Linda Garand1, Donna E Rinaldo2, Mary M Alberth2, Jill Delany2, Stacey L Beasock2, Oscar L Lopez3, Charles F Reynolds4, Mary Amanda Dew5. 1. Health & Community Systems Department, The University of Pittsburgh School of Nursing, Pittsburgh, PA. Electronic address: ligst4@pitt.edu. 2. Health & Community Systems Department, The University of Pittsburgh School of Nursing, Pittsburgh, PA. 3. Departments of Neurology and Psychiatry, and Alzheimer Disease Research Center, The University of Pittsburgh School of Medicine, Pittsburgh, PA. 4. Department of Psychiatry, Advanced Center for Interventions and Services Research in Late Life Depression Prevention and Treatment, The University of Pittsburgh School of Medicine, Pittsburgh, PA. 5. Departments of Psychiatry, Biostatistics, Epidemiology, Psychology and Clinical and Translational Science, The University of Pittsburgh Schools of Medicine and Public Health, Pittsburgh, PA.
Abstract
OBJECTIVE: Interventions directed at the mental health of family dementia caregivers may have limited impact when focused on caregivers who have provided care for years and report high burden levels. We sought to evaluate the mental health effects of problem-solving therapy (PST), designed for caregivers of individuals with a recent diagnosis of Mild Cognitive Impairment (MCI) or early dementia. METHOD: Seventy-three (43 MCI and 30 early dementia) family caregivers were randomly assigned to receive PST or a comparison condition (nutritional education). Depression, anxiety, and problem-solving orientation were assessed at baseline and at 1, 3, 6, and 12 months post intervention. RESULTS: In general, the PST caregiver intervention was feasible and acceptable to family caregivers of older adults with a new cognitive diagnosis. Relative to nutritional education, PST led to significantly reduced depression symptoms, particularly among early dementia caregivers. PST also lowered caregivers' anxiety levels, and led to lessening of negative problem orientation. DISCUSSION: Enhanced problem-solving skills, learned early after a loved one's cognitive diagnosis (especially dementia), results in positive mental health outcomes among new family caregivers.
RCT Entities:
OBJECTIVE: Interventions directed at the mental health of family dementia caregivers may have limited impact when focused on caregivers who have provided care for years and report high burden levels. We sought to evaluate the mental health effects of problem-solving therapy (PST), designed for caregivers of individuals with a recent diagnosis of Mild Cognitive Impairment (MCI) or early dementia. METHOD: Seventy-three (43 MCI and 30 early dementia) family caregivers were randomly assigned to receive PST or a comparison condition (nutritional education). Depression, anxiety, and problem-solving orientation were assessed at baseline and at 1, 3, 6, and 12 months post intervention. RESULTS: In general, the PST caregiver intervention was feasible and acceptable to family caregivers of older adults with a new cognitive diagnosis. Relative to nutritional education, PST led to significantly reduced depression symptoms, particularly among early dementia caregivers. PST also lowered caregivers' anxiety levels, and led to lessening of negative problem orientation. DISCUSSION: Enhanced problem-solving skills, learned early after a loved one's cognitive diagnosis (especially dementia), results in positive mental health outcomes among new family caregivers.
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