Department of Psychology, Universidad Rey Juan Carlos, Alcorcón, Spain.
Department of Biological and Health Psychology, Universidad Autónoma de Madrid, Madrid, Spain.
Clin Gerontol. 2022 Oct-Dec;45(5):1304-1316. doi: 10.1080/07317115.2022.2048287. Epub 2022 Mar 14.
A pilot randomized controlled trial study was conducted for testing the efficacy of a novel Guilt Focused Intervention (GFI), that was compared with a Cognitive Behavioral Intervention (CBI) for caregivers of people with dementia with high levels of guilt and distress.
Participants were 42 caregivers who were randomized assigned to the intervention conditions.
Participants in the GFI showed significant reductions in depression, anxiety, and guilt at posttreatment and follow-up. Participants in the CBI presented reductions in anxiety and guilt at posttreatment and follow-up. Clinically significant change for guilt was found in 62.5% in the GFI and 9.09% in the CBI group at posttreatment. At follow-up, 58.33% in GFI and 12.5% in the CBI group were recovered.
The preliminary results of this pilot study suggest that caregivers with significant levels of guilt and distress might benefit from an intervention specifically designed to target guilt feelings.
A novel and initial intervention approach specifically designed for targeting caregivers' feelings of guilt might have the potential to reduce caregiver's emotional distress.
本研究采用随机对照试验的方法，旨在检验一种新型内疚焦点干预（GFI）的疗效，该干预与认知行为干预（CBI）对有高内疚和困扰的痴呆症患者照顾者进行了比较。
将 42 名照顾者随机分配到干预组。
GFI 组的参与者在治疗后和随访时的抑郁、焦虑和内疚程度显著降低。CBI 组的参与者在治疗后和随访时的焦虑和内疚程度降低。在治疗后，GFI 组中有 62.5%的参与者出现了显著的内疚变化，而 CBI 组中只有 9.09%。在随访时，GFI 组中有 58.33%的参与者恢复，而 CBI 组中只有 12.5%的参与者恢复。
这项初步研究的结果表明，有显著内疚和困扰的照顾者可能会从专门针对内疚感的干预中受益。
专门针对照顾者内疚感的新型初始干预方法可能具有减轻照顾者情绪困扰的潜力。
