Impact of Psychoeducational Interventions on Distressed Family Caregivers |
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Authors: | MISSING END TAG Gallagher-Thompson Steven Lovett Jonathan Rose Christine McKibbin David Coon Andrew Futterman Larry W Thompson |
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Institution: | (1) Geriatric Research, Education, and Clinical Center (GRECC), VA Palo Alto Health Care System, 3801 Miranda Avenue, Palo Alto, CA, 94304;(2) Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California;(3) Division of Endocrinology, Gerontology and Metabolism, Stanford University School of Medicine, Stanford, California;(4) College of the Holy Cross, Worcester, Massachusetts |
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Abstract: | This study compared the effectiveness of two active interventions to a waiting-list control condition to reduce depression and burden and increase use of adaptive coping strategies in family caregivers (N = 161) of physically and/or cognitively impaired older adults. Chi-square analysis of change in depression status from pre- to postintervention showed a higher percentage of improvement among participants in the increasing life satisfaction psychoeducational condition compared to the improvement rate in either the problem-solving psychoeducational class or the wait-list condition. Change in coping strategies and subjective level of burden also differed by group, with participants in the class conditions reporting more frequent use of cognitive or behavioral coping strategies, and less subjective burden, from pre- to postintervention. There was no change in either avoidant coping or perceived stress over time. Results show that intervention programs targeted to improve specific coping skills and psychological symptoms can have a significant impact on caregivers' distress. |
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Keywords: | caregiving depression coping burden cognitive impairment |
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