Arquivos de Neuro-Psiquiatria
versión On-line ISSN 1678-4227
BOTTINO, Cássio M.C. et al. Cognitive rehabilitation in Alzheimer's disease patients: multidisciplinary team report. Arq. Neuro-Psiquiatr. [online]. 2002, vol.60, n.1, pp. 70-79. ISSN 1678-4227. http://dx.doi.org/10.1590/S0004-282X2002000100013.
OBJECTIVE: This study aims to show preliminary results of the 'combined treatment' (acetylcholinesterase inhibitor + cognitive training) on a group of mild Alzheimer's disease (AD) patients, followed-up for 7 months. METHODS: Six mild AD patients, diagnosed according to ICD-10 and NINCDS-ADRDA criteria, were included on a open trial with Rivastigmine, 6-12 mg/day, for 2 months, followed by a weekly cognitive rehabilitation group, for 5 months. Caregivers were submitted to a weekly group of counseling and support for 5 months. RESULTS: Stabilization or mild improvement of patients' cognitive and activities of daily living deficits were found, besides reduction of patients and caregivers' depressive and anxiety levels. CONCLUSION: The 'combined treatment' can help on the stabilization or result on a mild improvement of AD patients' cognitive and functional deficits. Support and counseling interventions can reduce the levels of caregivers' psychiatric symptoms.
Palabras clave : dementia, Alzheimer's disease; acetylcholinesterase inhibitor; cognitive rehabilitation; activities of daily living; caregivers.