Neurocognitive Stimulation of Moroccan Bilingual Patient with Alzheimer’s Disease: A Case Study

Background and Aims: As a non-pharmacological intervention with proven clinical effectiveness and cost-effectiveness for patients, caregivers, and stakeholders, cognitive stimulation therapy (CST) was widely implemented in different European countries. In light of the increasing international adaptation of CST, it is essential to make it more accessible in non-Western countries. Case Presentation: This study aimed to report a case study of T. A., a ۷۴-year-old agricultural engineer with mild to moderate Alzheimer's disease (AD). His neurological examination results were normal, while the cerebral magnetic resonance imaging revealed hippocampal atrophy. A neuropsychological assessment was conducted, and the patient was enrolled in an individualized cognitive program according to clinical guidelines. The sessions were conducted twice a week in French and Arabic and lasted ۴۵ minutes. Although the patient showed some positive outcomes, including improved mood, neuropsychological testing revealed impairments in memory and language. To address these issues, a culturally specific intervention of neurocognitive stimulation was implemented, which involved tailoring a range of cognitive activities to the premorbid occupational and linguistic history of the patient as a compensatory strategy to maintain his level of autonomy in everyday life. Conclusion: Finally, it is recommended that a specific cultural adaptation and translation of the CST be developed for Arabic and non-Arabic-speaking individuals with AD.

کلیدواژه ها:

Alzheimer’s disease ، Arabic ، Bilingual ، Neurocognitive ، Training