How family dementia caregivers perceive benefits of a 4-week Mentalizing Imagery Therapy program: a pilot study.
How family dementia caregivers perceive benefits of a 4-week Mentalizing Imagery Therapy program: a pilot study.
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DOI：
10.1037/pro0000388
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发表时间：
2022-10
期刊：
影响因子：
--
通讯作者：
Jain FA
中科院分区：
文献类型：
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作者：
Yang FC;Zamaria J;Morgan S;Lin E;Leuchter AF;Abrams M;Chang SE;Mischoulon D;Pedrelli P;Fisher L;Nyer M;Yeung A;Jain FA
痴呆症患者的家庭照顾者经历高水平的人际压力，这往往导致焦虑和抑郁的升高，并对人际关系产生负面影响。行为的变化以及与护理接受者（CR）和社会环境中其他人的关系结构的变化挑战了护理人员的心理化能力，或理解心理状态和行为之间的联系。本研究调查的经验和感知的好处，家庭痴呆症照顾者进行了心理意象疗法（MIT），治疗旨在提高平衡的自我，其他心理化和减少心理症状。有目的的抽样被用来选择11个家庭痴呆照顾者谁经历了为期4周的试点试验的MIT。半结构化访谈完成后，干预，以确定主观利益，推定的心理中介和感知的积极成分。护理人员报告说，他们的幸福感、情绪、焦虑和睡眠都有所改善，大多数人表示麻省理工学院有助于形成和维持更健康的关系。一些参与者指出，这些好处延伸到他们如何对社会环境作出反应，以及从他人的角度更客观地看待自己。麻省理工学院的特定元素，包括自我同情，自我照顾，以及反思情绪激发挑战的能力，可能会介导这些改善。家庭痴呆照顾者认为麻省理工学院对多个领域的福祉有益。自我报告表明，麻省理工学院有望改善福祉，减少非心理化思维模式，并促进改善照顾者关系中的平衡心理化。
Family caregivers of dementia patients experience high levels of interpersonal stress that often results in elevated anxiety, and depression, and negative impacts on interpersonal relationships. Changes in behaviors and the structure of relationships with the care recipient (CR) and others in the social milieu challenge the caregivers’ ability to mentalize, or understand the links between mental states and behaviors. This study investigates the experiences and perceived benefits of family dementia caregivers who underwent Mentalizing Imagery Therapy (MIT), a treatment aiming to improve balanced self-other mentalizing and reduce psychological symptoms. Purposeful sampling was used to select 11 family dementia caregivers who underwent a 4-week pilot trial of MIT. Semi-structured interviews were completed post-intervention to identify subjective benefits, putative psychological mediators and perceived active components. Caregivers reported improvements in well-being, mood, anxiety, and sleep, and a majority stated MIT helped with forming and maintaining healthier relationships. Some participants noted benefits extending to how they reacted to their social environment and perceived themselves more objectively from others’ perspectives. Specific elements of MIT, including self-compassion, self-care, and the ability to reflect on emotionally arousing challenges, might have mediated these improvements. Family dementia caregivers perceived salutary benefits of MIT on multiple domains of well-being. The self reports suggest MIT holds promise for improving well-being, reducing non-mentalizing patterns of thought, and facilitating improvements in balanced mentalization within the caregivers’ relationships.