Psychodrama as a Method of Psychological, Medical and Social Support for Elderly and Senile Persons with Mild Cognitive Impairment
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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 (МКС).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 проходили 3 раза в неделю длительностью 1 час. Оценка динамики состояния проводилась 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, снижая уровень депрессии, и способствует повышению субъективной оценки качества жизни. Подчеркивается важность результатов исследования для организации психологомедико-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 with 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 were included in the main module of the neurocognitive rehabilitation program and 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 in 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, the 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 the subjective assessment of the quality of life. The importance of the research results for the development of psychological, medical and social support for elderly and senile people is emphasized.
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Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.001 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.002 | 0.001 |
| Bibliometrics | 0.000 | 0.001 |
| Science and technology studies | 0.001 | 0.002 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.001 | 0.001 |
| 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 it