The effect of a family therapy and technology-based intervention on caregiver depression
The effect of a family therapy and technology-based intervention on caregiver depression
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DOI：
10.1093/geront/43.4.521
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发表时间：
2003-08-01
期刊：
影响因子：
5.7
通讯作者：
Szapocznik, J
中科院分区：
文献类型：
--
作者：
Eisdorfer, C;Czaja, SJ;Szapocznik, J
目的：大多数阿尔茨海默氏病（AD）患者在家中由家庭成员（如配偶或女儿）照顾。照顾对这些照顾者提出了巨大的要求，与照顾有关的负面后果有充分的记录。本文报告了来自迈阿密REACH（提高阿尔茨海默氏症护理者健康的资源）项目网站的结果，该项目在6个月和18个月随访时检查了家庭治疗和基于技术的干预在减少AD患者家庭护理者抑郁症状（根据流行病学研究中心抑郁量表）方面的疗效。设计和方法：有225名白色美国人和古巴裔美国人护理者被随机分为结构生态系统治疗、结构生态系统治疗+计算机电话集成系统或最小支持控制条件。结果：在家庭治疗和技术干预相结合的照顾者经历了抑郁症状显着减少在6个月。18个月的随访数据表明，干预措施对古巴裔美国人的丈夫和女儿照顾者特别有益。含义：结果表明，信息技术在缓解AD照顾者群体的痛苦和抑郁方面具有很好的作用。数据还表明，干预措施根据族裔群体和患者-患者关系产生不同的影响。
Purpose: The majority of persons with Alzheimer's disease (AD) are cared for at home by a family member such as a spouse or daughter. Caregiving places enormous demands on these caregivers, and the negative consequences associated with caregiving are well documented. This paper reports results from the Miami site of the REACH (Resources for Enhancing Alzheimer's Caregiver Health) program that examined the efficacy of a family therapy and technology-based intervention in reducing depressive symptoms (according to the Center for Epidemiological Studies Depression scale) among family caregivers of AD patients at 6 months and 18 months follow-up. Design and Methods: There were 225 White American and Cuban American caregivers that were randomized into a structural ecosystems therapy, structural ecosystems therapy + computer-telephone integrated system, or minimal support control condition. Results: Caregivers in the combined family therapy and technology intervention experienced a significant reduction in depressive symptoms at 6 months. The 18-month follow-up data indicated that the intervention was particularly beneficial for Cuban American husband and daughter caregivers. Implications: The results indicate that information technology has a promising role in alleviating distress and depression among groups of AD caregivers. The data also demonstrate that interventions have differential impacts according to ethnic group and the caregiver-patient relationship.