Confirmatory factor analysis of the Spanish version of the revised memory and behavior problems checklist

Cabrera

et al. 2020

Psychology and Aging

Self Cite

Caregiver distress is a complex, multicausal phenomenon. Most of the available interventions for caregivers are protocolized or manualized. A case formulation approach may be more appropriate, as it provides the opportunity for assessing and treating specific dysfunctional mechanisms explaining each caregiver’s needs and causes of distress, through the design of an individualized modular intervention. In the present study, a randomized controlled study has been done in which a functional analysis-guided modular intervention (FAMI) was developed. The FAMI was compared with two manualized intervention (cognitive-behavioral therapy and acceptance and commitment therapy) which have received preliminary support, and a control group (waiting list). Mixed-effect models and clinical significance analyses were performed. Results suggest that all the interventions were effective in reducing depressive and anxious symptomatology at postintervention assessment, with large effect sizes, and with reductions in depression being maintained at follow-up. Regarding anxiety, long-term effects have been found only for the FAMI intervention. Results also suggest positive effects associated with the FAMI intervention in the long term with regards to comorbidity between depressive and anxious symptomatology. FAMI presents great potential for reducing dementia caregivers’ levels of distress, being especially effective in maintaining therapeutic effects in the long term.

Section: Methodsmentioning

confidence: 99%

Tailored versus manualized interventions for dementia caregivers: The functional analysis-guided modular intervention.

Márquez‐González

Cabrera

et al. 2020

Psychology and Aging

Self Cite

“…The Spanish validation (Nogales-González et al, 2015) of the frequency scale from the Revised Memory and Behavior Problems Checklist (Teri et al, 1992) was used. Twenty-four items reflecting behavioral, depressive, or memory problems in persons with dementia (e.g.…”

Section: Frequency Of Be Ha Vioral and Psychological Sy Mpt Oms Of Dement Iamentioning

confidence: 99%

Associations between pleasant events, activity restriction, stressors, and blood pressure in caregivers of persons with dementia

Vara‐García

Känel

et al. 2021

Int. Psychogeriatr.

Self Cite

Objectives: Caring for a relative with dementia is associated with adverse consequences for cardiovascular health. Cognitive and behavioral factors, such as high perceived activity restriction and low frequency of pleasant events have been found to be associated with higher levels of blood pressure, but the role these variables play in the stress and coping process remains understudied. The objective of this study is to analyze the associations between behavioral and psychological symptoms of dementia, activity restriction, frequency of pleasant events, and mean arterial pressure. Design: Face-to-face interviews and cross-sectional analyses. Setting: Social services, healthcare centers, and adult day services of Comunidad de Madrid, Spain. Participants: One hundred and two family caregivers of a spouse or parent with dementia. Measurements: Apart from various sociodemographic and health-related variables, behavioral and psychological symptoms of dementia, activity restriction, and frequency of leisure activities were assessed. In addition, measurement of blood pressure levels was conducted through an electronic sphygmomanometer. Results: The obtained model suggests that there is a significant indirect association between behavioral and psychological symptoms of dementia and mean arterial pressure through activity restriction and frequency of pleasant events. Conclusions: The findings of this study provide preliminary support for a potential indirect effect between behavioral and psychological symptoms of dementia and blood pressure, through the effects of behavioral and psychological symptoms of dementia on the caregivers’ levels of activity restriction and frequency of pleasant activities. Our manuscript provides additional support for the pleasant events and activity restriction model (Mausbach et al., 2011; Chattillion et al., 2013), by highlighting the importance of considering caregiving stressors as a source of caregivers’ activity restriction in the theoretical framework of the model.

“…This study was approved by the Spanish Ministry of Science and Innovation, the Spanish Ministry of Economy and Competitiveness, and the Ethics Committee at the Universidad Rey Juan Carlos (Madrid). This variable was assessed using the Spanish version(Nogales et al, 2015) of the disruptive subscale from the Revised Memory and Behavior Problems Checklist…”

mentioning

confidence: 99%

Stressors and anxiety in dementia caregiving: multiple mediation analysis of rumination, experiential avoidance, and leisure

Losada

Márquez‐González

2016

Int. Psychogeriatr.

The results suggest that caregivers' experiential avoidance, rumination, and leisure satisfaction may function as mechanisms through which BPSD influence on caregivers' anxiety. Training caregivers in reducing their levels of experiential avoidance and rumination by techniques that foster their ability of acceptance of their negative internal experiences, and increase their level of leisure satisfaction, may be helpful to reduce their anxiety symptoms developed by stressors.