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      KCI등재 SCIE SSCI SCOPUS

      Cognitive Stimulation as a Therapeutic Modality for Dementia: A Meta-Analysis

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      https://www.riss.kr/link?id=A105028170

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      다국어 초록 (Multilingual Abstract)

      Objective: Although cognitive stimulation (CS) is one of the most popular non-pharmacological interventions for people with dementia, its efficacy is still debatable. We performed a meta-analysis of randomized controlled trials (RCTs) on the efficacy of CS in people with dementia.
      Methods: Data sources were identified by searching PubMed, MEDLINE, Embase, psychINFO, and Cochrane Reviews Library. A total of 7,354 articles were identified, and of these, 30 RCTs were selected based on the selection criteria. Of these 30 RCTs, 14 were finally included in our meta-analysis [731 participants with dementia; 412 received CS (CS group) and 319 received usual care (control group)].
      Results: We found that the people with dementia had a moderate benefit from CS. The mean difference between the CS and control groups was 2.21 [95% CI (0.93, 3.49), Z=3.38, p=0.00007] in the Alzheimer’s Disease Assessment Scale-Cognition and 1.41 [95% CI (0.98, 1.84), Z=6.39, p<0.00001] in the Mini-Mental State Examination. CS also improved quality of life in people with dementia [95% CI (0.72, 3.38), Z=3.02, p=0.003].
      Conclusion: CS is effective for improving cognition and quality of life in people with dementia; however, its effects were small to moderate.
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      Objective: Although cognitive stimulation (CS) is one of the most popular non-pharmacological interventions for people with dementia, its efficacy is still debatable. We performed a meta-analysis of randomized controlled trials (RCTs) on the efficacy ...

      Objective: Although cognitive stimulation (CS) is one of the most popular non-pharmacological interventions for people with dementia, its efficacy is still debatable. We performed a meta-analysis of randomized controlled trials (RCTs) on the efficacy of CS in people with dementia.
      Methods: Data sources were identified by searching PubMed, MEDLINE, Embase, psychINFO, and Cochrane Reviews Library. A total of 7,354 articles were identified, and of these, 30 RCTs were selected based on the selection criteria. Of these 30 RCTs, 14 were finally included in our meta-analysis [731 participants with dementia; 412 received CS (CS group) and 319 received usual care (control group)].
      Results: We found that the people with dementia had a moderate benefit from CS. The mean difference between the CS and control groups was 2.21 [95% CI (0.93, 3.49), Z=3.38, p=0.00007] in the Alzheimer’s Disease Assessment Scale-Cognition and 1.41 [95% CI (0.98, 1.84), Z=6.39, p<0.00001] in the Mini-Mental State Examination. CS also improved quality of life in people with dementia [95% CI (0.72, 3.38), Z=3.02, p=0.003].
      Conclusion: CS is effective for improving cognition and quality of life in people with dementia; however, its effects were small to moderate.

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      참고문헌 (Reference)

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      1 International AsD, "World Alzheimer Report 2011: The Benefits of Early Diagnosis and Intervention" Alzheimer’s Disease International 2011

      2 Thorgrimsen L, "Whose quality of life is it anyway? : the validity and reliability of the Quality of Life-Alzheimer’s Disease(QoL-AD)scale" 17 : 201-208, 2003

      3 Ishizaki J, "Therapeutic psychosocial intervention for elderly subjects with very mild Alzheimer disease in a community : the tajiri project" 16 : 261-269, 2002

      4 Baldelli M, "The role of reality orientaion therapy in restorative care of elderly patients with dementia plus stroke in the subacute nursing home setting" 8 : 15-22, 2002

      5 Cummings JL, "The Neuropsychiatric Inventory comprehensive assessment of psychopathology in dementia" 44 : 2308-2314, 1994

      6 Nasreddine ZS, "The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment" 53 : 695-699, 2005

      7 Quayhagen MP, "Testing of a cognitive stimulation intervention for dementia caregiving dyads" 11 : 319-332, 2001

      8 Helmes E, "Standardization and validation of the multidimensional observation scale for elderly subjects(MOSES)" 42 : 395-405, 1987

      9 "Scottish Inercollegiate Guideline Network (SIGN). Management of Patients with Dementia, clinical guideline 86"

      10 Wallis GG, "Reality orientation therapy--a controlled trial" 56 : 271-277, 1983

      11 Ferrario E, "Reality orientation therapy in institutionalized elderly patients : preliminary results" 12 : 139-142, 1991

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      18 Kolanowski AM, "Pilot study of a nonpharmacological intervention for delirium superimposed on dementia" 4 : 161-167, 2011

      19 Sink KM, "Pharmacological treatment of neuropsychiatric symptoms of dementia : a review of the evidence" 293 : 596-608, 2005

      20 Wilson RS, "Participation in cognitively stimulating activities and risk of incident Alzheimer disease" 287 : 742-748, 2002

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      22 Kim S, "NECA’s Guidance for Undertaking Systematic Reviews and Meta-Analyses for Intervention"

      23 Cheng ST, "Mental and physical activities delay cognitive decline in older persons with dementia" 22 : 63-74, 2014

      24 Lyketsos CG, "Mental and behavioral disturbances in dementia : findings from the Cache County Study on Memory in Aging" 157 : 708-714, 2000

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      31 Chapman SB, "Effects of cognitive-communication stimulation for Alzheimer’s disease patients treated with donepezil" 47 : 1149-1163, 2004

      32 Yamanaka K, "Effects of cognitive stimulation therapy Japanese version (CST-J) for people with dementia: a single-blind, controlled clinical trial" 17 : 579-586, 2013

      33 Requena C, "Effects of cholinergic drugs and cognitive training on dementia : 2-year follow-up" 22 : 339-345, 2006

      34 Buschert VC, "Effects of a newly developed cognitive intervention in amnestic mild cognitive impairment and mild Alzheimer’s disease : a pilot study" 25 : 679-694, 2011

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      38 National Collaborating Centre for Mental Health, "Dementia: A NICE-SCIE Guideline on Supporting People with Dementia and Their Carers in Health and Social Care" 2007

      39 Association AP, "DSM-IV-TR: Diagnostic and Statistical Manual of Mental Disorders, Text Revision"

      40 Clare L, "Cognitive training and cognitive rehabilitation for people with early-stage Alzheimer’s disease : a review" 14 : 385-401, 2004

      41 Woods B, "Cognitive stimulation to improve cognitive functioning in people with dementia" 2 : CD005562-, 2012

      42 Niu YX, "Cognitive stimulation therapy in the treatment of neuropsychiatric symptoms in Alzheimer’s disease : a randomized controlled trial" 24 : 1102-1111, 2010

      43 Breuil V, "Cognitive stimulation of patients with dementia : preliminary results" 9 : 211-217, 1994

      44 Buettner LL, "Cognitive stimulation for apathy in probable early-stage Alzheimer’s" 2011 : 2011

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      46 Bottino CM, "Cognitive rehabilitation combined with drug treatment in Alzheimer’s disease patients : a pilot study" 19 : 861-869, 2005

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      48 Poon P, "Cognitive intervention for community‐dwelling older persons with memory problems : telemedicine versus face‐to‐face treatment" 20 : 285-286, 2005

      49 Spector A, "Cognitive Stimulation Therapy(CST) : effects on different areas of cognitive function for people with dementia" 25 : 1253-1258, 2010

      50 Pattie A, "Clifton Assessment Procedures for the Elderly" NFER-Nelson 1979

      51 Spector A, "Can reality orientation be rehabilitated? Development and piloting of an evidence-based programme of cognition-based therapies for people with dementia" 11 : 377-397, 2001

      52 Ballard C, "Brief psychosocial therapy for the treatment of agitation in Alzheimer disease(the CALM-AD trial)" 17 : 726-733, 2009

      53 Fratiglioni L, "Brain reserve hypothesis in dementia" 12 : 11-22, 2007

      54 Fratiglioni L, "An active and socially integrated lifestyle in late life might protect against dementia" 3 : 343-353, 2004

      55 de Craen AJ, "Accuracy of the 15‐item geriatric depression scale(GDS‐15)in a community sample of the oldest old" 18 : 63-66, 2003

      56 Rovner BW, "A randomized trial of dementia care in nursing homes" 44 : 7-13, 1996

      57 Lam LC, "A randomized controlled trial to examine the effectiveness of case management model for community dwelling older persons with mild dementia in Hong Kong" 25 : 395-402, 2010

      58 Orrell M, "A pilot study examining the effectiveness of maintenance Cognitive Stimulation Therapy(MCST)for people with dementia" 20 : 446-451, 2005

      59 Rosen WG, "A new rating scale for Alzheimer’s disease" 141 : 1356-1364, 1984

      60 Hughes CP, "A new clinical scale for the staging of dementia" 140 : 566-572, 1982

      61 Kim KW, "A nationwide survey on the prevalence of dementia and mild cognitive impairment in South Korea" 23 : 281-291, 2011

      62 Quayhagen MP, "A dyadic remediation program for care recipients with dementia" 44 : 153-159, 1995

      63 Garland K, "A comparison of two treatments of agitated behavior in nursing home residents with dementia : simulated family presence and preferred music" 15 : 514-521, 2007

      64 Folstein MF, ""Mini-mental state" : a practical method for grading the cognitive state of patients for the clinician" 12 : 189-198, 1975

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      학술지 이력
      연월일 이력구분 이력상세 등재구분
      2023 평가예정 해외DB학술지평가 신청대상 (해외등재 학술지 평가)
      2020-01-01 평가 등재학술지 유지 (해외등재 학술지 평가) KCI등재
      2010-01-01 평가 등재학술지 선정 (등재후보2차) KCI등재
      2009-01-01 평가 등재후보 1차 PASS (등재후보1차) KCI등재후보
      2007-01-01 평가 등재후보학술지 선정 (신규평가) KCI등재후보
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      기준연도 WOS-KCI 통합IF(2년) KCIF(2년) KCIF(3년)
      2016 1.42 0.21 1.07
      KCIF(4년) KCIF(5년) 중심성지수(3년) 즉시성지수
      0.87 0.77 0.51 0.1
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