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Cognitive-Behavioral Program for Care-givers of the elderly with Dementia: Preliminary study


This study developed a preliminary cognitive-behavioral group program for the family care-givers of dementia patients, and explored its therapeutic effects on their care-giving burdens, coping skills, and psychological distress. Primary care-givers of dementia patients were recruited from a university hospital in Gyeonggi Province, Korea and a community mental health care center (N=19). The program took place weekly for 90 minutes, lasting for four weeks (four therapy sessions). A booster session was provided after two months. Treatment effect was measured by asking the participants to complete pre-, post-, and follow-up evaluation: the Short Zarit Burden Inventory (S-ZBI), Modified Conflict Tactics Scale (MCTS), Dementia Attitudes Scale (DAS), Medical Outcome Study Social Support Survey (MOS-SS), Brief COPE (B-COP), Beck Depression Inventory (BDI), and State-Trait Anxiety Inventory (STAI). Repeated measures ANOVA, and paired t-test were conducted to assess the therapeutic effect of the group program. The decrease in personal strain (S-ZBI's subscale) was maintained at two-month follow-up. The level of depression and aggressive attitude/behaviors toward dementia patients were temporarily reduced after intervention, and the use of coping skill was temporarily increased after the intervention. However, there was no significant change in the level of anxiety, attitude towards dementia, and social support. The implication and limitation of this study and suggestions for future study are discussed.

care-givers of dementia patients, care-giving burdens, depression, anxiety, coping skills, cognitive-behavioral group program, 치매노인 부양가족, 부양부담, 우울, 불안, 인지행동프로그램



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