍持续存在。相反,非参与者在大多数领域出现下降,但积极情绪和意义领域除外,这两个领域在随访期间显示出改善和恢复。

结论

这些发现表明PPI在提高患有遗忘型MCI的老年人主观幸福感方面具有潜力,这对应对与痴呆症相关的挑战具有启示意义。有必要进行进一步调查,以确定PPI对MCI的影响,并为改善主观幸福感量身定制干预措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/326e/10604606/1092bba25166/behavsci-13-00838-g001.jpg

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