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针对阿尔茨海默病照料者的认知行为团体干预

Cognitive behavioral group intervention for Alzheimer caregivers.

作者信息

Passoni Serena, Moroni Loretta, Toraldo Alessio, Mazzà Manuela T, Bertolotti Giorgio, Vanacore Nicola, Bottini Gabriella

机构信息

*Cognitive Neuropsychology Center, Niguarda Ca' Granda Hospital, Milan †Psychology Unit, Salvatore Maugeri Foundation, IRCCS Tradate, Varese §National Centre for Epidemiology, Surveillance and Health Promotion, National Institute of Health, Rome ‡Department of Brain and Behavioural Sciences, University of Pavia, Italy.

出版信息

Alzheimer Dis Assoc Disord. 2014 Jul-Sep;28(3):275-82. doi: 10.1097/WAD.0000000000000033.

Abstract

Long-term caregiving of patients with Alzheimer disease (AD) frequently induces a relevant distress enhanced by inadequate coping strategies. This study aimed to explore the impact of cognitive and behavioral therapy (CBT) group intervention on AD patients' caregivers. In particular, reduction in caregivers' global care needs and in anxiety and depression has been investigated. About 100 caregivers were divided into the following groups: CBT group intervention, self-help manual, and control have been enrolled in the study. CBT group intervention seems to be more effective than the other 2 conditions in reducing caregivers' anxiety. Furthermore, only caregivers of the CBT group showed significant needs related to reduction in care. The proposed treatment could be the core of a more structured and systematic intervention for AD patients' caregivers in Italy.

摘要

对阿尔茨海默病(AD)患者的长期照料常常会因应对策略不足而引发相当大的困扰。本研究旨在探讨认知行为疗法(CBT)团体干预对AD患者照料者的影响。具体而言,研究了照料者整体照料需求以及焦虑和抑郁情绪的减轻情况。约100名照料者被分为以下几组:CBT团体干预组、自助手册组和对照组参与了该研究。CBT团体干预在减轻照料者焦虑方面似乎比其他两种情况更有效。此外,只有CBT组的照料者在照料需求减少方面表现出显著需求。所提出的治疗方法可能成为意大利针对AD患者照料者进行更结构化、系统化干预的核心。

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