Topic
Validation therapy
About: Validation therapy is a research topic. Over the lifetime, 52 publications have been published within this topic receiving 1145 citations.
Papers published on a yearly basis
Papers
TL;DR: Overall, music therapy and behavioural management techniques were effective for reducing BPSD.
Abstract: Objective To provide an overview of non-pharmacological interventions for behavioural and psychological symptoms in dementia (BPSD). Design Systematic overview of reviews. Data sources PubMed, EMBASE, Cochrane Database of Systematic Reviews, CINAHL and PsycINFO (2009–March 2015). Eligibility criteria Systematic reviews (SRs) that included at least one comparative study evaluating any non-pharmacological intervention, to treat BPSD. Data extraction Eligible studies were selected and data extracted independently by 2 reviewers. The AMSTAR checklist was used to assess the quality of the SRs. Data analysis Extracted data were synthesised using a narrative approach. Results 38 SRs and 142 primary studies were identified, comprising the following categories of non-pharmacological interventions: (1) sensory stimulation interventions (12 SRs, 27 primary studies) that encompassed: acupressure, aromatherapy, massage/touch therapy, light therapy and sensory garden; (2) cognitive/emotion-oriented interventions (33 SRs; 70 primary studies) that included cognitive stimulation, music/dance therapy, dance therapy, snoezelen, transcutaneous electrical nerve stimulation, reminiscence therapy, validation therapy, simulated presence therapy; (3) behaviour management techniques (6 SRs; 32 primary studies) and (4) other therapies (5 SRs, 12 primary studies) comprising exercise therapy, animal-assisted therapy, special care unit and dining room environment-based interventions. Music therapy was effective in reducing agitation (SMD, −0.49; 95% CI −0.82 to −0.17; p=0.003), and anxiety (SMD, −0.64; 95% CI −1.05 to −0.24; p=0.002). Home-based behavioural management techniques, caregiver-based interventions or staff training in communication skills, person-centred care or dementia care mapping with supervision during implementation were found to be effective for symptomatic and severe agitation. Conclusions A large number of non-pharmacological interventions for BPSD were identified. The majority of the studies had great variation in how the same type of intervention was defined and applied, the follow-up duration, the type of outcome measured, usually with modest sample size. Overall, music therapy and behavioural management techniques were effective for reducing BPSD.
458 citations
TL;DR: Evaluating the effectiveness of using validation therapy with people diagnosed as having senile dementia of the Alzheimer's type, other forms of dementia, or cognitive impairment failed to reveal statistically significant results although there were trends toward favouring validation therapy for some outcomes.
Abstract: Background
Validation therapy was developed by Naomi Feil between 1963 and 1980 for older people with cognitive impairments. Initially, this did not include those with organically-based dementia, but the approach has subsequently been applied in work with people who have a dementia diagnosis. Feil's own approach classifies individuals with cognitive impairment as having one of four stages in a continuum of dementia: these stages are Mal orientation, Time Confusion, Repetitive Motion and Vegetation. The therapy is based on the general principle of validation, the acceptance of the reality and personal truth of another's experience, and incorporates a range of specific techniques. Validation therapy has attracted a good deal of criticism from researchers who dispute the evidence for some of the beliefs and values of validation therapy, and the appropriateness of the techniques. Feil, however, argues strongly for the effectiveness of validation therapy.
Objectives
To evaluate the effectiveness of validation therapy for people diagnosed as having dementia of any type, or cognitive impairment
Search methods
The trials were identified from the Specialized Register of the Cochrane Dementia and Cognitive Improvement Group (CDCIG) on 5 August 2005 using the terms validation therapy, VTD and emotion-oriented care. The Specialized Register at that time contained records from the following databases: MEDLINE, EMBASE, CINAHL, PSYCLIT, and SIGLE plus many ongoing trials databases.
Selection criteria
All randomised controlled trials (RCTs) examining validation therapy as an intervention for dementia were considered for inclusion in the review. The criteria for inclusion comprised systematic assessment of the quality of study design and the risk of bias.
Data collection and analysis
Data were extracted independently by both reviewers. Authors were contacted for data not provided in the papers. Psychological scales measuring cognition, behaviour, emotional state and activities of daily living were examined.
Main results
Three studies were identified that met the inclusion criteria (Peoples 1982; Robb 1986; Toseland 1997) incorporating data on a total of 116 patients (42 in experimental groups, and 74 in the control groups (usual care 43 and social contact 21, 10 in reality orientation). It was not possible to pool the data from the 3 included studies, either because of the different lengths of treatment or choice of different control treatments, or because the outcome measures were not comparable.
Two significant results were found:
Peoples 1982 - Validation versus usual care. Behaviour at 6 weeks [MD --5.97, 95% CI (-9.43 to -2.51) P=0.0007, completers analysis] favours validation therapy.
Toseland 1997 - Validation versus social contact. Depression at 12 months (MOSES) [MD -4.01, 95% CI (-7.74 to - 0.28) P=0.04, completers analysis] favours validation. There were no statistically significant differences between validation and social contact or between validation and usual therapy. There were no assessments of carers.
Authors' conclusions
There is insufficient evidence from randomised trials to allow any conclusion about the efficacy of validation therapy for people with dementia or cognitive impairment.
250 citations
TL;DR: An overview will be presented of music therapy, art therapy, movement therapy and reminiscence therapy, memory training, reality orientation, validation therapy, self-maintenance therapy, behaviour therapy, milieu therapy and staff training.
Abstract: An overview will be presented of music therapy, art therapy, movement therapy and reminiscence therapy, memory training, reality orientation, validation therapy, self-maintenance therapy, behaviour therapy, milieu therapy and staff training. The overview will examine the aims of each, the principles on which procedures are based and the proof of their effectiveness. The principal aim of non-drug therapies is to influence symptomatic dementia beneficially and to improve the abilities remaining to the patient. The potential benefits are usually deduced from studies made without control groups. At the present time, proof of the effectiveness of these therapies is still lacking as controlled, randomized studies have yet to be conducted, and so a fundamental evaluation of the therapeutic benefits of non-drug therapies in the treatment of dementia cannot yet be made.
110 citations
TL;DR: The results of a pilot study investigating the effects of a weekly validation therapy group in demented subjects are presented and the need for further research into the benefits of this therapy is highlighted.
Abstract: The results of a pilot study investigating the effects of a weekly validation therapy group in demented subjects are presented. Five patients were studied and the effects of the intervention on their mood, behaviour and sociability were quantified using standardized instruments. There was some increase in levels of interaction. These results are discussed and the need for further research into the benefits of this therapy is highlighted.
51 citations
Book•
1 Jan 1999
TL;DR: A review of approaches to psychotherapy with older adults can be found in this article, where Smyer et al. discuss the role of art therapy in assisting older adults with life transitions.
Abstract: Partial table of contents: APPROACHES TO PSYCHOTHERAPY WITH OLDER ADULTS: ISSUES IN PSYCHOTHERAPY PROCESS WITH OLDER ADULTS. Using Process Dimensions in Psychotherapy: The Case of the Older Adult (M. Duffy). Adjusting to Role Loss and Leisure in Later Life (J. Myers). Developmental Issues in Psychotherapy with Older Men (M. Huyck & D. Gutmann). It Takes Two: Therapeutic Alliance with Older Clients (H. Kivnick & A. Kavka). The Role of Art Therapy in Aiding Older Adults with Life Transitions (J. Weiss). Therapeutic Issues and Strategies in Group Therapy with Older Men (D. Sprenkel). Couple Therapy with Long-Married Older Adults (E. Rosowsky). Family Disruption: Understanding and Treating the Effects of Dementia Onset and Nursing Home Placement (D. Frazer). Prevention Interventions for Older Adults (C. Konnert, et al.). Critical Issues and Strategies in Mental Health Consultation in Nursing Homes (M. Smyer & M. Wilson). TREATMENT APPROACHES FOR SELECTED PROBLEMS: PERSONALITY DISORDERS. The Effect of Personality Disorder on Axis I Disorders in the Elderly (J. Sadavoy). Dynamics and Treatment of Narcissism in Later Life (J. Jacobowitz & N. Newton). Interpersonal Psychotherapy for Late-Life Depression (G. Hinrichsen). Strategies for Treating Generalized Anxiety in the Elderly (M. Stanley & P. Averill). The Effects of Trauma: Dynamics and Treatment of PTSD in the Elderly (L. Hyer). Current Concepts and Techniques in Validation Therapy (N. Feil). Management of Alcohol Abuse in Older Adults (L. Dupree & L. Schonfeld). Ethics of Treatment in Geropsychology: Status and Challenges (J. Hays). Indexes.
47 citations
Related Topics (5)
Performance Metrics
| Year | Papers |
|---|---|
| 2021 | 1 |
| 2020 | 4 |
| 2019 | 1 |
| 2018 | 1 |
| 2017 | 2 |
| 2016 | 2 |