Clinical Psychology and Special Education
2022. Vol. 11, no. 3, 44–70
doi:10.17759/cpse.2022110302
ISSN: 2304-0394 (online)
Prevention of Cognitive Decline in Elderly: Programs "Memory Clinic" and "Cognitive Stimulation Therapy"
Abstract
The problem of preventing factors associated with the risks of cognitive decline and hindering active longevity in old age is becoming increasingly important. According to the United Nations in 2019, about 10% of the total population in the world is over the age of 65, and by 2050 this figure will already be 20%. The syndrome of mild cognitive decline is considered as a transitional state between normal physiological aging and dementia. The two modern approaches to the prevention of cognitive impairment during aging are presented. Methods for the prevention of cognitive impairments are proposed to be considered according to the level of organization of mental activity, to which they mainly appeal: based on the semantic level (training) and the level of personal meanings (stimulation programs). The experience of preventing cognitive decline in the elderly within the framework of the program of psychosocial therapy and neurocognitive rehabilitation at the “Memory Clinic” (Russia) and the “Cognitive Stimulation Therapy” (CST) program (Great Britain) is described.
General Information
Keywords: late ontogenesis, prevention, cognitive deficit, mild cognitive impairment, dementia, neurocognitive rehabilitation, cognitive stimulation therapy
Journal rubric: Theoretical Research
Article type: scientific article
DOI: https://doi.org/10.17759/cpse.2022110302
Funding. The reported study was funded by Moscow State University of Psychology and Education (MSUPE), project “Prevention of cognitive deficits in the elderly and old age”.
Received: 13.12.2021
Accepted:
For citation: Roshchina I.F., Kalantarova M.V., Shvedovskaya A.A., Khromov A.I. Prevention of Cognitive Decline in Elderly: Programs "Memory Clinic" and "Cognitive Stimulation Therapy" [Elektronnyi resurs]. Klinicheskaia i spetsial'naia psikhologiia = Clinical Psychology and Special Education, 2022. Vol. 11, no. 3, pp. 44–70. DOI: 10.17759/cpse.2022110302. (In Russ., аbstr. in Engl.)
References
- Vasil'eva E.V. Kontseptsiya aktivnogo dolgoletiya v sisteme obespecheniya ekonomicheskoĭ bezopasnosti [The concept of active longevity in the system of ensuring economic security]. Ekonomika, predprinimatel'stvo i pravo, 2021, vol. 11, no. 9, pp. 2101–2120. DOI: 10.18334/epp.11.9.113431 (In Russ.; abstr. in Engl.).
- Vsemirnyĭ doklad o starenii i zdorov'e [World report on ageing and health]. Zheneva: Vsemirnaya organizatsiya zdravookhraneniya [World Health Organization], 2015. 301 p. URL: https:apps.who.int/iris/bitstream/handle/10665/186463/9789244565049_rus.pdf?sequence=10 (Accessed: 27.09.2022). (In Russ.).
- Gavrilova S.I. Bolezn' Al'tsgeimera: innovatsionnye podkhody k lecheniyu. Press-konferentsiya [Alzheimer's disease: innovative approaches to treatment. Press Conference], TASS, Moscow, 2019. URL: https:medvestnik.ru/content/news/Realnoe-chislo-bolnyh-s-demenciei-rezko-rashoditsya-s-dannymi-Minzdrava.html?ysclid=l8km697iq5165737520 (Accessed: 27.09.2022). (In Russ.).
- Dementsiya: Informatsionnyi byulleten' [Dementia: News bulletin]. Zheneva: Vsemirnaya organizatsiya zdravookhraneniya [World Health Organization], 2020. URL: https:www.who.int/ru/news-room/fact-sheets/detail/dementia (Accessed: 27.09.2022). (In Russ.)
- Doklad o sostoyanii mer obshchestvennogo zdravookhraneniya po bor'be s dementsieĭ v mire: rezyume [Global status report on the public health response to dementia: executive summary]. Zheneva: Vsemirnaya organizatsiya zdravookhraneniya [World Health Organization], 2021. URL: https://publichealthupdate.com/global-status-report-on-the-public-health-response-to-dementia (Accessed: 27.09.2022). (In Russ.).
-
Izmeneniya k luchshemu 1: kognitivnaya stimuliruyushchaya terapiya (KST). Programma gruppovykh zanyatii s dokazannoi effektivnost'yu dlya patsientov s dementsiei. Rukovodstvo dlya vedushchikh grupp [Making a difference: An evidence-based group programme to offer Cognitive Stimulation Therapy (CST) to people with dementia. The manual for group leaders] / E. Spektor, B. Vuds, Sh.R. Stouner et al. (eds.);
I.F. Roshchina, A.A. Shvedovskaya, M.V. Kalantarova et al. (transl. in Russ.). 2nd ed. Moscow: MSUPE, 2022. 66 p. (in Press). (In Russ.). - Kalantarova M.V., Zavalii L.B., Borisonik E.V. et al. Tsifrovye tekhnologii v kognitivnoi reabilitatsii patsientov s ochagovymi porazheniyami golovnogo mozga [Digital technologies in rehabilitation of patients with focal brain injury]. Konsul'tativnaya psikhologiya i psikhoterapiya = Counseling Psychology and Psychotherapy, 2020, vol. 28, no. 3, pp. 122–141. DOI: 10.17759/cpp.2020280308 (In Russ.; abstr. in Engl.).
- Kontseptsiya politiki aktivnogo dolgoletiya: nauchno-metodologicheskii doklad k XXI apr. mezhdunar. nauch. konf. po problemam razvitiya ekonomiki i obshchestva, Moskva, 2020. [The concept of active longevity policy: scientific and methodological report. XXI April international scientific conference on the problems of economic and social development, Moscow, 2020] / L.N. Ovcharova, M.A. Morozova, O.V. Sinyavskaya (eds.). Moscow: HSE, 2020. 40 p. (In Russ.)
- Korsakova N.K., Roshchina I.F. Kontseptsiya A.R. Lurii o trekh funktsional'nykh blokakh mozga i neiropsikhologicheskii sindrom normal'nogo stareniya [The concept of A.R. Luria on the three functional blocks of the brain and the neuropsychological syndrome of normal aging]. In N.V. Zverevа, I.F. Roshchinа (eds.), Metodologicheskie i prikladnye problemy meditsinskoi (klinicheskoi) psikhologii: kollektivnaya monografiya [Methodological and applied problems of medical (clinical) psychology: monograph], Moscow: Sam Poligrafist, 2018, pp. 203–211. URL: http:www.medpsy.ru/library/library238.pdf (Accessed: 27.09.2022). (In Russ.)
- Korsakova N.K., Roshchina I.F. Tipologiya normal'nogo stareniya i strategii korrektsii protsessov pamyati [Typology of normal aging and strategies for correcting memory processes]. Izbrannye voprosy neiroreabilitatsii: materialy IX mezhdunarodnogo kongressa «Neiroreabilitatsiya — 2017», Moskva, 1–2 iyunya 2017. [Selected issues of neurorehabilitation: Proceedings of the IX International Congress "Neurorehabilitation — 2017", Moscow, June 1–2, 2017] / G.E. Ivanova, L.V. Stakhovskaya, Yu.P. Zinchenko (eds.). Moscow, 2017, pp. 102–105. (In Russ.)
- Psikhosotsial'naya terapiya i neiroreabilitatsiya patsientov pozhilogo vozrasta s kognitivnymi rasstroistvami [Psychosocial Therapy and Neurorehabilitation of Elderly Patients with Cognitive Disorders]. Strukturno-funktsional'naya model' reabilitatsionnoi programmy «Klinika pamyati»: kollektivnaya monografiya [Structural and functional model of the rehabilitation program "Clinic of Memory": monograph] / G.P. Kostyuk (ed.). Moscow: KDU, 2019. 332 p. (In Russ.).
- Roshchina I.F., Deryuganova O.A., Kalantarova M.V. et al. Profilaktika kognitivnykh defitsitov v pozdnem vozraste: pervichnaya adaptatsiya programmy «Cognitive Stimulation Therapy» (CST) v Rossii [Prevention of cognitive deficits in later life: primary adaptation of the Cognitive Stimulation Therapy (CST) program in Russia]. In A.B. Kholmogorova, O.D. Pugovkina, N.V. Zvereva et al. (eds.), Zeigarnikovskie chteniya. Diagnostika i psikhologicheskaya pomoshch' v sovremennoi klinicheskoi psikhologii: problema nauchnykh i eticheskikh osnovanii: Materialy mezhdunarodnoi nauchno-prakticheskoi konferentsii, Moskva, 18–19 noyabrya 2020. [Proceedings of International scientific and practical conference “Zeigarnikov readings. Diagnostics and psychological assistance in modern clinical psychology: the problem of scientific and ethical foundations”], Moscow: MSUPE, 2020, pp. 808–810. URL: https://psyjournals.ru/nonserialpublications/zeigarnikovskie_chteniya_2020 ysclid=l8kgbo5pwg471476134 (Accessed: 27.09.2022). (In Russ.).
- Roshchina I.F., Osipova N.G., Syunyakov T.S. et al. Otsenka vysshikh psikhicheskikh funktsii patsientov s myagkim kognitivnym snizheniem v protsesse neirokognitivnoi reabilitatsii [Evaluation of Higher Mental Functions in Patients with Mild Cognitive Decline in the Process of Neurocognitive Rehabilitation]. Diagnostika v meditsinskoi (klinicheskoi) psikhologii: traditsii i perspektivy (k 110-letiyu S.Ya. Rubinshtein). Nauchnoe izdanie. Sbornik materialov Tret'ei Vserossiiskoi nauchno-prakticheskoi konferentsii s mezhdunarodnym uchastiem 25–26 noyabrya 2021 [Collection of proceedings of the Third All-Russian scientific and practical conference with international participation “Diagnostics in medical (clinical) psychology: traditions and perspectives (to the 110th anniversary of S.Ya. Rubinshtein)”, November 25–26, 2021]. / N.V. Zvereva, I.F. Roshchina (eds.), Moscow: MSURE, 2021, pp. 349–351. URL: https://psyjournals.ru/nonserialpublications/medpsydiag2021 (Accessed: 27.09.2022). (In Russ.).
- Roshchina I.F., Syunyakov T.S., Osipova N.G. et al. Otsenka effektivnosti neirokognitivnoi reabilitatsii patsientov s myagkim kognitivnym snizheniem v usloviyakh ogranichenii vo vremya pandemii COVID-19 [Evaluation of the Effectiveness of Neurocognitive Rehabilitation of Patients with Mild Cognitive Decrease under Restricted Conditions During the COVID-19 Pandemic]. Zhurnal Psikhiatriya = Psychiatry (Moscow), 2022, vol. 4 (in Press). (In Russ.).
- Rukovodstvo po geriatricheskoi psikhiatrii [Manual of Geriatric Psychiatry] / S.I. Gavrilova (ed.). Moscow: Publ. MEDpress-inform, 2020. 440 p. (In Russ.)
- Starenie mozga [Brain aging] / V.V. Frol'kis (ed.). Leningrad: Publ. Nauka, 1991. 279 p. (In Russ.)
- Starost' v regionakh Rossii. Otsenka blagopoluchiya starshego pokoleniya na osnove otkrytykh statisticheskikh dannykh, 2019 g. [Old age in the regions of Russia. Assessment of the well-being of the older generation based on open statistical data, 2019]. Moscow, 2021. URL: https:static.tochno.st/files/analytical/b4604fa2f20405af96fd2ee17a99172a.pdf (Accessed: 27.09.2022). (In Russ.)
- Shvedovskaya A.A., Kalantarova M.V., Khromov A.I. et al. Programma «Kognitivnaya stimuliruyushchaya terapiya» pri kognitivnykh defitsitakh u lits pozhilogo vozrasta: adaptatsiya v Rossii [The Cognitive Stimulating Therapy Program for Cognitive Deficits in the Elderly: Adaptation in Russia]. Diagnostika v meditsinskoi (klinicheskoi) psikhologii: traditsii i perspektivy (k 110-letiyu S.Ya. Rubinshtein). Nauchnoe izdanie. Sbornik materialov Tret'ei Vserossiiskoi nauchno-prakticheskoi konferentsii s mezhdunarodnym uchastiem 25-26 noyabrya 2021. [Collection of proceedings of the Third All-Russian scientific and practical conference with international participation “Diagnostics in medical (clinical) psychology: traditions and perspectives (to the 110th anniversary of S.Ya. Rubinshtein)”] / N.V. Zvereva, I.F. Roshchina (eds.). Moscow: MSUPE, 2021, pp. 299–301. URL: https:psyjournals.ru/files/124859/medpsydiag2021.pdf (Accessed: 27.09.2022). (In Russ.)
- Aguirre E., Hoare Z., Streater A. et al. Cognitive stimulation therapy (CST) for people with dementia — who benefits most? International Journal of Geriatric Psychiatry, 2013, vol. 28, no. 3, pp. 284–290. DOI: 10.1002/gps.3823
- Apóstolo J.L.A., Cardoso D.F.B., Rosa A.I. et al. The effect of cognitive stimulation on nursing home elders: A randomized controlled trial. Journal of Nursing Scholarship, 2014, vol. 46, no. 3, pp. 157–166. DOI: 10.1111/jnu.12072
- Basak C., Qin S., O'Connell M.A. Differential effects of cognitive training modules in healthy aging and mild cognitive impairment: A comprehensive meta-analysis of randomized controlled trials. Psychology and Aging, 2020, vol. 35, no. 2, pp. 220–249. DOI: 10.1037/pag0000442
- Belleville S., Gilbert B., Fontaine F. et al. Improvement of episodic memory in persons with mild cognitive impairment and healthy older adults: Evidence from a cognitive intervention program. Dementia and Geriatric Cognitive Disorders, 2006, vol. 22, no. 5–6. P. 486–499. DOI: 10.1159/000096316
- Capotosto E., Belacchi C., Gardini S. et al. Cognitive stimulation therapy in the Italian context: Its efficacy in cognitive and non‐cognitive measures in older adults with dementia. International Journal of Geriatric Psychiatry, 2017, vol. 32, no. 2, pp. 331–340. DOI: 10.1002/gps.4521
- Cipriani G., Bianchetti A., Trabucchi M. Outcomes of a computer-based cognitive rehabilitation program on Alzheimer's disease patients compared with those on patients affected by mild cognitive impairment. Archives of Gerontology and Geriatrics, 2006, vol. 43, no. 3, pp. 327–335. DOI: 10.1016/j.archger.2005.12.003
- Clare L., Woods R. T. Cognitive training and cognitive rehabilitation for people with early-stage Alzheimer's disease: A review. Neuropsychological Rehabilitation, 2004, vol. 14, no. 4, pp. 385–401. DOI: 10.1080/09602010443000074
- Gates N.J., Vernooij R.W., Di Nisio M. et al. Computerised cognitive training for preventing dementia in people with mild cognitive impairment. The Cochrane Database Systematic Reviews, 2019, vol. 3, no. 3, article CD012279. DOI: 10.1002/14651858.CD012279.pub2
- Gibbor L., Yates L., Volkmer A. et al. Cognitive stimulation therapy (CST) for dementia: a systematic review of qualitative research. Aging & Mental Health, 2021, vol. 25, no. 6, pp. 980–990. DOI: 10.1080/13607863.2020.1746741
- Hall C.B., Lipton R.B., Sliwinski M. et al. Cognitive activities delay onset of memory decline in persons who develop dementia. Neurology, 2009, vol. 73, no. 5. P. 356–361. DOI: 10.1212/WNL.0b013e3181b04ae3
- Hall L., Orrell M., Stott J. et al. Cognitive stimulation therapy (CST): neuropsychological mechanisms of change. International Psychogeriatrics, 2013, vol. 25, no. 3, pp. 479–489. DOI: 10.1017/S1041610212001822
- Han J.W., Son K.L., Byun H.J. et al. Efficacy of the Ubiquitous Spaced Retrieval-based Memory Advancement and Rehabilitation Training (USMART) program among patients with mild cognitive impairment: a randomized controlled crossover trial. Alzheimer's Research & Therapy, 2017, vol. 9, no. 1, article 39. DOI: 10.1186/s13195-017-0264-8
- Herrera C., Chambon C., Michel B.F. et al. Positive effects of computer-based cognitive training in adults with mild cognitive impairment. Neuropsychologia, 2012, vol. 50, no. 8, pp. 1871–1881. DOI: 10.1016/j.neuropsychologia.2012.04.012
- Hertzog C., Kramer A.F., Wilson R.S. et al. Enrichment effects on adult cognitive development: can the functional capacity of older adults be preserved and enhanced? Psychological Science in the Public Interest, 2008, vol. 9, no. 1, pp. 1–65. DOI: 10.1111/j.1539-6053.2009.01034.x
- Knapp M., Thorgrimsen L., Patel A. et al. Cognitive stimulation therapy for people with dementia: cost-effectiveness analysis. The British Journal of Psychiatry, 2006, vol. 188, no. 6, pp. 574–580. DOI: 10.1192/bjp.bp.105.010561
- Law C.K., Lam F.M., Chung R.C. et al. Physical exercise attenuates cognitive decline and reduces behavioural problems in people with mild cognitive impairment and dementia: a systematic review. Journal of Physiotherapy, 2020, vol. 66, no. 1, pp. 9–18. DOI: 10.1016/j.jphys.2019.11.014
- Li H., Li J., Li N. et al. Cognitive intervention for persons with mild cognitive impairment: A meta-analysis. Ageing Research Reviews, 2011, vol. 10, no. 2, pp. 285–296. DOI: 10.1016/j.arr.2010.11.003
- Liang J.H., Shen W.T., Li J.Y. et al. The optimal treatment for improving cognitive function in elder people with mild cognitive impairment incorporating Bayesian network meta-analysis and systematic review. Ageing Research Reviews, 2019, vol. 51, pp. 85–96. DOI: 10.1016/j.arr.2019.01.009
- Lissek V., Suchan B. Preventing Dementia? Interventional Approaches in Mild Cognitive Impairment. Neuroscience & Biobehavioral Reviews, 2021, vol. 122, pp. 143–164. DOI: 10.1016/j.neubiorev.2020.12.022
- Livingston G., Huntley J., Sommerlad A. et al. Dementia prevention, intervention, and care: 2020 report of the Lancet Commission. Lancet, 2020, vol. 396, no. 10248, pp. 413–446. DOI: 10.1016/S0140-6736(20)30367-6
- Lobbia A., Carbone E., Faggian S. et al. The efficacy of cognitive stimulation therapy (CST) for people with mild-to-moderate dementia. European Psychologist. 2018. DOI: 10.1027/1016-9040/a000342
- National Collaborating Centre for Mental Health (UK). Dementia: A NICE-SCIE guideline on supporting people with dementia and their carers in health and social care. Leicester (UK): British Psychological Society, 2007.
- Niu Y.X., Tan J.P., Guan J.Q. et al. Cognitive stimulation therapy in the treatment of neuropsychiatric symptoms in Alzheimer’s disease: a randomized controlled trial. Clinical Rehabilitation, 2010, vol. 24, no. 12, pp. 1102–1111. DOI: 10.1177/0269215510376004
- Orgeta V., Leung P., Yates L. et al. Individual cognitive stimulation therapy for dementia: a clinical effectiveness and cost-effectiveness pragmatic, multicentre, randomised controlled trial. Health Technology Assessment, 2015, vol. 19, no. 64, pp. 1–108. DOI: 10.3310/hta19640
- Rozzini L., Costardi D., Chilovi B.V. et al. Efficacy of cognitive rehabilitation in patients with mild cognitive impairment treated with cholinesterase inhibitors. International Journal of Geriatric Psychiatry, 2007, vol. 22, no. 4, pp. 356–360. DOI: 10.1002/gps.1681
- Savulich G., Piercy T., Fox C. et al. Cognitive training using a novel memory game on an iPad in patients with amnestic mild cognitive impairment (aMCI). International Journal of Neuropsychopharmacology, 2017, vol. 20, no. 8, pp. 624–633. DOI: 10.1093/ijnp/pyx040
- Sidorenko A., Zaidi A. Active ageing in CIS countries: semantics, challenges, and responses. Current Gerontology and Geriatrics Research, 2013, vol. 2013, article 261819. DOI: 10.1155/2013/261819
- Smith G.E., Housen P., Yaffe K. et al. A cognitive training program based on principles of brain plasticity: results from the Improvement in Memory with Plasticity‐based Adaptive Cognitive Training (IMPACT) Study. Journal of the American Geriatrics Society, 2009, vol. 57, no. 4, pp. 594–603. DOI: 10.1111/j.1532-5415.2008.02167.x
- Spector A., Orrell M., Davies S. et al. Can reality orientation be rehabilitated? Development and piloting of an evidence-based programme of cognition-based therapies for people with dementia. Neuropsychological Rehabilitation, 2001, vol. 11, no. 3–4, pp. 377–397. DOI: 10.1080/09602010143000068
- Spector A., Thorgrimsen L., Woods B. et al. Efficacy of an evidence-based cognitive stimulation therapy programme for people with dementia: randomised controlled trial. The British Journal of Psychiatry, 2003, vol. 183, no. 3, pp. 248–254. DOI: 10.1192/bjp.183.3.248
- Stott J., Spector A. A review of the effectiveness of memory interventions in mild cognitive impairment (MCI). International Psychogeriatrics, 2011, vol. 23, no. 4, pp. 526–538. DOI: 10.1017/S1041610210001973
- Takeuchi H., Kawashima R. Effects of processing speed training on cognitive functions and neural systems. Reviews in the Neurosciences, 2012, vol. 23, no. 3, pp. 289–301. DOI: 10.1515/revneuro-2012-0035
- United Nations, Department of Economic and Social Affairs, Population Division (2019). World Population Prospects 2019: Highlights (ST/ESA/SER.A/423). URL: https:population.un.org/wpp/publications/files/wpp2019_highlights.pdf (Accessed: 29.09.2022).
- Verghese J., Lipton R.B., Katz M.J. et al. Leisure activities and the risk of dementia in the elderly. The New England Journal of Medicine, 2003, vol. 348, no. 25. pp. 2508–2516. DOI: 10.1056/NEJMoa022252
- World Alzheimer report 2011: The benefits of early diagnosis and intervention. Alzheimer’s Disease International, 2011. URL: https:www.alzint.org/u/WorldAlzheimer Report2011.pdf (Accessed: 29.09.2022).
Information About the Authors
Metrics
Views
Total: 2403
Previous month: 125
Current month: 77
Downloads
Total: 412
Previous month: 18
Current month: 12