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A Multicenter, Randomized Clinical Trial to Assess the Efficacy of a Therapeutic Intervention Program for Caregivers of People with Dementia

  • 주제(키워드) dementia , caregivers , cognitive behavior therapy , intervention
  • 주제(기타) Clinical Neurology
  • 설명문(일반) [Yoo, Rayoung; Yeom, Jiyoung; Kim, Geon Ha; Park, Hee Kyung; Jeong, Jee Hyang] Ewha Womans Univ, Sch Med, Mokdong Hosp, Dept Neurol, 1071 Anyangcheon Ro, Seoul 07985, South Korea; [Kang, Yeonwook] Hallym Univ, Dept Psychol, Chunchon, South Korea; [Kang, Yeonwook; Yu, Kyung-Ho] Hallym Univ, Sacred Heart Hosp, Dept Neurol, Anyang, South Korea; [Hwang, Jihye] Keimyung Univ, Coll Med, Dongsan Med Ctr, Dept Neurol, Daegu, South Korea; [Choi, Seong Hye] Inha Univ, Sch Med, Dept Neurol, Incheon, South Korea; [Na, Hae Ri] Bobath Mem Hosp, Dept Neurol, Seongnam, South Korea; [Cho, Soo-Jin] Hallym Univ, Dongtan Sacred Heart Hosp, Dept Neurol, Hwaseong, South Korea; [Kim, Do Hoon] Hallym Univ, Chuncheon Sacred Heart Hosp, Dept Psychiat, Chunchon, South Korea; [Lee, Jae-Hong] Univ Ulsan, Coll Med, Dept Neurol, Asan Med Ctr, Seoul, South Korea
  • 등재 SCIE, SCOPUS, KCI등재
  • OA유형 Green Published, gold, Green Submitted
  • 발행기관 KOREAN NEUROLOGICAL ASSOC
  • 발행년도 2019
  • URI http://www.dcollection.net/handler/ewha/000000160014
  • 본문언어 영어
  • Published As http://dx.doi.org/10.3988/jcn.2019.15.2.235
  • PubMed https://pubmed.ncbi.nlm.nih.gov/30938110

초록/요약

Background and Purpose Caregivers experience tremendous social, financial, physical, and psychological burdens in caring for people with dementia. This study aimed to determine the efficacy of a multicomponent therapeutic intervention program for the caregivers of people with dementia (CGPWD) through a multicenter clinical trial: the intervention program-caregivers of people with dementia study. Methods The 38 caregivers of dementia patients at 8 sites were randomized into 2 groups: treatment (n=19) and control (n=19). The treatment group received the intervention program for 8-10 weeks, including one group session for dementia education and three individual sessions (on cognitive behavioral therapy, coping with stress, and stress management) and single targeted training for daily activities. The Korean version of the Zarit Burden Interview (ZBI-K) and the Geriatric Depression Scale (GDS) were evaluated at pre- and postintervention as primary efficacy measures. Results The treatment group displayed significant improvements in scores on the ZBI-K and GDS. The ZBI-K score at postintervention was significantly reduced in the treatment group compared to that in the control group [6.2-point decrease vs. 3.7-point increase, t(37)=-2.9, p<0.01]. There was a significant difference in the GDS score between the treatment and control groups [2.2-point decrease vs. 1.3-point increase, t(18)=2.5, p<0.05]. Conclusions The findings of this study imply that a multicomponent therapeutic intervention program is effective in reducing the burden experienced by and depression among CGPWD. Further research is warranted to investigate the long-term effects of the intervention program for CGPWD.

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