{"id":1097,"date":"2023-05-12T14:10:07","date_gmt":"2023-05-12T14:10:07","guid":{"rendered":"https:\/\/www.neuropsicologiadelbenessere.it\/?p=1097"},"modified":"2023-05-17T18:02:19","modified_gmt":"2023-05-17T18:02:19","slug":"minful-care-nelle-demenze","status":"publish","type":"post","link":"https:\/\/www.neuropsicologiadelbenessere.it\/index.php\/2023\/05\/12\/minful-care-nelle-demenze\/","title":{"rendered":"Minful care nelle demenze"},"content":{"rendered":"<div id='av_section_1'  class='avia-section av-vhybf-64f1f51e4385ebc9f7e3343121b5045a main_color avia-section-default avia-no-border-styling  avia-builder-el-0  avia-builder-el-no-sibling  avia-bg-style-scroll container_wrap sidebar_left'  ><div class='container av-section-cont-open' ><main  role=\"main\" itemprop=\"mainContentOfPage\"  class='template-page content  av-content-small units'><div class='post-entry post-entry-type-page post-entry-1097'><div class='entry-content-wrapper clearfix'>\n<div class='flex_column 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data-slideshow-options=\"{&quot;animation&quot;:&quot;slide&quot;,&quot;autoplay&quot;:false,&quot;loop_autoplay&quot;:&quot;once&quot;,&quot;interval&quot;:5,&quot;loop_manual&quot;:&quot;manual-endless&quot;,&quot;autoplay_stopper&quot;:false,&quot;noNavigation&quot;:false,&quot;bg_slider&quot;:false,&quot;keep_padding&quot;:false,&quot;hoverpause&quot;:false,&quot;show_slide_delay&quot;:0}\"  itemprop=\"image\" itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/ImageObject\" ><ul class='avia-slideshow-inner ' style='padding-bottom: 54.777070063694%;'><li  class='avia-slideshow-slide av-lhkp13dl-9cfa03dcaa1798d008d4c8cc04a72a3c__0  av-single-slide slide-1 slide-odd'><div data-rel='slideshow-1' class='avia-slide-wrap '   ><img decoding=\"async\" class=\"wp-image-1120 avia-img-lazy-loading-not-1120\"  src=\"https:\/\/www.neuropsicologiadelbenessere.it\/wp-content\/uploads\/2023\/05\/Mindfulness-e-cura-demenza.jpg\" width=\"785\" height=\"430\" title='Mindfulness-e-cura-demenza' alt=''  itemprop=\"thumbnailUrl\" srcset=\"https:\/\/www.neuropsicologiadelbenessere.it\/wp-content\/uploads\/2023\/05\/Mindfulness-e-cura-demenza.jpg 785w, https:\/\/www.neuropsicologiadelbenessere.it\/wp-content\/uploads\/2023\/05\/Mindfulness-e-cura-demenza-300x164.jpg 300w, https:\/\/www.neuropsicologiadelbenessere.it\/wp-content\/uploads\/2023\/05\/Mindfulness-e-cura-demenza-768x421.jpg 768w, https:\/\/www.neuropsicologiadelbenessere.it\/wp-content\/uploads\/2023\/05\/Mindfulness-e-cura-demenza-705x386.jpg 705w\" sizes=\"(max-width: 785px) 100vw, 785px\" \/><\/div><\/li><\/ul><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-lhatnvxy-d90bbd41bfb3cc411c0a9220b6e39282\">\n#top .av-special-heading.av-lhatnvxy-d90bbd41bfb3cc411c0a9220b6e39282{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-lhatnvxy-d90bbd41bfb3cc411c0a9220b6e39282 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-lhatnvxy-d90bbd41bfb3cc411c0a9220b6e39282 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-lhatnvxy-d90bbd41bfb3cc411c0a9220b6e39282 av-special-heading-h2 blockquote modern-quote  avia-builder-el-4  el_after_av_slideshow  el_before_av_hr '><h2 class='av-special-heading-tag'  itemprop=\"headline\"  >MINDFUL CARE NELLE DEMENZE<\/h2><div class='av-subheading av-subheading_below'><p>Migliorare la qualit\u00e0 dell\u2019assistenza e il benessere del caregiver grazie alla cura consapevole<\/p>\n<\/div><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-lhatm71b-29e2dc2338824b1b1e8f8b116cbf96ad\">\n#top .hr.av-lhatm71b-29e2dc2338824b1b1e8f8b116cbf96ad{\nmargin-top:5px;\nmargin-bottom:20px;\n}\n.hr.av-lhatm71b-29e2dc2338824b1b1e8f8b116cbf96ad .hr-inner{\nwidth:50px;\nborder-color:#169fb8;\n}\n<\/style>\n<div  class='hr av-lhatm71b-29e2dc2338824b1b1e8f8b116cbf96ad hr-custom  avia-builder-el-5  el_after_av_heading  el_before_av_textblock  hr-left hr-icon-no'><span class='hr-inner inner-border-av-border-fat'><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n<section  class='av_textblock_section av-lhat8kml-1e2a3d03e3ca2ced66e17faf7ed38e10'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p style=\"text-align: justify;\">Parlare di\u00a0<strong>demenza<\/strong>\u00a0significa fare riferimento a un sistema complesso di cambiamenti, sensazioni, emozioni, pensieri che coinvolgono tanto la persona con diagnosi di malattia quanto chi se ne prende cura. Il termine inglese \u201c<strong>caregiver<\/strong>\u201d sta ad indicare colui che si prende cura, un concetto che sottende comportamenti di accudimento, protezione e affetto. Spesso per\u00f2 questo \u201c<em>prendersi cura<\/em>\u201d acquisisce connotazioni negative, quando il carico dell\u2019assistenza viene percepito come eccessivo. La ricerca scientifica ha dimostrato la correlazione tra un alto carico assistenziale percepito e il rischio di esporre il\u00a0<strong>caregiver<\/strong>\u00a0a livelli elevati di\u00a0<strong>stress<\/strong>\u00a0fino alla comparsa di vere e proprie patologie. Un approccio alla cura basato sulla\u00a0<strong>Mindfulness\u00a0<\/strong>tende a ridurre i livelli di\u00a0<strong>stress\u00a0<\/strong>sperimentati determinando complessivo miglioramento della qualit\u00e0 di vita dei\u00a0<strong>caregiver<\/strong>.<\/p>\n<p style=\"text-align: justify;\"><strong>Demenza e Caregiver<\/strong><\/p>\n<p style=\"text-align: justify;\">Con il termine\u00a0<strong>demenza<\/strong>\u00a0si fa riferimento a una condizione clinica patologica che compromette il corretto funzionamento di diversi sistemi cognitivi come memoria, orientamento, attenzione, fino a determinare la perdita di autonomia della persona.<\/p>\n<p style=\"text-align: justify;\">Tra le diverse forme di demenza la forma pi\u00f9 diffusa \u00e8 la malattia di\u00a0<strong>Alzheimer<\/strong>, seconda una rassegna dei dati registrati nel 2015 dalla ricerca realizzata dal CENSIS in collaborazione con AIMA sono circa 600 mila i malati di\u00a0<strong>Alzheimer<\/strong>\u00a0in Italia [1].<\/p>\n<p style=\"text-align: justify;\">Tanto per la persona con diagnosi di malattia quanto per chi se ne prende cura, la\u00a0<strong>demenza\u00a0<\/strong>determina una serie di cambiamenti che compromettono gli equilibri presenti. Per questo motivo questa patologia viene spesso definita \u201c<em>malattia famigliare<\/em>\u201d, proprio perch\u00e9 non colpisce solo il malato ma pu\u00f2 generare un peggioramento dello stato di salute anche di chi se ne prende cura, che per far fronte ai bisogni e le necessit\u00e0 del suo caro tende a trascurare s\u00e9 stesso [2].<\/p>\n<p style=\"text-align: justify;\"><strong>Il carico dell\u2019assistenza<\/strong><\/p>\n<p style=\"text-align: justify;\">Sono diversi i rischi a cui \u00e8 esposto il\u00a0<strong>caregiver<\/strong>\u00a0in particolar modo nei casi di demenza di\u00a0<strong>Alzheimer<\/strong>\u00a0in cui si assiste a una modifica profonda della routine familiare: cambiano le relazioni tra membri stessi della famiglia, si riduce il tempo libero da dedicare a s\u00e9 stessi e il riposo, possono presentarsi difficolt\u00e0 lavorative e finanziarie legate ai costi della cura in termini di spesa effettiva e di tempo.<\/p>\n<p style=\"text-align: justify;\">Tutto questo pu\u00f2 condurre ad un vero e proprio peggioramento dello stato di salute, tra i sintomi pi\u00f9 frequenti che compaiono a causa di un alto carico assistenziale percepito, si evidenziano: manifestazioni psicosomatiche, insonnia, astenia, cefalea, disturbi cardiaci, indebolimento del sistema immunitario, livelli pi\u00f9 alti di condizioni croniche (come diabete, artrite, ulcere e anemia), una peggiore autovalutazione della salute e la messa in atto di comportamenti a rischio come il fumare e il consumo di alcol[3].<br \/>\nA questo riguardo la ricerca scientifica ha dimostrato che l\u2019utilizzo della\u00a0<strong>Mindfulness<\/strong>\u00a0e di tecniche di rilassamento aiutano il\u00a0<strong>Caregiver<\/strong>\u00a0a gestire le problematiche presentate, diminuire il livello di\u00a0<strong>stress\u00a0<\/strong>percepito e promuovere il benessere generale [4].<\/p>\n<p style=\"text-align: justify;\"><strong>La cura Consapevole<\/strong><\/p>\n<p style=\"text-align: justify;\">Sviluppare strategie di adattamento e di gestione emotiva sono prerequisiti essenziali per migliorare la qualit\u00e0 della cura e il benessere dei\u00a0<strong>caregivers<\/strong>. Come fare?<\/p>\n<p style=\"text-align: justify;\">La ricerca scientifica conferma che le pratiche di consapevolezza aiutano a raggiungere questo scopo.<\/p>\n<p style=\"text-align: justify;\">In particolare, il protocollo\u00a0<strong>MBSR<\/strong>\u00a0(Mindfulness Based- Stress- Reduction) pu\u00f2 aiutare il\u00a0<strong>caregiver\u00a0<\/strong>a relazionarsi con le sfide che devono affrontare in un modo nuovo e consapevole [5].<\/p>\n<p style=\"text-align: justify;\">La consapevolezza viene definita dallo stesso Kabat Zinn, medico, ideatore del suddetto metodo, come \u201c<em>il porre attenzione in un modo particolare: intenzionalmente, nel momento presente e in modo non giudicante<\/em>\u201d. La riduzione dello stress basata sulla mindfulness (<strong>MBSR<\/strong>) \u00e8 un programma ampiamente utilizzato che coinvolge una serie di pratiche incentrate sulla riduzione dello stress e sullo sviluppo della consapevolezza.<\/p>\n<p style=\"text-align: justify;\">Tra queste tecniche si distinguono: la\u00a0<em>sitting meditation<\/em>\u00a0(consapevolezza sul respiro), il\u00a0<em>body scan<\/em>\u00a0(consapevolezza sul corpo regione per regione),<em>l\u2019hata yoga<\/em>\u00a0(movimento dolce e consapevole) e la<em>\u00a0walking meditation<\/em>\u00a0(camminata consapevole).<\/p>\n<p style=\"text-align: justify;\">Spesso il\u00a0<strong>caregiver\u00a0<\/strong>nelle demenze presenta preoccupazione per il futuro incerto oppure un\u2019eccessiva ruminazione sugli eventi passati, andando a generare un senso di angoscia e frustrazione, questi stati emotivi possono incidere di conseguenza sullo stato di benessere e sul livello di stress percepito.<\/p>\n<p style=\"text-align: justify;\">Un training di\u00a0<strong>mindfulness<\/strong>\u00a0secondo il protocollo\u00a0<strong>MBSR<\/strong>\u00a0pu\u00f2 insegnare ai\u00a0<strong>caregiver\u00a0<\/strong>delle persone con\u00a0<strong>demenza<\/strong>\u00a0a vivere nel presente e ad accettare incondizionatamente le emozioni e i pensieri che possono essere angoscianti e nocivi. \u00c8 sato dimostrato che sviluppare consapevolezza del momento presente e l\u2019accettazione senza giudizio riducono la preoccupazione e la ruminazione [6]. Negli ultimi anni stanno aumentando le ricerche che indagano l\u2019efficacia di interventi basati sulla<strong>\u00a0Mindfulness<\/strong>\u00a0nella gestione del burden dei caregiver di persone anziane con\u00a0<strong>demenza<\/strong>\u00a0e un miglioramento generale della qualit\u00e0 della vita [8]. Studi recenti incoraggiano l\u2019utilizzo di questa metodologia evidenziando che la pratica\u00a0<strong>MBSR\u00a0<\/strong>migliora significativamente la salute mentale complessiva, riducendo lo stress e sintomi depressivi [7].<\/p>\n<\/div><\/section><br \/>\n<section  class='av_textblock_section av-lhrx3sjm-41b655e93a081974ab11ee72767395a7'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p style=\"text-align: right;\"><em>Autore<br \/>\n<\/em><em><strong>Dottor Gianpiero Antenori<br \/>\n<a href=\"https:\/\/www.psymoving.it\/\" target=\"_blank\" rel=\"noopener\">Psy Moving<\/a><\/strong><\/em><\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-lhkn1kwh-32fb51060ae3acc7bd686b228a313815\">\n#top .av-special-heading.av-lhkn1kwh-32fb51060ae3acc7bd686b228a313815{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-lhkn1kwh-32fb51060ae3acc7bd686b228a313815 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-lhkn1kwh-32fb51060ae3acc7bd686b228a313815 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-lhkn1kwh-32fb51060ae3acc7bd686b228a313815 av-special-heading-h2 blockquote modern-quote  avia-builder-el-8  el_after_av_textblock  el_before_av_hr '><h2 class='av-special-heading-tag'  itemprop=\"headline\"  >BIBLIOGRAFIA<\/h2><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-2n1nux-15ef76db9d8b1b633c2d67d8219af73d\">\n#top .hr.av-2n1nux-15ef76db9d8b1b633c2d67d8219af73d{\nmargin-top:5px;\nmargin-bottom:20px;\n}\n.hr.av-2n1nux-15ef76db9d8b1b633c2d67d8219af73d .hr-inner{\nwidth:50px;\nborder-color:#169fb8;\n}\n<\/style>\n<div  class='hr av-2n1nux-15ef76db9d8b1b633c2d67d8219af73d hr-custom  avia-builder-el-9  el_after_av_heading  el_before_av_textblock  hr-left hr-icon-no'><span class='hr-inner inner-border-av-border-fat'><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n<section  class='av_textblock_section av-lhkn3o50-722c34bb5bd18ecff59350f4b54c6b4e'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><ol>\n<li style=\"text-align: justify;\">Ricerca-censis-aima<\/li>\n<li style=\"text-align: justify;\">Monin J.K, Schulz R. Interpersonal Effect of suffering in older adult caregiving relationship. Psychol aging 2009; 24:681-695.<\/li>\n<li style=\"text-align: justify;\">Brodaty H.,Donkin M., Family Carers of People with Dementia, Dialogues in clinical Neuroscence 2009; 11(2): 217-222<\/li>\n<li style=\"text-align: justify;\">Morrow-Odom. K. L .. &#038; Robbins. S. M. (2012). A speech-language pathologist\u2019s guide to creating a support group for caregivers of persons with dementia. Communication Disorders Quarterly, 33(2), 78- 83<\/li>\n<li style=\"text-align: justify;\">Zheng Liu, Yu-Ying Sun, Mindfulness\u2010based stress reduction for family carers of people with dementia, Cochrane Database Syst Rev. 2017 Sep; 2017(9): CD012791<\/li>\n<li style=\"text-align: justify;\">Whitebird R., Mindfulness-Based Stress Reduction for Family Caregivers: A Randomized Controlled Trial Gerontologist. 2013 Aug; 53(4): 676\u2013686.<\/li>\n<li style=\"text-align: justify;\">Kor, Chen, Liu, Family Caregivers of People with Dementia: A Systematic Review and Meta-Analysis; Mindfulness volume 9, pages7\u201322 (2018).<\/li>\n<\/ol>\n<\/div><\/section><br \/>\n<div  class='av-social-sharing-box av-lhkmflx5-7f8054d99d20579915106d431f1ce0f3 av-social-sharing-box-default  avia-builder-el-11  el_after_av_textblock  el_before_av_hr  av-social-sharing-box-fullwidth'><div class=\"av-share-box\"><h5 class='av-share-link-description av-no-toc '>Share this entry<\/h5><ul 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href='https:\/\/www.neuropsicologiadelbenessere.it\/index.php\/2023\/05\/12\/minful-care-nelle-demenze\/' title='Minful care nelle demenze'>Minful care nelle demenze<\/a><\/h3><span class=\"av-vertical-delimiter\"><\/span><\/header><\/div><footer class=\"entry-footer\"><\/footer><span class='hidden'>\n\t\t\t\t<span class='av-structured-data'  itemprop=\"image\" itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/ImageObject\" >\n\t\t\t\t\t\t<span itemprop='url'>https:\/\/www.neuropsicologiadelbenessere.it\/wp-content\/uploads\/2023\/05\/Mindfulness-e-cura-demenza.jpg<\/span>\n\t\t\t\t\t\t<span itemprop='height'>430<\/span>\n\t\t\t\t\t\t<span itemprop='width'>785<\/span>\n\t\t\t\t<\/span>\n\t\t\t\t<span class='av-structured-data'  itemprop=\"publisher\" itemtype=\"https:\/\/schema.org\/Organization\" itemscope=\"itemscope\" >\n\t\t\t\t\t\t<span itemprop='name'>emanuele<\/span>\n\t\t\t\t\t\t<span itemprop='logo' itemscope 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