Home » JAS4QoL » JAS4QoL – Volume 1(2) (April, 2015) » An Objective Study of Chin-Don Therapy for the Cognitively Impaired Elderly: Salivary Cortisol and Immunoglobulin-A Monitoring

An Objective Study of Chin-Don Therapy for the Cognitively Impaired Elderly: Salivary Cortisol and Immunoglobulin-A Monitoring

HATTA Kanji1*
Article first published online: May 14, 2015
Full Article (PDF)

Abstract

Purpose: The effects of chin-don therapy (CDT) on 11 cognitively impaired elderly (CIE) patients and 12 healthy hospital staff of the hospital were examined. Methods: Blood pressure, pulse rate and saliva samples (for cortisol and immunoglobulin-A or IgA monitoring) were collected before and after CDT (2 separate sessions), although only saliva was sampled once from healthy reference subjects (Session 1). Participants were allowed to watch the performance and joined in the singing and dancing during each 30-min CDT session. Results: Physiological parameters such as the blood pressure and pulse rate were abbreviated in the reference group. The mean scores of mental status NM scale, Nishimura activity of daily living scale (N-ADL), revised Hasegawa Dementia scale (HDS-R), and quality-of-life scale (QLS) found that patients were CIE, and it was difficult for all CIE to follow thorough the 30-min CDT session. In the CIE group, measurements of the systolic/diastolic blood pressure, pulse rate and hormonal parameters did not indicate any significant difference. However, when pre-CDT cortisol and AgI levels of controls per se were compared with post-CDT values, significant decreases (p=0.05) in cortisol levels and marked increases (p=0.003) in IgA levels were observed in the reference group. Discussion: CDT may not have elicited useful outcomes in CIE patients, probably because of extensively variable responsiveness from patients with deficient mental status. Improper parameters and time monitoring were probably used; however, healthy body system in the reference group indicated significant good stress-coping responses in cortisol and IgA levels.

Keywords: deficiently cognitive elderly, healthy subjects, chin-don therapy, cortisol, IgA