NON PHARMACOLOGICAL THERAPY OF MENTAL IMAGERY AND RELAXATION IN PATIENTS WITH MILD COGNITIVE IMPAIRMENT Poptsi Ε.,1,3, Κounti F.,1,3,Τsolaki, Μ. 1,2 1 Greek Association of Alzheimer Disease, Thessaloniki, Greece 2 School of Medicine, Aristotle University, Thessaloniki, Greece 3 Greek Association of Alzheimer Disease, Kalamaria, Greece
ANXIETY AND DEMENTIA Increased levels of anxiety affects negatively memory and psychological health (Lupien et al., Newcomer et al., Sapolsky et al., 1986) Anxiety is a common emotional disorder mainly in Mild Cognitive Impairment patients, in mild Alzheimer’s disease patients and in vascular dementia (Twelftree & Oazi, Ballard et al., 2000) A nxiety reduction improve attention and memory performance (Calvin et al., 2006)
AIMS-PARTICIPANTS-METHOD AIMS: Stress reduction Cognitive/Functional/Emotional improvement in patients with Mild Cognitive Impairment PARTICIPANTS: 15 MCI women patients, classified in experimental and control groups Matched in age (p=0.891), education (p=0.248), emotional performance (p=0.408) and cognitive functions (p=0.077) 3 RELAXATION TECHNIQUES: Breathing exercises Progressive muscular relaxation Autogenic relaxation and Mental imagery as a cognitive rehabilitative technique NEUROPSYCHOLOGICAL ASSESSMENT: a.Before b.After 6 months therapy c.Four months later
RESULTS Comparison of performance between experimental / control group Before the therapy No statistically significant differences 6 months later Experimental group had better scores in: Executive function (p≤0.047), memory (p≤0.040), language (p=0.036), attention (p≤0.039), general cognitive function (p≤0.037) and emotional performance (p=0.005) 4 months after the end of the therapy No statistically significant differences Comparison of performance between 1 st, 2 nd & 3 rd assessment of the experimental group with MCI 6 months later improvement in: Verbal memory (p= 0.016), language (p≤0.034), visual perception (p=0.031), visual memory (p=0.034), general cognitive performance (p≤0.046), depression (p≤0.031), daily function (p= 0.005) 4 months after the end of the therapy: Further improvement in verbal memory (p=0.013), language (p≤0.016), attention (p=0.011) and psychomotor speed (p=0.017 CONCLUSSION: Depression symptoms were treated and cognitive and functional performance were improved