Impact of in-home behavioral management versus telephone support to reduce depressive symptoms and perceived stress in Chinese caregivers: Results of a pilot study
Impact of in-home behavioral management versus telephone support to reduce depressive symptoms and perceived stress in Chinese caregivers: Results of a pilot study
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DOI：
10.1097/jgp.0b013e3180312028
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发表时间：
2007-05-01
影响因子：
7.2
通讯作者：
Thompson, Larry W.
中科院分区：
文献类型：
--
作者：
Gallagher-Thompson, Dolores;Gray, Heather L.;Thompson, Larry W.
目的：最近的研究表明，照顾痴呆症家庭成员的华裔美国人经历了相当大的心理困扰。然而，很少有研究评估他们的治疗方法。本研究旨在评估基于认知行为疗法原理的家庭干预对缓解美籍华人女性照顾者压力和抑郁的效果。研究方法：55名符合纳入标准的CG被随机分配到电话支持条件（TSC）或家庭行为管理计划（IHBMP）4个月。海训方案每两周打一次电话，并邮寄有关材料。在IHBMP中，教授特定的心理技能来应对压力。治疗前后进行CG检查。结果测量评估了整体感知压力、特定工作压力和抑郁症状。结果：IHBMP组的CG受工作压力源的影响较小，抑郁水平低于TSC组。整体压力没有差异。基线自我效能水平较低的CG获得喘息受益于IHBMP，但在TSC中几乎没有改善。具有较高自我效能的CG受益于两种治疗。结论：这种干预是有前途的，值得在未来的研究中复制。需要进一步的研究来评估长期效果，并确定与改善相关的个体差异。
Objective: Recent work has shown that Chinese Americans caring for a family member with dementia experience considerable psychological distress. However, few studies evaluate treatments for them. This study evaluated the efficacy of in-home intervention, based on cognitive behavior therapy principles, to relieve stress and depression in female Chinese American caregivers (CGs). Methods: Fifty-five CGs who met inclusion criteria were randomly assigned to a telephone support condition (TSC) or to an in-home behavioral management program (IHBMP) for 4 months. In the TSC, biweekly calls were made and relevant material was mailed. In the IHBMP, specific psychological skills were taught to deal with caregiving stress. CGs were assessed before and after treatment. Outcome measures evaluated overall perceived stress, caregiving- specific stress, and depressive symptoms. Results: CGs in IHBMP were less bothered by caregiving- specific stressors and had lower depression levels than CGs in TSC. There was no difference in overall stress. CGs with low baseline level of self-efficacy for obtaining respite benefited from IHBMP, but showed little improvement in the TSC. CGs with higher self-efficacy benefited from both treatments. Conclusion: This intervention is promising and warrants replication in future studies. Additional research is needed to evaluate longer-term effects and to identify individual differences associated with improvement.