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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.

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.

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  • 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.

    Source

    Aging & mental health 21:7 2017 07 pg 774-781

    MeSH

    Aged
    Aged, 80 and over
    Caregivers
    Cognitive Behavioral Therapy
    Dementia
    Family
    Female
    Follow-Up Studies
    Health Status
    Humans
    Male
    Middle Aged
    Outcome Assessment (Health Care)
    Psychotherapy, Brief
    Quality of Life
    Telephone

    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 -