Victoria Pérez-Rugosa, Pablo de Lorena-Quintal, Esther Domínguez-Valdés, Antonia Rodríguez-Rodríguez, Carmen Sarabia-Cobo
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引用次数: 0
摘要
目的：评价基于接受与承诺治疗（ACT）的认知干预对老年轻度认知障碍（MCI）住院患者生活质量（QOL）和认知功能的影响。方法：对西班牙南部6家老年护理机构的215名老年人进行随机对照试验，将其分为干预组（n = 103）和对照组（n = 112）。干预组每周参加两次基于act的认知训练，持续12周。评估分别在基线、干预后和干预后6个月进行。结构方程模型（SEM）检验了干预暴露、认知结果、情绪幸福感和生活质量之间的关系。结果：干预组认知功能显著改善（MMSE +2.1分，p p p p p p）。结论：基于act的干预可有效提高老年MCI患者的生活质量和认知功能。心理灵活性和社会参与是改善结果的关键因素。临床意义：在长期护理环境中整合结构化的基于act的认知干预可能有助于老年人的心理弹性、幸福感和认知健康。
Effectiveness of an act-Based Cognitive Intervention on Quality of Life and Cognitive Function in Older Adults Residents with MCI.
Objectives: To evaluate the effectiveness of an Acceptance and Commitment Therapy (ACT)-based cognitive intervention on quality of life (QOL) and cognitive function among older adult residents with mild cognitive impairment (MCI) in residential care.
Methods: A randomized controlled trial was conducted with 215 older adults residents from six senior care facilities in southern Spain, allocated to an intervention group (n = 103) and a control group (n = 112). The intervention group participated in ACT-based cognitive training sessions twice weekly for 12 weeks. Assessments were conducted at baseline, post-intervention, and six months post-intervention. Structural equation modeling (SEM) examined relationships among intervention exposure, cognitive outcomes, emotional well-being, and QOL.
Results: The intervention group demonstrated significant improvements in cognitive function (MMSE +2.1 points, p < .001) and QOL (QOL-AD + 4.1 points, p < .001), while the control group showed slight declines. SEM analysis (χ² = 98.45, df = 72, p < .01; CFI = .94; RMSEA = .04) identified psychological flexibility (β = .35, p < .001) and social engagement (β = .21, p < .01) as significant predictors of QOL, explaining 42% of its variance (R² = .42).
Conclusions: ACT-based interventions effectively enhance QOL and cognitive function in older adult residents with MCI. Psychological flexibility and social engagement are key contributors to improved outcomes.
Clinical implications: Integrating structured ACT-based cognitive interventions in long-term care settings may support mental resilience, well-being, and cognitive health in older populations.
期刊介绍：
Clinical Gerontologist presents original research, reviews, and clinical comments relevant to the needs of behavioral health professionals and all practitioners who work with older adults. Published in cooperation with Psychologists in Long Term Care, the journal is designed for psychologists, physicians, nurses, social workers, counselors (family, pastoral, and vocational), and other health professionals who address behavioral health concerns found in later life, including:
-adjustments to changing roles-
issues related to diversity and aging-
family caregiving-
spirituality-
cognitive and psychosocial assessment-
depression, anxiety, and PTSD-
Alzheimer’s disease and other neurocognitive disorders-
long term care-
behavioral medicine in aging-
rehabilitation and education for older adults.
Each issue provides insightful articles on current topics. Submissions are peer reviewed by content experts and selected for both scholarship and relevance to the practitioner to ensure that the articles are among the best in the field. Authors report original research and conceptual reviews. A unique column in Clinical Gerontologist is “Clinical Comments." This section features brief observations and specific suggestions from practitioners which avoid elaborate research designs or long reference lists. This section is a unique opportunity for you to learn about the valuable clinical work of your peers in a short, concise format.
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