Efectos del entrenamiento en estrategias de regulación emocional en el bienestar de cuidadores de enfermos de Alzheimer

Cognitive Behavioral Therapy for Depression, Anxiety, and Stress in Caregivers of Dementia Patients: A Systematic Review and Meta-Analysis

“…Relative to the comparator groups, depression was not significantly reduced by individual CBT, but was by group formats; SMD=-0.04; 95% CI: -0.28 to 0.21; p=0.76 (Losada et al, 2015; and SMD=-0.45; 95% CI: -0.61 to -0.30; p<0.001 (Arango-Lasprilla et al, 2014;Coon et al, 2003;Gallagher-Thompson et al, 2003;Gendron et al, 1996;Losada-Baltar et al, 2004;Losada et al, 2011Losada et al, , 2005Márquez-González et al, 2007), respectively. This finding was similar for stress; individual CBT did not lead to statistically significant reductions relative to comparators (SMD=-0.20; 95% CI: -0.54 to 0.14; p=0.26) (Bourgeois et al, 2002;Gallagher-Thompson et al, 2007;Quayhagen et al, 2000), whereas group CBT did (SMD=-0.41; 95% CI: -0.59 to -0.23; p<0.001) (Arango-Lasprilla et al, 2014; Etxeberria- Etxeberria Arritxabal et al, 2014;Gallagher-Thompson et al, 2008;Losada-Baltar et al, 2004;Losada et al, 2005). Neither individual nor group CBT significantly reduced caregivers' anxiety, relative to a comparator treatment; SMD=0.14; 95% CI: -0.05 to 0.33; p=0.14 (Bourgeois et al, 2002;Gonyea et al, 2016;Livingston et al, 2013;Losada et al, 2015;Quayhagen et al, 2000) and SMD=0.00; 95% CI: -0.59 to 0.58; p=0.99 (Akkerman & Ostwald, 2004;Gendron et al, 1996;Gonyea et al, 2016;Gonzalez et al, 2014;Hébert et al, 2003;Passoni et al, 2014), respectively.…”

“…CBT interventions comprising ≤8 and >8 total number of sessions both demonstrated statistically significant reductions in depression; SMD=-0.34; 95% CI: -0.61 and -0.07; p=0.01 Gendron et al, 1996;Losada-Baltar et al, 2004;Losada et al, 2015Losada et al, , 2005Márquez-González et al, 2007;Quayhagen et al, 2000; and SMD=-0.38; 95% CI: -0.56 to -0.19; p<0.001 (Coon et al, 2003;Gallagher-Thompson et al, 2003;Kamkhagi et al, 2015;Losada et al, 2011), respectively. Stress was also significantly reduced relative to comparators in both groups receiving ≤8 and >8 CBT sessions; SMD=-0.43; 95% CI: -0.69 to -0.17; p=0.001 Gallagher-Thompson et al, 2007;Losada-Baltar et al, 2004;Losada et al, 2005;Quayhagen et al, 2000) and SMD=-0.32; 95% CI: -0.52 to -0.11; p=0.003 (Bourgeois et al, 2002;Etxeberria-Arritxabal et al, 2005;Etxeberria Arritxabal et al, 2014;Gallagher-Thompson et al, 2008), respectively. The number of CBT sessions did not significantly influence anxiety levels: ≤8 sessions (SMD=0.22; 95% CI: -0.14 to 0.59; p=0.23) (Gendron et al, 1996;Gonzalez et al, 2014;Losada et al, 2015;Passoni et al, 2014;Quayhagen et al, 2000) and >8 sessions (SMD= -0.09; 95% CI: -0.58 to 0.40; p=0.71) (Akkerman & Ostwald, 2004;Bourgeois et al, 2002;Hébert et al, 2003).…”

“…Caregivers receiving CBT demonstrated statistically significant reductions in depression (n=12; 995 participants; SMD=-0.34; 95% CI -0.47 to -0.21; p<0.001) (Arango-Lasprilla et al, 2014;Coon, Thompson, Steffen, Sorocco, & Gallagher-Thompson, 2003;Gallagher-Thompson et al, 2003;Gendron, Poitras, Dastoor, & Perodeau, 1996;Kamkhagi et al, 2015;Losada-Baltar et al, 2004;Losada et al, 2015Losada et al, , 2011Losada et al, , 2005Márquez-González et al, 2007;Quayhagen et al, 2000; and stress (n=9; 626 participants; SMD=-0.36; 95% CI -0.52 to -0.20; p<0.001) (Arango-Lasprilla et al, 2014;Bourgeois, Schulz, Burgio, & Beach, 2002;Etxeberria-Arritxabal et al, 2005;Etxeberria Arritxabal et al, 2014;Gallagher-Thompson et al, 2007;Gallagher-Thompson, Gray, Dupart, Jimenez, & Thompson, 2008;Losada-Baltar et al, 2004;Losada et al, 2005;Quayhagen et al, 2000) relative to comparator groups immediately after the intervention end-point ( Figure 2A; Figure 2B; Table 3). There was no significant difference in caregiver anxiety (n=10; 829 participants; SMD=0.10 (95% CI -0.18 to 0.39; p=0.47) (Akkerman & Ostwald, 2004;Bourgeois et al, 2002;Gendron et al, 1996;Gonyea, Lopez, & Velasquez, 2016;Gonzalez, Polansky, Lippa, Gitlin, & Zauszniewski, 2014;Hébert et al, 2003;Livingston, Barber, Rapaport, Knapp, & Griffin, 2013;Losada-Baltar et al, 2004;Passoni et al, 2014;Quayhagen et al, 2000) between those receiving CBT and the comparator groups, immediately following completion of the inter...…”

Evaluation of the effects a caregiver training programme has on the cognitive and functional maintenance of the elderly / Valoración de los efectos de un programa de formación de cuidadores sobre el mantenimiento cognitivo y funcional de ancianos

“…In addition, these results show that caregivers not only benefit from programmes aimed at reducing burnout and emotional distress (Etxeberria et al, 2011) but also benefit from programmes that train them in communication, personal knowledge and cognitive stimulation strategies and the application of those resources in daily care.…”

“…Además, estos resultados muestran que los cuidadores no sólo se benefician de programas dirigidos a disminuir el burnout y el malestar emocional (Etxeberria et al, 2011). También se benefician de programas que les formen en la comunicación, conocimiento personal y estrategias de estimulación cognitiva para aplicar en el cuidado diario.…”