Medical Journal of Mashhad university of Medical Sciences

Medical Journal of Mashhad university of Medical Sciences

Investigating the Effectiveness of Ecotherapy on Insomnia and Agitation in Alzheimer's Patients

Document Type : Research Paper

Authors
Safoura Pourzabih 1
Masoud Arefnazari 2
Biouk Tajeri 3
Ahmad Delbari 4
1 Department of Psychology, Kish International Branch, Islamic Azad University, Kish Island, Iran
2 Assistant Professor, Department of Psychology, Roudehen Branch, Islamic Azad University, Roudehen, Iran.
3 Department of Psychology, Karaj Branch, Islamic Azad University, Karaj, Iran.
4 Associate Professor of Gerontology, Research Center on Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
10.22038/mjms.2021.18210
Abstract
Introduction: Alzheimer's disease is one of the most common progressive and progressive diseases of brain cells, which is associated with psychological damage such as insomnia and Agitation. The aim of this study was to determine the effectiveness of Ecotherapy on insomnia and Agitation in patients with Alzheimer's disease.
Method: The research method was semi-experimental with pre-test-post-test design with control group. From the statistical population of patients with Alzheimer's disease in mild to moderate levels referred to clinics and Alzheimer's Association of Tehran province, 20 people were selected and randomly assigned to two experimental and control groups. The research questionnaires included Morin's insomnia (1993) and Cohen-Mansfield's Agitation (1986). Ecotherapy was administered to the experimental group for ten sessions. The research data were analyzed using covariance.
Results: The results of covariance analysis showed that post-test scores of insomnia and Agitation of patients with Alzheimer's in the experimental group were significantly lower than the control group (P≤0 / 005).
Conclusion: In order to improve the insomnia and Agitation of patients with Alzheimer's disease, nature and its treatment techniques can be used.
Keywords
Alzheimer's
Insomnia
Agitation
EcoTherapy
  1. Egan M, Bérubé D, Racine G, Leonard C, Rochon E. Methods to enhance verbal communication between
    individuals with Alzheimer's disease and their formal and informal caregivers: a systematic review.
    International Journal of Alzheimer’s Disease. 2010;2010.
    2. Papi S, Karimi Z, Ghaed Amini Harooni G, Nazarpour A, Shahry P. Determining the Prevalence of Sleep
    Disorder and Its Predictors Among Elderly Residents of Nursing Homes of Ahvaz City in 2017 . Salmand:
    Iranian Journal of Ageing. 2019; 13 (5) :576-587
    3. Wittchen HU, Fehm L. Epidemiology, patterns of comorbidity, and associated disabilities of social phobia.
    Psychiatric Clinics. 2001 Dec 1;24(4):617-41.
    4. Sobel RM, Markov D. The impact of anxiety and mood disorders on physical disease: the worried not-so-well.
    Current psychiatry reports. 2005 May 1;7(3):206-12.
    5. Briones B, Adams N, Strauss M, Rosenberg C, Whalen C, Carskadon M, Roebuck T, Winters M, Redline S.
    Relationship between sleepiness and general health status. Sleep. 1996 Sep 1;19(7):583-8.
    6. Ramsawh HJ, Stein MB, Belik SL, Jacobi F, Sareen J. Relationship of anxiety disorders, sleep quality, and
    functional impairment in a community sample. Journal of psychiatric research. 2009 Jul 1;43(10):926-33.
  2. 7. Mucsi I, Molnar MZ, Rethelyi J, Vamos E, Csepanyi G, Tompa G, Barotfi S, Marton A, Novak M. Sleep
    disorders and illness intrusiveness in patients on chronic dialysis. Nephrology Dialysis Transplantation. 2004
    Jul 1;19(7):1815-22.
    8. Taibi DM, Landis CA, Petry H, Vitiello MV. A systematic review of valerian as a sleep aid: safe but not
    effective. Sleep medicine reviews. 2007 Jun 1;11(3):209-30.
    9. Veldi M, Aluoja A, Vasar V. Sleep quality and more common sleep-related problems in medical students.
    Sleep medicine. 2005 May 1;6(3):269-75.
    10. Zare M, shayeghian Z, Birashk B, Afkham Ebrahimi A. Reliability, Validity and Factor Analysis of CohenMansfield Agitation Inventory (CMAI). IJPCP. 2012; 18 (1) :67-73
    11. Ho RT, Fong TC, Sing CY, Lee PH, Leung AB, Chung KS, Kwok JK. Managing behavioral and psychological
    symptoms in Chinese elderly with dementia via group-based music intervention: A cluster randomized
    controlled trial. Dementia. 2019 Nov;18(7-8):2785-98.
    12. Franklin M. 'Nature and I', An Ecotherapy Journey: A Heuristic Inquiry Into Nature's Role in Healing, From a
    Psychotherapy Perspective (Doctoral dissertation, Auckland University of Technology), 2017.
    13. Hinds J, Jordan M. Ecotherapy: An introduction. Teoksessa Jordan, M. & Hinds, J.(toim.). Ecotherapy–theory,
    research & practice. Lontoo: Palgrave. 2016 Jun 10:1-1.
    14. Collado S, Staats H, Corraliza JA, Hartig T. Restorative environments and health. InHandbook of
    environmental psychology and quality of life research 2017 (pp. 127-148). Springer, Cham.
    15. Renzetti CM, Follingstad DR. From blue to green: The development and implementation of a therapeutic
    horticulture program for residents of a battered women’s shelter. Violence and victims. 2015 Jan 1;30(4):676-
    90.
    16. Moshfeghi G, Rezabakhsh H, Danesh E. The Effectiveness of Horticultural Therapy on Depression in the
    Elderly in the Sanatorium. Journal of Nursing and Midwifery, 24 (86): 17-26.
    17. Dehmani Z, Hakami M, Kraskian Mojembari A. Effects of Horticultural Ttherapy on Self-Esteem and General
    Health Status in Elderly Nursing Home Residents. Salmand: Iranian Journal of Ageing. 2015; 9 (4) :259-267
    18. Hartig T, Mang M, Evans GW. Restorative effects of natural environment experiences. Environment and
    behavior. 1991 Jan;23(1):3-26.
    19. Alzheimer's Association. 2015 Alzheimer's disease facts and figures. Alzheimer's & Dementia. 2015
    Mar;11(3):332-84.
    20. Davis RN, Massman PJ, Doody RS. Cognitive intervention in Alzheimer disease: a randomized placebocontrolled study. Alzheimer Disease & Associated Disorders. 2001 Jan 1;15(1):1-9.
    21. Morin CM, Belleville G, Bélanger L, Ivers H. The Insomnia Severity Index: psychometric indicators to detect
    insomnia cases and evaluate treatment response. Sleep. 2011 May 1;34(5):601-8.
    22. Bastien CH, Vallières A, Morin CM. Validation of the Insomnia Severity Index as an outcome measure for
    insomnia research. Sleep medicine. 2001 Jul 1;2(4):297-307.
    23. Tavakoli S, Alipour V. The effect of nature therapy on the indicators of well-being, happiness and hours of
    absence from the work environment of women working in Tehran city hospital. Women's Psychological Social
    Studies, 2013; 10 (2), 33-50.
    24. Mind. Ecotherapy MI. the Green agenda for mental health. London. MIND. 2007.
    25. Ashford JW, Mahoney L, Burkett T. A role for complementary and integrative medicine in Alzheimer’s
    disease prevention. Journal of Alzheimer's Disease. 2015 Jan 1;48(1):13-4.
    26. silpa sk, ganesh mp. exploring the psychological benefits of practising nature based activity programs in
    persons with alzheimer’s disease (doctoral dissertation, indian institute of technology hyderabad). 2019.
    27. Seel NM, editor. Encyclopedia of the Sciences of Learning. Springer Science & Business Media; 2011 Oct 5.
    28. Carlson K, Kingsley J, Strimaitis C, Birnbaum S, Quinn T, Espinoza R, Rapaport A. Nature-based Group
    Therapy Reflections: A Grounded Theory Study. Western Journal of Nursing Research. 2020 Jun
    4:0193945920929950.
Medical Journal of Mashhad university of Medical Sciences
Volume 64, Issue 1
March and April 2021
Pages 2413-2422