An exploratory study of the effect of mahjong on the cognitive functioning of persons with dementia

✍ Scribed by Sheung-Tak Cheng; Alfred C. M. Chan; Edwin C. S. Yu

• Publisher: John Wiley and Sons
• Year: 2006
• Tongue: English
• Weight: 142 KB
• Volume: 21
• Category: Article
• ISSN: 0885-6230
• DOI: 10.1002/gps.1531

✦ Synopsis

Objective To explore the effect of an activity treatment-mahjong-on the cognitive functioning of persons with mildto-moderate dementia. Method Participants were 62 older persons (M age ¼ 83.94, SD ¼ 7.58) who met DSM-IV diagnosis of any dementia condition, had an initial Mini-Mental State Examination (MMSE) score 24, and were able to play, yet not having played mahjong for the past six months. They were randomly assigned to play either twice (n ¼ 33) or four times (n ¼ 29) a week over a 16-week duration. Digit forward span, digit forward sequence, verbal memory and MMSE were measured at baseline, post-test and 1-month follow-up. Results Regardless of frequency of playing, mahjong produced consistent gains across all cognitive performance measures. It had large effect sizes on digit forward memory (1.0-1.4 for both span and sequence), moderate-to-large effect sizes on verbal memory (0.5-0.9), and a moderate effect size on MMSE (around 0.6). The effects lasted after mahjong had been withdrawn for a month, suggesting that constant practice is not necessary to achieve therapeutic effect once an initial threshold is attained. Conclusion Mahjong is a viable treatment option for dementia. Because mahjong therapy basically does not require professional supervision and can be implemented as widely as space allows at a given time, the potential benefits of integrating mahjong into the daily routines of an institution are enormous vis-a `-vis minimal, if any, cost to the institution.