Leisure activities alleviate depressive symptoms in nursing home residents with very mild or mild dementia

Sheung-Tak CHENG, Ka Yee Pizza CHOW, Chi Shing Edwin YU, C. M. Alfred CHAN

Research output: Contribution to journalArticles

35 Citations (Scopus)

Abstract

Objectives: To examine whether leisure activities can alleviate depressive symptoms among nursing home residents with very mild to mild dementia. Methods: A cluster-randomized open-label controlled design. Thirty-six residents with at least moderate depressive symptoms were randomized by home into three conditions—mahjong (a.k.a. mah-jongg), tai chi, and handicrafts (placebo). Activities were conducted three times weekly for 12 weeks. Outcome measure was Geriatric Depression Scale (GDS) administered at baseline, posttreatment, and at 6 months. Results: Repeated-measures analysis of variance showed a group by time interaction on the GDS. Unlike control and tai chi participants whose scores remained relatively unchanged, the mahjong group reported a drop of 3.25 points (95% confidence interval: 1.00–5.50) on the GDS at posttreatment but gained back 2.83 points (95% confidence interval: 1.95–5.47) at 6 months. Activity discontinuation might be the reason for depression to return to baseline. Conclusions: Mahjong can lower depressive symptoms in those with mild dementia, but activity maintenance may be essential for long-term effects. Copyright © 2012 American Association for Geriatric Psychiatry.
Original languageEnglish
Pages (from-to)904-908
JournalAmerican Journal of Geriatric Psychiatry
Volume20
Issue number10
DOIs
Publication statusPublished - Oct 2012

Citation

Cheng, S.-T., Chow, P. K., Yu, E. C. S., & Chan, A. C. M. (2012). Leisure activities alleviate depressive symptoms in nursing home residents with very mild or mild dementia. American Journal of Geriatric Psychiatry, 20(10), 904-908.

Keywords

  • Depression
  • Leisure activities
  • Mahjong
  • Tai chi
  • Cluster-randomized controlled trial

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