Cognitive therapies and their impact on neuropsychiatric symptoms in mild cognitive impairment or dementia: a scoping review

To date, the impact of cognitive therapies on patients with dementia and mild cognitive impairment (MCI) has been studied in terms of cognition, quality of life and activities of daily living rather than in the context of neuropsychiatric symptoms (NPS). The objective of this scoping review was to c...

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Main Authors: Beatriz Lara-Consuegra, Anna Carnes-Vendrell, Paula Torres-Hidalgo, Gerard Piñol-Ripoll
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-04-01
Series:Frontiers in Psychology
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Online Access:https://www.frontiersin.org/articles/10.3389/fpsyg.2025.1547619/full
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author Beatriz Lara-Consuegra
Anna Carnes-Vendrell
Paula Torres-Hidalgo
Paula Torres-Hidalgo
Gerard Piñol-Ripoll
author_facet Beatriz Lara-Consuegra
Anna Carnes-Vendrell
Paula Torres-Hidalgo
Paula Torres-Hidalgo
Gerard Piñol-Ripoll
author_sort Beatriz Lara-Consuegra
collection DOAJ
description To date, the impact of cognitive therapies on patients with dementia and mild cognitive impairment (MCI) has been studied in terms of cognition, quality of life and activities of daily living rather than in the context of neuropsychiatric symptoms (NPS). The objective of this scoping review was to collect evidence that different cognitive therapies affect the NPS of patients with MCI and dementia. A bibliographic search was conducted in the PUBMED, EMBASE, ISI WOS and SCOPUS databases through February 2025. After the elimination of duplicates, a total of 1,854 publications were identified. Among these, 42 articles were included in the analysis. These articles were reviewed by title and abstract, and then the full text was reviewed by two independent researchers with subsequent decisions about conflicts made in consultation with a third researcher. A sample of 4,089 participants was collected. All participants had undergone cognitive training interventions, cognitive rehabilitation, cognitive stimulation, art therapy, reminiscence therapy or psychobehavioural therapy and were evaluated for NPS. Depression was the most commonly analysed symptom (70% of the articles). The types of interventions that improved NPS the most were art therapy and reminiscence therapy (76 and 71% of the articles), whereas cognitive training (43%) was the least effective. While all types of therapy seemed to support the improvement of NPS, art therapy and reminiscence therapy were the most effective, especially for patients with MCI or dementia. However, studies that comprehensively evaluate the effects of cognitive therapy on NPS other than depression are lacking.
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spelling doaj-art-5b4db58e796746949ea2d8d5c8eb19732025-08-20T02:15:40ZengFrontiers Media S.A.Frontiers in Psychology1664-10782025-04-011610.3389/fpsyg.2025.15476191547619Cognitive therapies and their impact on neuropsychiatric symptoms in mild cognitive impairment or dementia: a scoping reviewBeatriz Lara-Consuegra0Anna Carnes-Vendrell1Paula Torres-Hidalgo2Paula Torres-Hidalgo3Gerard Piñol-Ripoll4Unitat Trastorns Cognitius, Clinical Neuroscience Research, Hospital Universitari Santa Maria, IRBLleida, Lleida, SpainUnitat Trastorns Cognitius, Clinical Neuroscience Research, Hospital Universitari Santa Maria, IRBLleida, Lleida, SpainUnitat Trastorns Cognitius, Clinical Neuroscience Research, Hospital Universitari Santa Maria, IRBLleida, Lleida, SpainNeuroLleida, ASPID’s Neurorehabilitation Service, Lleida, SpainUnitat Trastorns Cognitius, Clinical Neuroscience Research, Hospital Universitari Santa Maria, IRBLleida, Lleida, SpainTo date, the impact of cognitive therapies on patients with dementia and mild cognitive impairment (MCI) has been studied in terms of cognition, quality of life and activities of daily living rather than in the context of neuropsychiatric symptoms (NPS). The objective of this scoping review was to collect evidence that different cognitive therapies affect the NPS of patients with MCI and dementia. A bibliographic search was conducted in the PUBMED, EMBASE, ISI WOS and SCOPUS databases through February 2025. After the elimination of duplicates, a total of 1,854 publications were identified. Among these, 42 articles were included in the analysis. These articles were reviewed by title and abstract, and then the full text was reviewed by two independent researchers with subsequent decisions about conflicts made in consultation with a third researcher. A sample of 4,089 participants was collected. All participants had undergone cognitive training interventions, cognitive rehabilitation, cognitive stimulation, art therapy, reminiscence therapy or psychobehavioural therapy and were evaluated for NPS. Depression was the most commonly analysed symptom (70% of the articles). The types of interventions that improved NPS the most were art therapy and reminiscence therapy (76 and 71% of the articles), whereas cognitive training (43%) was the least effective. While all types of therapy seemed to support the improvement of NPS, art therapy and reminiscence therapy were the most effective, especially for patients with MCI or dementia. However, studies that comprehensively evaluate the effects of cognitive therapy on NPS other than depression are lacking.https://www.frontiersin.org/articles/10.3389/fpsyg.2025.1547619/fullmild cognitive impairmentdementianeuropsychiatric symptomsnonpharmacological treatmentcognitive therapy
spellingShingle Beatriz Lara-Consuegra
Anna Carnes-Vendrell
Paula Torres-Hidalgo
Paula Torres-Hidalgo
Gerard Piñol-Ripoll
Cognitive therapies and their impact on neuropsychiatric symptoms in mild cognitive impairment or dementia: a scoping review
Frontiers in Psychology
mild cognitive impairment
dementia
neuropsychiatric symptoms
nonpharmacological treatment
cognitive therapy
title Cognitive therapies and their impact on neuropsychiatric symptoms in mild cognitive impairment or dementia: a scoping review
title_full Cognitive therapies and their impact on neuropsychiatric symptoms in mild cognitive impairment or dementia: a scoping review
title_fullStr Cognitive therapies and their impact on neuropsychiatric symptoms in mild cognitive impairment or dementia: a scoping review
title_full_unstemmed Cognitive therapies and their impact on neuropsychiatric symptoms in mild cognitive impairment or dementia: a scoping review
title_short Cognitive therapies and their impact on neuropsychiatric symptoms in mild cognitive impairment or dementia: a scoping review
title_sort cognitive therapies and their impact on neuropsychiatric symptoms in mild cognitive impairment or dementia a scoping review
topic mild cognitive impairment
dementia
neuropsychiatric symptoms
nonpharmacological treatment
cognitive therapy
url https://www.frontiersin.org/articles/10.3389/fpsyg.2025.1547619/full
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