Shadow puppetry therapy enhances dementia-related cognitive function and interpersonal relationship

IF 3.9

Experimental gerontology Pub Date : 2025-01-01 DOI:10.1016/j.exger.2024.112667

Shu-Yuan Chao , Hsiao-Mei Chen , Bei-Yi Su

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Abstract

Background

With the growing demand for dementia care, non-pharmacological interventions, such as creative arts therapies, have been proven effective in stabilizing cognitive function. Shadow Puppetry Therapy (SPT), which integrates visual, auditory, and kinesthetic elements, offers a promising care option for individuals with dementia.

Objective

This study evaluated the effectiveness of SPT on cognitive function, self-esteem, and interpersonal relationships among older adults with mild dementia.

Methods

We adopted a quasi-experimental design and recruited 33 older adults with mild dementia from two dementia care centers. Older adults with mild dementia were randomly assigned to an experimental group (n = 15) and a control group (n = 18). The experimental group participated in a 16-week SPT program, and the control group engaged in regular activities, such as physical exercises, painting, cooking, music, and handicraft projects. Assessments included the short portable mental status questionnaire (SPMSQ), the Rosenberg self-esteem scale (RSES), and the interpersonal relationship scale, with evaluations conducted before and after the intervention.

Results

The intervention significantly improved cognitive function, self-esteem, and interpersonal relationships in the experimental group. SPMSQ scores decreased, indicating enhanced cognitive function (p = .001), while self-esteem and interpersonal relationship scores showed significant improvements (p = .001). No significant changes were observed in the control group.

Conclusion

SPT is an effective non-pharmacological intervention for enhancing cognitive function, self-esteem, and interpersonal relationships in older adults with mild dementia. The findings support the integration of creative arts therapies into dementia care.

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皮影戏治疗增强痴呆相关认知功能和人际关系。

背景：随着痴呆症护理需求的增长，非药物干预，如创造性艺术疗法，已被证明在稳定认知功能方面有效。皮影戏疗法（SPT）结合了视觉、听觉和动觉元素，为痴呆症患者提供了一种有前途的护理选择。目的：本研究评估SPT对老年轻度痴呆患者认知功能、自尊和人际关系的影响。方法：采用准实验设计，从两家痴呆护理中心招募33名轻度痴呆老年人。患有轻度痴呆的老年人被随机分为实验组（n = 15）和对照组（n = 18）。实验组参加了为期16周的SPT项目，对照组则定期参加活动，如体育锻炼、绘画、烹饪、音乐和手工艺项目。评估采用简易便携式心理状态问卷（SPMSQ）、Rosenberg自尊量表（RSES）和人际关系量表，分别在干预前后进行评估。结果：干预显著改善了实验组的认知功能、自尊和人际关系。SPMSQ得分下降，表明认知功能增强（p = .001），而自尊和人际关系得分有显著改善（p = .001）。对照组未见明显变化。结论：SPT是一种有效的非药物干预，可改善老年轻度痴呆患者的认知功能、自尊和人际关系。研究结果支持将创造性艺术疗法整合到痴呆症护理中。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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