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Are psychotherapeutic effects on family caregivers of people with dementia sustainable? Two-year long-term effects of a telephone-based cognitive behavioral intervention.
Aging Ment Health 2017; 21(7):774-781AM

Abstract

OBJECTIVES

Evaluation of long-term effects of an individualized short-term telephone intervention (seven sessions), based on a comprehensive cognitive behavioral therapy (CBT) approach. The study goal was to evaluate the maintenance of intervention effects regarding well-being, quality of life, and health at two years post treatment.

METHOD

Participants (n = 105) were (partly) randomized after baseline assessment in a two-arm study (intervention, control group/usual care). Depressive symptoms were assessed with the German version of the Center for Epidemiologic Studies Depression Scale (CES-D). Caregivers' physical complaints were measured with the Gieβener Beschwerdebogen (GBB-24), and quality of life with the World Health Organization quality of life -BREF (WHOQOL-BREF). Emotional well-being and perceived health status were assessed using thermometer scaling. Data were analyzed by intention-to-treat analyses, including for those who terminated the intervention prematurely but still delivered data, using ANCOVAs.

RESULTS

Long-term intervention effects were found for emotional well-being (p = 0.019). For the subgroup of caregivers who were still caring at home at follow-up, the intervention led to an increased health status (p = 0.023), fewer bodily complaints (global measure p= 0.014, rheumatic pain p = 0.027, heart trouble p = 0.042), and a higher quality of life (overall p = 0.044 and subscale environment p = 0.030).

CONCLUSION

The short-term CBT intervention via telephone showed long-term effects two years after treatment on emotional well-being, health status, bodily complaints, and quality of life.

Authors+Show Affiliations

a Department of Clinical Intervention , Friedrich Schiller University Jena , Institute of Psychology , Jena , Germany.a Department of Clinical Intervention , Friedrich Schiller University Jena , Institute of Psychology , Jena , Germany.b Department of Methodology and Evaluation Research , University of Hildesheim , Institute of Psychology , Hildesheim , Germany.

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

26954588

Citation

Wilz, Gabriele, et al. "Are Psychotherapeutic Effects On Family Caregivers of People With Dementia Sustainable? Two-year Long-term Effects of a Telephone-based Cognitive Behavioral Intervention." Aging & Mental Health, vol. 21, no. 7, 2017, pp. 774-781.
Wilz G, Meichsner F, Soellner R. Are psychotherapeutic effects on family caregivers of people with dementia sustainable? Two-year long-term effects of a telephone-based cognitive behavioral intervention. Aging Ment Health. 2017;21(7):774-781.
Wilz, G., Meichsner, F., & Soellner, R. (2017). Are psychotherapeutic effects on family caregivers of people with dementia sustainable? Two-year long-term effects of a telephone-based cognitive behavioral intervention. Aging & Mental Health, 21(7), pp. 774-781. doi:10.1080/13607863.2016.1156646.
Wilz G, Meichsner F, Soellner R. Are Psychotherapeutic Effects On Family Caregivers of People With Dementia Sustainable? Two-year Long-term Effects of a Telephone-based Cognitive Behavioral Intervention. Aging Ment Health. 2017;21(7):774-781. PubMed PMID: 26954588.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Are psychotherapeutic effects on family caregivers of people with dementia sustainable? Two-year long-term effects of a telephone-based cognitive behavioral intervention. AU - Wilz,Gabriele, AU - Meichsner,Franziska, AU - Soellner,Renate, Y1 - 2016/03/08/ PY - 2016/3/10/pubmed PY - 2018/3/16/medline PY - 2016/3/9/entrez KW - Long-term evaluation KW - cognitive behavioral therapy (CBT) KW - dementia KW - family caregiving KW - telephone intervention SP - 774 EP - 781 JF - Aging & mental health JO - Aging Ment Health VL - 21 IS - 7 N2 - OBJECTIVES: Evaluation of long-term effects of an individualized short-term telephone intervention (seven sessions), based on a comprehensive cognitive behavioral therapy (CBT) approach. The study goal was to evaluate the maintenance of intervention effects regarding well-being, quality of life, and health at two years post treatment. METHOD: Participants (n = 105) were (partly) randomized after baseline assessment in a two-arm study (intervention, control group/usual care). Depressive symptoms were assessed with the German version of the Center for Epidemiologic Studies Depression Scale (CES-D). Caregivers' physical complaints were measured with the Gieβener Beschwerdebogen (GBB-24), and quality of life with the World Health Organization quality of life -BREF (WHOQOL-BREF). Emotional well-being and perceived health status were assessed using thermometer scaling. Data were analyzed by intention-to-treat analyses, including for those who terminated the intervention prematurely but still delivered data, using ANCOVAs. RESULTS: Long-term intervention effects were found for emotional well-being (p = 0.019). For the subgroup of caregivers who were still caring at home at follow-up, the intervention led to an increased health status (p = 0.023), fewer bodily complaints (global measure p= 0.014, rheumatic pain p = 0.027, heart trouble p = 0.042), and a higher quality of life (overall p = 0.044 and subscale environment p = 0.030). CONCLUSION: The short-term CBT intervention via telephone showed long-term effects two years after treatment on emotional well-being, health status, bodily complaints, and quality of life. SN - 1364-6915 UR - https://www.unboundmedicine.com/medline/citation/26954588/Are_psychotherapeutic_effects_on_family_caregivers_of_people_with_dementia_sustainable_Two_year_long_term_effects_of_a_telephone_based_cognitive_behavioral_intervention_ L2 - http://www.tandfonline.com/doi/full/10.1080/13607863.2016.1156646 DB - PRIME DP - Unbound Medicine ER -