Márquez-González M, Losada A, Izal M, Pérez-Rojo G, Montorio I
Psychology Department, Universidad Autónoma de Madrid, Madrid, Spain.
Aging Ment Health. 2007 Nov;11(6):616-25. doi: 10.1080/13607860701368455.
Among the diverse group of interventions developed to help dementia family caregivers cognitive-behavioural approaches show especially promising results.
This study describes a cognitive-behavioural group intervention aimed principally at the modification of dysfunctional thoughts associated with caregiving (MDTC). The efficacy of the MDTC intervention in reducing caregivers' depressive symptomatology, together with the frequency and appraisal of problem behaviours, is compared to that of a waiting-list control group (WL). Furthermore, the potential mediating role of the dysfunctional thoughts in the relationship between this intervention and caregivers' depressive symptomatology is analyzed. Of the 74 dementia caregivers who were randomized to one of two conditions (MDTC and WL), 39 completed the post-intervention assessment. Statistical analyses were performed on an intention-to-treat basis, using last observation carried forward. The results reveal that the MDTC intervention is successful in reducing caregivers' level of depressive symptomatology and dysfunctional thoughts about caregiving, as well as in modifying their appraisal of their relative's problem behaviours. Furthermore, a mediating role for dysfunctional thoughts was found in the relationship between the MDTC intervention and levels of depressive symptomatology. The relevance of addressing dysfunctional thoughts and cognitive distortions in group interventions with caregivers is highlighted.
在为帮助痴呆症家庭照顾者而开展的各种干预措施中，认知行为方法显示出特别有前景的结果。
本研究描述了一种主要旨在改变与照顾相关的功能失调性思维的认知行为团体干预（MDTC）。将MDTC干预在减轻照顾者抑郁症状以及问题行为的频率和评估方面的效果，与等待名单对照组（WL）进行比较。此外，分析了功能失调性思维在该干预与照顾者抑郁症状之间关系中的潜在中介作用。在74名被随机分配到两种情况之一（MDTC和WL）的痴呆症照顾者中，39人完成了干预后评估。采用末次观察结转法，在意向性分析的基础上进行统计分析。结果显示，MDTC干预成功降低了照顾者的抑郁症状水平和对照顾的功能失调性思维，以及改变了他们对亲属问题行为的评估。此外，在MDTC干预与抑郁症状水平之间的关系中发现了功能失调性思维的中介作用。强调了在与照顾者的团体干预中解决功能失调性思维和认知扭曲的相关性。
