Cognitive–behavioral therapy (CBT) versus acceptance and commitment therapy (ACT) for dementia family caregivers with significant depressive symptoms: Results of a randomized clinical trial.

Losada, Andrés; Márquez‐González, María; Romero‐Moreno, Rosa; Mausbach, Brent T.; López, Javier; Fernáñdez-Fernández, Virginia; Nogales-González, Celia

doi:10.1037/ccp0000028

Cited by 206 publications

(220 citation statements)

References 57 publications

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“…Interventions to improve cognition in PwP may improve both patient (Lawson et al, ) and carer QoL. Carers of PwP and cognitive impairment may benefit from cognitive behavioural therapy or acceptance and commitment therapy, which have been effected for dementia caregivers (Losada et al, ). Further research is needed to substantiate these findings, particularly to determine the longitudinal impact and potential protective factors of carer QoL.…”

Section: Resultsmentioning

confidence: 99%

Cognitive impairment in Parkinson's disease: impact on quality of life of carers

Lawson

Yarnall

Johnston

et al. 2016

Int J Geriat Psychiatry

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BackgroundThe quality of life (QoL) of informal caregivers of people with Parkinson's disease (PD) (PwP) can be affected by the caring role. Because of cognitive symptoms and diminished activities of daily living, in addition to the management of motor symptoms, carers of PwP and cognitive impairment may experience increased levels of burden and poorer QoL compared with carers of PwP without cognitive impairment. This study aimed to investigate the impact of cognitive impairment in PD upon QoL of carers.MethodsApproximately 36 months after diagnosis, 66 dyadic couples of PwP and carers completed assessments. PwP completed a schedule of neuropsychological assessments and QoL measures; carers of PwP completed demographic questionnaires and assessments of QoL. Factor scores of attention, memory/executive function and global cognition, as derived by principal component analysis, were used to evaluate cognitive domains.ResultsHierarchical regression analysis found lower Montreal Cognitive Assessment was a significant independent predictor of poorer carer QoL, in addition to number of hours spent caregiving, carer depression and PD motor severity. Attentional deficits accounted for the largest proportion of variance of carer QoL. Carers of PwP and dementia (n = 9) had significantly poorer QoL scores compared with PwP and mild cognitive impairment (n = 18) or normal cognition (n = 39) carers (p < 0.01).ConclusionsAttentional deficits were the strongest predictor of carer QoL compared with other cognitive predictors. Carers for those with PD dementia reported the poorest QoL. Interventions such as respite or cognitive behavioural therapy to improve mood and self‐efficacy in carers may improve carer QoL. © 2016 The Authors. International Journal of Geriatric Psychiatry published by John Wiley & Sons, Ltd.

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Section: Resultsmentioning

confidence: 99%

Cognitive impairment in Parkinson's disease: impact on quality of life of carers

Lawson

Yarnall

Johnston

et al. 2016

Int J Geriat Psychiatry

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“…A variety of mindfulness‐based training programmes have been developed, including acceptance and commitment therapy (Losada et al . ; Reid et al . ; Beh‐Pajooh et al .…”

Section: Discussionmentioning

confidence: 99%

“…These findings highlight the need to provide caregivers of aggressive individuals with DD trainings on how to increase mindfulness and healthy coping mechanisms. A variety of mindfulness-based training programmes have been developed, including acceptance and commitment therapy (Losada et al 2015;Reid et al 2016;Beh-Pajooh et al 2018;Corti et al 2018), which teach mindfulness skills with the goal of increasing cognitive flexibility and value-based actions when responding to daily problems; mindfulness-based stress reduction (Bazzano et al 2015;Sizoo & Kuiper 2017;Kor et al 2018), a meditation-based approach that emphasises combining meditation with mindfulness, yoga and body awareness to cope with pain and stressors; and mindfulness-based positive behaviour supports (Singh et al 2015;Singh et al 2016), which target mindful approaches to responding to problem behaviour in care recipients with DD. Given the high rate of turnover in the DD field and the potential for negative effects that turnover has on care recipients with DD, our results showing support for mindfulness and coping as protective factors against burnout, and the support for mindfulness as a protective factor against turnover, indicate the need to increase the availability of such programmes to DSPs.…”

Section: Discussionmentioning

confidence: 99%

Effects of mindfulness, coping styles and resilience on job retention and burnout in caregivers supporting aggressive adults with developmental disabilities

Nevill

Havercamp

2019

J intellect Disabil Res

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Background Considering the growing body of studies investigating the effects of mindfulness‐based interventions on caregivers supporting people with developmental disabilities, the current study aimed to explore the role that the cognitive processes of mindfulness, coping style and resilience played in predicting caregiver retention and burnout among a sample of direct support professionals working with aggressive adults with developmental disabilities. Methods Ninety‐seven direct support professionals were surveyed to determine level of mindfulness, coping styles, resilience and burnout and were interviewed 3 months later to determine if they were still working with the aggressive adult. Results Mindfulness skills of describing non‐judgmentally and observing one's environment, as well as problem‐focused coping, emerged as protective factors against burnout, while avoidance‐focused and maladaptive coping emerged as risk factors. Mindful openness acted as the only predictor of job retention. Conclusions These results support that paid caregivers should receive trainings in mindfulness and positive coping mechanisms as part of their job trainings, to promote positive outcomes for both themselves and the people they support.

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“…Among these interventions, we have problem-solving interventions [49], benefit-finding and positive reappraisal interventions [50], acceptance and control of dysfunctional thoughts [51], and interventions aimed to strengthen social support [52]. …”

Section: Discussionmentioning

confidence: 99%

Coping strategies and quality of life in caregivers of dependent elderly relatives

Pérez

Abreu-Sánchez

Rojas-Ocaña

et al. 2017

Health Qual Life Outcomes

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BackgroundDespite the importance of coping in caregiving, there are few studies on the relationship between coping and quality of life in caregivers of the frail dependent elderly. Thus, this study aims to analyze the relationship between coping strategies and quality of life dimensions in primary caregivers of dependent elderly relatives.MethodsA cross-sectional study was conducted from 86 caregivers. Predictive variables were coping strategies (problem-focused, emotion-focused, socially-supported, and dysfunctional); dependent variables were quality of life dimensions (psychological, physical, relational, and environmental); and potential confounding variables were age, gender, perceived health and burden of caregiver, and functional capacity of care receiver. Correlation coefficients were calculated and multiple linear regression analysis was performed.ResultsAfter controlling for potential confounders, dysfunctional coping was related to worse quality of life in the psychological dimension, while emotion-focused and socially-supported coping were related to superior psychological and environmental dimensions of quality of life. The physical and relational dimensions of quality of life were not related to coping strategies.Conclusions1) it is important to consider coping strategies in the assessment of primary caregivers of dependent elderly relatives; 2) the quality of life of caregivers is related to their coping strategies, 3) their quality of life can be worsened by avoidance-type coping, and 4) their quality of life can be improved by active emotion-focused coping and socially-supported coping.

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Cognitive–behavioral therapy (CBT) versus acceptance and commitment therapy (ACT) for dementia family caregivers with significant depressive symptoms: Results of a randomized clinical trial.

Abstract: Similar results were obtained for ACT and CBT. ACT seems to be a viable and effective treatment for dementia caregivers.

Cited by 206 publications

References 57 publications

Cognitive impairment in Parkinson's disease: impact on quality of life of carers

Cognitive impairment in Parkinson's disease: impact on quality of life of carers

Effects of mindfulness, coping styles and resilience on job retention and burnout in caregivers supporting aggressive adults with developmental disabilities

Coping strategies and quality of life in caregivers of dependent elderly relatives

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