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Cognitive rehabilitation in the elderly: Overview and future directions

Published online by Cambridge University Press:  13 December 2006

GORDON WINOCUR
Affiliation:
Rotman Research Institute, Baycrest, Toronto, Ontario, Canada Department of Psychology, University of Toronto, Ontario, Canada Department of Medicine (Psychiatry), University of Toronto, Ontario, Canada Department of Psychology, Trent University, Peterborough, Canada
FERGUS I.M. CRAIK
Affiliation:
Rotman Research Institute, Baycrest, Toronto, Ontario, Canada Department of Psychology, University of Toronto, Ontario, Canada
BRIAN LEVINE
Affiliation:
Rotman Research Institute, Baycrest, Toronto, Ontario, Canada Department of Psychology, University of Toronto, Ontario, Canada Department of Medicine (Neurology), University of Toronto, Ontario, Canada
IAN H. ROBERTSON
Affiliation:
Rotman Research Institute, Baycrest, Toronto, Ontario, Canada Department of Psychology and Institute of Neuroscience, Trinity College, Dublin, Ireland
MALCOLM A. BINNS
Affiliation:
Rotman Research Institute, Baycrest, Toronto, Ontario, Canada
MICHAEL ALEXANDER
Affiliation:
Rotman Research Institute, Baycrest, Toronto, Ontario, Canada Department of Neurology, Beth Israel Deaconess Medical Center, Boston, Massachusetts
SANDRA BLACK
Affiliation:
Rotman Research Institute, Baycrest, Toronto, Ontario, Canada Department of Medicine (Neurology), University of Toronto, Ontario, Canada Sunnybrook and Women's College Health Sciences Centre, Toronto, Ontario, Canada
DEIRDRE DAWSON
Affiliation:
Kunin-Lunenfeld Applied Research Unit, Baycrest, Toronto, Ontario, Canada Department of Medicine (Rehabilitation Sciences), University of Toronto, Ontario, Canada Department of Medicine (Occupational Science & Occupational Therapy), University of Toronto, Ontario, Canada
HEATHER PALMER
Affiliation:
Rotman Research Institute, Baycrest, Toronto, Ontario, Canada
TARA MCHUGH
Affiliation:
Rotman Research Institute, Baycrest, Toronto, Ontario, Canada
DONALD T. STUSS
Affiliation:
Rotman Research Institute, Baycrest, Toronto, Ontario, Canada Department of Psychology, University of Toronto, Ontario, Canada Department of Medicine (Neurology), University of Toronto, Ontario, Canada Department of Medicine (Rehabilitation Sciences), University of Toronto, Ontario, Canada

Abstract

This study provides an overview of the papers emanating from the experimental trial that evaluated a new cognitive rehabilitation program in older adults who were experiencing normal cognitive decline. The main features of the design are summarized, along with evidence that the training produced long-lasting improvement in memory performance, goal management, and psychosocial status. The benefits were attributed to several factors, including the program's emphasis on techniques that promoted efficient strategic processing. Limitations of the program and directions for future research are discussed (JINS, 2007, 13, 166–171.)

Type
REHAB SERIES
Copyright
© 2007 The International Neuropsychological Society

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References

REFERENCES

Anschutz, L., Camp, C.L., Markley, R.P., & Kramer, J.J. (1985). Maintenance and generalization of mnemonics for grocery shopping by older adults. Experimental Aging Research, 11, 157160.Google Scholar
Ball, K., Berch, D.B., Helmers, K.F., Jobe, J.B., Leveck, M.D., Marsiske, M., Norris, J.N., Rebok, G.W., Smith, D.M., Tennstedt, S.L., Unverzagt, F.W., & Willis, S.L. (2002). Effects of cognitive training interventions with older adults: A randomized controlled trial. Journal of the American Medical Association, 288, 22712281.Google Scholar
Cohen, J. (1988). Statistical power analysis for the behavioral sciences. Hillsdale, NJ: Lawrence Erlbaum Associates, Inc.
Craik, F.I.M., Winocur, G., Palmer, H., Binns, M.A., Edwards, M., Bridges, K., Glazer, P., Chavannes, R., & Stuss, D.T. (2007, this issue). Cognitive rehabilitation in the elderly: Effects on memory. Journal of the International Neuropsychological Society, 13, 132142.Google Scholar
Duff Canning, S.J., Leach, L., Stuss, D., Ngo, L., & Black, S.E. (2004). Diagnostic utility of abbreviated fluency measures in Alzheimer disease and vascular dementia. Neurology, 62, 556562.Google Scholar
Levine, B., Stuss, D.T., Winocur, G., Binns, M.A., Fahy, L., Mandic, M., Bridges, K., & Robertson, I.H. (2007, this issue). Cognitive rehabilitation in the elderly: Effects on strategic behavior in relation to goal management. Journal of the International Neuropsychological Society, 13, 143152.Google Scholar
Oswald, W.D., Rupprecht, R., Gunzelmann, T., & Tritt, K. (1996). The SIMA-project: Effects of 1 year cognitive and psychomotor training on cognitive abilities of the elderly. Behavioural Brain Research, 78, 6772.Google Scholar
Rebok, G.W. & Balcerak, L.J. (1989). Memory self-efficacy and performance differences in young and old adults: The effect of mnemonic training. Developmental Psychology, 25, 714721.Google Scholar
Scogin, F. & Bienias, J.L. (1988). A three-year follow-up of older adult participants in a memory-skills training program. Psychology and Aging, 3, 334337.Google Scholar
Stigsdotter Neely, A. & Bäckman, L. (1993a). Long-term maintenance of gains from memory training in older adults: Two 3 1/2 year follow-up studies. Journal of Gerontology: Psychological Sciences, 48, 233237.Google Scholar
Stigsdotter Neely, A. & Bäckman, L. (1993b). Maintenance of gains following multifactorial and unifactorial memory training in late adulthood. Educational Gerontology, 19, 105117.Google Scholar
Stigsdotter Neely, A. & Bäckman, L. (1995). Effects of multifactorial memory training in old age: Generalizability across tasks and individuals. Journal of Gerontology: Psychological Sciences, 3, 134140.Google Scholar
Stuss, D.T., Alexander, M.P., Hamer, L., Palumbo, C., Dempster, R., Binns, M., Levine, B., & Izukawa, D. (1998). The effects of focal anterior and posterior brain lesions on verbal fluency. Journal of the International Neuropsychological Society, 4, 265278.Google Scholar
Stuss, D.T., Robertson, I.H., Craik, F.I.M., Levine, B., Alexander, M.P., Black, S., Dawson, D., Binns, M.A., Palmer, H., Downey-Lamb, M., & Winocur, G. (2007, this issue). Cognitive Rehabilitation in the elderly: A randomized trial to evaluate a new protocol. Journal of the International Neuropsychological Society, 13, 120131.Google Scholar
Troyer, A.K., Moscovitch, M., Winocur, G., Alexander, M.P., & Stuss, D. (1998). Clustering and switching on verbal fluency: The effects of focal frontal- and temporal-lobe lesions. Neuropsychologia, 36, 499504.Google Scholar
Willis, S.L. & Nesselroade, C.S. (1990). Long-term effects of fluid ability training in old-old age. Developmental Psychology, 26, 905910.Google Scholar
Winocur, G., Palmer, H., Dawson, D., Binns, M.A., Bridges, K., & Stuss, D.T. (2007, this issue). Cognitive rehabilitation in the elderly: An evaluation of psychosocial factors. Journal of the International Neuropsychological Society, 13, 153165.Google Scholar
Yesavage, J.A. & Rose, T.L. (1983). Concentration and mnemonic training in elderly with memory complaints: A study of combined therapy and order effects. Psychiatry Research, 9, 157167.Google Scholar