<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1137-6627</journal-id>
<journal-title><![CDATA[Anales del Sistema Sanitario de Navarra]]></journal-title>
<abbrev-journal-title><![CDATA[Anales Sis San Navarra]]></abbrev-journal-title>
<issn>1137-6627</issn>
<publisher>
<publisher-name><![CDATA[Gobierno de Navarra. Departamento de Salud]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1137-66272025000300005</article-id>
<article-id pub-id-type="doi">10.23938/assn.1136</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Differential effects of computerized cognitive stimulation versus stimulating leisure activities on mood and global cognition in adults with subjective and mild cognitive impairment: A randomized controlled trial]]></article-title>
<article-title xml:lang="es"><![CDATA[Efectos diferenciales de la estimulación cognitiva computarizada y las actividades de ocio estimulantes sobre el estado de ánimo y la cognición global en adultos con deterioro cognitivo subjetivo y leve: Ensayo controlado aleatorizado]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gómez-Soria]]></surname>
<given-names><![CDATA[Isabel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cuenca-Zaldivar]]></surname>
<given-names><![CDATA[Juan Nicolás]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A5"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Oliván-Blázquez]]></surname>
<given-names><![CDATA[Bárbara]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aguilar-Latorre]]></surname>
<given-names><![CDATA[Alejandra]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Magallón-Botaya]]></surname>
<given-names><![CDATA[Rosa Mª]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Calatayud]]></surname>
<given-names><![CDATA[Estela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,University of Zaragoza Faculty of Health Sciences Department of Physiatry and Nursing]]></institution>
<addr-line><![CDATA[Zaragoza ]]></addr-line>
<country>Spain</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Institute for Health Research Aragón (IIS Aragón)  ]]></institution>
<addr-line><![CDATA[Zaragoza ]]></addr-line>
<country>Spain</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Primary Health Center &#8220;El Abajon&#8221;  ]]></institution>
<addr-line><![CDATA[Las Rozas Madrid]]></addr-line>
<country>Spain</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Instituto de Investigación Sanitaria Puerta de Hierro - Segovia de Arana (IDIPHISA) Grupo de Investigación en Enfermería y Cuidados de Salud ]]></institution>
<addr-line><![CDATA[Madrid ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Fundación para la Investigación e Innovación Biosanitaria en Atención Primaria (FIIBAP)  ]]></institution>
<addr-line><![CDATA[Madrid ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,University of Zaragoza Faculty of Social and Labor Sciences Department of Psychology and Sociology]]></institution>
<addr-line><![CDATA[Zaragoza ]]></addr-line>
<country>Spain</country>
</aff>
<aff id="Af7">
<institution><![CDATA[,University of Zaragoza Faculty of Human Sciences and Education Department of Psychology and Sociology]]></institution>
<addr-line><![CDATA[Huesca ]]></addr-line>
<country>Spain</country>
</aff>
<aff id="Af8">
<institution><![CDATA[,University of Zaragoza Faculty of Medicine Department of Medicine, Psychiatry and Dermatology]]></institution>
<addr-line><![CDATA[Zaragoza ]]></addr-line>
<country>Spain</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2025</year>
</pub-date>
<volume>48</volume>
<numero>3</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1137-66272025000300005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1137-66272025000300005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1137-66272025000300005&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Background:  Mild Cognitive Impairment (MCI) involves both subjective and objective cognitive decline with relatively preserved daily functioning, whereas Subjective Cognitive Impairment (SCI) refers to perceived decline without measurable deficits. This study aimed to compare the effects of a personalized computerized cognitive stimulation (CS) program (IG1) and a stimulating leisure activities program (IG2) in adults with MCI and SCI.  Methods:  A single-blind randomized controlled trial was conducted in primary care with participants aged &#8805;50 years with SCI or MCI. Participants were randomized to IG1, IG2), or a control group (CG). IG1 completed personalized computerized CS for 30 minutes/day, 5 days/week, for 8 weeks. IG2 engaged in 2-5 stimulating leisure activities per week for the same period. The primary outcome was global cognition; secondary outcomes included memory, verbal fluency, daily functioning, and mood.  Results:  Fifty-nine participants were enrolled in the study, 44 with SCI and 15 with MCI. Compared to CG, IG1 showed greater reductions in anxiety post-intervention (2.07; 95%CI: 0.93-3.22 vs. 4.34; 95%CI: 3.22-5.46) and lower depressive symptoms at 6-month follow-up (3.41; 95%CI: 2.05-4.77 vs. 5.62; 95%CI: 4.26-6.97). IG2 participants demonstrated improved global cognition post-intervention (29.2; 95%CI: 27.625-30.776) and at 6 months (28.78; 95%CI: 27.16-30.42) relative to CG (30.626; 95%CI: 28.99-32.27).  Conclusion:  Personalized computerized CS reduces anxiety and depression symptoms, while stimulating leisure activities enhances global cognition in community-dwelling adults with SCI and MCI, suggesting complementary benefits of both interventions.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Fundamento:  El deterioro cognitivo leve (DCL) se caracteriza por deterioro cognitivo subjetivo y objetivo con funcionamiento diario relativamente preservado, mientras que el deterioro cognitivo subjetivo (DCS) implica percepción de deterioro cognitivo sin déficits medibles. Este estudio evalúa los efectos de un programa personalizado de estimulación cognitiva computarizada frente a actividades de ocio estimulantes en adultos con DCL y DCS.  Métodos:  Ensayo controlado aleatorizado simple ciego realizado en Atención Primaria con participantes de &#8805;50 años, con DCL o DCS, asignados aleatoriamente a dos grupos de intervención (GI1, GI2) y a un grupo control (GC). El GI1 realizó estimulación cognitiva computarizada personalizada 30 minutos/día, 5 días/semana, durante 8 semanas. El GI2 participó en 2-5 actividades de ocio estimulantes/semana durante el mismo periodo. El resultado principal fue la cognición global y los secundarios memoria, fluidez verbal, funcionamiento diario y estado de ánimo.  Resultados:  Se reclutaron 59 participantes, 15 con DCL. Frente al GC, el GI1 redujo más la ansiedad post-intervención (2,074; IC95%: 0,927-3,222 vs. 4,338; IC95%: 3.22-5.456) y los síntomas depresivos a los 6 meses (3,407; IC95%: 2,047-4,767 vs. 5,615; IC95%: 4,262-6,968), mientras que el GI2 mejoró la cognición global tanto post-intervención (29,2; IC95%: 27,625-30.776) como a los 6 meses (28,782; IC95%: 27,163-30,402) respecto del GC (30,626; IC95%: 28,987-32,265).  Conclusión:  La estimulación cognitiva computarizada personalizada redujo los síntomas ansiosos y depresivos, mientras que las actividades de ocio estimulantes mejoraron la cognición global en adultos con DCS y DCL no institucionalizados, sugiriendo beneficios complementarios de ambos enfoques.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Mild Cognitive Impairment]]></kwd>
<kwd lng="en"><![CDATA[Subjective Cognitive Impairment]]></kwd>
<kwd lng="en"><![CDATA[Computerized Cognitive Stimulation]]></kwd>
<kwd lng="en"><![CDATA[Stimulating Leisure Activities]]></kwd>
<kwd lng="en"><![CDATA[Primary Care]]></kwd>
<kwd lng="es"><![CDATA[Deterioro Cognitivo Leve]]></kwd>
<kwd lng="es"><![CDATA[Quejas Subjetivas de Memoria]]></kwd>
<kwd lng="es"><![CDATA[Estimulación Cognitiva Computarizada]]></kwd>
<kwd lng="es"><![CDATA[Actividades de Ocio Estimulantes]]></kwd>
<kwd lng="es"><![CDATA[Atención Primaria]]></kwd>
</kwd-group>
</article-meta>
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