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The effects of cognitive-behavioral group interventionin reducing psychological distressin primary caregivers of persons with dementia

Abstract

The purpose of this study was to examine the effects on the reduction of caregiving burden, depression, and anxiety of the primary caregivers of persons with dementia in comparison with a control group. The cognitive-behavioral intervention program was developed by Lee and Youn(2005). The program consisted of 3 parts; psychological education, stress management, and coping skills. 31 primary caregivers were recruited in Y and S hospitals in Gwangju and Chonnam area and divided into 2 groups i.e Intervention Group(n=15) and Control Group(n=16) with the homogeneous characteristics of the demographic traits and the severity of persons with dementia in activities of daily living skill, memory problems, and behavior problems. The study also investigated the long-term effect(3 month) of the intervention program. Study took 3 groups proceeded one after another because there were not sufficient persons at the same time from June 2004 to March 2005. All the caregivers participing in the study responded to the same questionnaire 3 times such as, before the intervention(pre), after the intervention(post), and 3 month after the intervention(follow-up). The data was analyzed with repeated measure ANOVA, paired t-test and t-test. There was a significant reduction in caregiving burden, depression and anxiety in the intervention group, compared with control group at post treatment and follow-up after 3 months which indicated the continuity of intervention effect. However, in the control group, there was no changes during the sametime. The conclusion of the study was that cognitive behaviour intervention can have significant benefits to caregivers of persons with dementia. In the last part of the study, the suggestions, the limitations, and the direction of the further study were discussed.

keywords
caregiver, caregiving stress, cognitive-behavioral programme, dementia특 성개입집단(n=15)통제집단(n=16)χ2pN (%)N (%)성별남자1 ( 6.7)5 (31.3)3.00.08여자14 (93.3)11 (68.8)결혼상태미혼0 ( 0.0)2 (12.5)2.97.23배우자 생존14 (93.3)14 (87.5), caregiver, caregiving stress, cognitive-behavioral programme, dementia특 성개입집단(n=15)통제집단(n=16)χ2pN (%)N (%)성별남자1 ( 6.7)5 (31.3)3.00.08여자14 (93.3)11 (68.8)결혼상태미혼0 ( 0.0)2 (12.5)2.97.23배우자 생존14 (93.3)14 (87.5), 부양스트레스, 인지행동프로그램, 주부양자, 치매

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