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基于电话的认知行为干预可改善痴呆症照护者的生活质量。

Telephone-Based Cognitive Behavioral Intervention Improves Dementia Caregivers' Quality of Life.

机构信息

1 Department of Counseling and Clinical Intervention, Institute of Psychology, Friedrich Schiller University Jena, Jena, Germany.

Franziska Meichsner and Nils F. Töpfer contributed equally to this work.

出版信息

Am J Alzheimers Dis Other Demen. 2019 Jun;34(4):236-246. doi: 10.1177/1533317518822100. Epub 2019 Jan 13.

Abstract

The present study examined the effects of a telephone-based cognitive behavioral intervention on dementia caregivers' quality of life (QoL). A total of 273 caregivers were randomly assigned to an intervention or control group. The intervention comprised 12 telephone sessions of individual cognitive behavioral therapy (CBT) over 6 months. At baseline, postintervention, and 6-month follow-up, QoL was assessed with the World Health Organization QoL-BREF, which measures perceived QoL for the domains physical health, psychological health, social relationships, and environment as well as overall QoL and satisfaction with general health. Intention-to-treat analyses using latent change models were performed. At postintervention, intervention group participants reported better overall QoL and satisfaction with general health as well as better physical and psychological health compared to control group participants. Together with existing evidence, the results suggest that the telephone CBT intervention does not only reduce impairments but also fosters improvements in health-related QoL.

摘要

本研究考察了基于电话的认知行为干预对痴呆症照顾者生活质量(QoL)的影响。共有 273 名照顾者被随机分配到干预组或对照组。干预措施包括 6 个月内进行 12 次个体认知行为疗法(CBT)的电话会议。在基线、干预后和 6 个月随访时,使用世界卫生组织生活质量简表(WHOQOL-BREF)评估 QoL,该量表衡量身体、心理、社会关系和环境领域的感知 QoL 以及整体 QoL 和对总体健康的满意度。使用潜在变化模型进行意向治疗分析。干预后,与对照组参与者相比,干预组参与者报告的整体 QoL 和对总体健康的满意度以及身体和心理健康状况均有所改善。结合现有证据,结果表明,电话 CBT 干预不仅可以减轻损伤,还可以促进与健康相关的 QoL 的改善。

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