Telephone-based, cognitive-behavioral therapy for African American dementia caregivers with depression: initial findings
| Autor: | La Tonya Noel, Dinesh Sharma, Robert L. Glueckauf, Leticia Murray, Neill R. Graff-Radford, Jane Springer, James Proctor, Kathleen Burnett, Judith Shipman, Kambria Haire, Cynthia Baxter, Floyd B. Willis, Jocelyn Hayes, Mary Stutzman, W. Shuford Davis, David J. Gustafson, Francine Parfitt, Jian Xu, Gabriel Schettini, Vera Mcintyre, Lonnie M. Wesley, Michelle M. Kazmer |
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| Rok vydání: | 2012 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Health Status Physical Therapy Sports Therapy and Rehabilitation Pilot Projects law.invention Social support Randomized controlled trial Cost of Illness law Alzheimer Disease medicine Dementia Humans Psychiatry Somatoform Disorders Depression (differential diagnoses) Problem Solving Aged Depressive Disorder Cognitive Behavioral Therapy Rehabilitation Social Support Caregiver burden Center for Epidemiologic Studies Depression Scale Middle Aged medicine.disease Telephone Cognitive behavioral therapy Black or African American Psychiatry and Mental health Clinical Psychology Caregivers Florida Female Psychology Psychosocial Stress Psychological Clinical psychology |
| Zdroj: | Rehabilitation psychology. 57(2) |
| ISSN: | 1939-1544 |
| Popis: | Objectives Discuss initial findings of a randomized clinical trial comparing the effects of telephone-based and face-to-face (f-to-f) cognitive-behavioral therapy (CBT) on changes in caregiver (CG) burden, assistance support, depression, and health status for African American (AA) CGs with depression. Design Pilot study using a prepost, two-group design with 14 enrolled and randomized participants. Measures Subjective Burden subscale of the Caregiver Appraisal Inventory, Assistance Support subscale of the Interpersonal Support Evaluation List, Physical Symptoms subscale of the Caregiver Health and Health Behavior Inventory and the Center for Epidemiologic Studies Depression Scale. Results Prepost improvements were found on 11 completers across all measures for both telephone and f-to-f CBT. Moderate and similar effects sizes for CG subjective burden and assistance support were found for both the telephone and f-to-f groups. Effect sizes for physical symptoms and depression varied from low to moderate, respectively, with a trend toward smaller improvements in f-to-f CBT than in telephone CBT. Qualitative analysis highlighted CGs' perceptions of the active ingredients of treatment and provided indirect support for similar gains in emotional and psychosocial functioning across the two treatment modalities. Conclusions Both telephone-based and f-to-f CBT showed improvements in depression, subjective burden, and assistance support in dementia AA CGs. Replication with a larger sample size (N = 106) is currently in progress. Study limitations and future directions for research are also addressed. |
| Databáze: | OpenAIRE |
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