Mindfulness-based Intervention for Patients with Dementia
Article Sidebar
Main Article Content
Abstract
Many countries around the world; including Thailand, had overaged societies in 2021. As a consequence, this is increasing the risk possibilities of more patients having dementia; which presently is found to be around 50 million people worldwide, and continues to increase exponentially. As a result, the cost of its treatment is enormous. Therefore, prevention and focus on early treatment, with supportive treatment combined with pharmacological and non-pharmacological therapy, are very important. At present, mindfulness-based interventions (MBIs) are widely accepted, and used due to empirical evidence confirming that it can be applied in patients with dementia; especially mindfulness-based stress reduction (MBSR) and mindfulness-based cognitive therapy (MBCT). These programs are typically low-cost and can be practiced anywhere. MBIs can delay age-related brain degeneration and slow the onset of cognitive impairment among the elderly. They can also improve depression and immunity; thus, as a result the quality of life and well-being of patients with mild cognitive impairment (MCI) is improved. For patients with dementia, MBIs are both feasible and tend to reduce agitation, depression, and improve the quality of life for patients through 3 main mechanisms: age-related cognitive capacity improvement, memory enhancement, and promotion of psychological function. Therefore, MBIs may be an alternative intervention that could be applied in the treatment of dementia patients, and should be further researched in the future.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
WHO. Risk reduction of cognitive decline and dementia: WHO guidelines. 2019:1-96. Available from: https://www.who.int/publications-detail-redirect/risk-reduction-of-cognitive-decline-and-dementia
WHO. Towards a dementia plan: A WHO guide. WHO Geneva, Switzerland; 2018. p. 1-82. Available from: https://apps.who.int/iris/bitstream/handle/10665/272642/9789241514132-eng.pdf?ua=1
Liu Z, Sun YY, Zhong Bl. Mindfulness‐based stress reduction for family carers of people with dementia. Cochrane Database Syst Rev 2018(8). doi: 10.1002/14651858.cd012791.pub2.
Chan J, Leung DK, Walton H, Wong GH, Spector A. Can mindfulness-based interventions benefit people with dementia? Drawing on the evidence from a systematic review in populations with cognitive impairments. Expert Rev Neurother 2020;20(11):1143-56.
Kor PP, Chien WT, Liu JY, Lai CK. Mindfulness-based intervention for stress reduction of family caregivers of people with dementia: a systematic review and meta-analysis. Mindfulness. 2018;9(1):7-22.
Liu Z, Chen Q-l, Sun Y-y. Mindfulness training for psychological stress in family caregivers of persons with dementia: a systematic review and meta-analysis of randomized controlled trials. Clin Interv Aging 2017;12:1521. doi: 10.2147/CIA.S146213.
Marciniak R, Šumec R, Vyhnálek M, Bendíčková K, Lázničková P, Forte G, et al. The effect of mindfulness-based stress reduction (MBSR) on depression, cognition, and immunity in mild cognitive impairment: A pilot feasibility study. Clin Interv Aging 2020;15:1365-81. doi: 10.2147/CIA.S249196.
Shim M, Tilley JL, Im S, Price K, Gonzalez A. A systematic review of mindfulness-based interventions for patients with mild cognitive impairment or dementia and caregivers. J Geriatr Psychiatry Neurol 2020:0891988720957104. doi: 10.1177/0891988720957104.
WHO. Global action plan on the public health response to dementia 2017–2025. 2017. p. 1-27. Available from: https://apps.who.int/iris/bitstream/handle/10665/259615/9789241513487-eng.pdf?sequence=1
Molero Jurado MD, Perez-Fuentes MD, Barragan Martin AB, Soriano Sanchez JG, Oropesa Ruiz NF, Sisto M, Gazquez Linares JJ. Mindfulness in family caregivers of persons with dementia: systematic review and meta-analysis. Healthcare 2020;8:193. https://doi.org/10.3390/healthcare8030193
Wang FL, Tang QY, Zhang LL, Yang JJ, Li Y, Peng H, Wang SH. Effects of mindfulness-based interventions on dementia patients: a meta-analysis. West J Nurs Res 2020;42:1163-73.
Reisberg B, Ferris SH, de Leon MJ, Crook T. The Global Deterioration Scale for assessment of primary degenerative dementia. Am J Psychiatry 1982;139:1336-9.
Berk L, Warmenhoven F, van Os J, van Boxtel M. Mindfulness training for people with dementia and their caregivers: rationale, current research, and future directions. Front Psychol 2018;9:982. doi: 10.3389/fpsyg.2018.00982.
Hardcastle C, Taylor B, Price C. Global Deterioration Scale. Toronto: Alzheimer Society of Canada. 2019:1-4.
Chan M. A mindfulness programme for people with dementia in care homes: A feasibility pilot study: UCL (University College London); 2015. Available from: https://discovery.ucl.ac.uk/id/eprint/1471261
Churcher Clarke A, Chan J, Stott J, Royan L, Spector A. An adapted mindfulness intervention for people with dementia in care homes: feasibility pilot study. Int J Geriatr Psychiatry 2017;32:e123-e31.
Kor PP, Liu JY, Chien WT. Effects of a modified mindfulness-based cognitive therapy for family caregivers of people with dementia: a randomized clinical trial. The Gerontologist 2021;61:977-90.
Peters R, Booth A, Rockwood K, Peters J, D’Este C, Anstey KJ. Combining modifiable risk factors and risk of dementia: a systematic review and meta-analysis. BMJ open 2019;9:1-22. http://dx.doi.org/10.1136/bmjopen-2018-022846
Luo J, Beam CR, Gatz M. Is stress an overlooked risk factor for dementia? a systematic review from a lifespan developmental perspective. Prev Sci 2022;27:1-4.
Islamoska S, Hansen ÅM, Ishtiak-Ahmed K, Garde AH, Andersen PK, Garde E, et al. Stress diagnoses in midlife and risk of dementia: a register-based follow-up study. Aging Ment Health 2021;25:1151-60.
Bisht K, Sharma K, Tremblay M-È. Chronic stress as a risk factor for Alzheimer's disease: roles of microglia-mediated synaptic remodeling, inflammation, and oxidative stress. Neurobiol Stress 2018;9:9-21.
Linnemann C, Lang UE. Pathways connecting late-life depression and dementia. Front Pharmacol 2020;11:279. https://doi.org/10.3389/fphar.2020.00279
Chan JY, Yiu KK, Kwok TC, Wong SY, Tsoi KK. Depression and antidepressants as potential risk factors in dementia: a systematic review and meta-analysis of 18 longitudinal studies. J Am Med Dir Assoc 2019;20:279-86.
Dafsari FS, Jessen F. Depression—an underrecognized target for prevention of dementia in Alzheimer’s disease. Transl Psychiatry 2020;10:1-13.
Li G, Yuan H, Zhang W. The effects of mindfulness-based stress reduction for family caregivers: Systematic review. Arch Psychiatr Nurs 2016;30:292-9.
Kabat-Zinn J. Full catastrophe living, revised edition: how to cope with stress, pain and illness using mindfulness meditation: Hachette United Kingdom; 2013.
Lazaridou A, Philbrook P, Tzika A. Yoga and mindfulness as therapeutic interventions for stroke rehabilitation: a systematic review. Evid Based Complement Alternat Med. 2013;1-9. doi: 10.1155/2013/357108.
Hyland T. Mindful nation UK–report by the mindfulness all-party parliamentary group (MAPPG). Taylor & Francis; 2016. Available from: https://www.themindfulnessinitiative.org/mindful-nation-report
Kozasa EH, Sato JR, Lacerda SS, Barreiros MA, Radvany J, Russell TA, et al. Meditation training increases brain efficiency in an attention task. Neuroimage 2012;59:745-9.
พญ.ดาวชมพู นาคะวิโร, นพ.พลภัทร์ โล่เสถียรกิจ, พญ.ศิริจิต สุทธจิตต์. จิตบำบัดด้วยสติ (Mindfulness-based Psychotherapy). เชียงใหม่ ประเทศไทย: หจก.เชียงใหม่ โรงพิมพ์แสงศิลป์, 2556. 99 p.
Kabat-Zin J. Full Catastrophe Living: Usingthe Wisdom of Your Body and Mind to Face Stress, Pain and Illness. New York: Random House Publishing Group; 1990.
Cheung DSK, Kor PPK, Jones C, Davies N, Moyle W, Chien WT, et al. The use of modified mindfulness-based stress reduction and mindfulness-based cognitive therapy program for family caregivers of people living with dementia: A feasibility study. Asian Nurs Res 2020;14:221-30.
Segal ZV, Williams M, Teasdale J. Mindfulness-based cognitive therapy for depression: Guilford Publications; 2013.
Abbott RA, Whear R, Rodgers LR, Bethel A, Coon JT, Kuyken W, et al. Effectiveness of mindfulness-based stress reduction and mindfulness based cognitive therapy in vascular disease: A systematic review and meta-analysis of randomised controlled trials. J Psychosom Res 2014;76:341-51.
Lawrence M, Booth J, Mercer S, Crawford E. A systematic review of the benefits of mindfulness‐based interventions following transient ischemic attack and stroke. Int J Stroke 2013;8:465-74.
Segal ZV, Williams JMG, Teasdale JD. Mindfulness-Based Cognitive Therapy for Depression. 2 ed. New York, the United State of America: The Guilford Press; 2013. 449 p.
Segal ZV, Williams M, Teasdale JD. Mindfulness-based cognitive therapy for depression: Guilford Publications; 2018.
Crane R. Mindfulness-based cognitive therapy. Dryden W, editor. London and New York: Routledge; 2013. 176 p.
Van Son J, Nyklíček I, Pop VJ, Blonk MC, Erdtsieck RJ, Spooren PF, et al. The effects of a mindfulness-based intervention on emotional distress, quality of life, and HbA1c in outpatients with diabetes (DiaMind): a randomized controlled trial. Diabetes care 2013;36:823-30.
Chambers SK, Foley E, Galt E, Ferguson M, Clutton S. Mindfulness groups for men with advanced prostate cancer: a pilot study to assess feasibility and effectiveness and the role of peer support. Support Care Cancer 2012;20:1183-92.
Wells RE, Kerr CE, Wolkin J, Dossett M, Davis RB, Walsh J, et al. Meditation for adults with mild cognitive impairment: a pilot randomized trial. J Am Geriatr Soc 2013;61:642-5.
van Boxtel MP, Berk L, E. de Vugt M, van Warmenhoven F. Mindfulness-based interventions for people with dementia and their caregivers: keeping a dyadic balance. Taylor & Francis; 2020. p. 697-9.
Larouche E, Chouinard A-M, Goulet S, Hudon C. O3‐10‐02: Mindfulness‐based intervention prevents memory decline and improves mood and quality of life in older adults with mild cognitive impairment: preliminary findings. Alzheimers Dement 2016;12:P310. doi: 10.1016/j.jalz.2016.06.562.
Berk L, Warmenhoven F, Stiekema AP, Van Oorsouw K, Van Os J, de Vugt M, et al. Mindfulness-based intervention for people with dementia and their partners: Results of a mixed-methods study. Front Aging Neurosci 2019;11:92. https://doi.org/10.3389/fnagi.2019.00092
Nagaoka M, Hashimoto Z, Takeuchi H, Sado M. Effectiveness of mindfulness-based interventions for people with dementia and mild cognitive impairment: A meta-analysis and implications for future research. PloS one 2021;16:e0255128. https://doi.org/10.1371/journal.pone.0255128
Han A. Mindfulness-Based interventions for older adults with dementia or mild cognitive impairment: A meta-analysis. Clin Gerontol 2022;45(4):763-76.
Chacko E, Ling B, Avny N, Barak Y, Cullum S, Sundram F, Cheung G. Mindfulness-based cognitive therapy for stress reduction in family carers of people living with dementia: A systematic review. Int J Environ Res Public Health 2022;19(1):614. https://doi.org/10.3390/ijerph19010614
Han A. Effects of mindfulness-based interventions on depressive symptoms, anxiety, stress, and quality of life in family caregivers of persons living with dementia: A systematic review and meta-analysis. Res Aging 2022;44:494-509.