Literature DB >> 30643963

[Feasibility and effects of a psychotherapeutic group intervention for caregiving relatives of people with dementia].

Ingo Kilimann1,2, Tanja Braungardt3, Franziska Thiel4, Karsten Hake3, Christiane Haufe3, Wolfgang Schneider3, Stefan J Teipel3,4.   

Abstract

INTRODUCTION: Family caregivers of people with dementia (PwD) have a high burden and therefore are themselves at a high risk for psychiatric and somatic morbidities. Although individual psychotherapy has been shown to be a potentially effective treatment, it is rarely used by family caregivers. Possible reasons are poor accessibility and time restrictions on the side of the caregiver. AIM: To test the efficacy of a short-term and low threshold psychotherapeutic group intervention for family caregivers of PwD with respect to mental stability of the caregivers.
MATERIAL AND METHODS: Data from a 12-week psychotherapeutic group intervention (10 participants each in the intervention and control groups) were analyzed. Main topics of the intervention were: personal limits, dysfunctional thoughts, emotions and resource activation. Primary endpoints were an increase of perceived self-efficacy and reduction of depressive symptoms using SWE and ADS questionnaires before, directly and 3 months after the end of the intervention.
RESULTS: A gain in perceived self-efficacy did not reach statistical significance, whereas depressive symptoms showed a statistically significant increase in the intervention group over time compared to the control group. DISCUSSION: The intervention did not reach its primary endpoints. Possible reasons are the fact that the group was highly heterogeneous with respect to dementia etiology and the low number of participants. The short duration of the intervention may have reduced the potential of the program to address all urgent needs of the participants.

Entities:  

Keywords:  Alzheimer; Depression; Family caregivers; Prevention; Support

Mesh:

Year:  2019        PMID: 30643963     DOI: 10.1007/s00391-018-01501-3

Source DB:  PubMed          Journal:  Z Gerontol Geriatr        ISSN: 0948-6704            Impact factor:   1.281


  23 in total

1.  Do patients diagnosed with Alzheimer's disease benefit from a psycho-educational programme for family caregivers? A randomised controlled study.

Authors:  Jocelyne de Rotrou; Inge Cantegreil; Véronique Faucounau; Emilie Wenisch; Catherine Chausson; David Jegou; Sophie Grabar; Anne-Sophie Rigaud
Journal:  Int J Geriatr Psychiatry       Date:  2010-10-04       Impact factor: 3.485

Review 2.  [Carer burden in dementia: origins and intervention].

Authors:  A Kurz; G Wilz
Journal:  Nervenarzt       Date:  2011-03       Impact factor: 1.214

3.  [Evaluation of a cognitive-behavioral group intervention for family caregivers of persons with dementia].

Authors:  Gabriele Wilz; Tanja Kalytta
Journal:  Psychother Psychosom Med Psychol       Date:  2012-10-01

4.  Cognitive-behavioral therapy (CBT) versus acceptance and commitment therapy (ACT) for dementia family caregivers with significant depressive symptoms: Results of a randomized clinical trial.

Authors:  Andrés Losada; María Márquez-González; Rosa Romero-Moreno; Brent T Mausbach; Javier López; Virginia Fernández-Fernández; Celia Nogales-González
Journal:  J Consult Clin Psychol       Date:  2015-06-15

Review 5.  Interventions for caregivers of patients with dementia.

Authors:  Manuel Martín-Carrasco; Javier Ballesteros-Rodríguez; Ana I Domínguez-Panchón; Paula Muñoz-Hermoso; Eduardo González-Fraile
Journal:  Actas Esp Psiquiatr       Date:  2014-11-01       Impact factor: 1.196

6.  Mechanisms of action of a psychological intervention for dementia caregivers: effects of behavioral activation and modification of dysfunctional thoughts.

Authors:  Andrés Losada; María Márquez-González; Rosa Romero-Moreno
Journal:  Int J Geriatr Psychiatry       Date:  2010-11-09       Impact factor: 3.485

7.  Successful behavioral treatment for reported sleep problems in elderly caregivers of dementia patients: a controlled study.

Authors:  S M McCurry; R G Logsdon; M V Vitiello; L Teri
Journal:  J Gerontol B Psychol Sci Soc Sci       Date:  1998-03       Impact factor: 4.077

8.  Interventions with care givers of dementia patients: comparison of two approaches.

Authors:  S H Zarit; C R Anthony; M Boutselis
Journal:  Psychol Aging       Date:  1987-09

9.  Are psychotherapeutic effects on family caregivers of people with dementia sustainable? Two-year long-term effects of a telephone-based cognitive behavioral intervention.

Authors:  Gabriele Wilz; Franziska Meichsner; Renate Soellner
Journal:  Aging Ment Health       Date:  2016-03-08       Impact factor: 3.658

10.  Sustained benefit of supportive intervention for depressive symptoms in caregivers of patients with Alzheimer's disease.

Authors:  Mary S Mittelman; David L Roth; David W Coon; William E Haley
Journal:  Am J Psychiatry       Date:  2004-05       Impact factor: 18.112

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