Hostname: page-component-8448b6f56d-sxzjt Total loading time: 0 Render date: 2024-04-23T09:35:37.263Z Has data issue: false hasContentIssue false

Cognitive rehabilitation in the elderly: An evaluation of psychosocial factors

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
HEATHER PALMER
Affiliation:
Rotman Research Institute, Baycrest, Toronto, Ontario, Canada
DEIRDRE DAWSON
Affiliation:
Kunin-Lunenfeld Applied Research Unit, Baycrest, Toronto, Ontario, Canada Department of Medicine (Occupational Science & Occupational Therapy), University of Toronto, Ontario, Canada Department of Medicine (Rehabilitation Sciences), University of Toronto, Ontario, Canada
MALCOLM A. BINNS
Affiliation:
Rotman Research Institute, Baycrest, Toronto, Ontario, Canada
KRISTEN BRIDGES
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 (Occupational Science & Occupational Therapy), University of Toronto, Ontario, Canada Department of Medicine (Neurology), University of Toronto, Ontario, Canada

Abstract

In this study, we report changes in psychosocial function in two groups of older adults that participated in the experimental trial of our cognitive rehabilitation program. The results, based on tests that measured a range of psychosocial attributes, showed that, following training, participants improved in terms of overall well-being, as well as in specific areas that included perceived happiness, coping strategies, and quality of life. An important finding was that improvements were also observed in long-term follow-up testing. Both groups benefited from training, but the effect was greater in the group that received training before undergoing a control procedure. The results, which show that the benefits of our rehabilitation program extend into the psychosocial domain, underscore the potentially important relationship between psychosocial factors and cognitive performance in older adults. (JINS, 2007, 13, 153–165.)

Type
REHAB SERIES
Copyright
© 2007 The International Neuropsychological Society

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

Albert, M.S., Jones, K., Savage, C.R., Berkman, L., Seeman, T., Blazer, D., & Rowe, J.W. (1995). Predictors of cognitive change in older persons: MacArthur studies of successful aging. Psychology of Aging, 10, 578589.Google Scholar
Arbuckle, T.Y., Gold, D., & Andres, D. (1986). Cognitive functioning of older people in relation to social and personality variables. Psychology and Aging, 1, 5562.Google Scholar
Arbuckle, T.Y., Maag, U., Pushkar, D., & Chaikelson, J. (1998). Individual differences in trajectory of intellectual development over 45 years of adulthood. Psychology and Aging, 13, 663675.Google Scholar
Bailis, D.S. & Chipperfield, J.G. (2002). Compensating for losses in perceived personal control over health: A role for collective self-esteem in healthy aging. The Journals of Gerontology: Series B, Psychological Sciences and Social Science, 57B, 531539.Google Scholar
Baltes, P.B. & Willis, S.L. (1982). Plasticity and enhancement of intellectual functioning in old age: Penn State's Adult Development and Enrichment Project (ADEPT). In F.I.M. Craik & S.E. Trehub (Eds.), Aging and cognitive processes (pp. 353389). New York: Plenum Press.
Ben-Yishay, Y. (1996). Reflections on the evolution of the therapeutic milieu concept. Neuropsychological Rehabilitation, 6, 327343.Google Scholar
Brink, T.L., Yesavage, J.A., Lum, O., Heersema, P.H., Adey, M., & Rose, T.S. (1982). Screening tests for geriatric depression. Clinical Gerontologist, 1, 3743.Google Scholar
Burgess, P.W., Alderman, N., Evans, J., Emslie, H., & Wilson, B.A. (1998). The ecological validity of tests of executive function. Journal of the International Neuropsychological Society, 4, 547558.Google Scholar
Churchill, J.D., Galvez, R., Colcombe, S., Swain, R.A., Kramer, A.F., & Greenough, W.T. (2002). Exercise, experience and the aging brain. Neurobiology of Aging, 23, 941955.Google Scholar
Colcombe, S.J. & Kramer, A.F. (2003). Fitness effects on the cognitive function of older adults: A meta-analysis study. Psychological Science, 14, 125130.Google Scholar
Colcombe, S.J., Erickson, K.I., Raz, N., Webb, A.G., Cohen, N.J., McAuley, E., & Kramer, A.F. (2003). Aerobic fitness reduces brain tissue loss in aging humans. The Journals of Gerontology, Series A, Biological Sciences and Medical Sciences, 58A, 176180.Google Scholar
Cope, D.N. (1995). The effectiveness of traumatic brain injury rehabilitation: A review. Brain Injury, 9, 649670.Google Scholar
Coulson, I., Marino, R., & Minichiello, V. (2001). Older people's knowledge and practice about lifestyle behaviors that may prevent vascular dementia. Archives of Gerontology and Geriatrics, 33, 273285.Google Scholar
Dawson, D., Winocur, G., & Moscovitch, M. (1999). The psychological environment and cognitive rehabilitation in the elderly. In D.T. Stuss, G. Winocur, & I.H. Robertson (Eds.), Cognitive neurorehabilitation (pp. 94108). Cambridge, UK: Cambridge University Press.
Emery, C., Huppert, F., & Schein, R. (1995). Relationships among age, exercise, health, and cognitive function in a British sample. The Gerontologist, 35, 378385.Google Scholar
Flanagan, J.C. (1978). A research approach to improving our quality of life. American Psychologist, 33, 138147.Google Scholar
Folkman, S., Lazarus, R.S., Dunkel-Schetter, C., DeLongis, A., & Gruen, R.J. (1986). Dynamics of a stressful encounter: Cognitive appraisal, coping, and encounter outcomes. Journal of Personality and Social Psychology, 50, 9921003.Google Scholar
Greenwood, C.E. & Winocur, G. (1999). Decline in cognitive function with aging: Impact of diet. Mature Medicine Canada, 2, 205209.Google Scholar
Hultsch, D.F., Hertzog, C., Dixon, R.A., & Small, B.J. (1998). Memory change in the aged. New York: Cambridge University Press.
Hultsch, D.F., Hertzog, C., Small, B.J., & Dixon, R.A. (1999). Use it or lose it: Engaged lifestyle as a buffer of cognitive decline in aging? Psychology of Aging, 14, 520527.Google Scholar
Jennings, J.M. & Darwin, A.L. (2003). Efficacy beliefs, everyday behavior, and memory performance among older elderly adults. Educational Gerontology, 29, 7191.Google Scholar
Kozma, A. & Stones, M.J. (1980). The measurement of happiness: Development of the Memorial University of Newfoundland Scale of Happiness (MUNSH). Journal of Gerontology, 35, 906912.Google Scholar
Kramer, A.F., Bherer, L., Colcombe, S.J., Dong, W., & Greenough, W.T. (2004). Environmental influences on cognitive and brain plasticity during aging. Journals of Gerontology, Series A, Biological Sciences and Medical Sciences, 59A, 940957.Google Scholar
Krpan, K.K., Levine, B., Stuss, D.T., & Dawson, D.R., (in press). Executive function and coping at one-year post traumatic brain injury. Journal of the International Neuropsychological Society.
Laurin, D., Verreault, R., Lindsay, J., MacPherson, K., & Rockwood, K. (2001). Physical activity and risk of cognitive impairment and dementia in elderly persons. Archives of Neurology, 58, 498504.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
Menec, V.H. & Chipperfield, J.G. (1997). Remaining active in later life. The role of locus of control in seniors' leisure activity participation, health, and life satisfaction. Journal of Aging and Health, 9, 105125.Google Scholar
Morton, M.V. & Wehman, P. (1995). Psychosocial and emotional sequelae of individuals with traumatic brain injury: A literature review and recommendations. Brain Injury, 9, 8192.Google Scholar
Nosek, M.A., Fuhrer, M.J., & Howland, C.A. (1992). Independence among people with disabilities: II. The Personal Independence Profile. Rehabilitation Counseling Bulletin, 36, 2136.Google Scholar
Prigatano, G.P. (1986). Personality and psychosocial consequences of brain injury. In G.P. Prigatano, D.J. Fordyce, H.K. Zeiner, J.R. Roueche, M. Pepping, & B.C. Woods (Eds.), Neuropsychological rehabilitation after brain injury (pp. 2950). Baltimore: Johns Hopkins University Press.
Pushkar, D., Arbuckle, T., Conway, M., Chaikelson, J., & Maag, U. (1997). Everyday activity parameters and competence in older adults. Psychology of Aging, 12, 600609.Google Scholar
Rath, J., Simon, D., Langenbahn, R., & Diller, L. (2003). Group treatment of problem-solving deficits with traumatic brain injury: A randomised outcome study. Neuropsychological Rehabilitation, 13, 461488.Google Scholar
Rattock, J., Ben-Yishay, Y., Ezrachi, O., Lakin, P., Piasetsky, E., Ross, B., Silver, S., Vakil, E., Zide, E., & Diller, L. (1992). Outcome of different treatment mixes in a multidimensional neuropsychological rehabilitation program. Neuropsychology, 6, 395416.Google Scholar
Rejeski, W.J. & Mihalko, S.L. (2001). Physical activity and quality of life in older adults. The Journals of Gerontology, Series A, Biological Sciences and Medical Sciences, 56A, 2335.Google Scholar
Rodin, J. & McAvay, G. (1992). Determinants of change in perceived health in a longitudinal study of older adults. Journal of Gerontology, 47, 373384.Google Scholar
Rodin, J., Timko, C., & Harris, S. (1985). The construct of control: Biological and psychosocial correlates. In C. Eisdorfer, M.P. Lawton, & G.L. Maddox (Eds.), Annual review of gerontology and geriatrics (Vol. 5, pp. 355). New York: Springer.
Ruff, R.M. (1999). Discipline-specific approach versus individual care. In N.R. Varney & R.J. Roberts (Eds.), The evaluation and treatment of mild traumatic brain injury (pp. 99113). Mahwah, NY: Lawrence Erlbaum Associates, Publishers.
Ruff, R.M. & Niemann, H. (1990). Cognitive rehabilitation versus day treatment in head-injured adults: Is there an impact on emotional and psychosocial adjustment? Brain Injury, 4, 339347.Google Scholar
Scarmeas, N., Levy, G., Tang, M.-X., Manly, J., & Stern, Y. (2001). Influence of leisure activity on the incidence of Alzheimer's disease. Neurology, 57, 22362242.Google Scholar
Scheier, M.F. & Carver, C.S. (1985). Optimism, coping, and health: Assessment and implications of generalized outcome expectancies. Health Psychology, 4, 219247.Google Scholar
Stuss, D.T. & Benson, D.F. (1984). Neuropsychological studies of the frontal lobe. Psychological Bulletin, 95, 328.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
Wilson, R.S. (1987). Rehabilitation of memory. New York: Guilford Press.
Wilson, R.S. & Bennett, D.A. (2003). Cognitive activity and risk of Alzheimer's disease. Psychological Science, 12, 8791.Google Scholar
Wilson, R.S., Mendes de Leon, C.F., Barnes, L.L., Schneider, J.A., Bienias, J.L., Evans, D.A., & Bennett, D.A. (2002). Participation in cognitively stimulating activities and risk of incident Alzheimer disease. Journal of the American Medical Association, 287, 742748.Google Scholar
Winocur, G. & Moscovitch, M. (1990). A comparison of cognitive function in institutionalized and community dwelling old people of normal intelligence. Canadian Journal of Psychology, 44, 435444.Google Scholar
Winocur, G., Moscovitch, M., & Freedman, J. (1987). An investigation of cognitive function in relation to psychosocial variables in institutionalized old people. Canadian Journal of Psychology, 41, 257269.Google Scholar
Winocur, G., Craik, F.I.M., Levine, B., Robertson, I.H., Binns, M.A., Alexander, M., Black, S., Dawson, D., Palmer, H., Downey-Lamb, M., & Stuss, D.T. (2007, this issue). Cognitive rehabilitation in the elderly: Overview and future directions. Journal of the International Neuropsychological Society, 13, 166171.Google Scholar