The Group Reminiscence Approach Can Increase Self-Awareness of Memory Deficits and Evoke a Life Review in People With Mild Cognitive Impairment: The Kurihara Project Data

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• 作者：Kei Nakamura ; MD ; PhD ; Mari Kasai ; PhD ; Megumi Nakai ; Masahiro Nakatsuka ; MD ; PhD ; Kenichi Meguro ; MD ; PhD ; ^{k-meg@umin.ac.jp" class="auth_mail" title="E-mail the corresponding author}
• 关键词：Reminiscence ; mild cognitive impairment ; life review ; patient-reported outcome
• 刊名：Journal of the American Medical Directors Association
• 出版年：2016
• 出版时间：1 June 2016
• 年：2016
• 卷：17
• 期：6
• 页码：501-507
• 全文大小：668 K

文摘

The group reminiscence approach (GRA) and reality orientation (RO) are common psychosocial interventions for patients with dementia. As a qualitative evaluation of the reminiscence approach in patients with dementia, the Patient Report Outcome (PRO) is useful. The purpose of this study was to investigate the effects of GRA-RO for participants with mild cognitive impairment (MCI) using the PRO.

Design

A cluster randomized controlled trial.

Setting

Community-based study.

Participants

Ninety-four patients with MCI (39 GRA-RO, 23 physical activity, and 32 cognitive training) described their impressions.

Intervention

Based on the database of the Kurihara Project, we retrospectively analyzed the participants' descriptions of their impressions as a PRO in the nonpharmacological interventions: GRA-RO, physical activity, and cognitive training. We categorized the descriptions according to the following 2 types: impression with content and reminiscence with life review. We assessed what they wrote regarding memory loss. The content on their life reviews was also a particular focus for the GRA-RO group.

Measurements

PRO.

Results

Compared with the physical activity and the clinical training groups, the GRA-RO patients described their reminiscence with life review and their own memory problems. There was no confusion of the order of events of their autobiographical memories. There was a significant time effect between the 2 family involvement groups in quality-of-life (QOL) scores, and the postintervention QOL scores were significantly better than preintervention.

Conclusion

This study suggests that the GRA-RO in participants with MCI not only stimulates life review but also increases self-awareness of memory deficits without confusion of the order of events. Thus, the GRA-RO may improve self-esteem and develop self-awareness.