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Neuropsychological approach to subjective cognitive complaints in cognitively unimpaired older people: A systematic review

Objective A systemized approach to subjective cognitive complaints (SCCs) in elderly people is needed owing to the high prevalence of such complaints and their impact on the psychosocial well‐being of those affected. The aim of this study was to carry out a systematic review of the characteristics a...

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Bibliographic Details
Published in:International journal of geriatric psychiatry 2022-06, Vol.37 (6), p.n/a
Main Authors: Pérez‐Blanco, Lucía, Rodríguez‐Salgado, Dolores
Format: Article
Language:English
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Summary:Objective A systemized approach to subjective cognitive complaints (SCCs) in elderly people is needed owing to the high prevalence of such complaints and their impact on the psychosocial well‐being of those affected. The aim of this study was to carry out a systematic review of the characteristics and effectiveness of intervention programmes that use a neuropsychological approach to target SCCs in cognitively unimpaired older people and that are tested in randomized controlled trials. Methods The search included a time‐unlimited query of Scopus, PsycInfo and Medline, yielding 215 articles, of which only 7 met the inclusion/exclusion criteria. Results The number of intervention programmes was very limited (11 interventions), but diverse, with cognitive stimulation, physical exercise, psychoeducation and cognitive restructuring all used to address SCCs. Conclusions Interventions including only cognitive stimulation were not effective in reducing SCCs, but interventions including cognitive stimulation and psychoeducation, physical exercise, and group sessions and discussions reinforced by the therapist were effective. Key points Cognitive failures could affect negatively on the emotional and psychosocial well‐being. Cognitive training in combination with psychoeducation and psychical exercise showed the strongest evidence in improving subjective and objective cognitive functioning. Initial guidelines for designing successful interventions to target SCCs in cognitively unimpaired older people are provided. The review has implications for promotion of healthy cognitive aging.
ISSN:0885-6230
1099-1166
1099-1166
DOI:10.1002/gps.5728