A Multicenter, Randomized Clinical Trial to Assess the Efficacy of a Therapeutic Intervention Program for Caregivers of People with Dementia
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Background and Purpose Caregivers experience tremendous social, financial, physical, and psychological burdens in caring for people with dementia. This study aimed to determine the efficacy of a multicomponent therapeutic intervention program for the caregivers of people with dementia (CGPWD) through a multicenter clinical trial: the intervention programcaregivers of people with dementia study. Methods The 38 caregivers of dementia patients at 8 sites were randomized into 2 groups: treatment (n=19) and control (n=19). The treatment group received the intervention program for 8–10 weeks, including one group session for dementia education and three individual sessions (on cognitive behavioral therapy, coping with stress, and stress management) and single targeted training for daily activities. The Korean version of the Zarit Burden Interview (ZBI-K) and the Geriatric Depression Scale (GDS) were evaluated at pre- and postintervention as primary efficacy measures. Results The treatment group displayed significant improvements in scores on the ZBI-K and GDS. The ZBI-K score at postintervention was significantly reduced in the treatment group compared to that in the control group [6.2-point decrease vs. 3.7-point increase, t(37)=-2.9, p< 0.01]. There was a significant difference in the GDS score between the treatment and control groups [2.2-point decrease vs. 1.3-point increase, t(18)=2.5, p<0.05]. Conclusions The findings of this study imply that a multicomponent therapeutic intervention program is effective in reducing the burden experienced by and depression among CGPWD. Further research is warranted to investigate the long-term effects of the intervention program for CGPWD.
Abstract
Background and Purpose Caregivers experience tremendous social, financial, physical, and psychological burdens in caring for people with dementia. This study aimed to determine the efficacy of a multicomponent therapeutic intervention program for the caregivers of people with dementia (CGPWD) through a multicenter clinical trial: the intervention programcaregivers of people with dementia study. Methods The 38 caregivers of dementia patients at 8 sites were randomized into 2 groups: treatment (n=19) and control (n=19). The treatment group received the intervention program for 8–10 weeks, including one group session for dementia education and three individual sessions (on cognitive behavioral therapy, coping with stress, and stress management) and single targeted training for daily activities. The Korean version of the Zarit Burden Interview (ZBI-K) and the Geriatric Depression Scale (GDS) were evaluated at pre- and postintervention as primary efficacy measures. Results The treatment group displayed significant improvements in scores on the ZBI-K and GDS. The ZBI-K score at postintervention was significantly reduced in the treatment group compared to that in the control group [6.2-point decrease vs. 3.7-point increase, t(37)=-2.9, p< 0.01]. There was a significant difference in the GDS score between the treatment and control groups [2.2-point decrease vs. 1.3-point increase, t(18)=2.5, p<0.05]. Conclusions The findings of this study imply that a multicomponent therapeutic intervention program is effective in reducing the burden experienced by and depression among CGPWD. Further research is warranted to investigate the long-term effects of the intervention program for CGPWD.
참고문헌 (24)
- National Institute of Dementia annual report 2017, "National Institute of Dementia(KR)", National Institute of Dementia, ~ (2018)
- George LK, "Caregiver well-being : a multidimensional examination of family caregivers of demented adults", Gerontologist, 26, pp.253~259 (1986)
- Dauphinot V, "Risk factors of caregiver burden among patients with Alzheimer’s disease or related disorders : a cross-sectional study", J Alzheimers Dis, 44, pp.907~916 (2015)
- Garand L, "Caregiving burden and psychiatric morbidity in spouses of persons with mild cognitive impairment", Int J Geriatr Psychiatry, 20, pp.512~522 (2005)
- Epstein-Lubow G, "Family caregiver health : what to do when a spouse or child needs help", Med Health R I, 92, pp.106~107 (2009)
- Youn GH, "Cultural differences in psychological burden and caregiving obligation of primary caregivers for senile dementia patients", J Korean Geriatr Soc, 18, pp.75~90 (1998)
- Steinberg M, "The persistence of neuropsychiatric symptoms in dementia : the Cache County Study", Int J Geriatr Psychiatry, 19, pp.19~26 (2004)
- Aalten P, "The course of neuropsychiatric symptoms in dementia. Part I: findings from the two-year longitudinal Maasbed study", Int J Geriatr Psychiatry, 20, pp.523~530 (2005)
- Luppa M, "Prediction of institutionalisation in dementia. A systematic review", Dement Geriatr Cogn Disord, 26, pp.65~78 (2008)
- Gaugler JE, "Early communitybased service utilization and its effects on institutionalization in dementia caregiving", Gerontologist, 45, pp.177~185 (2005)
- 권오영, "Effectiveness of Cognitive Behavioral Therapy for Caregivers of People with Dementia: A Systematic Review and Meta-Analysis", Journal of Clinical Neurology, 13(4), pp.394~404 (2017), 대한신경과학회[DOI]
- 염지영, "Recent Updates of Therapeutic Intervention Programs for Caregivers of Patient with Dementia: Proposal of Hospital-Based Individual Therapy", Dementia and Neurocognitive Disorders(대한치매학회지), 15(2), pp.29~36 (2016), 대한치매학회[DOI]
- Morris JC, "The clinical dementia rating(CDR) : current version and scoring rules", Neurology, 43, pp.2412~2414 (1993)
- Kang Y, "A validity study on the Korean Mini-Mental State Examination(K-MMSE)in dementia patients", J Korean Neurol Assoc, 15, pp.300~307 (1997)
- Elliott AF, "Enhancing caregiver health : findings from the resources for enhancing Alzheimer’s caregiver health II intervention", J Am Geriatr Soc, 58, pp.30~37 (2010)
- 이형석, "치매 환자 보호자의 스트레스 평가: 기억 및 행동문제점검- 개정판(Revised-Memory and Behavior Problem Checklist: R-MBPC)과 부담조사(Burden Interview: BI)의 신뢰도 및 타당도", Korean Journal of Clinical Psychology, 23(4), pp.1029~1050 (2004), 한국임상심리학회
- 박명화, "복합적 심리교육 프로그램이 치매 환자 가족의 부양부담, 우울, 문제대처행위에 미치는 효과", 노인간호학회지, 17(1), pp.10~19 (2015), 한국노인간호학회[DOI]
- Cho MJ, "Validation of geriatric depression scale, Korean version(GDS)in the assessment of DSM-III-R major depression", J Korean Neuropsychiatr Assoc, 38, pp.48~63 (1999)
- 유경, "한국판 노인용 사기 척도(PGCMS)의 타당화 연구", 한국노년학, 32(1), pp.207~222 (2012), 한국노년학회
- Kang SJ, "Caregiver-administered neuropsychiatric inventory(CGA-NPI)", J Geriatr Psychiatry Neurol, 17, pp.32~35 (2004)
- 이현희, "한국판 정적 정서 및 부적 정서 척도 (Positive Affect and Negative Affect Schedule; PANAS)의 타당화 연구", Korean Journal of Clinical Psychology, 22(4), pp.935~946 (2003), 한국임상심리학회
- 허재홍, "한국어판 수용-행동 질문지Ⅱ 신뢰도 및 타당도 연구", 한국심리학회지: 상담 및 심리치료, 21(4), pp.861~878 (2009), 한국상담심리학회
- 김경의, "한국판 자기-자비 척도의 타당화 연구 : 대학생을 중심으로", 한국심리학회지: 건강, 13(4), pp.1023~1044 (2008), 한국건강심리학회[DOI]
- 최정용, "지역사회 치매 조호자들의 치매에 대한 태도의 연관 인자 연구", 노인정신의학, 19(1), pp.24~31 (2015), 대한노인정신의학회