Poudevida S, de Sola S, Brugulat-Serrat A, Mas-Vall Llosera G, Castillo A, Huesa G, Piromalli D, Gramunt-Fombuena N
Fundación Pasqual Maragall, Barcelona, España.
Hospital del Mar Medical Research Institute, Barcelona, España.
Rev Neurol. 2022 Oct 16;75(8):203-211. doi: 10.33588/rn.7508.2022180.
Caregivers of patients with Alzheimer's Disease experience physical and emotional burnout that can be treated with non-pharmacological interventions.
Assess the efficacy of a group cognitive behavioural psychotherapeutic intervention, for improving well-being perception in caregivers, compared to a support group. Also, we assessed its efficacy after a follow-up period of 1-year post-intervention.
A multicentre, open, quasi experimental study with control group was conducted. 221 caregivers of patients with Alzheimer's Disease, with mild to moderate-severe dementia, were non-randomly assigned to either IG-intervention group: psychotherapeutic program without active follow-up period (n = 80); IGF-intervention group: psychotherapeutic program with active follow-up period (n = 78); or CG-control group: support program with active follow-up period (n = 63). The psychotherapeutic intervention (IG and IGF) is a structured cognitive behavioural group program, of one weekly session over four months. The CG had the same duration. Caregiver's burden, mood disorders, resilience, perceived functional social support and quality of life were measured at baseline, post-intervention and after 1-year follow-up.
At post-intervention, statistically significant improvements were observed in the IG and IGF compared to CG in caregiver burden (p = 0,0216). After one year follow-up, significant improvements were found in IGF compared to IG in emotional state (p = 0,0271), resilience (p = 0,0018), perceived social support (p = 0,014); quality of life (p = 0,0001) and mental health (p = 0,0002); and in CG versus GI in emotional state and social support (p < 0,05).
These results support the efficacy of this psychotherapeutic intervention for improving well-being (burden), and the supportive follow-up period for increasing its efficacy.
阿尔茨海默病患者的照料者会经历身体和情感上的倦怠，非药物干预可以对其进行治疗。
与支持小组相比，评估团体认知行为心理治疗干预对改善照料者幸福感认知的疗效。此外，我们还评估了干预后1年随访期的疗效。
进行了一项多中心、开放性、有对照组的准实验研究。221名患有轻度至中度重度痴呆的阿尔茨海默病患者的照料者被非随机分配到以下组：IG干预组：无积极随访期的心理治疗项目（n = 80）；IGF干预组：有积极随访期的心理治疗项目（n = 78）；或CG对照组：有积极随访期的支持项目（n = 63）。心理治疗干预（IG和IGF）是一个结构化的认知行为团体项目，为期四个月，每周一次。CG的时长相同。在基线、干预后和1年随访后测量照料者的负担、情绪障碍、恢复力、感知到的功能性社会支持和生活质量。
干预后，与CG相比，IG和IGF在照料者负担方面有统计学上的显著改善（p = 0.0216）。1年随访后，与IG相比，IGF在情绪状态（p = 0.0271）、恢复力（p = 0.0018）、感知到的社会支持（p = 0.014）、生活质量（p = 0.0001）和心理健康（p = 0.0002）方面有显著改善；与GI相比，CG在情绪状态和社会支持方面有改善（p < 0.05）。
这些结果支持了这种心理治疗干预对改善幸福感（负担）的疗效，以及支持性随访期对提高其疗效的作用。
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