1Primary Care Research Unit of La Alamedilla Health Center, Castilla y León Health Service-SACYL, REDIAPP, IBSAL, Salamanca, Spain.
Gerontologist. 2013 Jun;53(3):397-406. doi: 10.1093/geront/gns086. Epub 2012 Aug 16.
To assess, in the context of Primary Health Care (PHC), the effect of a psychological intervention in mental health among caregivers (CGs) of dependent relatives.
Randomized multicenter, controlled clinical trial. The 125 CGs included in the trial were receiving health care in PHC.
Identifying oneself as principal CG of a dependent relative with dementia or any other disability, and having performed this task for at least 6 months. CGs were randomized to an intervention group (cognitive-behavioral treatment for managing dysfunctional thoughts about caregiving and training in self-help techniques) or to a control group (care as usual). CG mental health (General Health Questionnaire [GHQ-12]), dysfunctional thoughts about caregiving, quality of life, and burden were measured.
The intervention group showed improvement in mental health: A mean reduction in GHQ-12 score of -3.33 points was recorded in the intervention group vs. the control group (95% CI: -5.95 to -0.70; p = .01; Cohen d = 0.55). Improvement was also recorded in dysfunctional thoughts about caregiving: (-5.84; 95% CI: -10.60 to -1.09; p = .01; Cohen d = 0.62). Among the CGs that completed the initial and final assessments, a mean of 4.77 (SD 2.68) attended a maximum of 8 sessions. Men attended more often (5.00 sessions with SD 2.68) than women (4.70 sessions with SD 2.45; p < .001).
Psychological group intervention in the context of PHC, aimed at the CGs of dependent persons with dementia and other disabilities, has improved mental health condition in CGs.
在初级卫生保健（PHC）背景下，评估针对照顾者（CGs）的心理健康的心理干预对精神健康的影响。
随机、多中心、对照临床试验。试验中纳入的 125 名 CG 正在 PHC 中接受医疗保健。
认同自己是痴呆或任何其他残疾的主要照顾者，并至少从事该任务 6 个月。CG 被随机分配到干预组（管理照顾相关的功能失调性思维的认知行为治疗和自助技术培训）或对照组（常规护理）。CG 的心理健康（一般健康问卷 [GHQ-12]）、照顾相关的功能失调性思维、生活质量和负担均进行了测量。
干预组的心理健康状况有所改善：干预组的 GHQ-12 评分平均降低了 3.33 分，而对照组则降低了 0.70 分（95%CI：-5.95 至-0.70；p=0.01；Cohen d=0.55）。照顾相关的功能失调性思维也有所改善：（-5.84；95%CI：-10.60 至-1.09；p=0.01；Cohen d=0.62）。在完成初始和最终评估的 CG 中，平均有 4.77（SD 2.68）人参加了最多 8 次会议。男性（5.00 次会议，SD 2.68）比女性（4.70 次会议，SD 2.45；p<0.001）参加的次数更多。
在 PHC 背景下，针对痴呆和其他残疾者的照顾者的心理团体干预，改善了 CG 的心理健康状况。
