Pragmatic Effectiveness of Face-to-Face Cognitive-Behavioral Therapy for Family Caregivers of People with Dementia.

IF 2.6 3区医学 Q3 GERIATRICS & GERONTOLOGY

Clinical Gerontologist Pub Date : 2024-10-01 Epub Date: 2022-12-10 DOI:10.1080/07317115.2022.2156828

Nils F Töpfer, Nicolas Wrede, Gabriele Wilz

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引用次数: 0

Abstract

Objectives: The objective was to investigate the pragmatic effectiveness of face-to-face cognitive-behavioral therapy (F2F-CBT) for family caregivers of people with dementia (PwD) implemented in a routine care setting relative to usual care in a quasi-experimental study.

Methods: Participants indicating that attendance of F2F-CBT was possible were assigned to F2F-CBT (n = 49). F2F-CBT consisted of 12 sessions over 6 months. Effects were evaluated at posttest and 6-month follow-up on a variety of outcomes relative to usual care (CG; n = 134).

Results: At posttest, F2F-CBT yielded significantly fewer symptoms of depression (d = 0.37), better emotional well-being (d = 0.64), and better coping with the care situation (d = 0.52) than CG. At 6-month follow-up, the effect on emotional well-being was retained (d = 0.44) and social relationships were rated significantly better in F2F-CBT than CG (d = 0.34).

Conclusions: F2F-CBT proved to be effective in supporting family caregivers of PwD. However, only relatively few caregivers were able to regularly attend face-to-face sessions.

Clinical implications: CBT seems particularly suitable for supporting family caregivers of PwD in coping with the complex psychological burden. Delivery via telephone or internet could be a necessary alternative to F2F-CBT for reducing barriers to participation.

查看原文本刊更多论文

面对面认知行为疗法对痴呆症患者家庭照顾者的实际效果。

研究目的目的是通过一项准实验研究，探讨在常规护理环境中对痴呆症患者（PwD）的家庭护理者实施面对面认知行为疗法（F2F-CBT）相对于常规护理的实际效果：方法：表示可以参加 F2F-CBT 的参与者被分配到 F2F-CBT（n = 49）。F2F-CBT 包括 12 个疗程，为期 6 个月。在测试后和 6 个月的随访中，评估了相对于常规护理（CG；n = 134）的各种效果：结果：在测试后，F2F-CBT 的抑郁症状明显少于 CG（d = 0.37），情绪更好（d = 0.64），应对护理情况的能力更强（d = 0.52）。在 6 个月的随访中，F2F-CBT 对情绪健康的影响保持不变（d = 0.44），社会关系的评价明显优于 CG（d = 0.34）：结论：事实证明，F2F-CBT 能够有效支持残疾人家庭照顾者。结论：F2F-CBT 被证明对支持残疾人家庭照顾者有效，但只有相对较少的照顾者能够定期参加面对面的治疗：临床启示：CBT 似乎特别适用于支持残疾人家庭照顾者应对复杂的心理负担。通过电话或互联网进行治疗可能是一种必要的替代方式，可以减少面对面心理辅导的参与障碍。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Gerontologist GERIATRICS & GERONTOLOGY-PSYCHIATRY

CiteScore

6.20

自引率

25.00%

发文量

审稿时长

>12 weeks

期刊介绍： Clinical Gerontologist presents original research, reviews, and clinical comments relevant to the needs of behavioral health professionals and all practitioners who work with older adults. Published in cooperation with Psychologists in Long Term Care, the journal is designed for psychologists, physicians, nurses, social workers, counselors (family, pastoral, and vocational), and other health professionals who address behavioral health concerns found in later life, including: -adjustments to changing roles- issues related to diversity and aging- family caregiving- spirituality- cognitive and psychosocial assessment- depression, anxiety, and PTSD- Alzheimer’s disease and other neurocognitive disorders- long term care- behavioral medicine in aging- rehabilitation and education for older adults. Each issue provides insightful articles on current topics. Submissions are peer reviewed by content experts and selected for both scholarship and relevance to the practitioner to ensure that the articles are among the best in the field. Authors report original research and conceptual reviews. A unique column in Clinical Gerontologist is “Clinical Comments." This section features brief observations and specific suggestions from practitioners which avoid elaborate research designs or long reference lists. This section is a unique opportunity for you to learn about the valuable clinical work of your peers in a short, concise format.