Vol. 11 nº 4 - Oct/Nov/Dec de 2017
Original Article Páginas: 434 a 441

Efficacy of cognitive stimulation therapy for older adults with vascular dementia

Authors Federica Piras1; Elena Carbone2; Silvia Faggian3; Elisa Salvalaio3; Simona Gardini4; Erika Borella2


keywords: vascular dementia; cognitive stimulation therapy (CST); general cognitive functioning; quality of life.

BACKGROUND: Cognitive stimulation therapy (CST) is an evidence-based psychosocial intervention for people with mild-to-moderate dementia due to various etiological factors.
OBJECTIVE: The aim of the present study was to assess the efficacy of the CST program, Italian adaptation -CST-IT-, in individuals who have vascular dementia (VaD).
METHODS: Older adults with mild-to-moderate VaD (N = 35) were assigned to one of two programs: one group (N = 21) attended the 14 sessions of the CST-IT program, while the other, active control group (N = 14) took part in alternative activities. The following domains were examined: cognitive functioning, quality of life, mood, behavior, functional activities of daily living.
RESULTS: Compared with the active controls, the CST-IT group showed a greater improvement in general cognitive functioning after the intervention (i.e. score increase on the Mini-Mental State Examination and decrease on the Alzheimer's Disease Assessment Scale - Cognitive subscale). A trend towards improvement was also identified in short-term/working memory - the backward digit span task- and perceived quality of life (Quality of Life - Alzheimer's Disease scale). No significant differences emerged between the two groups for the other domains considered.
CONCLUSION: The present results support the efficacy of CST in people with vascular dementia.


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