Comparative Impact of Cognitive Rehabilitation versus Mindfulness-Based Stress Reduction on Hope and Self-Efficacy in Mild Cognitive Impairment

Background: Mild cognitive impairment (MCI) represents a transitional stage between normal age-related cognitive decline and dementia. In this population, psychological factors such as hope and self-efficacy are frequently impaired, contributing to reduced quality of life and potential progression to dementia.Objectives: This study aimed to compare the effects of cognitive rehabilitation (CR) and mindfulness-based stress reduction (MBSR) on self-efficacy and hope in individuals with MCI.Methods: A quasi-experimental pretest-posttest design with a control group and a three-month follow-up was employed. The study population comprised patients with MCI attending memory and cognitive rehabilitation clinics in Tehran in ۲۰۲۴. Forty-five participants were selected through convenience sampling and randomly allocated to three groups: CR (n = ۱۵), MBSR (n = ۱۵), and control (n = ۱۵). Each intervention group received ۱۰ sessions, while the control group received no intervention. Outcomes were assessed using the General Self-Efficacy Scale and the Adult Hope Scale. Data were analyzed with repeated-measures analysis of variance (ANOVA).Results: CR significantly improved self-efficacy at posttest (P < ۰.۰۱), with effects well maintained (and slightly numerically increased) at the three-month follow-up. MBSR showed no significant immediate effect on self-efficacy but was superior to control at follow-up. Both CR and MBSR significantly increased hope (P < ۰.۰۵), with CR showing greater improvements at posttest (P < ۰.۰۵). Direct comparisons indicated CR superiority over MBSR mainly at posttest for both outcomes.Conclusion: Both interventions provide psychological benefits for individuals with MCI, but CR appears to be more effective in strengthening self-efficacy beliefs and future-oriented motivation. Clinically, this suggests CR as a valuable adjunct to support autonomy in MCI patients.

کلیدواژه ها:

Cognitive training ، Mindfulness ، self-efficacy ، hope ، Cognitive dysfunction