Department of Health and Physical Education, The Education University of Hong Kong.
Department of Psychology, Chinese University of Hong Kong.
J Consult Clin Psychol. 2017 May;85(5):521-529. doi: 10.1037/ccp0000176. Epub 2017 Mar 13.
To examine the effects of using cognitive reappraisal to find positive gains on caregivers' depressive symptoms, burden, and psychological well-being.
Ninety-six caregivers of persons with Alzheimer's disease were randomly assigned to receive a benefit-finding intervention or 1 of 2 treatment-as-usual conditions, namely, simplified psychoeducation (lectures only; SIM-PE) or standard psychoeducation (STD-PE). Each participant received 4 biweekly interventions of 3 hr each, over a 2-month period, at home.
Results showed that benefit-finding participants reported lower depressive symptoms after treatment, when compared with either SIM-PE (d = -0.46) or STD-PE (d = -0.50) participants. They also reported less role overload when compared with STD-PE participants (d = -0.46). Self-efficacy in controlling upsetting thoughts was a mediator for some of the treatment effects.
Finding positive gains is an effective intervention to reduce depressive symptoms among Alzheimer caregivers. (PsycINFO Database Record
考察认知重评寻找积极收获对照顾者抑郁症状、负担和心理幸福感的影响。
96 名阿尔茨海默病患者的照顾者被随机分配接受发现益处干预或以下 2 种常规治疗条件之一,即简化心理教育(仅讲座;SIM-PE)或标准心理教育(STD-PE)。每个参与者在家中接受为期 2 个月、为期 4 次、每次 3 小时的每周 2 次干预。
结果表明,与 SIM-PE(d = -0.46)或 STD-PE(d = -0.50)参与者相比,发现益处的参与者在治疗后报告的抑郁症状较低。与 STD-PE 参与者相比,他们报告的角色超载也较少(d = -0.46)。控制令人不安想法的自我效能感是一些治疗效果的中介因素。
寻找积极收获是一种有效的干预措施,可以减少阿尔茨海默病照顾者的抑郁症状。