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益处发现与对照顾者抑郁的影响:一项双盲随机对照试验。

Benefit-finding and effect on caregiver depression: A double-blind randomized controlled trial.

机构信息

Department of Health and Physical Education, The Education University of Hong Kong.

Department of Psychology, Chinese University of Hong Kong.

出版信息

J Consult Clin Psychol. 2017 May;85(5):521-529. doi: 10.1037/ccp0000176. Epub 2017 Mar 13.

Abstract

OBJECTIVE

To examine the effects of using cognitive reappraisal to find positive gains on caregivers' depressive symptoms, burden, and psychological well-being.

METHOD

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

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.

CONCLUSION

Finding positive gains is an effective intervention to reduce depressive symptoms among Alzheimer caregivers. (PsycINFO Database Record

摘要

目的

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。

方法

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

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。

结论

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。

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