PMID- 25312605 OWN - NLM STAT- MEDLINE DCOM- 20160428 LR - 20220409 IS - 1464-0694 (Electronic) IS - 0960-2011 (Linking) VI - 25 IP - 5 DP - 2015 TI - Impact of a cognitive rehabilitation intervention on neuropsychiatric symptoms in mild to moderate Alzheimer's disease. PG - 677-707 LID - 10.1080/09602011.2014.964731 [doi] AB - The main goal of this study was to evaluate the impact of a cognitive rehabilitation programme on 12 behavioural and psychological symptoms of dementia (BPSD) in patients with mild to moderate Alzheimer's disease (AD). This six-month single-blind block-randomised cross-over controlled study was conducted with 15 mild to moderate AD participants and their caregivers. All participants received a four-week home-based cognitive rehabilitation programme to learn/re-learn an instrumental activity of daily living. They were assessed up until three months following the end of the intervention. The Neuropsychiatric Inventory (NPI-12) was employed to evaluate patients' BPSD at seven assessment points during the course of the study. A general linear mixed model analysis performed on the NPI data revealed that aberrant motor behaviours (AMB) increased significantly more in the treatment condition than in the control condition. In addition, both groups registered a significant reduction of delusional symptoms during the second half of the study. Employing a multi-symptom approach to assess participants' BPSD, this cross-over randomised controlled study showed that an individualised cognitive rehabilitation intervention was generally well-tolerated by mild to moderate AD patients. Future cognitive rehabilitation studies conducted with this population should pay attention to AMB symptom changes. FAU - Brunelle-Hamann, Laurence AU - Brunelle-Hamann L AD - a Ecole de psychologie , Universite Laval and Centre de recherche de l'Institut Universitaire en Sante Mentale de Quebec , Quebec City , QC , Canada. FAU - Thivierge, Stephanie AU - Thivierge S FAU - Simard, Martine AU - Simard M LA - eng PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20141014 PL - England TA - Neuropsychol Rehabil JT - Neuropsychological rehabilitation JID - 9112672 SB - IM MH - Activities of Daily Living MH - Aged MH - Aged, 80 and over MH - Alzheimer Disease/*psychology/*rehabilitation MH - Cognition MH - Cross-Over Studies MH - Female MH - Humans MH - Male MH - Neuropsychological Tests MH - Single-Blind Method MH - Treatment Outcome OTO - NOTNLM OT - Alzheimer's disease OT - Behavioural and psychological symptoms in dementia (BPSD) OT - Cognitive rehabilitation OT - Instrumental activities of daily living (IADL) OT - Neuropsychiatric Inventory EDAT- 2014/10/15 06:00 MHDA- 2016/04/29 06:00 CRDT- 2014/10/15 06:00 PHST- 2014/10/15 06:00 [entrez] PHST- 2014/10/15 06:00 [pubmed] PHST- 2016/04/29 06:00 [medline] AID - 10.1080/09602011.2014.964731 [doi] PST - ppublish SO - Neuropsychol Rehabil. 2015;25(5):677-707. doi: 10.1080/09602011.2014.964731. Epub 2014 Oct 14.