Alzheimer, dementia, family psychological intervention, stimulation, program

Main Article Content

Francisco Javier Balea Fernández
Javier Alonso Ramírez

Abstract

Dementia is an acquired syndrome, of an organic nature characterized by a permanent deterioration of memory and other intellectual functions, and frequently accompanied by other psychiatric disorders, which occur without altering the level of consciousness, affecting social functioning. Currently available diagnostic tests are primarily based on clinical criteria, supported by neuropsychological, analytical, and imaging tests. Currently, the complex neurodegenerative process of this disease is not known, but we do have data on the intervention of its symptoms. The experimental design used in this work is of a “quasi-experimental” type with evaluation before and after the stimulation program (memory and automatism workshop; reading and language; physical exercise and psychomotricity; music therapy and body recognition). The sample is made up of 21 subjects of both sexes, diagnosed with probable Alzheimer Disease, treated in the day and residence centers for 6 months. The mean age of the subjects is 80.71 years (SD = 4.85). The results show a decrease in MEC score (maximum 35 points) of -1.67 (SD 3.88; p smaller than 0.05); when the main caregiver goes to psychological support, the MEC score increases on average by 0.8 (SD 2.9), if he does not go, the score decreases by -3.91 (SD 3.3) with a p value of 0.03. The conclusions drawn are that the stimulation treatment is just as effective in maintaining general cognitive performance and functional capacity in patients with mild, moderate and severe cognitive impairment; When the work extends to the family-patient binomial, by applying a parallel non-pharmacological treatment to the relatives, the results are significantly better.

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How to Cite
Balea Fernández, F. J., & Alonso Ramírez, J. (2020). Alzheimer, dementia, family psychological intervention, stimulation, program. International Journal of Developmental and Educational Psychology. Revista INFAD De Psicología., 1(1), 225–234. https://doi.org/10.17060/ijodaep.2020.n1.v1.1779
Section
Articles
Author Biographies

Francisco Javier Balea Fernández, Doctor en Psicología (USAL) Doctorando en Investigación en Biomedicina (ULPGC)

Doctor en Psicología (USAL)
Doctorando en Investigación en Biomedicina (ULPGC)

Javier Alonso Ramírez, Doctorando en Investigación en Biomedicina (ULPGC)

Doctorando en Investigación en Biomedicina (ULPGC)

References

Agüera-Ortiz, L. F. (1998). Demencia: una aproximación práctica. Masson.

Agüera, L. F., Martín, M. M., y Durante, P. (2000). ¿Alzheimer? 100 preguntas más frecuentes. Edimsa.

Álvarez, C. (2002). El Alzheimer: La enfermedad y su entorno. Eneida.

Boada, M., Tárraga, L., y (Ed.). (1999). Volver a empezar: ejercicios prácticos de estimulación cognitiva para enfermos de alzheimer. Glosa.

Carrasco, M. M., Agüera Ortíz, L., Sánchez Ayala, M. I., Mateos Álvarez, R., Franco Martín, M., Castellano Arroyo, M., Villanueva Cañadas, E., Sánchez Pérez, M., y Cervilla Ballesteros, J. (2019). Consenso Español sobre Demencias (S. Sociedad Española de Psicogeriatría (ed.); 2a edición).

Cubero, P. (2002). Diagnóstico y tratamiento de las demencias en atención primaria. Masson.

De Shazer, S. (1989). Pautas de terapia familiar breve: un enfoque ecosistémico. Paidós. European Observatory on Health Systems and Policies. (2019). State of Health in the EU España. Perfil sanitario nacional 2019 (pp. 1–24).

Folstein, M. F., Folstein, S. E., y McHugh, P. R. (1975). Mini-mental state”: a practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12(3), 189–198.

González-Mas, R. (2001). La enfermedad de alzheimer: clínica tratamiento y rehabilitación. Masson.

González-Rodríguez, V., y Martín-Martín, C. (2002). Demencias en atención primaria. Fomeco, 10(3), 128–150.

INE. (2018). España en cifras 2017. In Instituto Nacional de Estadística (p. 55).

Lobo, A., y Ezquerra, J. (1979). El “mini-examen cognoscitivo”: un test sencillo, práctico, para detectar alteraciones intelectivas en pacientes médicos. Actas Luso- Españolas de Neur y Psiquiatría, 3, 189–202.

López, C., Sánchez, J. L., y Martín, J. (2020). The effect of cognitive stimulation on the progression of cognitive impairment in subjects with Alzheimer’s disease. Applied Neuropsychology: Adult, 1–10.

Martínez-Lage, P., Martín-Carrasco, M., Arrieta, E., Rodrigo, J., y Formiga, F. (2018). Mapa de la enfermedad de Alzheimer y otras demencias en España. Proyecto MapEA. Revista Espanola de Geriatria y Gerontologia, 53(1), 26–37. https://doi.org/10.1016/j.regg.2017.07.006

Orduna, G. ., y Naval, C. (2001). Gerontología educativa. Ariel educación.

Peña-Casanova, J. (1999). Colección “activemos la mente”: libros 1,2,3,4. Fundación la Caixa.

Rodríguez-Sánchez, E., Mora-Simón, S., Patino-Alonso, M. C., García-García, R., Escribano-Hernández, A., García-Ortiz, L., Perea- Bartolomé, M. V., y Gómez-Marcos, M. A. (2011). Prevalence of cognitive impairment in individuals aged over 65 in an urban area: DERIVA study. BMC Neurology, 11. https://doi.org/10.1186/1471-2377-11-147

Tárrega, L. (1998). Terapias blandas: programa de psicoestimulación integral. Alternativa terapéutica para personas con enfermedad de Alzheimer. Revista de Neurología, 27(1), 51–62.

Thornton, H. A. (1989). A medical handbook for señor citizens and their families. Auburn House publishing Company.

Tola, M. (2018). El 55% de los mayores de 65 años que tiene demencia no está diagnosticado. Https://Www.Ceafa.Es/Es/Que-Comunicamos/Noticias/El-55-de-Los-Mayores-de-65-Anos-Que-TieneDemencia-No-Esta-Diagnosticado. https://www.ceafa.es/es/que-comunicamos/noticias/el-55-de-los-mayores-de-65-anos-que-tiene-demencia-no-esta-diagnosticado

Vega Alonso, T., Miralles Espí, M., Mangas Reina, J. M., Castrillejo Pérez, D., Rivas Pérez, A. I., Gil Costa, M., López Maside, A., Arrieta Antón, E., Lozano Alonso, J. E., y Fragua Gil, M. (2016). Prevalence of cognitive impairment in Spain: The Gómez de Caso study in health sentinel networks. Neurologia. https://doi.org/10.1016/j.nrl.2016.10.002

Yesavage, J. A., y Sheikh, J. I. (1988). Nonpharmacologic treatment of age-associated memory impairment. Comprehensive Therapy, 14(6), 44–46.