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Group Intensive Cognitive Activation in Patients with Major or Mild Neurocognitive Disorder
Background: No standard protocols are available for cognitive rehabilitation (CR) in conditions like Major or Mild Neurocognitive disorder (M-NCD or m-NCD, respectively); however, preliminary data seem to indicate that such interventions might have cost-effective beneficial effects and are free from...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4770036/ https://www.ncbi.nlm.nih.gov/pubmed/26973483 http://dx.doi.org/10.3389/fnbeh.2016.00034 |
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author | Panerai, Simonetta Tasca, Domenica Musso, Sabrina Catania, Valentina Ruggeri, Federica Raggi, Alberto Muratore, Stefano Prestianni, Giuseppina Bonforte, Cinzia Ferri, Raffaele |
author_facet | Panerai, Simonetta Tasca, Domenica Musso, Sabrina Catania, Valentina Ruggeri, Federica Raggi, Alberto Muratore, Stefano Prestianni, Giuseppina Bonforte, Cinzia Ferri, Raffaele |
author_sort | Panerai, Simonetta |
collection | PubMed |
description | Background: No standard protocols are available for cognitive rehabilitation (CR) in conditions like Major or Mild Neurocognitive disorder (M-NCD or m-NCD, respectively); however, preliminary data seem to indicate that such interventions might have cost-effective beneficial effects and are free from side effect or adverse events. Three basic approaches are known: cognitive stimulation (CS), cognitive training (CT), and CR. Objective: Aim of this study was to assess the efficacy of a protocol of group intensive cognitive activation (g-ICA) in patients with both M-NCD and m-NCD; the protocol was specifically arranged in our Research Institute, based on the principles of the central role of the patient and the mediation pedagogy. Subjects and Methods: Sixteen patients with M-NCD and fifteen patients with m-NCD were enrolled, as well as eleven patients with M-NCD who were used as a control group (CG). The intervention was carried-out by a clinical neuropsychologist with daily group sessions over a period of 2 months. Neuropsychological assessment was performed at baseline and after the completion of the rehabilitative intervention. Results: General cognitive functioning, attention, ideomotor praxis and visual memory scores were found to be significantly increased in all patients. Beneficial and significant effects were also found for constructive praxis in M-NCD and for executive functioning in m-NCD. All areas of the language function were significantly ameliorated in m-NCD, while this happened only for verbal repetition and syntax-grammar comprehension in M-NCD. No changes were detected for long- and short-term verbal memory, which were found to be worsened in controls without activation. Conclusion: Our findings seem to indicate that g-ICA might be effective in inducing beneficial changes on the general cognitive functioning and other specific functions in patients with both m-NCD and M-NCD. Moreover, the specific protocol proposed, even if susceptible of important improvement, is easy to carry out within hospital facilities and cost-effective. |
format | Online Article Text |
id | pubmed-4770036 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-47700362016-03-11 Group Intensive Cognitive Activation in Patients with Major or Mild Neurocognitive Disorder Panerai, Simonetta Tasca, Domenica Musso, Sabrina Catania, Valentina Ruggeri, Federica Raggi, Alberto Muratore, Stefano Prestianni, Giuseppina Bonforte, Cinzia Ferri, Raffaele Front Behav Neurosci Neuroscience Background: No standard protocols are available for cognitive rehabilitation (CR) in conditions like Major or Mild Neurocognitive disorder (M-NCD or m-NCD, respectively); however, preliminary data seem to indicate that such interventions might have cost-effective beneficial effects and are free from side effect or adverse events. Three basic approaches are known: cognitive stimulation (CS), cognitive training (CT), and CR. Objective: Aim of this study was to assess the efficacy of a protocol of group intensive cognitive activation (g-ICA) in patients with both M-NCD and m-NCD; the protocol was specifically arranged in our Research Institute, based on the principles of the central role of the patient and the mediation pedagogy. Subjects and Methods: Sixteen patients with M-NCD and fifteen patients with m-NCD were enrolled, as well as eleven patients with M-NCD who were used as a control group (CG). The intervention was carried-out by a clinical neuropsychologist with daily group sessions over a period of 2 months. Neuropsychological assessment was performed at baseline and after the completion of the rehabilitative intervention. Results: General cognitive functioning, attention, ideomotor praxis and visual memory scores were found to be significantly increased in all patients. Beneficial and significant effects were also found for constructive praxis in M-NCD and for executive functioning in m-NCD. All areas of the language function were significantly ameliorated in m-NCD, while this happened only for verbal repetition and syntax-grammar comprehension in M-NCD. No changes were detected for long- and short-term verbal memory, which were found to be worsened in controls without activation. Conclusion: Our findings seem to indicate that g-ICA might be effective in inducing beneficial changes on the general cognitive functioning and other specific functions in patients with both m-NCD and M-NCD. Moreover, the specific protocol proposed, even if susceptible of important improvement, is easy to carry out within hospital facilities and cost-effective. Frontiers Media S.A. 2016-02-29 /pmc/articles/PMC4770036/ /pubmed/26973483 http://dx.doi.org/10.3389/fnbeh.2016.00034 Text en Copyright © 2016 Panerai, Tasca, Musso, Catania, Ruggeri, Raggi, Muratore, Prestianni, Bonforte and Ferri. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution and reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Neuroscience Panerai, Simonetta Tasca, Domenica Musso, Sabrina Catania, Valentina Ruggeri, Federica Raggi, Alberto Muratore, Stefano Prestianni, Giuseppina Bonforte, Cinzia Ferri, Raffaele Group Intensive Cognitive Activation in Patients with Major or Mild Neurocognitive Disorder |
title | Group Intensive Cognitive Activation in Patients with Major or Mild Neurocognitive Disorder |
title_full | Group Intensive Cognitive Activation in Patients with Major or Mild Neurocognitive Disorder |
title_fullStr | Group Intensive Cognitive Activation in Patients with Major or Mild Neurocognitive Disorder |
title_full_unstemmed | Group Intensive Cognitive Activation in Patients with Major or Mild Neurocognitive Disorder |
title_short | Group Intensive Cognitive Activation in Patients with Major or Mild Neurocognitive Disorder |
title_sort | group intensive cognitive activation in patients with major or mild neurocognitive disorder |
topic | Neuroscience |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4770036/ https://www.ncbi.nlm.nih.gov/pubmed/26973483 http://dx.doi.org/10.3389/fnbeh.2016.00034 |
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