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Non-Pharmacologic Interventions for Older Adults with Subjective Cognitive Decline: Systematic Review, Meta-Analysis, and Preliminary Recommendations.

Identifieur interne : 000719 ( Main/Exploration ); précédent : 000718; suivant : 000720

Non-Pharmacologic Interventions for Older Adults with Subjective Cognitive Decline: Systematic Review, Meta-Analysis, and Preliminary Recommendations.

Auteurs : Colette M. Smart [Canada] ; Justin E. Karr [Canada] ; Corson N. Areshenkoff [Canada] ; Laura A. Rabin [États-Unis] ; Carol Hudon [Canada] ; Nicola Gates [Australie] ; Jordan I. Ali [Canada] ; Eider M. Arenaza-Urquijo [France] ; Rachel F. Buckley [Australie] ; Gael Chetelat [France] ; Harald Hampel [France] ; Frank Jessen [Allemagne] ; Natalie L. Marchant [Royaume-Uni] ; Sietske A M. Sikkes [Pays-Bas] ; Andrea Tales [Royaume-Uni] ; Wiesje M. Van Der Flier [Pays-Bas] ; Linda Wesselman [Pays-Bas]

Source :

RBID : pubmed:28271346

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.

DOI: 10.1007/s11065-017-9342-8
PubMed: 28271346


Affiliations:


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Le document en format XML

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<name sortKey="Tales, Andrea" sort="Tales, Andrea" uniqKey="Tales A" first="Andrea" last="Tales">Andrea Tales</name>
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<name sortKey="Van Der Flier, Wiesje M" sort="Van Der Flier, Wiesje M" uniqKey="Van Der Flier W" first="Wiesje M" last="Van Der Flier">Wiesje M. Van Der Flier</name>
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<name sortKey="Wesselman, Linda" sort="Wesselman, Linda" uniqKey="Wesselman L" first="Linda" last="Wesselman">Linda Wesselman</name>
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<name sortKey="Chetelat, Gael" sort="Chetelat, Gael" uniqKey="Chetelat G" first="Gael" last="Chetelat">Gael Chetelat</name>
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<name sortKey="Hampel, Harald" sort="Hampel, Harald" uniqKey="Hampel H" first="Harald" last="Hampel">Harald Hampel</name>
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<nlm:affiliation>AXA Research Fund and UPMC Chair, Sorbonne Universities, Pierre et Marie Curie University, Paris, France.</nlm:affiliation>
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<name sortKey="Jessen, Frank" sort="Jessen, Frank" uniqKey="Jessen F" first="Frank" last="Jessen">Frank Jessen</name>
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<name sortKey="Marchant, Natalie L" sort="Marchant, Natalie L" uniqKey="Marchant N" first="Natalie L" last="Marchant">Natalie L. Marchant</name>
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<nlm:affiliation>Division of Psychiatry, University College London, London, England, UK.</nlm:affiliation>
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<wicri:regionArea>Division of Psychiatry, University College London, London, England</wicri:regionArea>
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<name sortKey="Sikkes, Sietske A M" sort="Sikkes, Sietske A M" uniqKey="Sikkes S" first="Sietske A M" last="Sikkes">Sietske A M. Sikkes</name>
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<nlm:affiliation>Alzheimer Center and Department of Neurology, Amsterdam Neuroscience, VU University Medical Center, Amsterdam, The Netherlands.</nlm:affiliation>
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<name sortKey="Tales, Andrea" sort="Tales, Andrea" uniqKey="Tales A" first="Andrea" last="Tales">Andrea Tales</name>
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<nlm:affiliation>Swansea University, Swansea, Wales, UK.</nlm:affiliation>
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<wicri:regionArea>Swansea University, Swansea, Wales</wicri:regionArea>
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<name sortKey="Van Der Flier, Wiesje M" sort="Van Der Flier, Wiesje M" uniqKey="Van Der Flier W" first="Wiesje M" last="Van Der Flier">Wiesje M. Van Der Flier</name>
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<nlm:affiliation>Alzheimer Center and Department of Neurology, Amsterdam Neuroscience, VU University Medical Center, Amsterdam, The Netherlands.</nlm:affiliation>
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<placeName>
<settlement type="city">Amsterdam</settlement>
<region nuts="2" type="province">Hollande-Septentrionale</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Wesselman, Linda" sort="Wesselman, Linda" uniqKey="Wesselman L" first="Linda" last="Wesselman">Linda Wesselman</name>
<affiliation wicri:level="3">
<nlm:affiliation>Alzheimer Center and Department of Neurology, Amsterdam Neuroscience, VU University Medical Center, Amsterdam, The Netherlands.</nlm:affiliation>
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>Alzheimer Center and Department of Neurology, Amsterdam Neuroscience, VU University Medical Center, Amsterdam</wicri:regionArea>
<placeName>
<settlement type="city">Amsterdam</settlement>
<region nuts="2" type="province">Hollande-Septentrionale</region>
</placeName>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Neuropsychology review</title>
<idno type="eISSN">1573-6660</idno>
<imprint>
<date when="2017" type="published">2017</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc>
<textClass></textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">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.</div>
</front>
</TEI>
<affiliations>
<list>
<country>
<li>Allemagne</li>
<li>Australie</li>
<li>Canada</li>
<li>France</li>
<li>Pays-Bas</li>
<li>Royaume-Uni</li>
<li>États-Unis</li>
</country>
<region>
<li>Angleterre</li>
<li>Grand Londres</li>
<li>Hollande-Septentrionale</li>
<li>Nouvelle-Galles du Sud</li>
<li>Victoria (État)</li>
<li>État de New York</li>
<li>Île-de-France</li>
</region>
<settlement>
<li>Amsterdam</li>
<li>Londres</li>
<li>Melbourne</li>
<li>Paris</li>
<li>Sydney</li>
</settlement>
<orgName>
<li>University College de Londres</li>
<li>Université de Melbourne</li>
</orgName>
</list>
<tree>
<country name="Canada">
<noRegion>
<name sortKey="Smart, Colette M" sort="Smart, Colette M" uniqKey="Smart C" first="Colette M" last="Smart">Colette M. Smart</name>
</noRegion>
<name sortKey="Ali, Jordan I" sort="Ali, Jordan I" uniqKey="Ali J" first="Jordan I" last="Ali">Jordan I. Ali</name>
<name sortKey="Areshenkoff, Corson N" sort="Areshenkoff, Corson N" uniqKey="Areshenkoff C" first="Corson N" last="Areshenkoff">Corson N. Areshenkoff</name>
<name sortKey="Hudon, Carol" sort="Hudon, Carol" uniqKey="Hudon C" first="Carol" last="Hudon">Carol Hudon</name>
<name sortKey="Karr, Justin E" sort="Karr, Justin E" uniqKey="Karr J" first="Justin E" last="Karr">Justin E. Karr</name>
</country>
<country name="États-Unis">
<region name="État de New York">
<name sortKey="Rabin, Laura A" sort="Rabin, Laura A" uniqKey="Rabin L" first="Laura A" last="Rabin">Laura A. Rabin</name>
</region>
</country>
<country name="Australie">
<region name="Nouvelle-Galles du Sud">
<name sortKey="Gates, Nicola" sort="Gates, Nicola" uniqKey="Gates N" first="Nicola" last="Gates">Nicola Gates</name>
</region>
<name sortKey="Buckley, Rachel F" sort="Buckley, Rachel F" uniqKey="Buckley R" first="Rachel F" last="Buckley">Rachel F. Buckley</name>
</country>
<country name="France">
<noRegion>
<name sortKey="Arenaza Urquijo, Eider M" sort="Arenaza Urquijo, Eider M" uniqKey="Arenaza Urquijo E" first="Eider M" last="Arenaza-Urquijo">Eider M. Arenaza-Urquijo</name>
</noRegion>
<name sortKey="Chetelat, Gael" sort="Chetelat, Gael" uniqKey="Chetelat G" first="Gael" last="Chetelat">Gael Chetelat</name>
<name sortKey="Hampel, Harald" sort="Hampel, Harald" uniqKey="Hampel H" first="Harald" last="Hampel">Harald Hampel</name>
</country>
<country name="Allemagne">
<noRegion>
<name sortKey="Jessen, Frank" sort="Jessen, Frank" uniqKey="Jessen F" first="Frank" last="Jessen">Frank Jessen</name>
</noRegion>
</country>
<country name="Royaume-Uni">
<region name="Angleterre">
<name sortKey="Marchant, Natalie L" sort="Marchant, Natalie L" uniqKey="Marchant N" first="Natalie L" last="Marchant">Natalie L. Marchant</name>
</region>
<name sortKey="Tales, Andrea" sort="Tales, Andrea" uniqKey="Tales A" first="Andrea" last="Tales">Andrea Tales</name>
</country>
<country name="Pays-Bas">
<region name="Hollande-Septentrionale">
<name sortKey="Sikkes, Sietske A M" sort="Sikkes, Sietske A M" uniqKey="Sikkes S" first="Sietske A M" last="Sikkes">Sietske A M. Sikkes</name>
</region>
<name sortKey="Van Der Flier, Wiesje M" sort="Van Der Flier, Wiesje M" uniqKey="Van Der Flier W" first="Wiesje M" last="Van Der Flier">Wiesje M. Van Der Flier</name>
<name sortKey="Wesselman, Linda" sort="Wesselman, Linda" uniqKey="Wesselman L" first="Linda" last="Wesselman">Linda Wesselman</name>
</country>
</tree>
</affiliations>
</record>

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