A randomized clinical trial of Behavioral Activation (BA) therapy for improving psychological and physical health in dementia caregivers: results of the Pleasant Events Program (PEP).
Data(s) |
01/10/2013
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Resumo |
Dementia caregiving is associated with elevations in depressive symptoms and increased risk for cardiovascular diseases (CVD). This study evaluated the efficacy of the Pleasant Events Program (PEP), a 6-week Behavioral Activation intervention designed to reduce CVD risk and depressive symptoms in caregivers. One hundred dementia family caregivers were randomized to either the 6-week PEP intervention (N = 49) or a time-equivalent Information-Support (IS) control condition (N = 51). Assessments were completed pre- and post-intervention and at 1-year follow-up. Biological assessments included CVD risk markers Interleukin-6 (IL-6) and D-dimer. Psychosocial outcomes included depressive symptoms, positive affect, and negative affect. Participants receiving the PEP intervention had significantly greater reductions in IL-6 (p = .040), depressive symptoms (p = .039), and negative affect (p = .021) from pre- to post-treatment. For IL-6, clinically significant improvement was observed in 20.0% of PEP participants and 6.5% of IS participants. For depressive symptoms, clinically significant improvement was found for 32.7% of PEP vs 11.8% of IS participants. Group differences in change from baseline to 1-year follow-up were non-significant for all outcomes. The PEP program decreased depression and improved a measure of physiological health in older dementia caregivers. Future research should examine the efficacy of PEP for improving other CVD biomarkers and seek to sustain the intervention's effects. |
Formato |
application/pdf |
Identificador |
http://boris.unibe.ch/47256/1/Behav_Res_Ther_2013.pdf Moore, Raeanne C.; Chattillion, Elizabeth A.; Ceglowski, Jennifer; Ho, Jennifer; von Känel, Roland; Mills, Paul J.; Ziegler, Michael G.; Patterson, Thomas L.; Grant, Igor; Mausbach, Brent T. (2013). A randomized clinical trial of Behavioral Activation (BA) therapy for improving psychological and physical health in dementia caregivers: results of the Pleasant Events Program (PEP). Behaviour research and therapy, 51(10), pp. 623-632. Elsevier 10.1016/j.brat.2013.07.005 <http://dx.doi.org/10.1016/j.brat.2013.07.005> doi:10.7892/boris.47256 info:doi:10.1016/j.brat.2013.07.005 info:pmid:23916631 urn:issn:0005-7967 |
Idioma(s) |
eng |
Publicador |
Elsevier |
Relação |
http://boris.unibe.ch/47256/ |
Direitos |
info:eu-repo/semantics/restrictedAccess |
Fonte |
Moore, Raeanne C.; Chattillion, Elizabeth A.; Ceglowski, Jennifer; Ho, Jennifer; von Känel, Roland; Mills, Paul J.; Ziegler, Michael G.; Patterson, Thomas L.; Grant, Igor; Mausbach, Brent T. (2013). A randomized clinical trial of Behavioral Activation (BA) therapy for improving psychological and physical health in dementia caregivers: results of the Pleasant Events Program (PEP). Behaviour research and therapy, 51(10), pp. 623-632. Elsevier 10.1016/j.brat.2013.07.005 <http://dx.doi.org/10.1016/j.brat.2013.07.005> |
Palavras-Chave | #610 Medicine & health |
Tipo |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion PeerReviewed |