Abstract

Introduction

The present study examined the efficacy of a CogSMART-based program in improving cognitive and emotional functioning in a clinic-based sample of Veterans presenting with cognitive concerns and history of mental health diagnoses.

Method

Forty Veterans (M_age = 61.2 years, 85% male) completed a weekly CogSMART-based group program as well as a battery of neuropsychological and psychological measures at both pre- and post-group evaluations. Participants met DSM-5 criteria for at least one mental health diagnosis.

Results

Significant improvements on global cognition as well as measures of learning/memory and attention were observed from pre- to post-group (p < .05, cohen’s d range = .48–1.01). As many as 33.3% of participants showed significant improvement, depending on the cognitive domain. Significant overall improvements were observed in depression symptoms and life satisfaction (p < .01, cohen’s d = .67 and .59, respectively). Over one-third of the sample demonstrated a reliable improvement in depressive symptoms, 25% in anxiety symptoms, and 18% in life satisfaction.

Conclusions

Among individuals with mental health diagnosis but without major neurocognitive disorders, CogSMART-based interventions may be an effective treatment for improving aspects of cognition, depression, and life satisfaction.

中文翻译：

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CogSMART后心理健康诊断退伍军人的认知和心理改善

摘要

介绍

本研究检查了基于 CogSMART 的程序在改善认知和情绪功能方面的效果，该样本是基于临床的退伍军人样本，这些样本存在认知问题和心理健康诊断史。

方法

四十名退伍军人（M_年龄= 61.2 岁，85% 男性）完成了每周一次的基于 CogSMART 的小组计划，以及在小组前和小组后评估中进行的一系列神经心理学和心理测量。参与者至少满足一项心理健康诊断的 DSM-5 标准。

结果

从组前到组后观察到全局认知以及学习/记忆和注意力的测量有显着改善（p < .05，cohen 的d范围 = .48–1.01）。多达 33.3% 的参与者表现出显着改善，具体取决于认知领域。在抑郁症状和生活满意度方面观察到显着的总体改善（p < .01，cohen 的d = .67 和 .59，分别）。超过三分之一的样本显示出抑郁症状有可靠改善，焦虑症状改善了 25%，生活满意度改善了 18%。

结论

在有心理健康诊断但没有严重神经认知障碍的个体中，基于 CogSMART 的干预措施可能是改善认知、抑郁和生活满意度方面的有效治疗方法。