期刊
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY
卷 85, 期 5, 页码 521-529出版社
AMER PSYCHOLOGICAL ASSOC
DOI: 10.1037/ccp0000176
关键词
dementia caregiving; depression; cognitive reappraisal; positive aspects of caregiving; randomized controlled trial
资金
- Research Grants Council of Hong Kong [HKIEd1001-SPPR-08]
Objective: To examine the effects of using cognitive reappraisal to find positive gains on caregivers' depressive symptoms, burden, and psychological well-being. Method: Ninety-six caregivers of persons with Alzheimer's disease were randomly assigned to receive a benefit-finding intervention or 1 of 2 treatment-as-usual conditions, namely, simplified psychoeducation (lectures only; SIM-PE) or standard psychoeducation (STD-PE). Each participant received 4 biweekly interventions of 3 hr each, over a 2-month period, at home. Results: Results showed that benefit-finding participants reported lower depressive symptoms after treatment, when compared with either SIM-PE (d = -0.46) or STD-PE (d = -0.50) participants. They also reported less role overload when compared with STD-PE participants (d = -0.46). Self-efficacy in controlling upsetting thoughts was a mediator for some of the treatment effects. Conclusion: Finding positive gains is an effective intervention to reduce depressive symptoms among Alzheimer caregivers.
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