Published in:Journal of Geriatric Psychiatry and Neurology
Language:
English
DOI:
10.1177/0891988720924721
ISSN:
0891-9887;
1552-5708
Origination:
Footnote:
Description:
<jats:sec><jats:title>Introduction:</jats:title><jats:p> Assessing the benefit of cognitive rehabilitation (CR) remains difficult. </jats:p></jats:sec><jats:sec><jats:title>Method:</jats:title><jats:p> An observational study was conducted in 33 patients with early-stage Alzheimer disease and their caregiver included in a clinical CR program at home, compared to 17 patients who received usual treatment. Evaluation of patient’s dependence and objective and subjective caregiver’s burden was performed by the caregiver with a research tool focusing on impairment in daily activities related to cognitive deficits. </jats:p></jats:sec><jats:sec><jats:title>Results:</jats:title><jats:p> Repeated measures analysis of variance showed a time by group interaction ( P < .05), with decreased patient’s dependence for adapted activities at 1 year in the CR group. Lawton scale for daily activities showed also a time by group interaction ( P < .05), with increased dependence at 1 year in the control group. There was a significant decrease in Mini-Mental State Examination scores in both groups at 1-year follow-up ( P < .05). Concerning caregiver’s subjective burden, there was a trend for the time by group interaction ( P = .07), and post hoc Tukey test showed that subjective burden was decreased in the CR group ( P < .05). This was confirmed by nonparametric Mann-Whitney analysis on differences between follow-up and baseline evaluation ( P < .05). </jats:p></jats:sec><jats:sec><jats:title>Conclusion:</jats:title><jats:p> This observational study in a clinical setting is in line with the benefit of CR reported in recent randomized controlled trials. The benefit obtained for adapted daily activities remained after 1 year, even if global cognition declined. Moreover, caregiver’s subjective burden related to all relevant daily activities evaluated within the CR program was decreased after 1 year in our clinical setting. </jats:p></jats:sec>