Tuesday, 19 August 2003
This presentation is part of : Non-Pharmacological Treatments for Dementia: a Report of Controlled Randomized Trials
S043-001 Psychotherapy for Dementia
E. Jane Byrne1, Alistair Burns1, Else Guthrie2, Francis Marino-Francis3, Charlotte Busby4, Julie Morris5, Frank Margison6, Evelyn Russell7, and Sean Lennon7. (1) School of Psychiatry & Behavioural Sciences, University of Manchester, Manchester, United Kingdom, (2) Liaison Psychiatry, Manchester Royal Infirmary, Manchester, United Kingdom, (3) Psychology, South Manchester University Hospital Trust, Manchester, United Kingdom, (4) Old Age Psychiatry, South Manchester University Hospital Trust, Manchester, United Kingdom, (5) Statistics, South Manchester University Hospitals Trust, Manchester, United Kingdom, (6) Psychology, Manchester Mental Health Partnership, Manchester, United Kingdom, (7) Old Age Psychiatry, Manchester Mental Health Partnership, Manchester, United Kingdom
Forty patients with AD (NINCDS-ADRDA) with mild dementia (CDR=1, MMSE >15) were randomised to psychodynamic interpersonal therapy (PIT) or treatment as usual.
Treatment consisted of six 50-minute sessions of PIT with an experienced psychotherapist. The control group received standard care. Treatment fidelity was ensured by audiotape evaluation and one session from each individual was rated for adherence to the model using the Sheffield Psychotherapy Scale. Blinded assessments of the main outcome measures (including Ways of Coping Checklist and CIBIC+) were performed at baseline, six weeks, and three months. There were no significant differences in most of the main outcome measures. Some aspects of coping in carers were improved by treatment.
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