Psychological interventions for carers of people with dementia: A systematic review of quantitative and qualitative evidence

Rationale: Carers of people with dementia experience significant levels of stress in their everyday role. The National Dementia Strategy in England identifies the key role that carers play in supporting people with dementia living at home, often to the detriment of their social, emotional and physical health. Aims: To add to the substantive knowledge‐base by combining search criteria used by Pinquart and Sörensen (2006) and Gallagher‐Thompson and Coon (2007) to update the literature on psychological interventions for carers of people with dementia published between 2005 and 2011. Method: Following the study inclusion criteria, comprehensive searches were conducted using the electronic databases Medline, PsycINFO, ERIC, and PubMed. Twenty studies were identified, graded and synthesised into the reported systematic review with both quantitative and qualitative studies included to maximise practice application. Results: Consistent with previous findings, three categories of psychological intervention were identified: (i) psychoeducational‐skill building (n=8); (ii) psychotherapy‐counselling (n=1); (iii) multicomponent (n=6). Our review also identified a fourth intervention category, (iv) technology‐based (n=5). The majority of studies in the updated review examine the constructs of depression, burden, social support and well‐being. The development of focused interventions for carers, whether individually tailored interventions or group interventions around a common issue, was significant for developing practice. Future studies across all categories should continue to embed supervision arrangements within their psychological intervention protocols.     

Couple Therapy Interventions for Problems with Extramarital Affairs

SUMMARY

A number of couples request therapy because of relational problems resulting from an extramarital affair. In treating such couples, five phases of cognitive and emotional aspects of problematic affairs have been identified: (1) the start, (2) suspicion and negation, (3) explosion and impulsive reactions, (4) making choices and deadlock, (5) working through. Clients may enter therapy at very different points in these phases. Some come in full crisis, others in the deadlock phase, not being able to decide what to do. A different therapeutic intervention is proposed for each phase.     

Computer Technology Review

No abstract available for this article.     

Who Benefits from Couple Relationship Education? Findings from the Largest German CRE Study

In evaluation studies on couple relationship enhancement (CRE) programs, researchers are encouraged to also investigate which couples benefit from program participation. The authors qualified 104 university students to offer an evidence-based CRE program. Up to a 15-month follow-up, the participating couples (N = 234) reported a significant decrease in unsolved relationship conflicts. A 2-day-long intensive training led to better results compared with a weekly format regarding dropouts. Couples with lower pretest satisfaction ratings reported significant improvements over time, whereas couples with initial higher ratings reported no change or a deterioration. Further predictors were identified. The findings should be taken into account in future research.     

Therapists’ perspectives about working with meaning in life in psychotherapy: A survey

Of 212 practicing therapists who completed a survey about working with meaning in life (MIL) in psychotherapy, 129 (61%) had recently worked with MIL with at least one client and reported on their work with a client in this survey. Those therapists who had worked with a client on MIL as compared with those who had not were older, more experienced, more humanistic/existential/experiential in orientation; reported more MIL training; and felt more competent working with MIL. Clients reported on primarily had internalizing, interpersonal, and career issues. Only 12% of clients explicitly labeled MIL as an issue coming into therapy. The three most frequently used interventions involved offering support; helping clients examine thoughts, feelings, and behaviors to discover hopes and goals; and facilitating exploration of MIL cognitions and experiences. Therapists reported many positive consequences from working with MIL. Therapists reported minimal training in MIL and moderate competence in working with MIL. Implications for practice, training, and research are presented.     

Migration: Vocational perspectives on a complex and diverse transition

This paper outlines the origins of this special issue: a UK Economic and Social Research Council supported seminar series on ‘Careers and Migration’. The series elucidated a number of salient (though under-researched) issues: migration as a diverse and complex process; the loss, recovery and reconstruction of career capital as central in the migration experience; insecurity, security and their dynamic interplay; the salience of relationships with family, compatriots and communities in migrants' career development; and the appropriateness of creative approaches in researching migrants' careers. The seven articles, written by interdisciplinary authorial teams (sometimes working in different occupational sectors) contribute to our understandings of these pressing concerns.     

Evaluation of a preventive intervention for child anxiety in two randomized attention-control school trials

The present research examined the effectiveness of a cognitive-behavioral therapy (CBT) based intervention program, FRIENDS, for children from grades 4 to 6, using random assignment at the school-level and an attention-control design in two longitudinal studies. The first study targeted children with anxiety symptoms (N = 191, mean age = 10.1) as screened with self, parent, and teacher-reports; the second study took a universal approach with full classrooms of children participating (N = 253, mean age = 9.8). The results showed no intervention effect in both studies, with children’s anxiety symptoms decreasing over time regardless of whether they were in the story-reading (attention control) or FRIENDS condition. The findings also indicated that girls reported a higher level of anxiety than boys and children in higher grades reported lower anxiety relative to younger children in both studies. In addition, similar patterns were found using a subgroup of children with high-anxiety symptoms from both studies.     

Improving oral reading fluency with a peer-mediated intervention

This study examined the effects of an experimentally derived, peer-delivered reading intervention on the oral reading fluency of a first-grade student who had been referred for poor reading fluency. Same-grade peers were trained to lead the target student through a structured intervention protocol based on the results of a brief experimental analysis. Results indicated that reading improvements were obtained and are discussed in terms of selecting efficient interventions for use by peers.