Effects of cognitive rehabilitation on cognition, apathy, quality of life, and subjective complaints in the elderly: a randomized controlled trial

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dc.contributor.authorMontoya Murillo, Genoveva
dc.contributor.authorIbarretxe Bilbao, Naroa
dc.contributor.authorPeña Lasa, Javier
dc.contributor.authorOjeda del Pozo, Natalia
dc.date.accessioned2025-10-03T11:01:11Z
dc.date.available2025-10-03T11:01:11Z
dc.date.issued2020-05
dc.date.updated2025-10-03T11:01:11Z
dc.description.abstractObjective: To determine the efficacy of a new-generation integrative cognitive rehabilitation (CR) program (Rehacop) on cognition, clinical symptoms, quality of life (QoL), and subjective complaints in the elderly. Design: A randomized controlled trial study with a cohort of elderly people over 55 years of age. Setting: Communities of the Basque Country (Spain). Participants: A total of 124 elderly participants (aged 79.00 ± 8.85 years) were randomized in the Rehacop group (RG) (n = 62) and control group (CG) (n = 62). Intervention: The RG attended 39 CR sessions for 3 months (3 sessions/week, 60-minute/session) with the Rehacop program. The CG performed occupational tasks with the same frequency and duration as the RG. Methods: Participants underwent a neuropsychological assessment at baseline and post-treatment which included cognitive, clinical, and functional tests. In addition, participants and their formal caregivers completed a subjective complaints questionnaire. The data were analyzed according to the intention to treat analysis and with participants who completed the study. This study was registered at clinicaltrials.gov (NCT03435029). Results: The RG showed significant improvements compared to the CG in neurocognition (ANCOVA timexgroup interaction effect size (ηp 2)=0.05, 90% confidence interval (CI) = 0.00–0.12). The RG also reduced apathy (ηp 2=0.06, 90% CI = 0.01–0.15) and participants’ subjective complaints (ηp 2=0.11, 90% CI = 0.03–0.21) and improved QoL (ηp 2=0.08, 90% CI = 0.01–0.17). Conclusions: Participants who attended the intervention improved their cognition, QoL, and reduced apathy and subjective complaints after treatment. These findings provide a new understanding of the benefits of CR in the elderly.en
dc.identifier.citationMontoya-Murillo, G., Ibarretxe-Bilbao, N., Peña, J., & Ojeda, N. (2020). Effects of cognitive rehabilitation on cognition, apathy, quality of life, and subjective complaints in the elderly: a randomized controlled trial. American Journal of Geriatric Psychiatry, 28(5), 518-529. https://doi.org/10.1016/J.JAGP.2019.10.011
dc.identifier.doi10.1016/J.JAGP.2019.10.011
dc.identifier.eissn1545-7214
dc.identifier.issn1064-7481
dc.identifier.urihttps://hdl.handle.net/20.500.14454/3847
dc.language.isoeng
dc.publisherElsevier B.V.
dc.rights© 2019 The Authors
dc.subject.otherApathy
dc.subject.otherCognitive rehabilitation
dc.subject.otherElderly
dc.subject.otherQuality of life
dc.subject.otherRandomized controlled trial
dc.subject.otherRehacop
dc.subject.otherSubjective complaints
dc.titleEffects of cognitive rehabilitation on cognition, apathy, quality of life, and subjective complaints in the elderly: a randomized controlled trialen
dc.typejournal article
dcterms.accessRightsopen access
oaire.citation.endPage529
oaire.citation.issue5
oaire.citation.startPage518
oaire.citation.titleAmerican Journal of Geriatric Psychiatry
oaire.citation.volume28
oaire.licenseConditionhttps://creativecommons.org/licenses/by-nc-nd/4.0/
oaire.versionVoR
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