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Short Research Report

Evaluation of a TEACCH- and Music Therapy-Based Psychological Intervention in Mild to Moderate Dementia

A Controlled Trial

Published Online:June 06, 2011https://doi.org/10.1024/1662-9647/a000037

Abstract

Background: A multicomponent psychological intervention designed to alleviate neuropsychiatric symptoms and to improve communication in mild to moderate dementia was evaluated in a controlled trial. Components were (1) TEACCH (Treatment and Education of Autistic and related Communication handicapped Children)-based cognitive-behavioral and environmental interventions adapted for dementia and (2) music therapy. Methods: In a Pre-post design, the treatment group (n = 26) received the program for 6 months, whereas controls (n = 23) participated in nonspecific occupational therapy. Statistical analyses included t-tests, effect sizes, and two-way ANOVAs. Results: Relative to controls, the treatment group showed partly significant reductions of agitation, aggression, apathy, and anxiety, and improvement of communication, emotional expression, and activity. Conclusion: The intervention can help to increase psychological well-being in patients with dementia.

References

  • American Psychiatric Association . (1994). Diagnostic and statistical manual of mental disorders (DSM-IV) (4th ed.). Washington, DC: APA. First citation in articleGoogle Scholar

  • Cummings, J. L., Mega, M., Gray, K., Rosenberg-Thompson, S., Carusi, D. A., Gornbein, J. (1994). The Neuropsychiatric Inventory: Comprehensive assessment of psychopathology in dementia. Neurology, 44, 2308–2314. First citation in articleCrossref, Google Scholar

  • Fischer-Terworth, C. (2010). Psychologische Therapien bei dementiellen Erkrankungen: Evaluation einer TEACCH-basierten musiktherapeutischen Intervention [Psychological therapies in dementia: Evaluation of a TEACCH-based music therapy intervention]. (Diss., Universität Hamburg). Saarbrücken: Südwestdeutscher Verlag für Hochschulschriften. First citation in articleGoogle Scholar

  • Fischer-Terworth, C., Probst, P., Glanzmann, P., Knorr, C. C. (2009). Psychologische Interventionen bei dementiellen Erkrankungen: Eine evaluative Literaturstudie [Psychological interventions in dementia: An evaluative review]. Zeitschrift für Psychologie, Psychiatrie und Psychotherapie, 57, 195–206. First citation in articleLink, Google Scholar

  • Folstein, M. F., Folstein, S. E., McHugh, P. R. (1975). Mini Mental State: A practical method for grading the state of patients for the clinician. Journal of Psychiatric Research, 12, 189–198. First citation in articleCrossref, Google Scholar

  • Förstl, H. (2006). Kognitive Störungen: Delir, Demenz, Koma [Cognitive disorders: Coma, delirium, dementia]. In H. Förstl G. Roth M. HautzingerEds., Neurobiologie psychischer Störungen (pp. 221–295). Heidelberg: Springer-Verlag. First citation in articleCrossref, Google Scholar

  • Frölich, L., Kratzsch, T., Ihl, R., Förstl, H. (2000). Diagnose- und Behandlungsleitlinien für die Alzheimer-Demenz [Guidelines for diagnosis and treatment of Alzheimer’s dementia]. In P. Calabrese H. FörstlEds., Psychopathologie und Neuropsychologie der Demenzen (pp. 9–30). Lengerich: Pabst. First citation in articleGoogle Scholar

  • Gallagher-Thompson, D., Coon, D. W. (2007). Evidence-based psychological treatments for distress in family caregivers of older adults. Psychology and Aging, 22, 37–51. First citation in articleCrossref, Google Scholar

  • Livingston, G., Johnston, K., Katona, C., Paton, J., Lyketsos, C. G. (2005). Systematic review of psychological approaches to the management of neuropsychiatric symptoms of dementia. American Journal of Psychiatry, 162, 1996–2021. First citation in articleCrossref, Google Scholar

  • Logsdon, R. G., McCurry, S. M., Teri, L. (2007). Evidence-based psychological treatments for disruptive behaviors in individuals with dementia. Psychology of Aging, 22, 28–36. First citation in articleCrossref, Google Scholar

  • Lyketsos, C. G., Lopez, O., Jones, B., Fitzpatrick, A. L., Breitner, J., DeKosky, S. (2002). Prevalence of neuropsychiatric symptoms in dementia and mild cognitive impairment: Results from the cardiovascular health study. The Journal of the American Medical Association, 288, 1475–1483. First citation in articleCrossref, Google Scholar

  • Mayring, P. (2008). Qualitative Content Analysis [28 paragraphs]. Forum Qualitative Sozialforschung/Forum: Qualitative Social Research, 1(2). Retrieved from www.qualitative-research.net/index.php/fqs/article/view/1089 First citation in articleGoogle Scholar

  • Mesibov, G. B., Browder, D. M., Kirkland, C. (2002). Using individualized schedules as a component of positive behavioral support for students with developmental disabilities. Journal of Positive Behavior Interventions, 4, 73–79. First citation in articleCrossref, Google Scholar

  • Murphy, J., Gray, C. M., Cox, S. (2007). Communication and dementia: How talking mats can help people with dementia to express themselves. Stirling University: York Publishing Services. Retrieved from www.jrf.org.uk/sites/files/jrf/2128-talking-mats-dementia.pdf First citation in articleGoogle Scholar

  • NICE-SCIE . (2006). Dementia: supporting people with dementia and their carers: Guideline-draft for consultation. Retrieved from www.scie.org.uk First citation in articleGoogle Scholar

  • Panerai, S., Ferrante, L., Zingale, M. (2002). Benefits of the Treatment and Education of Autistic and Communication Handicapped Children (TEACCH) program as compared with a nonspecific approach. Journal of Intellectual Disability Research, 46, 318–327. First citation in articleCrossref, Google Scholar

  • Probst, P. (2007). Prävention von Interaktionsstörungen in Familien mit autistischen Kindern [Prevention of interaction problems of families of children with autism]. In W. v. Suchdoletz, (Ed.), Prävention von Entwicklungsstörungen (pp. 133–165). Göttingen: Hogrefe. First citation in articleGoogle Scholar

  • Probst, P., Jung, F., Micheel, J., Glen, I. (2010). Tertiary-preventive interventions for autism spectrum disorders (ASD) in children and adults: An evaluative synthesis of two TEACCH based outcome studies. Life Span and Disability/XIII, 12, 129–167. First citation in articleGoogle Scholar

  • Reisberg, B., Ferris, S. H., De Leon, M. J., Crook, T. (1982). The Global Deterioration Scale for Assessment of primary degenerative dementia. American Journal of Psychiatry, 139, 1136–1139. First citation in articleCrossref, Google Scholar

  • Schopler, E., Mesibov, G. B., Hearsey, K. (1995). Structured Teaching in the TEACCH-system. In E. Schopler G. B. MesibovEds., Learning and cognition in autism (pp. 13–265). New York: Plenum. First citation in articleCrossref, Google Scholar

  • Sheikh, J. I., Yesavage, J. A. (1986). Geriatric Depression Scale (GDS): Recent evidence and development of a shorter version. In Clinical gerontology: A guide to assessment and intervention (pp. 165–173). New York: Haworth. First citation in articleGoogle Scholar

  • Sitzer, D. I., Twamley, D. E., Jeste, D. V. (2006). Cognitive training in Alzheimer’s disease: A meta-analysis of literature. Acta Psychiatrica Scandinavica, 17, 75–90. First citation in articleCrossref, Google Scholar

  • Weyerer, S., Schäufele, M., Hendlmaier, I. (2005). Besondere und traditionelle stationäre Betreuung demenzkranker Menschen im Vergleich [A comparison of special and traditional inpatient care of people with dementia]. Festschrift für Gerontologie und Geriatrie, 38, 85–94. First citation in articleCrossref, Google Scholar