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Cognitive stimulation therapy improved cognition and quality of life in dementia

Clinical impact ratings Mental health Geriatrics

Key Words: dementia • cognitive therapy

The first 150 words of the full text of this article appear below.

METHODS
Design: randomised controlled trial.^*

Allocation: concealed.^*

Blinding: blinded (outcome assessors).

Follow up period: 7 weeks.

Setting: 23 day centres and residential homes (with 15 people in each) in the UK.

Patients: 201 people (mean age 85 y, 79% women) who met DSM-IV criteria for dementia, scored 10–24 on the Mini-Mental State Examination, were able to communicate, had sufficient vision and hearing to participate and use material in a group, and did not have major physical illness or disability.

Interventions: CST (n = 115): fourteen 45 minute sessions twice a week for 7 weeks. The programme used the concepts of reality orientation and cognitive stimulation and included the topics of money, word games, the present day, and famous faces. Usual activities (n = 86): in most settings, this consisted of doing nothing.

Outcomes: cognition, quality of life, communication, behaviour, global functioning, depression, and anxiety.

Patient follow up: 83%.

MAIN RESULTS
Analysis was by . . . [Full text of this article]

Calvin H Hirsch, MD

University of California at Davis
Sacramento, California, USA