A randomized controlled trial of the group reminiscence approach in patients with vascular dementia.
OBJECTIVE
To evaluate the beneficial effect of the group reminiscence approach (GRA) in patients with vascular dementia on the aspect of cognitive and observed behavioral parameters.


METHODS
Sixty patients who were diagnosed to have vascular dementia were randomly assigned to three arms: group reminiscence arm, social contact arm, and control arm. A 1-hour session of GRA and social contact was given once a week for 3 months to the group reminiscence and the social contact arm, respectively. Only supportive care was given in the control arm. Improvement in cognitive function and behavioral activities were defined as the primary outcome.


RESULTS
No significant improvements in the main outcome measures were demonstrated.


CONCLUSIONS
These results do not support the hypothesis that GRA is beneficial to patients with vascular dementia.
Ito
Tomoko
T
Division of Behavioral Neurology and Cognitive Neuroscience, Department of Medicine, Tohoku University Graduate School of Medicine, Sendai, Japan. mo-co@umin.ac.jp
Meguro
Kenichi
K
Akanuma
Kyoko
K
Ishii
Hiroshi
H
Mori
Etsuro
E
D000369:Aged, 80 and over; D003072:Cognition Disorders / Q000175:diagnosis / Q000453:epidemiology* / Q000628:therapy*; D015897:Comorbidity; D015140:Dementia, Vascular / Q000453:epidemiology*; D019317:Evidence-Based Medicine / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D011939:Mental Recall; D009483:Neuropsychological Tests; D011615:Psychotherapy, Group / Q000379:methods*; D012720:Severity of Illness Index