CC BY-NC-ND 4.0 · Sleep Sci 2019; 12(02): 88-93
DOI: 10.5935/1984-0063.20190065
ORIGINAL ARTICLE

The effectiveness of cognitive training on improving cognitive function and sleep quality in community-dwelling elderly in Iran

Maryam Keramtinejad
1   Ilam University of Medical sciences, Nursing Department - Ilam - Ilam - Iran.
2   Ilam University of Medical sciences, Student research committee - Ilam - Ilam - Iran.
,
Arman Azadi
1   Ilam University of Medical sciences, Nursing Department - Ilam - Ilam - Iran.
,
Hamid Taghinejad
1   Ilam University of Medical sciences, Nursing Department - Ilam - Ilam - Iran.
,
Ali Khorshidi
3   Ilam University of Medical Sciences, Faculty of Medicine - Ilam - Ilam - Iran.
› Author Affiliations

Background and aim Given the ever-increasing of the older adults population and in order to achieve healthy and active ageing goals and improvement in the cognitive function and sleep quality in older adult, this study aimed to evaluate the effect of cognitive training program on improving cognitive function and ageing-related sleep quality in community-dwelling elderly in Iran, in 2018.

Methods This was an experimental study. The sample comprised 420 older adults who were a member of the comprehensive health center in one of the southern cities of Iran. 164 had a cognitive problem and sleep disorder, of whom 108 were selected by the available method and based on inclusion criteria. Participants were randomly allocated to an experimental group (n=54) and a control group (n=54). Experimental group samples were undergoing the intervention for two months. Data were collected using MMSE questionnaire, Pittsburgh sleep quality, insomnia severity index and Clinical Dementia Rating Scale (CDR). Data were collected one month before-and-after the intervention. Data were analyzed using SPSS software.

Results There was no significant difference between the mean score of cognitive function and sleep quality in both the intervention group and the control group before the intervention (p>0.05). At the post-test, the mean (SD) of elderly adults’ cognitive function in the intervention and control groups were 2.7 (1.3) and 3.44 (1.7), respectively (p=0.017). Moreover, the mean (SD) of sleep quality in older adults in the intervention and the control group was 6.76 (2.3) and 9.25 (2.36), respectively (p<0.001).

Conclusion Given the obtained results in the current study the cognitive training promotes cognitive function and sleep quality in older adults. Therefore, since this program is effective, low-cost and applicable, it can be used to improve cognitive function and sleep disorder in the older adult population.



Publication History

Received: 13 December 2018

Accepted: 03 April 2019

Article published online:
31 October 2023

© 2023. Brazilian Sleep Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil

 
  • REFERENCES

  • 1 Ward SA, Parikh S, Workman B. Health perspectives: international epidemiology of ageing. Best Pract Res Clin Anaesthesiol. 2011;25(3):305-17.
  • 2 Etemadi A, Ahmadi K. The survey of concerns and psychological disorders in elderly sanatorium. J Qazvin Univ Med Sci. 2010;14(1):71-7.
  • 3 Trollor JN, Anderson TM, Sachdev PS, Brodaty H, Andrews G. Prevalence of mental disorders in the elderly: the Australian National Mental Health and Well-Being Survey. Am J Geriatr Psychiatry. 2007;15(6):455-66.
  • 4 De Ronchi D, Berardi D, Menchetti M, Ferrari G, Serretti A, Dalmonte E, et al. Occurrence of cognitive impairment and dementia after the age of 60: a population-based study from Northern Italy. Dement Geriatr Cogn Disord. 2005;19(2-3):97-105.
  • 5 Sadock BJ, Sadock VA. Kaplan and Sadock’s Synopsis of Psychiatry: Behavioral Sciences/Clinical Psychiatry. Philadelphia: Lippincott Williams & Wilkins; 2011.
  • 6 Torpy JM, Burke AE, Glass RM. Delirium. JAMA. 2010;304(7):814.
  • 7 Bhome R, Berry AJ, Huntley JD, Howard RJ. Interventions for subjective cognitive decline: systematic review and meta-analysis. BMJ Open. 2018;8(7):e021610.
  • 8 Haimov I, Shatil E. Cognitive training improves sleep quality and cognitive function among older adults with insomnia. PLoS One. 2013;8(4):e61390.
  • 9 Hamdy RC, Kinser A, Dickerson K, Kendall-Wilson T, Depelteau A, Copeland R, et al. Insomnia and Mild Cognitive Impairment. Gerontol Geriatr Med. 2018;4:2333721418778421.
  • 10 Cricco M, Simonsick EM, Foley DJ. The impact of insomnia on cognitive functioning in older adults. J Am Geriatr Soc. 2001;49(9):1185-9.
  • 11 Cassidy-Eagle E, Siebern A, Unti L, Glassman J, O’Hara R. Neuropsychological Functioning in Older Adults with Mild Cognitive Impairment and Insomnia Randomized to CBT-I or Control Group. Clin Gerontol. 2018;41(2):136-44.
  • 12 Geiger-Brown JM, Rogers VE, Liu W, Ludeman EM, Downton KD, Diaz-Abad M. Cognitive behavioral therapy in persons with comorbid insomnia: A meta-analysis. Sleep Med Rev. 2015;23:54-67.
  • 13 Ooms S, Ju YE. Treatment of Sleep Disorders in Dementia. Curr Treat Options Neurol. 2016;18(9):40.
  • 14 Ramsawh HJ, Bomyea J, Stein MB, Cissell SH, Lang AJ. Sleep Quality Improvement During Cognitive Behavioral Therapy for Anxiety Disorders. Behav Sleep Med. 2016;14(3):267-78.
  • 15 Hughes CP, Berg L, Danziger W, Coben LA, Martin RL. A new clinical scale for the staging of dementia. Br J Psychiatry. 1982;140:566-72.
  • 16 Morris JC. The Clinical Dementia Rating (CDR): current version and scoring rules. Neurology. 1993;43(11):2412-4.
  • 17 Sadeghi N, Noroozian M, Khalaji H, Mokhtari P. Validity and Reliability of Clinical Dementia Rating Scale among the Elderly in Iran. Zahedan J Res Med Sci. 2012;14(10):47-50.
  • 18 Buysse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193-213.
  • 19 Ahmadi S, Khankeh H, Mohammadi F, Khoshknab F, Reza Soltani P. The effect of sleep restriction treatment on quality of sleep in the elders. Ira J Ageing. 2010;5(2):9p.
  • 20 Jacobs GD, Pace-Schott EF, Stickgold R, Otto MW. Cognitive behavior therapy and pharmacotherapy for insomnia: a randomized controlled trial and direct comparison. Arch Intern Med. 2004;164(17):1888-96.
  • 21 Hwang HR, Choi SH, Yoon DH, Yoon BN, Suh YJ, Lee D, et al. The effect of cognitive training in patients with mild cognitive impairment and early Alzheimer’s disease: a preliminary study. J Clin Neurol. 2012;8(3):190-7.
  • 22 Hedayat S, Mokhtar A. The effect of cognitive-behavioral therapy on improving sleep quality in the elderly. Know Res Appl Psychol. 2015;16(2):60-8.