面对面与基于电话的认知行为疗法对痴呆患者的家庭照顾者。
Face-to-face versus telephone-based cognitive-behavioral therapy for family caregivers of people with dementia.
机构信息
Department of Counseling and Clinical Intervention, Institute of Psychology, Friedrich-Schiller-University Jena, Jena, Germany.
出版信息
J Clin Psychol. 2023 Oct;79(10):2270-2287. doi: 10.1002/jclp.23538. Epub 2023 May 24.
OBJECTIVE
The objective was to directly compare the effects and acceptability of telephone-based (TEL-CBT) with face-to-face cognitive-behavioral therapy (F2F-CBT) for family caregivers of people with dementia (PwD).
METHOD
Caregivers for whom F2F participation was possible were allocated to F2F-CBT (n = 49). The other participants were randomized to TEL-CBT (n = 139) or CG (n = 134). CBT consisted of 12 sessions over 6 months.
RESULTS
TEL-CBT yielded significantly better physical health (d = 0.27) and coping with daily hassles (d = 0.38) at posttest compared to F2F-CBT. Therapist competence, acceptability, and outcomes at follow-up did not differ between TEL-CBT and F2F-CBT.
CONCLUSIONS
TEL-CBT is a valuable alternative to F2F-CBT for family caregivers of PwD as TEL-CBT has the advantage of higher accessibility while it does not significantly differ from F2F-CBT in effectiveness and caregivers' evaluation of the setting, their experience with the therapist, and their satisfaction.
目的
旨在直接比较基于电话的认知行为疗法（TEL-CBT）与面对面认知行为疗法（F2F-CBT）对痴呆患者（PwD）家属照顾者的效果和可接受性。
方法
对于能够参与 F2F 治疗的照顾者，将其分配至 F2F-CBT 组（n=49）。其余参与者随机分配至 TEL-CBT 组（n=139）或 CG 组（n=134）。CBT 包括 6 个月内的 12 次治疗。
结果
与 F2F-CBT 相比，TEL-CBT 在治疗后在身体健康（d=0.27）和应对日常琐事（d=0.38）方面表现出显著更好的效果。治疗师的能力、可接受性以及随访时的结果在 TEL-CBT 和 F2F-CBT 之间没有差异。
结论
对于 PwD 的家属照顾者，TEL-CBT 是 F2F-CBT 的一种有价值的替代疗法，因为 TEL-CBT 具有更高的可及性优势，而在效果以及照顾者对治疗环境、与治疗师的经验以及对治疗的满意度的评估方面，TEL-CBT 与 F2F-CBT 没有显著差异。
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