University of Nevada, Reno, Department of Psychology, Reno, NV 89557, USA.
Behav Ther. 2011 Mar;42(1):109-19. doi: 10.1016/j.beth.2010.06.001. Epub 2010 Nov 19.
A Dialectical Behavior Therapy Skills training manual (DBT Skills) was adapted for use with caregivers of individuals with dementia. Implementation occurred in a community clinic with a heterogeneous caregiver group at risk for elder abuse. Sixteen caregivers completed the 9-week group. The results point to improved psychosocial adjustment, particularly increased problem-focused coping, enhanced emotional well-being, and less fatigue. Caregivers tended to utilize individual therapeutic services at a higher rate during the period of group attendance, indicative of appropriate help-seeking behavior in highly demanding situations. Six of the 16 caregivers repeated the training sequence in "booster" groups. Follow-up data from the booster groups suggest that high-risk caregivers may require continuing support to maintain treatment gains. In addition to demonstrating the feasibility of DBT Skills with caregivers, the results warrant a controlled outcome evaluation.
一本辩证行为治疗技能培训手册（DBT 技能）被改编为适用于痴呆症患者的照顾者使用。该手册在一家社区诊所实施，照顾者群体具有异质性，面临虐待老人的风险。16 名照顾者完成了为期 9 周的小组治疗。结果表明，他们的社会心理适应能力得到了改善，特别是问题解决应对能力增强、情绪健康状况得到提升，疲劳感减轻。在参加小组治疗期间，照顾者倾向于更高频率地使用个人治疗服务，这表明他们在高需求情况下有寻求帮助的恰当行为。其中 16 名照顾者中的 6 名参加了“强化”小组的重复培训。强化小组的随访数据表明，高风险的照顾者可能需要持续的支持来维持治疗效果。除了证明 DBT 技能对照顾者的可行性外，这些结果还需要进行对照评估。
