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REVIEW ARTICLE
“Psychological Treatments ForDepression and Anxiety inDementia and Mild CognitiveImpairment : Systematicreview and Meta Analysis “
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2nd GROUP
Fathin Nabila Kistie 1313010001
A!ina P"ti #e$anti 131301000%
Ed& '"da()n) 131301000*
Andi!a Fa+a N",)h) 131301001- Ri.!i Ghi.ai A!ba 1313010021
/"!ha((ad Ai.in 131301002%
N" Aiah a.a 131301003*
R)sella Al.i 'ahaa 131301000 A,nes Tiana #e$i 131301002
A(elia /ais 13130100
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4ACKGROUN#
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4ACKGROUN#
An5iet& and #e6essi)n ha7e s"bstantial
i(6a8t )n )"t8)(es as the& de8ease the
abilit& t) li7e inde6endentl& and es"lt in hi,he
8ae,i7e b"den In 6e)6le $ith /CI 9/a+) C),niti7es
I(6ai(ent:; eal& s&(6t)(6s ). de6essi)n
8an ).ten be esistant t) antide6essant
Thee.)e; 6s&8h)l),i8al teat(ents ada6ted
.) "se $ith 6e)6le $ith 8),niti7es i(6ai(ent
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AI/' OF TE ARTICLE
Is t) e7al"ate the e7iden8e ). e..e8ti7eness ).
6s&8h)l),i8al teat(ents in teatin, de6essi)n
and an5iet& in 6e)6le $ith de(entia and /CI
9 /a+) C),niti7es I(6ai(ent :
Pha(a8)t
hea6& <
TERAP=
#e(entia
and
An5iet& Ps&8h)the a6& <
4)th ).
the( <
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/ETO#'
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'U4>ECT'
Identi.ied ). 3 e.een8es th)",h database
sea8hin,?
The (eth)ds "se Rand)(ised C)nt)l Tial 9 RCTs :
that in8l"ded 8)nt)l ,)"6 and 8)(6aisan ,)"6
e8ei7in, n) s6esi.i8 6s&8h)l),i8al inte7enti)n
In8l"si)n 8iteia .) 6ati8i6ants @
Olde ad"lts $ith de(entia 9:
Alhei(e disease
O,ani8 bain '&nd)(es
/a+) 8),niti7es i(6ai(ent
B8iteia based IC# 10; #'/ IV ) 8)(6aable
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#ATA ANAL='I'
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#ATA COLLECTION
Searched the Cochrane Dementia andCognitive Improvement
Group’s Specialized Register and major
healthcare databases1. MD!I"
#. mbase
$. CI"%&!
'. (s)cI"*+
,. &!I+S -.medicine.o/.ac.u0alois2.
3. !I!&CS4
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#ATA COLLECTION
An& 6s&8h)l),i8al thea6& desi,ned t) ed"8e
de6essi7e and an5iet& s&(6t)(s in 6e)6le
$ith de(entia; $hi8h $as de.ined as an&
inte7enti)n that@Was desi,ned t) ed"8e an5iet& and
de6essi)n ) i(6)7e ada6ti7e ."n8ti)nin,
Was based )n a 6s&8h)l),i8al the)&
In7)l7ed a st"8t"ed intea8ti)n bet$een a
.a8ilitat) and a 6ati8i6ant; in8)6)atin,
6s&8h)l),i8al (eth)ds?
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#ATA COLLECTION
The 6)int ). thea6ies sea8h .) @
Pi(a& )b+e8ti7es @
#ete(ine $hethe 6s&8h)l),i8al inte7enti)ns ed"8e
de6essi)n and an5iet& in 6e)6le $ith de(entia and/CI
'e8)nda& )b+e8ti7es @
D"alit& ). li.e en8han8e(ent
A8ti7ites ). dail& li7in, Ne")6s&8hiati8 s&(6t)(s
C),niti)n
Cae,i7e de6essi)n
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IN'TRU/ENT OF P'=COTERAP=
INCLUDES
C4T 9 C),niti7es
4eha7i) Thea6& :
Rela5ati)n tainin,
thea6ies
Ps&8h)dina(i8 thea6ies
Inte6es)nal thea6ies
'"66)ti7es thea6ies
EXCLUDES
Medication
Exercise Reminiscence
therapy
Music therapy
Art and dramatherapy
Befriending or
bibliotherapy
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#I'CU''ION RE'ULT'
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RE'ULT'
Pi(a& )"t8)(es @
#e6essi)n
The e..e8t ). 6s&8h)l),i8al teat(ent $as
significantly in reducing de6essi7e s&(6t)(s.) 6e)6le $ith de(entia?
An5iet&
Ps&8h)l),i8al teat(ent reduced clinician-rated an5iet& (eas"ed $ith the atin, An5iet& in
#e(entia s8ale?
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RE'ULT'
'e8)nda& )"t8)(es@
Ps&8h)l),i8al teat(ent had n) e..e8t )n
D"alit& ). li.e
A8ti7ities ). dail& li7in,
Ne")6s&8hiati8 s&(6t)(sC),niti)n
Cae,i7e de6essi)n
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#I'CU''ION'
The es"lts ). si5 RCTs $ith a t)tal ).
3 6ati8i6ants 921 e8ei7in,
6s&8h)l),i8al teat(ent; 223 in 8)nt)l
,)"6s: sh)$ed that 6s&8h)l),i8alteat(ents ed"8e de6essi7e and
an5iet& s&(6t)(s in 6e)6le $ith
de(entia (eas"ed $ith a 8lini8ianated t))l?
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#I'CU''ION'
/)e)7e; all ). these st"dies ta,eted
s&(6t)(s ). an5iet& and de6essi)n th)",h a
st"8t"ed 6s&8h)l),i8al a66)a8h9thea6ist
and 6atient 8)(("ni8ati)n: Alth)",h thee $as n) e..e8t ). 6s&8h)l),i8al
teat(ent )n se8)nda& )"t8)(es; s"8h as
A#L; "alit& ). li.e; ne")6s&8hiati8 s&(6t)(s
and 8),niti)n; ) )n 8ae,i7e de6essi)n?
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#I'CU''ION'
A li(itati)n ). this e7ie$; thee.)e; is the s"bstantial7aiati)n bet$een st"dies in te(s ). the nature;
duration and intensity of the psychological therapy
evaluated; $hi8h (a& 8)ntib"te t) di..i8"lties $hen
inte6etin, the data?
Als) the 6s&8h)s)8ial nat"e in8l"din, 8),niti7e
sti("lati)n; 8),niti7e ehabilitati)n; e(inis8en8e and
a8ti7it&based inte7enti)ns ae n)t ai(ed s6e8i.i8all&
at an5iet& ) de6essi)n
)$e7e; in s)(e st"dies the 8)nt)l 8)nditi)n $aseni8hed be&)nd "s"al 8ae; as )66)sed t) standad
8ae; indi8atin, that the e..i8a8& ). 6s&8h)l),i8al
thea6ies (a& be 6)tentiall& underestimated.
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CO/PARI'ON OF PREVIOU'
#ATA
This st"d& $as si(ila t) 6e7i)"s esea8h;
$hi8h sh)$ed that 6s&8h)thea6& is ()e
effective therapy? 4"t in 6e7i)"s st"dies ae
still 7e& li(ited and )nl& in mild dementia?While in this st"d& "sed a 8)(6ehensi7e and
sensiti7e state,& t) identi.& st"diesH the .ist
9V?O?: and se8)nd a"th) 9A?D?: inde6endentl&
8)nd"8ted the sele8ti)n ). st"dies; datae5ta8ti)n and assess(ents ). is! ). bias?
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CONCLU'ION'
The e7iden8e .)( si5 RCTs s",,ests
that 6s&8h)l),i8al teat(ents ae
e..e8ti7e in ed"8in, s&(6t)(s ).
de6essi)n and an5iet& .) 6e)6le $ithde(entia
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LACK AN# 'UGGE'TION
This ati8le ha7e a la8! is n)t (enti)ned
na(e ). the d", e..e8t as $ell as a
6ha(a8)l),&?
'",,esti)ns@ na(e ). the d", need t)
be (enti)ned e7en th)",h )nl& a .e$;
and 8)(binati)n thea6& sh)"ld 8lea
bet$een 6ha(a8)thea6& and6s&8)thea6&
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