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Literature review on the effectiveness of using Reminiscence therapy in treating Dementia( only 4 Articles)

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Is an academic write up on literature review on the efficacy of Reminiscence therapy on Dementia
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Literature review on the effectiveness of using Reminiscence
therapy in treating Dementia
Kalu Michael(BMR.PTnig)
MSc Gerontology
Center of Research on Ageing,
University of Southampton, UK
Introduction
Globally, the word Dementia has been associated with old age (Prince et al, 2013). It is the most leading
cause of disability and dependence among the older population (Fratiglion et al, 1999; Prince et al 2013;
and Mavrodaris et al, 2013). It is a complex, chronic and progressive syndrome that arises with the
interplay of factors which could be genetic (non-modifiable), environmental, psychological and even low
physical activity (Modifiable) during one’s early life course (Mavrodaris et al, 2013 and Lautenschlager et
al, 2008). Recently dementia has been a global public health concern as population ageing advances; this
promoted the holistic definition by WHO where some concepts like memory, Thinking, orientation,
comprehension, calculation, learning, language and judgement was introduced all linked to “impairment
of cognitive function”(WHO, 2012). It has been noted from obvious neuropathological studies that
dementia in older age reflects more than one pathological state as it is caused by an underlying
condition like Alzheimer disease (AD), vascular cognitive impairment (VCI) /vascular dementia (VaD),
dementia with Lewy bodies (DLB) and HIV associated Dementia amongst others (HAD) (Kovacs et al,
2008 and Robbins et al, 2011).
Dementia is not a normal part of ageing but mostly affect the older people with a global prevalence of
over 60 years is between 5% and 7%around the world (Prince et al, 2013; LoGiudice and Watson, 2014
and Mavrodaris et al, 2013). In Latin America (8.5%), in Sub-Saharan African Regions (2% -4%),
specifically in Nigeria, it ranges between 0% to 10.1% (Mavrodaris et al, 2013; Ogunniyi A, 1997), In
Europe, 6.2%; 4% of Alzheimer’s disease; In the United states of America, 8%; 6% of Alzheimer’s
disease. (World Alzheimer report 2009; Lobo et al, 2000,and Hendrie et al, 2001). 35.6 million people
lived with dementia worldwide in 2010 with a projection of double the number every 20years (see
figure 1), approximately to 65.7 million in 2030 with 58% of those living with dementia living in low or
middle income countries (Prince et al, 2013). In the global burden of disease, Dementia is the leading
cause of non-fatal burden of disease in the world for age over 75years and accounts for 6% of all deaths.
( LoGiudice and Watson, 2014). Generally, Table 1 shows a worldwide estimate for the absolute number
of instances of dementia, according to the Delphi Consensus Study.
Dementia is a complex condition that imposed many challenges to health professionals throughout the
pathway of care, from early diagnosis to end of life (LoGiudice and Watson, 2014). Even with the
challenges efforts have been made to explain in details what dementia entails. For instance the
description of dementia and cognitive impairment in the realm of neurocognitive disorder which is
explained in the recent Diagnostic and Statistical Manual of Mental disorder, Fifth Edition (DSM V)
(American Psychiatric Association, 2013). Although there has been a lot of arguments on treatment
procedures of dementia ranges from when diagnosis should be done, discussions in the care home
among others but conclusions has been difficult. In some researches it was concluded that a
gerontological approach along side with psychosocial seems to give a positive outcome when compared
to biomedical approach. Among the Psychosocial approach is Reminiscence therapy. Reminiscence
therapy is defined by the American Psychological Association (APA) as "the use of life histories - written,
oral, or both - to improve psychological well-being (Gray and Boss, 2006). It has been documented that
Reminiscence therapy has produced a good positive outcome in treating dementia of any type.
However, I will critically review the effectiveness of Reminiscence therapy in treating dementia using
studies by Wang, 2007; Huang et al, 2009; Tadaka and Kanagawa, 2007 and Okumura et al, 2008.
Figure 1 Estimate of numbers of people living with dementia worldwide
(Created from raw data from Ferri et al, 2005)
Table 1: Worldwide estimate for the absolute number of cases of dementia, according to the Delphi
Consensus Study.
Absolute number of
people over 60 years
old who have dementia
(millions)
2001
2020
2040
Western Europe
4.9
6.9
9.9
Eastern Europe low adult mortality
1.0
1.6
2.8
Eastern Europe high adult mortality
1.8
2.3
3.2
North America
3.4
5.1
9.2
Latin America
1.8
4.1
9.1
North Africa and Middle Eastern Crescent
1.0
1.9
4.7
Developed Western Pacific
1.5
2.9
4.3
China and the developing Western Pacific
6.0
11.7
26.1
Indonesia, Thailand, and Sri Lanka
0.6
1.3
2.7
India and South Asia
1.8
3.6
7.5
Africa
0.5
0.9
1.6
Total
24.3
42.3
81.1
Created from raw data provided by Ferri et al., 2005
Literature Search Method
The following database was used in searching for the four literatures to be reviewed, It involves a
mostly electronic database search with a wide range strategies from Web of Science, Delphis and
AgeInfo. The search was done from 1st and 6th December, 2014. Delphis was the final electronic
database used and the key words used in the search were; “Dementia OR Alzheimer’s Disease OR
Vascular diseases OR cognitive impairment AND reminiscence therapy OR group therapy OR
Reminiscence care AND ag*ing OR aged OR elderly OR older people OR later years”.
A total number of 8,877,002 search was found and limiters were applied which include; Date published
from 1980 to date, only academic journals, English language publications and subject only to the key
words used above with the addition of Cognitive decline and very old (85years and above)”. A total
number of 17 citations were identified. The final four articles were selected if they meet the all of the
following criteria: (see figure 1)
(i) The studies should be either a case study, a clinical trial either Radom Clinical Trial (RCT) or
Non- random Clinical Trial (Non RCT), before and After studies (B and A) either in a
community setting, a care home, day care home or inpatient.
(ii) The studies had participant 60 years and above.
(iii) The studies had participant that had been diagnosed with dementia with one or more of the
following; Diagnostic and Statistical Manual of Mental Disorder IV (DSM-IV), International
classification of disease (ICD-10), Clinical Dementia Rating scales, Clinical diagnoses by a
trained clinician, and in a specialized dementia home care.
(iv) The study must at least measure one clinical outcome relevant to cognitive decline or measure
of cognitive impairment.
(v) The psychosocial treatment must be Reminiscence therapy
Care was taken to exclude all systematic literature reviews and Meta analyses in the four references. All
four journals for the review must be peer reviewed articles.
Fig 2 Showing Delphis search Method
Limiters
Date of publication (1980 to date)
Only Academic Journals
Subject only to “Cognitive decline and
very old (85years and above)”.
English publications
Inclusion and exclusion criteria
Dementia OR Alzhemiers Disease OR Vascular diseases OR
cognitive impairment AND reminiscence therapy OR group therapy
OR Reminisence Care AND ag*ing OR aged OR elderly OR older
people OR later life”.
8,877,002
17 citations
4 citations
2 RCT
1 Non- RCT
1 Pre and Post
treatment
Description of treatment
Generally, gerontology has been known to be data rich, but devoid of theories same as Reminiscence
therapy (Birren and Bengtson ,1988 and Webster , 1999). Nevertheless reminiscence therapy follows the
pattern of gerontological theories like the disengagement theory, Ego Integrity theory, life review
theory, the theory of psychological development and continuity theory (Kasl-Godle, & Gatz, (2000);
Erikson (1959) and Butler (1963). But all these theories are seen as obsolete as in gerontological theories
expecting an acceptance of the continuity theory. More especially, the Butler concepts of life review as
an evaluation form of reminiscence has been disputed in so many ways (Lieberman & Tobin, 1983;
Merriam, 1995 and Taft & Nehrke, 1990). Recently, Reminiscence therapy theories have concentrated
on life course perspective theory where one looks at the life course events and then use it as a form of
therapy to strengthen cognitive memory components either in a narrative form (remembering happy
moments in life); Evaluative form which explains a life review process, where one is asked to remember
a life time story or events and used it as a story for others; all these are geared towards encouraging
intra personal and interpersonal development in the demented individual. ( Gerfo, 1980 and Bluck &
Levine 1998). Webster, 2010 argued that researches are better understood when they interpret their
researches bearing in mind life span perspective. Invariably, Continuity theory has a summed up
explanation in all these theories, as explained by Lin statement;
"As individuals move from one stage to the next and encounter changes in their lives, they attempt to
order and interpret changes by recalling their pasts. This provides an important sense of continuity
and facilitates adaptation. Change is linked to the person’s perceived past, producing continuity in
inner psychological characteristics and in social behaviour and social circumstances."
(Adapted from Lin et al, 2003).
Conclusively, all these theories are bent on the Kitwood’s theory of Personhood which is called “Person
Centered care” where Reminiscence therapy is based on the whole person and not just the diseased
brain and then using the remaining abilities and memories to re- integrate the person to the wide
society and values within the context of family, marriage culture, ethnicity and gender (Chester and
Bender (1999), quoted in Timothy D (2003).
Evaluation of Evidence
Okumura et al, 2008 compared the effects of short term reminiscence therapy (RT) and every day
conversation with the older persons with dementia whereas Tadaka and Kanagawa, 2007 specifically
looked at the effects of reminiscence group in older persons with Alzheimer's disease (AD) and Vascular
dementia (VD). On the other hand, Huang et al, 2009 explained the application of RT on older people
with dementia focusing on Pingtung, Taiwan. Wang, 2007 specifically study the effect of group RT for
cognitive and affective function of the demented older people in Taiwan. Okumura et al, 2008 and
Tadaka and Kanagawa, 2007 did their studies in Japan with the later in a community setting whereas
the former has no specific study setting. Nevertheless the studies of Huang et al, 2009 and Wang, 2007
were both in Taiwan in different care facilities in the country. Randomized Clinical trial (RCT) was the
study design of both Tadaka and Kanagawa, 2007 and Wang, 2007 but the latter doing a 6 months
follow up; intervention and control group and Pre and post test design respectively. Okumura et al,
2008 employed a Non-Radomized Clinical Trial with a pre and post measurement while Huang et al,
2009 used a pre and post measurement. The sample size of the studies is indicated in the table 2 below,
16 females (Okumura et al, 2008); 60 (Tadaka and Kanagawa, 2007); 10 (Huang et al, 2009) and 102
(Wang, 2007). Similarly, all the studies used Mini Mental State Examination (MMSE) as part of their
evaluation tools for measuring outcomes except Okumura et al, 2008 that used it solely to determine
the dementia stage of the participants. (See table 1 and 2).
Table 2 showing the scope of studies of the four reviewed articles
Authors
Type of
studies
Location of
studies
Study setting
Type of
dementia
Control
Stage of
dementia
Okumura et
al, 2008
Non-RCT with
pre and post
test
measurement
Japan
Not specific
Alzheimer's
Conversation
group
Severe using
MMES
Tadaka and
Kanagawa,
2007
RCT
Japan
Community
setting
Alzheimer’s
Other day
care activities
Mild to
moderate
using DSM-IV
Huang et al,
2009
Pre and post
test
measurement
Taiwan
Care facility
Not recorded
No control
Mild to
moderate
Wang, 2007
RCT
Taiwan
5 different
care facility
Not recorded
Same group,
no treatment
Mild to
severe
RCT means Randomized Clinical Trial, MMES=Mini Mental State Examination, DSM-IV= Diagnostic and Statistical Manual of
Mental Disorder IV
As shown in table 1, Okumura et al, 2008 used a control group called conversation group that engages
in normal daily conversation without RT and they uses a four item verbal frequency task which was the
major index of measurement as opposed the measure index of Huang et al, 2009 which is EEG as MOSES
is for Tadaka and Kanagawa, 2007. Wang, 2007 does not have any index of measurement rather uses all
the scales listed in table 2 below. The type of theme used for each Reminiscence therapy was specifically
stated in table 3 with a period of treatment. It was noted that all the studies show a fixed duration of RT
session expect Okumura et al, 2008 that shows approximate time.
Table 3 Showing the Methodological issues in the reviewed articles
Author
Baseline sample size
Evaluation tools
Outcome measures
Follow up period
Okumura et al, 2008
16 females;
8(controls) and 8
Verbal fluency task,
TORS. Subjective
Increase in all the
tools expect in the
Not applicable
(experiments)
feelings and care
evaluation tables
“mood” option in
the subjective
feelings option
Tadaka and
Kanagawa, 2007
60(24, Alzheimer's=
12control, 12
experiments; 36
Vascular= 18 control
, 18 experiment)
Multi dimensional
Observation Scale
for Elderly
subjects(MOSES)
and MMES
Increase daily
activities, increase
cognitive function in
VD but increase in
only daily activities
in AD
6 weeks
Huang et al, 2009
12
EEG, personal
interaction scale,
depression scale,
feeling of participant
scale
Increase in
cognitiive level,
increase in social
participation,
decrease in normal
depression value,
increase in long
waves and decrease
in short waves
Not applicable
Wang, 2007
102; 51(experiment)
and 51 (control)
MMES, GDS-SF,
CSDD
Increase in Cognitive
function and
decrease in
depression
symptoms
Not applicable.
MMES- Mini Mental State Examination; GDS-SF-Geratics Depression Scale- Short Form; CSDD- Corrnel Scale for depression in
dementia; VD- vascular disease; AD- sAlzheimer's disease; EEG-Electroencephalograph
In the studies, there is an increase in all of the outcome measured expect in some special cases where
even with the increase, there is yet no significance different between after and before when statistically
test, as in the case of Huang et al, 2009, where increase in both personal interaction scale and feeling of
participant scale shows no significant in both pre and post scores but the EEG shows a great significance
which explains that EEG is more sensitive when compared to other outcome used. This can be argued
clearly as other studies show a great significance effects either between the control group and the
experimental group or between the type of dementia as in the case of Tadaka and Kanagawa, 2007
(see table 2).
Table 4 showing the theme for Reminiscence therapy used in each study
Author
Reminiscence therapy theme
Time for RT
Okumura et al, 2008
Childhood play, helping with house
work, school memories, memories
centered on the cuurent season
Approximately 60mins for four times
Tadaka and Kanagawa, 2007
Not specific but mentioned favourite
sweets in childhood
60-90 mins for 8 weeks
Huang et al, 2009
Childhood cooking experience
60mins for 8 weeks
Wang, 2007
First meeting, childhood experiences,
Old style music, festivals, my family,
younger age and my achievement
60 mins for 8 weeks
Evidences and manipulations in the researchers are of great value and importance in knowing the
strength and weakness of the study. The introduction of some many measurement outcomes by
Okumura et al, 2008 makes the study to almost lose its credibility, as most of the instruments used lacks
a good reliability test like the Saint Mariams Hospital’s Elderly Dementia patient day care evaluation
table, in fact the reliability and validity of the instrument was never put into consideration. Although the
internal consistency of the 10 item choose by the clinician was done, but I doubt if it is purely bias free.
More so, the subjective assessment of happiness and mood is not standard and as such could develop a
bias related error which the category of mood from the MOSES scale would have been a great substitute
as it is with a good and is reliable. On the same note, the specific period of treatment was not certain as
approximated time was recorded even though it is a short form of RT. Nevertheless, the use of
correlation in the analysis raised a strong argument which could further prompt a research on
determining which scale of measurement is more accurate when studying pre and post measurement
experiments of effectiveness of RT in dementia. Only the work of Wang, 2007 describe in full details the
persons that administered the evaluation tools, Okumura et al, 2008 didn’t even mentioned that;
Tadaka and Kanagawa, 2007 used a trained clinician for only MMES and then family caregiver even at
home, which surely will have a bias evaluation, one can comfortably argued that even the 6 weeks
follow up could not be devoid of bias free, thus the credibility of the study, but the instrument shows a
good score of reliability as well as modified Chinese version of GDS-SF and CSDD used by Wang, 2007.
Even though Tadaka and Kanagawa, 2007 concluded that there is no effect of RT on the cognitive
function of people with dementia as against the work of Wang, 2007 where there is a significant effect
on the cognitive function of people with dementia. Explanations for the different results were explained
by Tadaka and Kanagawa, 2007 which makes the work more credible. Nevertheless, Wang, 2007;
Huang et al, 2009 and Okumura et al, 2008 non use of follow up can’t ascertain the sustainability of
such therapy on the demented older people with particular emphasis on the conclusion in which
Okumura et al, 2008 made on the efficacy of RT on demented older people in a short session therapy..
The weakness of Okumura et al, 2008 work was evident more on the inability to specifically mention the
stage of dementia the short session is best for. All expect Huang et al, 2009 didn’t give a detail
description of the features of RT used. Huang et al, 2009 gave a specific feature of RT used (Childhood
Cooking lesson), although the method of selection of participants was not specific and reasons for
selection was not stated (inclusion and exclusion criteria), thus the inability to generalize the result. That
notwithstanding, the good theoretical background on the subjects used in the study makes the work,
more interested and this type could comfortably attract policy makers as it is explained in details.
Policy Implication.
The researches above have no doubt produce policies in the two countries, as the two countries
alongside with South Korea and Australia is the only Asia- pacific country that has a National Dementia
Strategy. This in no doubt explains that there is an existing policy on Dementia in the Japan and Taiwan
(the Lancet Neurology, 2015). Rees, 2014 on the paper presented on the Alzheimer’s disease day in
Taiwan that the National policy on Dementia care implemented in Taiwan is of great importance as the
Global burden of disease data is shifting to noncommunicable diseases (Neurology) in which dementia is
listed. Although he specifically didn’t mention if Reminiscence therapy was among the treatment, but he
did mention that home and residential care was given a priority in the policy paper which I presume
Reminiscence therapy (RT) will be surely incorporated. In the past, Dementia care in Japan was left in
the domain of a National Long-term care Insurance System, which was developed by the Japanese
government in 2000. But this insurance system is not meeting the needs of individuals with dementia in
the country, thus the development of further strategies have been employed, (Skladzien et al, 2011).
This lead to the establishment of the International Longevity Center-Japan with four key functions;
Holistic counselling support; right Advocacy including prevention and early detection of abuse;
comprehensive and continuous management support; and care management to prevent the need for
care. Consequently, Japan has launched several programs to support dementia, which include; in 2005,
a 10 year Campaign to understand Dementia and Build community network in which I presume that RT
could be a form of therapy in such communities, although not specifically stated (Ferreria and Adkins,
2011). All the policy in Japan did not specially mentioned any psychosocial treatment of dementia, but
mentioned on the theoretical concepts of the treatment “the concepts of Person centered care
(Nakanishi and Nakashima, 2014; and National framework for Action on Dementia, 2005). In Taiwan, the
introduction of the Universal Health coverage in 1995 (Bureau of National Health Insurance, 2007)
where Dementia was classified as Major illness and Injury made treatment and management accessible
at every level. In some areas like right protections; basic dementia care, although not specialized is
adequate in the care of dementia in Taiwan, but there is no existing interest in researches by the
Taiwan government in dementia which could promote treatment strategies like RT, thus further
lobbying could invariably advance such policy. In fact, there may be a true picture of practical use of the
researches in Japan than in Taiwan as evidence with Japan has been involved in the International
Strategies for Dementia care (Skladzien et al, 2011).
Conclusion
It has been a clear evaluation and assessment of the efficacy of Reminiscence Therapy(RT) on demented
older person. The literature review provided a clear evidence to support that RT is effective in the
treatment of dementia. In fact, RT is beneficial to all the mental illness in the field of ageing. In the study
reviewed above, all the variables measured in the studies showed an increase in value after the
application of RT irrespective of any type of dementia; stage of dementia; setting of study; and even the
manipulations involved in the studies like randomization and follow up. Apart from the therapeutic
effects recorded in the above study, RT was found to help in emotional recovery as old stories bring
back memories which could come with emotions. One of the most positive effects of RT (especially
Group RT) is social interaction and social networking which could be between the careers or between
the demented older persons themselves. Apart from the session, it could bring people close more
especially if we share a similar childhood experiences.
Although, it was observed that features or themes of RT have been prescribed in the above researches,
but it could be more effective if a specific theme or feature is used for a particular type of dementia and
stage of dementia. For instance, Huang et al, 2009, mentioned a specific theme used in their study. So I
suggest that in further research, a specific theme of RT could be used in the care of dementia and also
specifying the type of dementia each theme works well and at what stage. This will lead to specificity of
RT theme and dementia. Also, for the generalization of RT work on dementia, large number of
participants; more of RCT; some manipulations should be introduced like follow up.
Finally, it was concluded in the four articles that Reminiscence therapy (RT) is effective in the treatment
of dementia, which was evident by the reduction of depressive symptoms, improve in the happy mood,
increase in the cognitive function, increase in the number of fast brain waves which indicate good
mental state, improve in the affective function of the brain amongst others.
References
American Psychiatric Association(2013) Diagnostic and Statistical Manual of Mental Disorders.
5th edition, Arlington, VA: American Psychiatric Publishing.
Australian Institute of Health and Welfare (2012) Dementia in Australia. Canberra: AIHW
Birren, James E. and Vern L. Bengtson, (eds) ( 1988) Emergent Theories of Aging. New York:
Springer.
Bluck, S., & Levine, L. (1998) ‘Reminiscence as autobiographical memory: a catalyst for
Reminiscence Theory Development’, Aging and Society 18: 185-208
Bureau of National Health Insurance (2007) NHI starts a new chapter in Taiwan's history
(online). Taiwan, Bureau of National Health Insurance. Available:
http://www.nhi.gov.tw/english/webdata.asp?menu=11&menu_id=290&we bdata_id=1887
[Accessed 10 Dec, 2014]
Butler, R.N. (1963). ‘The life review: an interpretation of reminiscence in the aged’,Psychiatry 26:
65-76
Chester, R and Bender, M. (1999) Understanding Dementia: The man with the worried eyes.
London:Jessica Kingsley Publisher Ltd .
Erikson, E. (1959) ‘Identity and the life cycle: Selected papers’,Psychological Issues 1: 50-100
Ferreria, M and Adkins, J. (2011) ‘No country is untouched by dementia’, IFA Global Ageing 7:1-
43
Ferri, P., Prince, M., Brayne, C. et al.,(2005) ‘Global prevalence of dementia: a Delphi consensus
study’, The Lancet 366(9503): 21122117
Fratiglioni, L ., De Ronchi, D. and Agüero-Torres, H. (1999) ‘Worldwide Prevalence and Incidence
of Dementia’, Drugs & Aging 15 (5): 365-375
Gary R. and VandenBos, G (ed)(2006). APA dictionary of psychology (1st ed.). Washington, DC :
American Psychological Association
Gerfo, M.L. (1980) ‘Three Ways of Reminiscence in Theory and Practice’, The International
Journal of Aging and Human Development 12(1): 39-48.
Guerchet, M., M'Belesso, P., Mouanga, M., Bandzouzi, B., Tabo, A., Houinato, S., Paraïso,
N., Cowppli-Bony, P., Nubukpo, P., Aboyans, V., Clément, P., Dartigues, F. and Preux, M. (2010)
‘Prevalence of dementia in elderly living in two cities of central Africa: The EDAC
survey’, Dementia and Geriatric Cognitive Disorders 30(3) :261-268.
Hendrie, C., Ogunniyi, A., Hall, S., Baiyewu, O., Unverzagt, W. and Gureje, O (2001) ‘Incidence
of dementia and Alzheimer disease in 2 communities: Yoruba residing in Ibadan, Nigeria, and
African Americans residing in Indianapolis, Indiana’, Journal of the American Medical
Association 285:739747.
Huang, S., Li, C., Yang, C. and Chen, J .(2009) ‘Application of Reminiscence Treatment on Older
People With Dementia: A Case Study in Pingtung, Taiwan’, Journal of Nursing Research
17(2):122-119.
Kasl-Godley, J. & Gatz, M. (2000) ‘Psychosocial Interventions for Individuals With Dementia: An
Integration of Theory, Therapy and Clinical Understanding of Dementia’, Clinical Psychology
Review 20(6): 755782.
Kovacs, G., Alafuzoff, I., Al-Sarraj, S., Arzberger, T., Bogdanovic, N. and Capellari, S.(2008)
‘Mixed brain pathologies in dementia: the BrainNet Europe consortium experience’, Dement
Geriatrics Cognitive Disorder 26: 34350.
Lautenschlager, N., Cox, KL., Flicker, L., Foster, K., Van -Bockxmeer , M., and Xiao, J. (2008)
‘Effect of physical activity on cognitive function in older adults at risk for Alzheimer disease: a
randomized trial’, Journal of American Medical Association 300: 10271037.
Lin, C., Dai, Y. & Hwang, S.(2003) ‘The Effect of Reminiscence on the Elderly Population: A
systematic Review’, Public Health Nursing 20 (4): 297-306
Lobo, A., Launer, L., Fratiglion, L., Andersen, K., Di Carlo, A. and Breteler, M. (2000) ’Neurologic
Diseases in the Elderly Research Group. Prevalence of dementia and major subtypes in Europe: a
collaborative study of population-based cohorts’, Neurology 54(5):S49.
LoGiudice, D. and Watson, R. (2014) ‘Clinical perspectives Dementia in older people: an update’,
Internal Medicine Journal 44 .
Mavrodaris, A., Powellb, J. & Thorogoodc, M (2013) ‘Prevalences of dementia and cognitive
impairment among older people in sub-Saharan Africa: a systematic review’, Bull World Health
Organ 91:773783.
Merriam, S. (1995) Butler’s life review: How universal is it? In J. Hendricks (Ed.) The meaning of
reminiscence and life review. Amityville, NY: Baywood Publishing, pp 7-14.
Nakanishi, M and Nakashima, T (2014) ‘Features of the Japanese national dementia strategy in
comparison with international dementia policies: How should a national dementia policy
interact with the public health- and social-care systems?’, Alzheimer’s & Dementia 10:468476.
National Framework for action on dementia (2005)National Framework for Action on Dementia,
Japan, Department of Health, Available
at:http://www.health.gov.auinternet/main/publishing.nsf/ ( accessed, 12th December, 2014)
National Framework for action on dementia(2005) Revision of the Long-term Care Insurance
System in Japan. Available at: http://longevity.ilcjapan.org/f_issues/index.html ( accessed on
13th December, 2014)
Ogunniyi, A., Gureje, O., Baiyewu, O., Unverzag, F., Hall, S. and Oluwole, S. (1997) ‘Profile of
dementia in a Nigerian community–types, pattern of impairment, and severity rating’, Journal
of Nigerian Medical Association 89:392396.
Okumura, Y., Tanimukai, S . And Asada, T. (2008) ‘Effects of short-term reminiscence therapy
on elderly with dementia: a comparison with everyday conversation approaches’,
Psychogeriatrics 8: 124133.
Prince, M., Brycea, R., Albanesea, E., Wimoc, A., Ribeiroa, W. and Ferria, C (2013) ‘The global
prevalence of dementia: A systematic review and metaanalysis’, Journal of Alzheimer’s &
Dementia Association 9 (1) :6375.
Rees G (2014) ‘Future directions in Dementia Policy’. Paper presented to the Taiwan
government on Taiwan policy day, Saturday, 4 October, 2014, Taiwan.
Rizzi, L., Rosset,L . and Roriz-Cruz, M (2014) ‘ Global Epidemiology of Dementia: Alzheimer’s and
Vascular Types’ BioMed Research International 2014:1-8.
Robbins, J., Robert, H., Mellins, A., Joska, J. and Stein, D. (2011) Screening for HIV-Associated
Dementia in in South Africa: Potentials and Pitfalls of Task-Shifting’, Aids Patient Care and STDs.
24(10)
Skladzien, E., Bowdicth K and Rees G(2011) National Strategies to address Dementia; a report by
the Alzheimers Australia paper 25, Austraila : Alzheimers Australia publications.
Tadaka, E. and Kanagawa, K. (2007) Effects of reminiscence group in elderly people with
Alzheimer disease and vascular dementia in a community setting’, Geriatric Gerontology
International 7: 16717.
Taft, L. & Nehrke, M. (1990) Reminiscence, life review, and ego integrity in nursing home
residents’, International Journal of Aging and Human Development 30: 189-196.
The lancet neurology (2015) Dementia warning for the Asia-Pacifi c region :Dementia in the Asia
Pacific Region. Available at : http://www.alz.co.uk/ adi/pdf/Dementia-AsiaPacific-2014.pdf
through www.thelancet.com/neurology Vol 14 January 2015,(Accessed on 19th December,
2014).
Timothy D (2003) ‘Person Centered Dementia Care: A vision to be Redefined’, The Canadian
Alzheimers disease review 5:14-18.
Wang, J(2007) ‘Group reminiscence therapy for cognitive and affective function of demented
elderly in Taiwan’, International Journal Of Geriatric Psychiatry 22: 12351240.
Webster, J (1999). ‘World Views and Narrative Gerontology: Situating Reminiscence Behaviour
Within a Lifespan Perspective’, Journal of Aging Studies 13:29-42.
Webster, J., Bohlmeijer, E. and Gerben J. (2010) ‘Westerhof2 Mapping the Future of
Reminiscence: A Conceptual Guide for Research and Practice’, Research on Aging 32(4):527
564.
World Alzheimer report (2009): Alzheimer’s Disease International. London
World Health Organisation (2012) Media Center: fact sheet Dementia .(Online) Available from:
http://www.who.int/mediacentre/factsheets/fs362/en/ (Date accessed: 15th December, 2014)
... Existe evidencia de que la TR puede mejorar el estado de ánimo así como algunas actividades cognitivas, reducir la depresión e incrementar las ondas cerebrales que mejoran las funciones afectivas (Cotelli et al., 2012;Kalu, 2015) además de que la TR puede mejorar la memoria autobiográfica (Cotelli et al., 2012). ...
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