Volume 21, Issue 25 (8-2024)
JNIP 2024, 21(25): 1-11 |
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Sarlak N. The Effectiveness of Cognitive Restoration Therapy on the Improvement of Cognitive Deficits in Patients with Multiple Sclerosis. JNIP 2024; 21 (25) :1-11
URL: http://jnip.ir/article-1-1156-en.html
URL: http://jnip.ir/article-1-1156-en.html
Department of Clinical Psychology, Faculty of Medicine, Najafabad branch, Islamic Azad University of Najafabad, Iran.
Abstract: (381 Views)
Objective: Cognitive deficits are known as one of the characteristics of multiple sclerosis, which are directly related to the functional and social results of this disorder. The goal of cognitive rehabilitation therapy is to improve the deficits and the results related to it. The aim of this study was the effectiveness of cognitive restoration therapy on the improvement of cognitive deficits in patients with multiple sclerosis in two groups of patients with multiple sclerosis, patients with mild cognitive impairment and moderate cognitive impairment. Materials and methods: 30 hospitalized patients diagnosed with multiple sclerosis were selected and divided into two groups with mild cognitive impairment and moderate cognitive impairment based on the clinical interview and the score obtained in the Montreal Cognitive Assessment Test. Then, before and after the treatment, it was evaluated using the classic Stroop test (measurement of selective attention and cognitive flexibility), continuous performance test (measurement of sustained attention) and Enback (working memory). Both groups received cognitive empowerment treatment using the method of Schulberg and Matir (2001). This rehabilitation program in the treatment of multiple sclerosis patients focuses on the cognitive abilities of memory and its elements, attention and dimensions of attention and executive function. The above empowerment program is prepared for individual or group implementation, and its purpose is to restore cognitive skills and defects through practice and training. The number of sessions in this program is 16, and the instructions for each session are completely clear. Each session takes an average of 30 to 45 minutes . Findings: The findings show that cognitive rehabilitation in both groups at the post-test level has significantly (P<0.05) improved cognitive performance in the areas of sustained attention and working memory. In the performance comparison between the two groups, a significant difference (P<0.05) was observed only in the field of sustained attention. Conclusion: Based on the findings, it can be said that cognitive rehabilitation therapy improves patients' performance in selective attention, continuous attention and working memory. In addition, in terms of the effectiveness of cognitive rehabilitation between the two groups with mild and moderate cognitive deficits, the findings indicate that the group with more severe cognitive deficits made more progress in the cognitive performance of sustained attention, and in terms of the improvement in the performance of selective attention and working memory, the difference was not observed.
Type of Study: Research |
Subject:
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Received: 2024/07/28 | Accepted: 2024/08/31 | Published: 2024/08/31
Received: 2024/07/28 | Accepted: 2024/08/31 | Published: 2024/08/31
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