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Fortschr Neurol Psychiatr 2022; 90(07/08): 344-351
DOI: 10.1055/a-1869-4377
Originalarbeit

Kognitive Interventionen bei der Alzheimer-Krankheit

Theoretische Konzepte, empirische Evidenz und klinische Anwendung kognitiver Interventionen
Daniela Frimmer
1   Institut für Schlaganfall- und Demenzforschung, LMU Klinikum München
,
Katharina Buerger
1   Institut für Schlaganfall- und Demenzforschung, LMU Klinikum München
2   Deutsches Zentrum für Neurodegenerative Erkrankungen, DZNE, Standort München
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Zusammenfassung

In der Behandlung der Alzheimer-Krankheit sind kognitive Interventionen ein wichtiger Baustein. Als Teil der nicht-pharmakologischen Behandlungsmöglichkeiten sind dabei vielfältig und je nach Patient individuell. Mit diesem Beitrag sollen die einzelnen Konzepte kognitiver Interventionen und deren theoretische Grundlagen dargestellt werden. Zudem wird die aktuelle Studienlage mit Blick auf die Anwendung bei der Alzheimer-Krankheit im Stadium der leichten kognitiven Störung (LKS) und der Demenz zusammengefasst, wobei auch neuere Entwicklungen im Rahmen computergestützter Verfahren Beachtung finden. Die spezifischen Wirkfaktoren und klinischen Anwendungsmöglichkeiten kognitiver Interventionsmöglichkeiten werden diskutiert.

Abstract

Cognitive interventions (CI) are an important part in the treatment of Alzheimer’s disease (AD). These non-pharamcological treatment options are manifold and can be matched to a patient’s particular symptoms and needs. This article gives an overview of CIs and their theoretical background, as well as empirical evidence concerning their efficacy at different stages of the disease. Specific determinants of their effectiveness and possible clinical applications are discussed, while also recent developments, such as computer-based CIs, are considered.

Schlüsselwörter

kognitive Intervention - Demenz - Alzheimer - kognitives Training - kognitive Stimulation - kognitive Rehabilitation

Key words

Alzheimer’s disease - dementia - cognitive intervention - cognitive training - cognitive stimulation - cognitive rehabilitation


Publication History

Received: 08 February 2022
Received: 01 June 2022

Accepted after revision: 09 May 2022

Article published online:
20 July 2022

© 2022. Thieme. All rights reserved.

Georg Thieme Verlag
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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