Department of Clinical, Educational and Health Psychology, University College London, London, UK.
Int J Geriatr Psychiatry. 2017 Dec;32(12):e123-e131. doi: 10.1002/gps.4669. Epub 2017 Feb 7.
Depression and anxiety are common in dementia. There is a need to develop effective psychosocial interventions. This study sought to develop a group-based adapted mindfulness programme for people with mild to moderate dementia in care homes and to determine its feasibility and potential benefits.
A manual for a 10-session intervention was developed. Participants were randomly allocated to the intervention plus treatment as usual (n = 20) or treatment as usual (n = 11). Measures of mood, anxiety, quality of life, cognitive function, stress and mindfulness were administered at baseline and 1 week post-intervention.
There was a significant improvement in quality of life in the intervention group compared to controls (p = 0.05). There were no significant changes in other outcomes.
The intervention was feasible in terms of recruitment, retention, attrition and acceptability and was associated with significant positive changes in quality of life. A fully powered randomised controlled trial is required. Copyright © 2017 John Wiley & Sons, Ltd.
痴呆患者中常见抑郁和焦虑。需要开发有效的心理社会干预措施。本研究旨在为养老院中轻度至中度痴呆患者开发一种基于小组的适应性正念方案，并确定其可行性和潜在益处。
制定了 10 节干预课程的手册。参与者被随机分配到干预组加常规治疗（n=20）或常规治疗（n=11）。在基线和干预后 1 周评估情绪、焦虑、生活质量、认知功能、压力和正念的测量值。
与对照组相比，干预组的生活质量有显著改善（p=0.05）。其他结果没有显著变化。
该干预措施在招募、保留、流失和可接受性方面是可行的，与生活质量的显著积极变化相关。需要进行完全随机对照试验。版权所有©2017 约翰威利父子公司。
