V. Breuil et al., COGNITIVE STIMULATION OF PATIENTS WITH DEMENTIA - PRELIMINARY-RESULTS, International journal of geriatric psychiatry, 9(3), 1994, pp. 211-217
We present the first results of a cognitive stimulation programme for
patients with dementia. Fifty-six subjects entered a study involving t
wo parallel, randomized groups. Assessment was blind for the main crit
eria (neuropsychological tests). Twenty-nine patients were stimulated
and were compared to 27 non-stimulated patients. The stimulated group
attended 10 stimulation sessions over 5 weeks. Each group was assessed
on the first and seventh week. Following stimulation, there was signi
ficant improvement of Mini-Mental State (MMS) scores (p<0.01) and incr
eased performance for the Word List Memory Test (one-tailed p = 0.09)
in the Consortium to establish a Registry for Alzheimer's Disease (CER
AD) battery. Verbal fluency remained unchanged. Stimulation tended to
improve items of an additional battery (one-tailed p < 0.01). The comp
osite sum of test scores showed a significant difference in favour of
the stimulated group. These results were positively correlated with th
e initial MMS scores and negatively with education. The Activities of
Daily Living (ADL) scale did not show a significant change. We conclud
ed that global stimulation of cognitive functions improves certain par
ameters among demented outpatients.