Psychiatry Investig.  2020 Aug;17(8):829-834. 10.30773/pi.2020.0170.

The Effect of Cognitive Training in a Day Care Center in Patients with Early Alzheimer’s Disease Dementia: A Retrospective Study

Affiliations
  • 1Department of Neurology, Hanyang University College of Medicine, Seoul, Republic of Korea
  • 2Namyangju City Public Health Center, Namyangju, Republic of Korea
  • 3Department of Neurology, Inje University Haeundae Paik Hospital, Busan, Republic of Korea

Abstract


Objective
This study aimed to evaluate the effect of cognitive training programs on the progression of dementia in patients with early stage Alzheimer’s disease dementia (ADD) at the day care center.
Methods
From January 2015 to December 2018, a total of 119 patients with early ADD were evaluated. All subjects were classified into two groups according to participate in cognitive training program in addition to usual standard clinical care. Changes in scores for minimental status examination-dementia screening (MMSE-DS) and clinical dementia rating-sum of boxes (CDR-SOB) during the 12 months were compared between two groups. Multivariable logistic regression analyses were performed.
Results
As compared to case-subjects (n=43), the MMSE-DS and CDR-SOB scores were significantly worse at 12 months in the control-subjects (n=76). A statistically significant difference between the two groups was observed due to changes in MMSE-DS (p=0.012) and CDR-SOB (p<0.001) scores. Multivariable logistic regression analysis showed that the cognitive training program (odds ratio and 95% confidence interval: 0.225, 0.070–0.725) was independently associated with less progression of ADD.
Conclusion
The cognitive training program was associated with benefits in maintaining cognitive function for patients with earlystage ADD that were receiving medical treatment.

Keyword

Cognitive training, Day care center, Alzheimer’s disease
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