Smart, Colette M., Karr, Justin E., Areshenkoff, Corson N., Rabin, Laura A., Hudon, Carol ORCID: 0000-0002-7554-3187, Gates, Nicola, Ali, Jordan I., Arenaza-Urquijo, Eider M., Buckley, Rachel F., Chetelat, Gael, Hampel, Harald, Jessen, Frank, Marchant, Natalie L., Sikkes, Sietske A. M., Tales, Andrea, van der Flier, Wiesje M. and Wesselman, Linda (2017). Non-Pharmacologic Interventions for Older Adults with Subjective Cognitive Decline: Systematic Review, Meta-Analysis, and Preliminary Recommendations. Neuropsychol. Rev., 27 (3). S. 245 - 258. NEW YORK: SPRINGER. ISSN 1573-6660

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Abstract

In subjective cognitive decline (SCD), older adults present with concerns about self-perceived cognitive decline but are found to have clinically normal function. However, a significant proportion of those adults are subsequently found to develop mild cognitive impairment, Alzheimer's dementia or other neurocognitive disorder. In other cases, SCD may be associated with mood, personality, and physical health concerns. Regardless of etiology, adults with SCD may benefit from interventions that could enhance current function or slow incipient cognitive decline. The objective of this systematic review and meta-analysis, conducted in accordance with the PRISMA guidelines, is to examine the benefits of non-pharmacologic intervention (NPI) in persons with SCD. Inclusion criteria were studies of adults aged 55 + with SCD defined using published criteria, receiving NPI or any control condition, with cognitive, behavioural, or psychological outcomes in controlled trails. Published empirical studies were obtained through a standardized search of CINAHL Complete, Cochrane Central Register of Controlled Trials, MEDLINE with Full Text, PsycINFO, and PsycARTICLES, supplemented by a manual retrieval of relevant articles. Study quality and bias was determined using PEDro. Nine studies were included in the review and meta-analysis. A wide range of study quality was observed. Overall, a small effect size was found on cognitive outcomes, greater for cognitive versus other intervention types. The available evidence suggests that NPI may benefit current cognitive function in persons with SCD. Recommendations are provided to improve future trials of NPI in SCD.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Smart, Colette M.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Karr, Justin E.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Areshenkoff, Corson N.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Rabin, Laura A.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hudon, CarolUNSPECIFIEDorcid.org/0000-0002-7554-3187UNSPECIFIED
Gates, NicolaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ali, Jordan I.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Arenaza-Urquijo, Eider M.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Buckley, Rachel F.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Chetelat, GaelUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hampel, HaraldUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Jessen, FrankUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Marchant, Natalie L.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Sikkes, Sietske A. M.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Tales, AndreaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
van der Flier, Wiesje M.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wesselman, LindaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-221054
DOI: 10.1007/s11065-017-9342-8
Journal or Publication Title: Neuropsychol. Rev.
Volume: 27
Number: 3
Page Range: S. 245 - 258
Date: 2017
Publisher: SPRINGER
Place of Publication: NEW YORK
ISSN: 1573-6660
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
ALZHEIMERS-DISEASE; MEMORY COMPLAINTS; COST-EFFECTIVENESS; RISK; DEMENTIA; PERSONALITY; HEALTH; REHABILITATION; RIVASTIGMINE; GALANTAMINEMultiple languages
Psychology, Clinical; NeurosciencesMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/22105

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