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8/17/2019 Penyebab demam

1/23

REVIEW ARTICLE

“Psychological Treatments ForDepression and Anxiety inDementia and Mild CognitiveImpairment : Systematicreview and Meta Analysis “


2/23


3/23

2nd GROUP

Fathin Nabila Kistie 1313010001

A!ina P"ti #e$anti 131301000%

Ed& '"da()n) 131301000*

Andi!a Fa+a N",)h) 131301001- Ri.!i Ghi.ai A!ba 1313010021

/"!ha((ad Ai.in 131301002%

N" Aiah a.a 131301003*

R)sella Al.i 'ahaa 131301000 A,nes Tiana #e$i 131301002

A(elia /ais 13130100


4/23

4ACKGROUN#


5/23

4ACKGROUN#

An5iet& and #e6essi)n ha7e s"bstantial

i(6a8t )n )"t8)(es as the& de8ease the

abilit& t) li7e inde6endentl& and es"lt in hi,he

8ae,i7e b"den In 6e)6le $ith /CI 9/a+) C),niti7es

I(6ai(ent:; eal& s&(6t)(6s ). de6essi)n

8an ).ten be esistant t) antide6essant

Thee.)e; 6s&8h)l),i8al teat(ents ada6ted

.) "se $ith 6e)6le $ith 8),niti7es i(6ai(ent


6/23

AI/' OF TE ARTICLE

Is t) e7al"ate the e7iden8e ). e..e8ti7eness ).

6s&8h)l),i8al teat(ents in teatin, de6essi)n

and an5iet& in 6e)6le $ith de(entia and /CI

9 /a+) C),niti7es I(6ai(ent :

Pha(a8)t

hea6& <

TERAP=

#e(entia

and

An5iet& Ps&8h)the a6& <

4)th ).

the( <


7/23

/ETO#'


8/23

'U4>ECT'

Identi.ied ). 3 e.een8es th)",h database

sea8hin,?

The (eth)ds "se Rand)(ised C)nt)l Tial 9 RCTs :

that in8l"ded 8)nt)l ,)"6 and 8)(6aisan ,)"6

e8ei7in, n) s6esi.i8 6s&8h)l),i8al inte7enti)n

In8l"si)n 8iteia .) 6ati8i6ants @

Olde ad"lts $ith de(entia 9:

Alhei(e disease

O,ani8 bain '&nd)(es

/a+) 8),niti7es i(6ai(ent

B8iteia based IC# 10; #'/ IV ) 8)(6aable


9/23

#ATA ANAL='I'


10/23

#ATA COLLECTION

Searched the Cochrane Dementia andCognitive Improvement

Group’s Specialized Register and major

healthcare databases1. MD!I"

#. mbase

$. CI"%&!

'. (s)cI"*+

,. &!I+S -.medicine.o/.ac.u0alois2.

3. !I!&CS4


11/23

#ATA COLLECTION

An& 6s&8h)l),i8al thea6& desi,ned t) ed"8e

de6essi7e and an5iet& s&(6t)(s in 6e)6le

$ith de(entia; $hi8h $as de.ined as an&

inte7enti)n that@Was desi,ned t) ed"8e an5iet& and

de6essi)n ) i(6)7e ada6ti7e ."n8ti)nin,

Was based )n a 6s&8h)l),i8al the)&

In7)l7ed a st"8t"ed intea8ti)n bet$een a

.a8ilitat) and a 6ati8i6ant; in8)6)atin,

6s&8h)l),i8al (eth)ds?


12/23

#ATA COLLECTION

The 6)int ). thea6ies sea8h .) @

Pi(a& )b+e8ti7es @

#ete(ine $hethe 6s&8h)l),i8al inte7enti)ns ed"8e

de6essi)n and an5iet& in 6e)6le $ith de(entia and/CI

'e8)nda& )b+e8ti7es @

D"alit& ). li.e en8han8e(ent

A8ti7ites ). dail& li7in, Ne")6s&8hiati8 s&(6t)(s

C),niti)n

Cae,i7e de6essi)n


13/23

IN'TRU/ENT OF P'=COTERAP=

INCLUDES

C4T 9 C),niti7es

4eha7i) Thea6& :

Rela5ati)n tainin,

thea6ies

Ps&8h)dina(i8 thea6ies

Inte6es)nal thea6ies

'"66)ti7es thea6ies

EXCLUDES

Medication

Exercise Reminiscence

therapy

Music therapy

Art and dramatherapy

Befriending or

bibliotherapy


14/23

#I'CU''ION RE'ULT'


15/23

RE'ULT'

Pi(a& )"t8)(es @

#e6essi)n

The e..e8t ). 6s&8h)l),i8al teat(ent $as

significantly in reducing de6essi7e s&(6t)(s.) 6e)6le $ith de(entia?

An5iet&

Ps&8h)l),i8al teat(ent reduced clinician-rated an5iet& (eas"ed $ith the atin, An5iet& in

#e(entia s8ale?


16/23

RE'ULT'

'e8)nda& )"t8)(es@

Ps&8h)l),i8al teat(ent had n) e..e8t )n

D"alit& ). li.e

A8ti7ities ). dail& li7in,

Ne")6s&8hiati8 s&(6t)(sC),niti)n

Cae,i7e de6essi)n


17/23

#I'CU''ION'

The es"lts ). si5 RCTs $ith a t)tal ).

3 6ati8i6ants 921 e8ei7in,

6s&8h)l),i8al teat(ent; 223 in 8)nt)l

,)"6s: sh)$ed that 6s&8h)l),i8alteat(ents ed"8e de6essi7e and

an5iet& s&(6t)(s in 6e)6le $ith

de(entia (eas"ed $ith a 8lini8ianated t))l?


18/23

#I'CU''ION'

/)e)7e; all ). these st"dies ta,eted

s&(6t)(s ). an5iet& and de6essi)n th)",h a

st"8t"ed 6s&8h)l),i8al a66)a8h9thea6ist

and 6atient 8)(("ni8ati)n: Alth)",h thee $as n) e..e8t ). 6s&8h)l),i8al

teat(ent )n se8)nda& )"t8)(es; s"8h as

A#L; "alit& ). li.e; ne")6s&8hiati8 s&(6t)(s

and 8),niti)n; ) )n 8ae,i7e de6essi)n?


19/23

#I'CU''ION'

A li(itati)n ). this e7ie$; thee.)e; is the s"bstantial7aiati)n bet$een st"dies in te(s ). the nature;

duration and intensity of the psychological therapy

evaluated; $hi8h (a& 8)ntib"te t) di..i8"lties $hen

inte6etin, the data?

Als) the 6s&8h)s)8ial nat"e in8l"din, 8),niti7e

sti("lati)n; 8),niti7e ehabilitati)n; e(inis8en8e and

a8ti7it&based inte7enti)ns ae n)t ai(ed s6e8i.i8all&

at an5iet& ) de6essi)n

)$e7e; in s)(e st"dies the 8)nt)l 8)nditi)n $aseni8hed be&)nd "s"al 8ae; as )66)sed t) standad

8ae; indi8atin, that the e..i8a8& ). 6s&8h)l),i8al

thea6ies (a& be 6)tentiall& underestimated.


20/23

CO/PARI'ON OF PREVIOU'

#ATA

This st"d& $as si(ila t) 6e7i)"s esea8h;

$hi8h sh)$ed that 6s&8h)thea6& is ()e

effective therapy? 4"t in 6e7i)"s st"dies ae

still 7e& li(ited and )nl& in mild dementia?While in this st"d& "sed a 8)(6ehensi7e and

sensiti7e state,& t) identi.& st"diesH the .ist

9V?O?: and se8)nd a"th) 9A?D?: inde6endentl&

8)nd"8ted the sele8ti)n ). st"dies; datae5ta8ti)n and assess(ents ). is! ). bias?


21/23

CONCLU'ION'

The e7iden8e .)( si5 RCTs s",,ests

that 6s&8h)l),i8al teat(ents ae

e..e8ti7e in ed"8in, s&(6t)(s ).

de6essi)n and an5iet& .) 6e)6le $ithde(entia


22/23

LACK AN# 'UGGE'TION

This ati8le ha7e a la8! is n)t (enti)ned

na(e ). the d", e..e8t as $ell as a

6ha(a8)l),&?

'",,esti)ns@ na(e ). the d", need t)

be (enti)ned e7en th)",h )nl& a .e$;

and 8)(binati)n thea6& sh)"ld 8lea

bet$een 6ha(a8)thea6& and6s&8)thea6&


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