Four anti-dementia drugs can be used for dementia now in Japan. However, efficacy of such drugs are limited, therefore, non-pharmacological treatment has been suggested. We evaluate the efficacy of non-pharmacological treatments （exercise therapy, music therapy, housework therapy and therapy using diary） which were confirmed by previous research. Our study revealed that the non-drug therapy has some efficacy in dementia patient. Patient with severe dementia can be treated by exercise therapy and music therapy even their MMSE-J and HDS-R score are low. On the other hand, diary therapy to be successfully treated in patients with relatively high MMSE-J but HDS-R is low scores. We conclude that non-pharmacological treatments may be useful and how to use for different type of dementia is important.
"},{"@language":"ja","@value":"【要旨】認知症の薬物療法は4種類の抗認知症薬の登場によって進化を遂げた。しかしながらその効果には限界もあることから種々の非薬物療法が開発されてきた。本検討では過去に一定の効果を認めると報告のあった ① 運動療法、② 音楽療法、③ 家事療法、④ 日記療法に関し、どのような患者にその適応があるのかについて検討を行った。今回の検討の結果、上記非薬物療法を導入する際には全て過去の経験を知ることが重要であることが分かった。また、① 運動療法と ② 音楽療法はMMSE-J、HDS-Rの低い症例でも導入が容易であり、④ 日記療法においてはHDS-Rの点数が低くてもMMSE-Jの点数が比較的高い患者での導入に成功する症例が多いことが確認された。以上より患者に非薬物療法を指導する際には認知症罹患前の生活習慣を調査した上で勧めることが重要であると考えられた。
"}],"abstractLicenseFlag":"disallow"}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1410001205226211712","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000367420685"}],"foaf:name":[{"@language":"ja","@value":"定 翼"},{"@language":"en","@value":"Sada Tsubasa"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Departments of Neurology, Dokkyo Medical University"},{"@language":"ja","@value":"獨協医科大学神経内科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410001205226211713","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000367420686"}],"foaf:name":[{"@language":"ja","@value":"平田 幸一"},{"@language":"en","@value":"Hirata Koichi"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Departments of Neurology, Dokkyo Medical University"},{"@language":"ja","@value":"獨協医科大学神経内科"}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"13444298"},{"@type":"EISSN","@value":"1884510X"},{"@type":"NDL_BIB_ID","@value":"000000106072"},{"@type":"ISSN","@value":"13444298"},{"@type":"LISSN","@value":"13444298"},{"@type":"NCID","@value":"AA11408788"}],"prism:publicationName":[{"@language":"ja","@value":"認知神経科学"},{"@language":"en","@value":"Japanese Journal of Cognitive Neuroscience"},{"@language":"en","@value":"JJCNS"},{"@language":"ja","@value":"認知神経"},{"@language":"en","@value":"CNS"},{"@language":"en","@value":"Ninchi shinkei kagaku"},{"@language":"en","@value":"JCNS"},{"@language":"en","@value":"SCN"},{"@language":"en","@value":"JJSCN"},{"@language":"en","@value":"JSCN"},{"@language":"en","@value":"J Cog Nuerosci"},{"@language":"en","@value":"Japanese Journal of Cognitive Neuroscience"},{"@language":"ja","@value":"認知神経科学"}],"dc:publisher":[{"@language":"en","@value":"Japanese Society of Cognitive Neuroscience"},{"@language":"ja","@value":"認知神経科学会"}],"prism:publicationDate":"2015","prism:volume":"16","prism:number":"3+4","prism:startingPage":"164","prism:endingPage":"170"},"url":[{"@id":"http://id.ndl.go.jp/bib/026565645"},{"@id":"https://ndlsearch.ndl.go.jp/books/R000000004-I026565645"},{"@id":"https://search.jamas.or.jp/link/ui/2015216868"}],"availableAt":"2015","foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=%E8%AA%8D%E7%9F%A5%E7%97%87","dc:title":"認知症"},{"@id":"https://cir.nii.ac.jp/all?q=%E9%81%8B%E5%8B%95","dc:title":"運動"},{"@id":"https://cir.nii.ac.jp/all?q=%E9%9F%B3%E6%A5%BD","dc:title":"音楽"},{"@id":"https://cir.nii.ac.jp/all?q=%E5%AE%B6%E4%BA%8B","dc:title":"家事"},{"@id":"https://cir.nii.ac.jp/all?q=%E6%97%A5%E8%A8%98","dc:title":"日記"},{"@id":"https://cir.nii.ac.jp/all?q=dementia","dc:title":"dementia"},{"@id":"https://cir.nii.ac.jp/all?q=exercise","dc:title":"exercise"},{"@id":"https://cir.nii.ac.jp/all?q=music","dc:title":"music"},{"@id":"https://cir.nii.ac.jp/all?q=housework","dc:title":"housework"},{"@id":"https://cir.nii.ac.jp/all?q=diary","dc:title":"diary"}],"dataSourceIdentifier":[{"@type":"JALC","@value":"oai:japanlinkcenter.org:2003257445"},{"@type":"NDL_SEARCH","@value":"oai:ndlsearch.ndl.go.jp:R000000004-I026565645"},{"@type":"CIA","@value":"130006100346"}]}