Efficacy of short-term inpatient rehabilitation for dementia patients and caregivers: prospective cohort study

Dement Geriatr Cogn Disord. 2013;35(5-6):300-12. doi: 10.1159/000348357. Epub 2013 Apr 5.

Abstract

Background/aims: The efficacy of nonpharmacological and multicomponent treatments in patients with dementia is under discussion, as is the ongoing debate which endpoints best measure efficacy.

Methods: 194 dyads of dementia patients and their proxies interested in a combined short-term inpatient rehabilitative treatment were assessed in the patients' homes.

Results: Analysis showed that cognition in male patients (cognitive part of the Alzheimer's Disease Assessment Scale: p = 0.048) and depressive mood in female patients were improved after treatment at the 3-month follow-up (Geriatric Depression Scale: p = 0.030). Moreover, the burden on male caregivers was reduced (behavioral pathology in Alzheimer's Disease Rating Scale: p = 0.002) at 3 months.

Conclusion: Combined short-term rehabilitative treatment of patients and psychosocial intervention for caregivers is modestly effective in patients with dementia and their caregivers, but may be subject to gender-specific effects.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Activities of Daily Living
  • Aged
  • Aged, 80 and over
  • Alzheimer Disease / psychology
  • Alzheimer Disease / rehabilitation
  • Caregivers / psychology*
  • Cohort Studies
  • Dementia / psychology
  • Dementia / rehabilitation*
  • Depression / etiology
  • Depression / psychology
  • Female
  • Humans
  • Inpatients
  • Male
  • Mental Disorders / etiology
  • Mental Disorders / psychology
  • Mental Disorders / rehabilitation
  • Middle Aged
  • Neuropsychological Tests
  • Prospective Studies
  • Psychiatric Status Rating Scales
  • Quality of Life
  • Verbal Behavior