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Doll therapy in dementia: Facts and controversies
Annals of Clinical Psychiatry ( IF 1.3 ) Pub Date : 2021-02-01 , DOI: 10.12788/acp.0010
Kala Chinnaswamy , Dominic M. DeMarco , George T. Grossberg

BACKGROUND The management of major neurocognitive disorder (MNCD), formerly known as dementia, is of increasing concern as the elderly population continues to grow. Doll therapy (DT) is a controversial method observed in clinical practice that has both promising benefits and potential ethical concerns. To date, little research has been done on this therapy. METHODS A PubMed search was performed using the keywords "dementia," "elderly," "dolls," "doll therapy," and "Alzheimer's disease." A list of pertinent articles was assembled, with irrelevant articles excluded. References from these articles were also reviewed and additional articles were included in the final list. RESULTS Research on the utility of DT for patients with MNCD is limited. Current literature suggests that DT may be beneficial in decreasing the use of pharmacologic interventions and alleviating symptoms such as agitation and anxiety. However, most studies consisted of small, unrepresentative sample populations. CONCLUSIONS Preliminary studies favor DT as an effective management strategy for behavioral symptoms of MNCD. However, the few existing randomized controlled trials are limited in size and demographics. Further research involving larger, more diverse study samples with more male patients is needed. Additionally, the exact parameters to guide this therapy have not been established and require investigative study.

中文翻译:

痴呆症的娃娃疗法:事实与争议

背景 随着老年人口的持续增长,主要神经认知障碍 (MNCD)(以前称为痴呆症)的管理越来越受到关注。娃娃疗法 (DT) 是一种在临床实践中观察到的有争议的方法,它既有可观的益处,也有潜在的伦理问题。迄今为止,对这种疗法的研究很少。方法 使用关键字“痴呆症”、“老年人”、“玩偶”、“玩偶疗法”和“阿尔茨海默病”进行 PubMed 搜索。收集了相关文章的列表,排除了不相关的文章。还审查了这些文章的参考文献,并在最终列表中包括了其他文章。结果 关于 DT 对 MNCD 患者的效用的研究是有限的。目前的文献表明,DT 可能有益于减少药物干预的使用和缓解激动和焦虑等症状。然而,大多数研究由不具代表性的小样本人群组成。结论 初步研究支持 DT 作为 MNCD 行为症状的有效管理策略。然而,现有的少数随机对照试验在规模和人口统计方面受到限制。需要进一步研究涉及更多男性患者的更大、更多样化的研究样本。此外,尚未确定指导这种疗法的确切参数,需要进行调查研究。结论 初步研究支持 DT 作为 MNCD 行为症状的有效管理策略。然而,现有的少数随机对照试验在规模和人口统计方面受到限制。需要进一步研究涉及更多男性患者的更大、更多样化的研究样本。此外,尚未确定指导这种疗法的确切参数,需要进行调查研究。结论 初步研究支持 DT 作为 MNCD 行为症状的有效管理策略。然而,现有的少数随机对照试验在规模和人口统计方面受到限制。需要进一步研究涉及更多男性患者的更大、更多样化的研究样本。此外,尚未确定指导这种疗法的确切参数,需要进行调查研究。
更新日期:2021-02-01
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