Showing papers on "Validation therapy published in 2017"
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
28 Apr 2017
TL;DR: The main causes of psychological ill-being in dementia are depression and anxiety as mentioned in this paper, and these are the most likely psychological responses to reminiscence activities, such as life review, which is seen as negative activity, likely to overemphasise past events and potentially cause distress.
Abstract: Depression and anxiety are the most likely psychological responses. One in five people with early dementia will experience depression, and symptoms of anxiety are more common than this. This chapter summarizes some of the main causes of psychological ill-being in dementia. It would be surprising if a person coping with dementia did not experience emotional reactions to these experiences. There is now a wide range of psychological interventions that are effective for older people. There has been a growing interest in the application of psychodynamic approaches to work with older people. Validation therapy was developed as a client-centred approach for listening to and understanding the apparently confused speech of people with dementia. Until the 1960s, reminiscence was seen as a negative activity, likely to overemphasise past events and potentially cause distress to older people. Butler saw life review and related reminiscence activities as normative and undertaken by most people.