Psychodrama as a Method of Psychological, Medical and Social Support for Elderly and Senile Persons with Mild Cognitive Impairment
Bibliographic record
Abstract
В статье представлены результаты изучения влияния метода когнитивной психодрамы на динамику когнитивных функций, психоэмоционального состояния и уровня функционирования в процессе прохождения курса нейрокогнитивной реабилитации пациентами с мягким когнитивным снижением.Материалы и методы. Из 360 человек пожилого возраста (средний возраст 74,1 года), отобранных сплошным методом в условиях работы клиники памяти, сформированы две группы – прошедшие курс когнитивной психодрамы (n=215) и не проходившие его (n=145). Сеансы психодрамы были включены в основной модуль программы нейрокогнивной реабилитации и проводились 3 раза в неделю длительностью 1 час. Динамику состояния оценивали с помощью батареи тестов, включавших ММСЕ, CDT, HADS, MoCa, SF-36.Результаты. Во всех наблюдениях по окончании курса реабилитационной программы зафиксирована положительная динамика по всем основным психометрическим показателям. Статистически значимые различия дельты показателей средних баллов для группы, участвовавшей в когнитивной психодраме, отмечены по снижению уровня депрессии в сочетании с повышением уровня физического функционирования, психологического компонента здоровья и жизненной активности (р<0,005).Заключение. Метод когнитивной психодрамы, включенный в программу комплексной нейрокогнитивной реабилитации, положительно влияет на эмоциональное состояние пожилых людей, снижает уровень депрессии и способствует повышению субъективной оценки качества жизни. Подчеркивается важность результатов исследования для организации психолого-медико-социальной реабилитации лиц пожилого и старческого возраста. The article presents the results of studying the effect of the cognitive psychodrama method on the dynamics of cognitive functions during the course of neurocognitive rehabilitation in patients with MCI.Material and methods. Out of 360 elderly people (average age – 74.1 years), selected by a continuous method in the working conditions of the memory clinic, two groups were formed – those who completed the course of cognitive psychodrama (n=215) and those who did not (n=145). Psychodrama sessions are included in the main module of the neurocognitive rehabilitation program; they took place 3 times a week for 1 hour. The assessment of the state dynamics was carried out using the battery of tests, including ММСО, CDT, HADS, MoCa, SF-36Results. In all observations at the end of the course of the rehabilitation program, positive dynamics were recorded in all the main psychometric indicators. Statistically significant differences of the delta of average scores for the group participating in cognitive psychodrama were noted on the decrease of the level of depression in combination with the increase of physical functioning, psychological component of health, and vital activity (p<0.005).Conclusion. The method of cognitive psychodrama, included in the program of complex neurocognitive rehabilitation, has a positive effect on the emotional state of older people by reducing the level of depression and contributes to the increase of subjective assessment of the quality of life. The importance of research results for the development of psychological, medical and social support for elderly and senile people is emphasized
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.004 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.003 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".