Skip to main content

Psychologische Therapie bei fortgeschrittener Demenz

  • Chapter
  • First Online:
Alterspsychotherapie und klinische Gerontopsychologie

Zusammenfassung

Der heutige Stand des Wissens legt es nahe, die therapeutischen Zugangswege zu Personen mit beginnender Demenz (s. ▶ Kap. 11) von denen zu Personen mit fortgeschrittener Demenz zu unterscheiden. Die Aussagen des Kapitels basieren auf vorliegenden Wirksamkeitsstudien im klinischen Kontext. Im Spätstadium der Demenz stehen kognitive Rehabilitations- und Stimulationstechniken für die Betroffenen im Mittelpunkt. Dazu treten weitere Reminiszenz-, emotionale und verhaltenstherapeutische Ansätze, für die jeweils auch der Einbezug der pflegenden Angehörigen beschrieben wird. Das Kapitel stellt diese vor und hebt zum Schluss wichtige praktische Schlüsselfragen hervor.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 64.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 84.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Literatur

  • Aguirre E, Spector A, Hoe J, Russell IT, Knapp M, Woods RT et al. (2010) Maintenance cognitive stimulation therapy (CST) for dementia: A single-blind, multi-centre, randomized controlled trial of maintenance CST vs. CST for dementia. Trials 11:46

    Article  PubMed  PubMed Central  Google Scholar 

  • Aguirre E, Spector A, Streater A, Hoe J, Woods B, Orrell M (2011) Making a difference 2. an evidence-based group programme to offer maintenance cognitive stimulation therapy (CST) to people with dementia. Hawker, London

    Google Scholar 

  • Aguirre E, Woods RT, Spector A, Orrell M (2013) Cognitive stimulation for dementia: A systematic review of the evidence of effectiveness from randomised controlled trials. Ageing Res Rev 12:253–262

    Article  PubMed  Google Scholar 

  • Bahar-Fuchs A, Clare L, Woods B (2013) Cognitive training and cognitive rehabilitation for mild to moderate Alzheimer’s disease and vascular dementia. Cochrane Database Syst Rev 6:Art. No.: CD003260

    Google Scholar 

  • Baines S, Saxby P, Ehlert K (1987) Reality orientation and reminiscence therapy: A controlled cross-over study of elderly confused people. Br J Psychiatry 151:222–231

    Article  PubMed  CAS  Google Scholar 

  • Baker R, Dowling Z, Wareing LA, Dawson J, Assey J (1997) Snoezelen: Its long-term and short-term effects on older people with dementia. Br J Occup Ther 60(5):213–218

    Google Scholar 

  • Bird M, Moniz-Cook E (2008) Challenging behaviour in dementia: A psychosocial approach to intervention. In Woods RT, Clare L (Hrsg) Handbook of the clinical psychology of ageing, 2. Aufl. Wiley, Chichester, S 571–594

    Google Scholar 

  • Bleathman C, Morton I (1992) Validation therapy: Extracts from 20 groups with dementia sufferers. J Adv Nurs 17:658–666

    Article  PubMed  CAS  Google Scholar 

  • Bourgeois MS (1990) Enhancing conversation skills in patients with Alzheimer’s disease using a prosthetic memory aid. J Appl Behav Anal 23:29–42

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  • Brodaty H, Green A, Koschera A (2003) Meta-analysis of psychosocial interventions for caregivers of people with dementia. J Am Geriatr Soc 51:657–664

    Article  PubMed  Google Scholar 

  • Brooker DJR, Snape M, Johnson E, Ward D, Payne M (1997) Single case evaluation of the effects of aromatherapy and massage on disturbed behaviour in severe dementia. Br J Clin Psychol 36(2):287–296

    Article  PubMed  Google Scholar 

  • Camp CJ, Foss JW, O’Hanlon AM, Stevens AB (1996) Memory interventions for persons with dementia. Appl Cogn Psychol 10:193–210

    Article  Google Scholar 

  • Chenoweth L, King M, Jeon Y, Brodaty H, Stein-Parbury J, Norman R et al. (2009) Caring for aged dementia care resident study (CADRES) of person-centred care, dementia-care mapping, and usual care in dementia: A cluster-randomised trial. Lancet Neurol 8:317–325

    Article  PubMed  Google Scholar 

  • Clare L, Woods RT (2004) Cognitive training and cognitive rehabilitation for people with early-stage Alzheimer’s disease: A review. Neuropsychol Rehabil 14:385–401

    Article  Google Scholar 

  • Clare L, Wilson BA, Breen K, Hodges JR (1999) Errorless learning of face-name associations in early Alzheimer’s disease. Neurocase 5:37–46

    Article  Google Scholar 

  • Clare L, Wilson BA, Carter G, Hodges JR, Adams M (2001) Long-term maintenance of treatment gains following a cognitive rehabilitation intervention in early dementia of Alzheimer type: A single case study. Neuropsychol Rehabil 11:477–494

    Article  Google Scholar 

  • Clare L, Linden DE, Woods RT, Whitaker R, Evans SJ, Parkinson CH et al. (2010) Goal-oriented cognitive rehabilitation for people with early-stage Alzheimer’s disease: A single-blind randomized controlled trial of clinical efficacy. Am J Geriatr Psychiatry 18:928–939

    Article  PubMed  Google Scholar 

  • Clare L, Bayer A, Burns A, Corbett A, Jones R, Knapp M et al. (2013) Goal-oriented cognitive rehabilitation in early-stage dementia: Study protocol for a multi-centre single-blind randomised controlled trial (GREAT). Trials 14:152

    Google Scholar 

  • Cohen-Mansfield J, Libin A, Marx M (2007) Non-pharmacological treatment of agitation: A controlled trial of systematic individualized intervention. J Gerontol Med Sci 62A(8):908–916

    Article  Google Scholar 

  • Davis RN, Massman PJ, Doody RS (2001) Cognitive intervention in Alzheimer’s disease: A randomized placebo-controlled study. Alzheimer Dis Assoc Disord 15:1–9

    Article  PubMed  CAS  Google Scholar 

  • Dietch JT, Hewett LJ, JonesS (1989) Adverse effects of reality orientation. J Am Geriatr Soc 37:974–976

    PubMed  CAS  Google Scholar 

  • Feil, N (1992) Validation: The Feil method. how to help disoriented old-old, 2. Aufl. Edward Feil Productions. Winslow Press, Cleveland, Ohio

    Google Scholar 

  • Feil, N (1993) The Validation breakthrough: Simple techniques for communicating with people with „Alzheimer’s type dementia“. Health Professions Press, Baltimore

    Google Scholar 

  • Fossey J, Ballard C, Juszczak E, James I, Alder N, Jacoby R, et al (2006) Effect of enhanced Psychosocial care on antipsychotic use in nursing home residents with severe dementia: Cluster randomised trial. Br Med J 332:756–758

    Article  Google Scholar 

  • Gibson F (1994) What can reminiscence contribute to people with dementia? In Bornat J (Hrsg), Reminiscence reviewed: Evaluations, achievements, perspectives. Open University Press, Buckingham, S 46–60

    Google Scholar 

  • Gudex C, Horsted C, Jensen AM, Kjer M, Sørensen J (2010) Consequences from use of reminiscence – a randomised intervention study in ten Danish nursing homes. BMC Geriatr 10:33

    Article  PubMed  PubMed Central  Google Scholar 

  • Haight BK, Burnside I (1993) Reminiscence and life review: Explaining the differences. Arch Psychiatr Nurs 7:91–98

    Article  PubMed  CAS  Google Scholar 

  • Hanley,IG (1981) The use of signposts and active training to modify ward disorientation in elderly patients. J Behav Ther Exp Psychiatry 12:241–247

    Article  Google Scholar 

  • Hanley IG, Lusty K (1984) Memory aids in reality orientation: A single-case study. Behav ResTher 22:709–712

    CAS  Google Scholar 

  • Holden UP, Woods RT (1995) Positive approaches to dementia care, 3. Aufl. Churchill Livingstone, Edinburgh

    Google Scholar 

  • Hsieh C, Chang C, Su S, Hsiao Y, Shih Y, Han, W, et al (2010) Reminiscence group therapy on depression and apathy in nursing home residents with mild-to-moderate dementia. J Exp Clin Med 2(2):72–78

    Article  Google Scholar 

  • Josephsson S, Backman L, Borell L, Bernspang B, Nygard L, Ronnberg L (1993) Supporting everyday activities in dementia: An intervention study. Int J Geriatr Psychiatry 8:395–400

    Google Scholar 

  • Kitwood T (1997) Dementia reconsidered: The person comes first. Open University Press, Buckingham

    Google Scholar 

  • Kurz A, Thöne-Otto A, Cramer B, Egert S, Frölich L, Gertz HJ, et al (2012) CORDIAL: Cognitive rehabilitation and cognitive-behavioral treatment for early dementia in Alzheimer disease: A multicenter, randomized, controlled trial. Alzheimer Dis Assoc Disord 26(3):246–253

    Article  PubMed  Google Scholar 

  • Lam DH, Woods RT (1986) Ward orientation training in dementia: A single-case study. Int J Geriatr Psychiatry 1:145–147

    Article  Google Scholar 

  • Moniz-Cook ED, Swift K, James I, Malouf R, De Vugt M, Verhey F (2012) Functional analysis-based interventions for challenging behaviour in dementia. Cochrane Database Syst Rev 2:Art. No.: CD006929

    Google Scholar 

  • Morgan S, Woods RT (2010) Life review with people with dementia in care homes: A preliminary randomized controlled trial. Non-Pharmacol Ther Dement 1(1):43–60

    Google Scholar 

  • Olazaran J, Reisberg B, Clare L, Cruz I, Pena-Casanova J, del Ser T, et al (2010) Non-pharmacological therapies in Alzheimer’s disease: A systematic review of efficacy. Dement Geriatr Cogn Disord 30:161–178

    Article  PubMed  Google Scholar 

  • Onder G, Zanetti O, Giacobini E, Frisoni GB, Bartorelli L, Carbone G, et al (2005) Reality orientation therapy combined with cholinesterase inhibitors in Alzheimer’s disease: Randomised controlled trial. Br J Psychiatry 187:450–455

    Article  PubMed  Google Scholar 

  • Orrell M, Spector A, Thorgrimsen L, Woods R (2005) A pilot study examining the effectiveness of maintenance cognitive stimulation therapy (CST) following CST for people with dementia. Int J Geriatr Psychiatry 20:446–451

    Article  PubMed  Google Scholar 

  • Orrell M, Woods B, Spector A (2012a) Should we use individual cognitive stimulation therapy to improve cognitive function in people with dementia? Br Med J 344:e633

    Article  Google Scholar 

  • Orrell M, Yates LA, Burns A, Russell I, Woods RT, Hoare Z, et al (2012b) Individual cognitive stimulation therapy for dementia (iCST): Study protocol for a randomized controlled trial. Trials 13:172

    Article  Google Scholar 

  • Sandman CA (1993) Memory rehabilitation in Alzheimer’s disease: Preliminary findings. Clin Gerontologist 13:19–33

    Article  Google Scholar 

  • Spaull D, Leach C, Frampton I (1998) An evaluation of the effects of sensory stimulation with people who have dementia. Behav Cogn Psychother 26:77–86

    Article  Google Scholar 

  • Spector A, Thorgrimsen L, Woods B, Royan L, Davies S, Butterworth M, et al (2003) Efficacy of an evidence-based cognitive stimulation therapy programme for people with dementia: Randomised controlled trial. Br J Psychiatry 183:248–254

    Article  PubMed  Google Scholar 

  • Spector A, Thorgrimsen L, Woods B, Orrell M (2006) Making a difference: An evidence-based group programme to offer cognitive stimulation therapy (CST) to people with dementia. Hawker Publications, London

    Google Scholar 

  • Spector A, Orrell M, Woods B (2010) Cognitive stimulation therapy (CST): Effects on different areas of cognitive function for people with dementia. Int J Geriatr Psychiatry 25(12):1253–1258

    Article  PubMed  Google Scholar 

  • Stokes G (1996) Challenging behaviour in dementia: A psychological approach. In Woods RT (Hrsg) Handbook of the clinical psychology of ageing. Wiley, Chichester, S 601–628

    Google Scholar 

  • Subramaniam P, Woods B (2012) The impact of individual reminiscence therapy for people with dementia: Systematic review. Exp Rev Neurother 12(5):545–555

    Article  Google Scholar 

  • Subramaniam P, Woods B, Whitaker CJ (2013) Life review and life story books for people with mild to moderate dementia: A randomised controlled trial. Aging Ment Health, published on-line 24th September 2013. DOI: 10.1080/13607863.2013.837144

    Google Scholar 

  • Thorgrimsen L, Selwood A, Spector A, Royan L, de Madariaga-Lopez M, Woods RT, et al (2003) Whose quality of life is it anyway? the validity and reliability of the quality of life – Alzheimer’s disease (QoL-AD) scale. Alzheimer Dis Assoc Disord 17(4):201–208

    Article  PubMed  CAS  Google Scholar 

  • Tondi L, Ribani L, Bottazzi M, Viscomi G, Vulcano V (2007) Validation therapy (VT) in nursing home: A case-control study. Arch Gerontol Geriatr 44(1):407–411

    Article  PubMed  Google Scholar 

  • Toseland RW, Diehl M, Freeman K, Manzanares T, McCallion P (1997) The impact of validation group therapy on nursing home residents with dementia. J Appl Gerontol 16(1):31–50

    Article  Google Scholar 

  • Van Weert JCM, van Dulmen AM, Spreeuwenberg PMM, Ribbe MW, Bensing JM (2005) Behavioral and mood effects of Snoezelen integrated into 24-hour dementia care. J Am Geriatr Soc 53:24–33

    Article  PubMed  Google Scholar 

  • Wang J (2007) Group reminiscence therapy for cognitive and affective function of demented elderly in Taiwan. Int J Geriatr Psychiatry 22:1235–1240

    Article  PubMed  Google Scholar 

  • Woods B, Spector A, Jones C, Orrell M, Davies S (2005) Reminiscence therapy for people with dementia (review). Cochrane database of systematic reviews. Wiley, Chichester

    Google Scholar 

  • Woods B, Thorgrimsen L, Spector A, Royan L, Orrell M (2006) Improved quality of life and cognitive stimulation therapy in dementia. Aging Ment Health 10:219–226

    Article  PubMed  CAS  Google Scholar 

  • Woods B, Aguirre E, Spector A, Orrell M (2012a) Cognitive stimulation to improve cognitive functioning in people with dementia. Cochrane Database Syst Rev 2:Art. No.: CD005562

    Google Scholar 

  • Woods RT (1983) Specificity of learning in reality orientation sessions: A single-case study. Behav Res Ther 21:173–175

    Article  PubMed  CAS  Google Scholar 

  • Woods RT, Bird M (1999) Non-pharmacological approaches to treatment. In Wilcock G, Rockwood K, Bucks R (Hrsg), Diagnosis and management of dementia: A manual for memory disorders teams Oxford University Press, Oxford, S 311–331

    Google Scholar 

  • Woods RT, McKiernan F (1995) Evaluating the impact of reminiscence on older people with dementia. In Haight BK, Webster J (Hrsg) The art and science of reminiscing: Theory, research, methods and applications. Taylor & Francis, Washington DC, S 233–242

    Google Scholar 

  • Woods RT, Portnoy S, Head D, Jones G (1992) Reminiscence and life-review with persons with dementia: Which way forward? In Jones G, Miesen B (Hrsg) Care-giving in dementia. Routledge, London, S 137–161

    Google Scholar 

  • Woods RT, Bruce E, Edwards RT, Elvish R, Hoare Z, Hounsome B, et al. (2012b) REMCARE: Reminiscence groups for people with dementia and their family caregivers – effectiveness and cost-effectiveness pragmatic multicentre randomised trial. Health Technol Assess 16:48

    Google Scholar 

  • Zanetti O, Binetti G, Magni E, Rozzini L, Bianchetti A, Trabucchi M (1997) Procedural memory stimulation in Alzheimer’s disease: Impact of a training programme. Acta Neurol Scand 95:152–157

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to R. T. Woods .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Woods, R. (2015). Psychologische Therapie bei fortgeschrittener Demenz. In: Maercker, A. (eds) Alterspsychotherapie und klinische Gerontopsychologie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-54723-2_15

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-54723-2_15

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-54722-5

  • Online ISBN: 978-3-642-54723-2

  • eBook Packages: Medicine (German Language)

Publish with us

Policies and ethics