Riassunto
La malattia di Alzheimer (Alzheimer Disease, AD) costituisce la più comune causa di demenza nella popolazione anziana a livello mondiale. È una malattia degenerativa del cervello, dovuta al progressivo depauperamento neuronale associato alla degenerazione neurofibrillare e alla formazione di placche senili [1]. In attesa dei nuovi criteri diagnostici, in corso di definizione, la diagnosi è ancora basata sui criteri clinici proposti nel 1984 [2], che richiedono la presenza di deficit di memoria episodica e di almeno un’altra funzione cognitiva, associati a una perdita di funzionalità nella vita quotidiana. Simili sono i criteri del DSM IV [3]. L’imponente mole di ricerca in questo campo che ha caratterizzato l’ultimo ventennio si è diretta in particolare verso la definizione di fasi precoci della malattia, attraverso lo sviluppo del concetto di deficit cognitivo lieve (Mild Cognitive Impairment, MCI) [4] e, recentemente, la proposta di criteri di ricerca per la diagnosi di Alzheimer incipiente [5]. Nella progressione della malattia, i deficit cognitivi si associano a disturbi psicologici e comportamentali, che costituiscono un importante determinante di disabilità e carico per i familiari [6].
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Bibliografia
Braak H, Braak E (1991) Neuropathological stageing of Alzheimer-related changes. Acta Neuropathol 82:239–259
McKhann G, Drachman D, Folstein M et al (1984) Clinical diagnosis of Alzheimer’s disease: report of the NINCDS-ADRDA Work Group under the auspices of Department of Health and Human Services Task Force on Alzheimer’s disease. Neurology 34:939–944
American Psychiatric Association (1994) Diagnostic and Statistical Manual of Mental Disorders. 4th edition. APA, Washington
Petersen RC (2004) Mild cognitive impairment as a diagnostic entity. J Internal Med 256:183–194
Dubois B, Feldman HH, Jacova C et al (2010) Revising the definition of Alzheimer’s disease: a new lexicon. Lancet Neurol 9:1118–1127
Yaffe K, Fox P, Newcomer R, Sands L et al (2002) Patient and caregiver characteristics and nursing home placement in patients with dementia. JAMA 287:2090–2097
Olazaran J, Reisberg B, Clare L et al (2010 Nonpharmacological therapies in Alzheimer’s disease: a systematic review of efficacy. Dement Geriatr Cogn Disord 30:161–178
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
Spector A, Thorgrimsen L, Woods B 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
Onder G, Zanetti O, Giacobini E et al (2005) Reality orientation therapy combined with cholinesterase inhibitors in Alzheimer’s disease: randomised controlled trial. Br J Psychiatry 187:450–455
Bottino CM, Carvalho IA, Alvarez AM et al (2005) Cognitive rehabilitation combined with drug treatment in Alzheimer’s disease patients: a pilot study. Clin Rehabil 19:861–869
Onor ML, Trevisiol M, Negro C et al (2007) Impact of a multimodal rehabilitative intervention on demented patients and their caregivers. Am J Alzheimers Dis Other Demen 22:261–272
Giordano M, Dominguez LJ, Vitrano T et al (2010) Combination of intensive cognitive rehabilitation and donepezil therapy in Alzheimer’s disease (AD). Arch Gerontol Geriatr 51:245–249
Metitieri T, Zanetti O, Geroldi C et al (2001) Reality orientation therapy to delay outcomes of progression in patients with dementia. A retrospective study. Clin Rehabil 15:471–478
Ishizaki J, Meguro K, Ohe K et al (2002) Therapeutic psychosocial intervention for elderly subjects with very mild Alzheimer disease in a community: the tajiri project. Alzheimer Dis Assoc Disord 16:261–269
Orrell M, Spector A, Thorgrimsen L, Woods B (2005) A pilot study examining the effectiveness of maintenance Cognitive Stimulation Therapy (MCST) for people with dementia. Int J Geriatr Psychiatry 20:446–451
Sitzer DI, Twamley EW, Jeste DV (2006) Cognitive training in Alzheimer’s disease: a metaanalysis of the literature. Acta Psychiatr Scand 114:75–90
Binetti G, Mega MS, Magni E et al (1998) Behavioral disorders in Alzheimer disease: a transcultural perspective. Arch Neurol 55:539–544
Yesavage J, Brink TL (1983) Development and validation of a geriatric depression scale: A preliminary report. Journal of Psychiatric Research 17:37–49
Galasko D, Bennett D, Sano M et al (1997) An inventory to assess activities of daily living for clinical trials in Alzheimer’s disease. The Alzheimer’s Disease Cooperative Study. Alzheimer Dis Assoc Disord 11(suppl 2):S33–39
Novak M, Guest C (1989) Application of a multidimensional caregiver burden inventory. Gerontologist 29:798–803
Lawton MP (1994) Quality of life in Alzheimer disease. Alzheimer Dis Assoc Disord 8(suppl)3:138–150
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Cappa, S.F., Farina, E., Foderaro, G. (2012). Malattia di Alzheimer. In: Vallar, G., Cantagallo, A., Cappa, S.F., Zoccolotti, P. (eds) La riabilitazione neuropsicologica. Springer, Milano. https://doi.org/10.1007/978-88-470-2349-9_14
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DOI: https://doi.org/10.1007/978-88-470-2349-9_14
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