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Non-pharmacological Approaches to Apathy and Depression: A Scoping Review of Mild Cognitive Impairment and Dementia

Apathy and depression are frequently observed as behavioral and psychological symptoms of dementia, respectively, and are important for ensuring adequate care. This study aims to explore effective non-pharmacological interventions for apathy and depression with mild cognitive impairment (MCI) and de...

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Autores principales: Oba, Hikaru, Kobayashi, Ryota, Kawakatsu, Shinobu, Suzuki, Kyoko, Otani, Koichi, Ihara, Kazushige
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8888661/
https://www.ncbi.nlm.nih.gov/pubmed/35250746
http://dx.doi.org/10.3389/fpsyg.2022.815913
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author Oba, Hikaru
Kobayashi, Ryota
Kawakatsu, Shinobu
Suzuki, Kyoko
Otani, Koichi
Ihara, Kazushige
author_facet Oba, Hikaru
Kobayashi, Ryota
Kawakatsu, Shinobu
Suzuki, Kyoko
Otani, Koichi
Ihara, Kazushige
author_sort Oba, Hikaru
collection PubMed
description Apathy and depression are frequently observed as behavioral and psychological symptoms of dementia, respectively, and are important for ensuring adequate care. This study aims to explore effective non-pharmacological interventions for apathy and depression with mild cognitive impairment (MCI) and dementia. Five search engines including PubMed, Scopus, CINAHL, PsycInfo, and Web of Science were used to extract relevant studies. Inclusion criteria were studies that involved participants who were diagnosed with MCI or dementia, included quantitative assessments of each symptom, and employed randomized controlled trials. Twenty studies were extracted, with interventions have been conducted in care facilities, the community, and hospitals. Participants in many studies had MCI or mild-to-moderate dementia but were not diagnosed with the subtypes of dementia. Few studies had set apathy and depression as the primary outcomes of non-pharmacological interventions. The findings suggested that emotional and stimulation-oriented approaches to apathy and depression would be useful for people with MCI or mild-to-moderate dementia. It would be helpful for therapists to assess the clinical features of the target symptoms for selecting suitable interventions. Additionally, increasing the number of randomized controlled trials focusing on apathy or depression as primary outcomes would offer a more definite conclusion for future systematic reviews.
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spelling pubmed-88886612022-03-03 Non-pharmacological Approaches to Apathy and Depression: A Scoping Review of Mild Cognitive Impairment and Dementia Oba, Hikaru Kobayashi, Ryota Kawakatsu, Shinobu Suzuki, Kyoko Otani, Koichi Ihara, Kazushige Front Psychol Psychology Apathy and depression are frequently observed as behavioral and psychological symptoms of dementia, respectively, and are important for ensuring adequate care. This study aims to explore effective non-pharmacological interventions for apathy and depression with mild cognitive impairment (MCI) and dementia. Five search engines including PubMed, Scopus, CINAHL, PsycInfo, and Web of Science were used to extract relevant studies. Inclusion criteria were studies that involved participants who were diagnosed with MCI or dementia, included quantitative assessments of each symptom, and employed randomized controlled trials. Twenty studies were extracted, with interventions have been conducted in care facilities, the community, and hospitals. Participants in many studies had MCI or mild-to-moderate dementia but were not diagnosed with the subtypes of dementia. Few studies had set apathy and depression as the primary outcomes of non-pharmacological interventions. The findings suggested that emotional and stimulation-oriented approaches to apathy and depression would be useful for people with MCI or mild-to-moderate dementia. It would be helpful for therapists to assess the clinical features of the target symptoms for selecting suitable interventions. Additionally, increasing the number of randomized controlled trials focusing on apathy or depression as primary outcomes would offer a more definite conclusion for future systematic reviews. Frontiers Media S.A. 2022-02-16 /pmc/articles/PMC8888661/ /pubmed/35250746 http://dx.doi.org/10.3389/fpsyg.2022.815913 Text en Copyright © 2022 Oba, Kobayashi, Kawakatsu, Suzuki, Otani and Ihara. https://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 or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) 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 Psychology
Oba, Hikaru
Kobayashi, Ryota
Kawakatsu, Shinobu
Suzuki, Kyoko
Otani, Koichi
Ihara, Kazushige
Non-pharmacological Approaches to Apathy and Depression: A Scoping Review of Mild Cognitive Impairment and Dementia
title Non-pharmacological Approaches to Apathy and Depression: A Scoping Review of Mild Cognitive Impairment and Dementia
title_full Non-pharmacological Approaches to Apathy and Depression: A Scoping Review of Mild Cognitive Impairment and Dementia
title_fullStr Non-pharmacological Approaches to Apathy and Depression: A Scoping Review of Mild Cognitive Impairment and Dementia
title_full_unstemmed Non-pharmacological Approaches to Apathy and Depression: A Scoping Review of Mild Cognitive Impairment and Dementia
title_short Non-pharmacological Approaches to Apathy and Depression: A Scoping Review of Mild Cognitive Impairment and Dementia
title_sort non-pharmacological approaches to apathy and depression: a scoping review of mild cognitive impairment and dementia
topic Psychology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8888661/
https://www.ncbi.nlm.nih.gov/pubmed/35250746
http://dx.doi.org/10.3389/fpsyg.2022.815913
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