title: Challenges With Manual-Based Multimodal Psychotherapy for People With Alzheimer's Disease: A Case Study.
abstract: Earlier detection of dementia requires increased knowledge of how to help people in the early stages of dementia. However, few studies have focused on how psychotherapy should be adapted to improve the outcome of therapy for people with Alzheimer's disease. The aims of the present study were to identify and to explore possible obstacles encountered during the use of manual-based psychotherapy for people with early-stage Alzheimer's disease. The study found that individual adaptations to the treatment manual were necessary, particularly the modification of memory aids in order to adapt them to patients' functional level and previous experience with modern technology. In addition, caregivers were essential for both treatment and homework completion, while reduced awareness constituted an obstacle for adherence to the manual.
authors.affiliation: Department of Old Age Psychiatry, Oslo University Hospital, Ullevaal, Norway Norwegian Health Association, Norway jotbjo@ous-hf.no.
authors.forename: Johanne Bjoernstad
authors.initials: JB
authors.lastname: Tonga
authors.affiliation: Department of Old Age Psychiatry, Oslo University Hospital, Ullevaal, Norway.
authors.forename: Bente Brekne
authors.initials: BB
authors.lastname: Karlsoeen
authors.affiliation: Institute of Psychology, University of Oslo, Norway.
authors.forename: Espen Ajo
authors.initials: EA
authors.lastname: Arnevik
authors.affiliation: Department of Psychology, Humboldt Universität zu Berlin, Germany.
authors.forename: Katja
authors.initials: K
authors.lastname: Werheid
authors.affiliation: Department of Old Age Psychiatry, Oslo University Hospital, Ullevaal, Norway Institute of Psychology, University of Oslo, Norway.
authors.forename: Maria S
authors.initials: MS
authors.lastname: Korsnes
authors.affiliation: Department of Old Age Psychiatry, Oslo University Hospital, Ullevaal, Norway Faculty of Medicine, University of Oslo, Norway.
authors.forename: Ingun Dina
authors.initials: ID
authors.lastname: Ulstein
mesh_terms: D000368:Aged; D000377:Agnosia; D000544:Alzheimer Disease / Q000523:psychology*; D001364:Awareness; D017028:Caregivers / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D008568:Memory; D008875:Middle Aged; D011613:Psychotherapy / Q000379:methods*
keywords: Alzheimer’s disease; anosognosia; dementia; psychotherapy; self-efficacy