TY - JOUR
T1 - Group multi-component programme based on cognitive behavioural therapy and positive psychology for family caregivers of people with dementia
T2 - a randomised controlled study (3C study)
AU - Tamura, Noriko Takasaki
AU - Shikimoto, Ryo
AU - Nagashima, Kengo
AU - Sato, Yasunori
AU - Nakagawa, Atsuo
AU - Irie, Sachiko
AU - Iwashita, Satoru
AU - Mimura, Masaru
AU - Fujisawa, Daisuke
N1 - Funding Information:
This study was supported by the Japan Agency for Medical Research and Development (AMED; grant number: 18dk0207033), JSPS KAKENHI (Grant-in-Aid for Scientific Research; grant number: 18H01095), Eisai Academic Research Grant, the Research Grant of Inokashira Hospital, and the Keio University Doctoral Student Grant-in-Aid Program. The authors thank Haruyasu Yamaguchi, MD, Miyuki Tajima, Ph.D., for funding support, and Miyuki Tajima, Ph.D., Hiroyasu Ishikawa, RN, Yuko Hara, MA, Yuko Shigeeda, MA, and Taiga Fuju, Ph.D., for programme development assistance. In particular, the authors deeply thank Takahito Yoshizaki MD, Daisuke Ito MD, Hajime Tabuchi, MD, Kei Funaki, MD, Yoshie Kitao, MD, Shogyoku Bun, MD, and Yugaku Date, MD, for participants' referral, and Ms. Miwako Akutsu and all the clerks of the Memory Clinic in Keio University Hospital, Yumiko Kondo, MA, Misaki Koshi, MA, Naomi Kokubo, Ph.D., Atsuko Fujisawa, MA, Ms. Michiko Tashiro, and Mr. Hayato Namekata for their excellent contributions to study implementation.
Funding Information:
This study was supported by the Japan Agency for Medical Research and Development (AMED; grant number: 18dk0207033), JSPS KAKENHI (Grant‐in‐Aid for Scientific Research; grant number: 18H01095), Eisai Academic Research Grant, the Research Grant of Inokashira Hospital, and the Keio University Doctoral Student Grant‐in‐Aid Program. The authors thank Haruyasu Yamaguchi, MD, Miyuki Tajima, Ph.D., for funding support, and Miyuki Tajima, Ph.D., Hiroyasu Ishikawa, RN, Yuko Hara, MA, Yuko Shigeeda, MA, and Taiga Fuju, Ph.D., for programme development assistance. In particular, the authors deeply thank Takahito Yoshizaki MD, Daisuke Ito MD, Hajime Tabuchi, MD, Kei Funaki, MD, Yoshie Kitao, MD, Shogyoku Bun, MD, and Yugaku Date, MD, for participants' referral, and Ms. Miwako Akutsu and all the clerks of the Memory Clinic in Keio University Hospital, Yumiko Kondo, MA, Misaki Koshi, MA, Naomi Kokubo, Ph.D., Atsuko Fujisawa, MA, Ms. Michiko Tashiro, and Mr. Hayato Namekata for their excellent contributions to study implementation.
Publisher Copyright:
© 2022 Japanese Psychogeriatric Society.
PY - 2023/1
Y1 - 2023/1
N2 - Background: Caregivers of people with dementia frequently experience an elevated level of psychological distress and burden. This study aimed to examine the effectiveness of a group-format multi-component programme which is based on cognitive behavioural therapy and positive psychology. Methods: Family caregivers of dementia were allocated (1:1) to the intervention group and the wait-list control group, stratified by age (<65 years, ≥65 years) and care status (at home or in an institution). The intervention group received a six-session, 10-week, group-format programme. The primary outcome was the Hospital Anxiety Depression Scale (HADS). Secondary outcomes were the short-version of the Zarit Burden Interview (personal strain and role strain), Neuropsychiatric Inventory Questionnaire, Dementia Caregiver Positive Feeling Scale, and Self-Compassionate Reactions Inventory. The evaluations were conducted at baseline, 10 weeks (post-intervention), and 14 weeks (follow-up). Results: The analyses were performed with 64 registered participants. In the whole sample, no significant effect was observed on HADS. There was medium effect on role strain (P = 0.04, partial η2 = 0.08). Positive feelings of caregiving increased after the intervention but were not maintained at follow-up. In the subgroup analysis of caregivers under 65 years of age, a statistically significant effect was observed for personal strain (P = 0.03, partial η2 = 0.16). An interaction effect was also found for the total score of positive feelings of caregiving (P < 0.05, partial η2 = 0.02) and the meaning of caregiving (P = 0.02, partial η2 = 0.10). Conclusions: This programme did not show significant improvement in depression and anxiety of caregivers of dementia; however, it reduced the burden of their role conflict (role strain) and yielded favourable short-term effects on the positive feelings and the meaning of caregiving among the participants. Also, the programme effectively reduced the personal strain of caregivers under 65 years.
AB - Background: Caregivers of people with dementia frequently experience an elevated level of psychological distress and burden. This study aimed to examine the effectiveness of a group-format multi-component programme which is based on cognitive behavioural therapy and positive psychology. Methods: Family caregivers of dementia were allocated (1:1) to the intervention group and the wait-list control group, stratified by age (<65 years, ≥65 years) and care status (at home or in an institution). The intervention group received a six-session, 10-week, group-format programme. The primary outcome was the Hospital Anxiety Depression Scale (HADS). Secondary outcomes were the short-version of the Zarit Burden Interview (personal strain and role strain), Neuropsychiatric Inventory Questionnaire, Dementia Caregiver Positive Feeling Scale, and Self-Compassionate Reactions Inventory. The evaluations were conducted at baseline, 10 weeks (post-intervention), and 14 weeks (follow-up). Results: The analyses were performed with 64 registered participants. In the whole sample, no significant effect was observed on HADS. There was medium effect on role strain (P = 0.04, partial η2 = 0.08). Positive feelings of caregiving increased after the intervention but were not maintained at follow-up. In the subgroup analysis of caregivers under 65 years of age, a statistically significant effect was observed for personal strain (P = 0.03, partial η2 = 0.16). An interaction effect was also found for the total score of positive feelings of caregiving (P < 0.05, partial η2 = 0.02) and the meaning of caregiving (P = 0.02, partial η2 = 0.10). Conclusions: This programme did not show significant improvement in depression and anxiety of caregivers of dementia; however, it reduced the burden of their role conflict (role strain) and yielded favourable short-term effects on the positive feelings and the meaning of caregiving among the participants. Also, the programme effectively reduced the personal strain of caregivers under 65 years.
KW - burden
KW - cognitive behavioural therapy
KW - dementia
KW - family caregiver
KW - group therapy
KW - positive psychology
UR - http://www.scopus.com/inward/record.url?scp=85142903144&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85142903144&partnerID=8YFLogxK
U2 - 10.1111/psyg.12919
DO - 10.1111/psyg.12919
M3 - Article
C2 - 36443896
AN - SCOPUS:85142903144
SN - 1346-3500
VL - 23
SP - 141
EP - 156
JO - Psychogeriatrics
JF - Psychogeriatrics
IS - 1
ER -
