Kilimann Ingo, Braungardt Tanja, Thiel Franziska, Hake Karsten, Haufe Christiane, Schneider Wolfgang, Teipel Stefan J
Klinik und Poliklinik für Psychosomatik und Psychotherapeutische Medizin, Universitätsmedizin Rostock, Gehlsheimer Straße 20, 18147, Rostock, Deutschland.
Deutsches Zentrum für Neurodegenerative Erkrankungen, Standort Rostock/Greifswald, Rostock, Deutschland.
Z Gerontol Geriatr. 2019 Nov;52(7):641-647. doi: 10.1007/s00391-018-01501-3. Epub 2019 Jan 14.
Family caregivers of people with dementia (PwD) have a high burden and therefore are themselves at a high risk for psychiatric and somatic morbidities. Although individual psychotherapy has been shown to be a potentially effective treatment, it is rarely used by family caregivers. Possible reasons are poor accessibility and time restrictions on the side of the caregiver.
To test the efficacy of a short-term and low threshold psychotherapeutic group intervention for family caregivers of PwD with respect to mental stability of the caregivers.
Data from a 12-week psychotherapeutic group intervention (10 participants each in the intervention and control groups) were analyzed. Main topics of the intervention were: personal limits, dysfunctional thoughts, emotions and resource activation. Primary endpoints were an increase of perceived self-efficacy and reduction of depressive symptoms using SWE and ADS questionnaires before, directly and 3 months after the end of the intervention.
A gain in perceived self-efficacy did not reach statistical significance, whereas depressive symptoms showed a statistically significant increase in the intervention group over time compared to the control group.
The intervention did not reach its primary endpoints. Possible reasons are the fact that the group was highly heterogeneous with respect to dementia etiology and the low number of participants. The short duration of the intervention may have reduced the potential of the program to address all urgent needs of the participants.
痴呆症患者（PwD）的家庭照顾者负担沉重，因此他们自身患精神疾病和躯体疾病的风险很高。尽管个体心理治疗已被证明是一种潜在有效的治疗方法，但家庭照顾者很少使用。可能的原因是可及性差以及照顾者方面的时间限制。
测试针对痴呆症患者家庭照顾者的短期、低门槛心理治疗团体干预对照顾者心理稳定性的疗效。
分析了一项为期12周的心理治疗团体干预的数据（干预组和对照组各10名参与者）。干预的主要主题包括：个人极限、功能失调的思维、情绪和资源激活。主要终点是使用SWE和ADS问卷在干预开始前、干预结束时及结束后3个月，感知自我效能感的提高和抑郁症状的减轻。
感知自我效能感的提高未达到统计学显著性，而与对照组相比，干预组的抑郁症状随时间推移有统计学显著增加。
该干预未达到其主要终点。可能的原因是该团体在痴呆症病因方面高度异质性以及参与者数量较少。干预时间较短可能降低了该项目满足参与者所有迫切需求的潜力。
