Kahan J, Kemp B, Staples F R, Brummel-Smith K
J Am Geriatr Soc. 1985 Oct;33(10):664-70. doi: 10.1111/j.1532-5415.1985.tb01774.x.
The purpose of this study was to investigate the efficacy of a specifically designed group support program for relatives of patients with Alzheimer's disease and related disorders. The group program included educational/supportive activities and used basic principles of the cognitive-behavioral approach. Twenty-two subjects participated in an eight-session program. Eighteen control subjects received no treatment. Measures of family burden, levels of depression, and knowledge of dementia were obtained. Experimental subjects showed a significant decrease in total family burden, whereas control subjects actually showed a significant increase, experimental subjects also showed reduction in their levels of depression. Experimental subjects showed a significantly greater improvement than did control subjects on knowledge of dementia. The acquisition of new knowledge was an important ingredient in reducing perception of burden and levels of depression, but other facets of the intervention also accounted for the improvement. Results indicated that a relatively short but intensive support experience can have a positive effect in reducing some of the burden and depression associated with the care of a demented relative.
本研究的目的是调查一项专门设计的针对阿尔茨海默病及相关病症患者亲属的团体支持项目的效果。该团体项目包括教育/支持活动，并运用了认知行为疗法的基本原则。22名受试者参加了一个为期八节的项目。18名对照受试者未接受任何治疗。获取了家庭负担、抑郁水平和痴呆症知识的测量数据。实验受试者的总家庭负担显著降低，而对照受试者实际上却显著增加，实验受试者的抑郁水平也有所降低。在痴呆症知识方面，实验受试者比对照受试者有显著更大的改善。新知识的获取是减轻负担感和抑郁水平的一个重要因素，但干预的其他方面也促成了这种改善。结果表明，相对短暂但密集的支持体验在减轻与照顾痴呆亲属相关的一些负担和抑郁方面可产生积极影响。
