Pitteri Franck, Soulas Thierry, Essertaise Anne-Laure, Roux Julie
Psychomotricien, AIRPM, Laboratoire de recherche en psychomotricité, Boulogne-Billancourt, France.
Psychologue, Unité de neurochirurgie fonctionnelle, Hôpital Henri-Mondor, Créteil, France.
Geriatr Psychol Neuropsychiatr Vieil. 2013 Dec;11(4):443-51. doi: 10.1684/pnv.2013.0426.
Family caregivers of people with Alzheimer's disease are at high risk of psychological and physical morbidity due to the daily caring experience.
to evaluate the impact of a psychoeducational program involving relaxation techniques on caregivers' burden and mental health status.
in this prospective study, 50 family caregivers were randomly assigned to one of two conditions: standard (CG: Control group; 12 × 90 minutes weekly sessions: psychoeducational group intervention) and experimental intervention (RG: Relaxation group; 12 × 150 minutes sessions: standard intervention + relaxation techniques). Caregivers' burden and mental health status were assessed using the Zarit burden interview (global score and three dimensions from the factor analysis of the French version: social consequences, psychological burden and feelings of guilt) and the General health questionnaire-28 at baseline, after 3 (M3) and 6-months follow-up. Inter-individual statistics and intra-individual changes were calculated.
social consequences and psychological burden decreased in RG. The between-group analysis showed that social consequences scores at M3 improved more in RG than in CG. No change in mental health was observed. For burden and anxiety/insomnia, intra-individual analyses showed that RG intervention was beneficial for more carers than CG intervention.
this study suggests that integrating relaxation techniques into psychoeducational interventions is beneficial for caregivers of people with Alzheimer's disease.
由于日常护理经历,阿尔茨海默病患者的家庭护理人员面临心理和身体发病的高风险。
评估一项包含放松技巧的心理教育项目对护理人员负担和心理健康状况的影响。
在这项前瞻性研究中,50名家庭护理人员被随机分配到两种情况之一:标准组(CG:对照组;每周12次,每次90分钟的课程:心理教育组干预)和实验干预组(RG:放松组;12次,每次150分钟的课程:标准干预+放松技巧)。在基线、3个月(M3)和6个月随访后,使用扎里特负担访谈(全球得分以及法语版因子分析的三个维度:社会后果、心理负担和内疚感)和一般健康问卷-28评估护理人员的负担和心理健康状况。计算个体间统计数据和个体内变化。
RG组的社会后果和心理负担有所减轻。组间分析表明,M3时RG组的社会后果得分比CG组改善得更多。未观察到心理健康有变化。对于负担和焦虑/失眠,个体内分析表明,RG干预对更多护理人员比CG干预更有益。
本研究表明,将放松技巧纳入心理教育干预对阿尔茨海默病患者的家庭护理人员有益。