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Modification of dysfunctional thoughts about caregiving in dementia family caregivers
 — description and outcomes of an intervention programme
Author(s)M Márquez-González, A Losada, M Izal
Journal titleAging & Mental Health, vol 11, no 6, November 2007
PublisherTaylor & Francis, November 2007
Pagespp 616-625
Sourcehttp://www.tandfonline.com
KeywordsDementia ; Family care ; Depression ; Psychiatric treatment ; Therapy ; Group work ; Projects ; Spain.
AnnotationAmong the diverse group of interventions developed to help dementia family caregivers, cognitive-behavioural approaches show especially promising results. This study describes a cognitive-behavioural group intervention aimed principally at the modification of dysfunctional thoughts associated with caregiving (MDTC). The efficacy of the MDTC intervention in reducing caregivers' depressive symptomatology, together with the frequency and appraisal of problem behaviours, is compared to that of a waiting list control group (WL). Furthermore, the potential mediating role of the dysfunctional thoughts in the relationship between this intervention and caregivers' depressive symptomatology is analysed. Of the 74 dementia caregivers who were randomised to one of two conditions (MDTC or WL), 39 completed the post-intervention assessment. Statistical analyses were performed on an intention-to-treat basis, using last observation carried forward. Results reveal that the MDTC intervention is successful in reducing caregivers' level of depressive symptomatology and dysfunctional thoughts about caregiving, as well as modifying their appraisal of their relative's problem behaviours. Furthermore, a mediating role for dysfunctional thoughts was found in the relationship between the MDTC intervention and level of depressive symptomatology. The relevance of addressing dysfunctional thoughts and cognitive distortions in group interventions with caregivers is highlighted. (RH).
Accession NumberCPA-080327213 A
ClassmarkEA: P6:SJ: ENR: LP: LO: IGG: 3E: 76S

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