Change in indices of distress among Latino and Anglo female caregivers of elderly relatives with dementia: Site-specific results from the REACH national collaborative study
Change in indices of distress among Latino and Anglo female caregivers of elderly relatives with dementia: Site-specific results from the REACH national collaborative study
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DOI：
10.1093/geront/43.4.580
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发表时间：
2003-08-01
期刊：
影响因子：
5.7
通讯作者：
Thompson, LW
中科院分区：
文献类型：
--
作者：
Gallagher-Thompson, D;Coon, DW;Thompson, LW
目的：很少有实证研究比较了减少护理人员心理困扰的心理教育（技能建设）方法与以典型社区支持小组为模型的干预措施之间的功效。我们比较了两种不同干预措施对患有痴呆症的老年亲属的英裔和拉丁裔护理人员的影响。设计和方法：介绍了 213 名女性护理人员（122 名盎格鲁人和 91 名拉丁裔）从预评估到后评估（基线至 3 个月）的变化。他们每周接受一次为期 10 周的“应对护理心理教育计划”（在小组中进行指导和练习，以学习特定的认知和行为技能）或“增强支持小组”条件（引导讨论和移情倾听，以在小组内建立相互支持）的治疗。这两个项目都是针对盎格鲁和拉丁裔护理人员的文化问题量身定制的，并由训练有素的干预人员以英语或西班牙语提供。结果：总体而言，与增强支持组条件下的参与者相比，应对护理条件下的参与者报告抑郁症状显着减少，适应性应对策略的使用增加，并且消极应对策略的使用有减少的趋势。两个种族群体的结果相似：种族没有主要影响，治疗相互作用效应也没有显着的种族影响。意义：这项研究提供了实证支持，表明女性护理人员从管理她们的痛苦的技能培养方法中获益比仅从支持小组成员资格中获益更多。我们发现非常令人鼓舞的是，拉丁裔护理人员对关键结果变量反应良好，这表明拉丁裔将参与临床研究，并在提供满足其特定需求的服务时从他们的参与中受益。
Purpose: Few empirical studies have compared the efficacy between psychoeducational (skill-building) approaches for reducing caregivers' psychological distress and interventions modeled after typical community-based support groups. We compare the impact of two distinct interventions on Anglo and Latino caregivers of elderly relatives with dementia. Design and Methods: The change from preassessment to postassessment (baseline to 3 months) for 213 female caregivers (122 Anglo and 91 Latina) is presented. They were seen weekly for 10 weeks in either the Coping With Caregiving psychoeducational program (instruction and practice in small groups to learn specific cognitive and. behavioral skills) or in the Enhanced Support Group condition (guided discussion and empathic listening to develop reciprocal support within the group). Both programs were tailored to be sensitive to the cultural concerns of Anglo and Latino caregivers, and they were delivered in either English or Spanish by trained interventionists. Results: Overall, participants in the Coping With Caregiving condition reported a significant reduction in depressive symptoms, increased use of adaptive coping strategies, and a trend toward decreased use of negative coping strategies when compared with those in the Enhanced Support Group condition. Results were similar for both ethnic groups: there were no main effects for ethnicity, and no significant ethnicity by treatment interaction effects. Implications: This study provides empirical support that female caregivers benefit more from a skill-building approach to managing their distress than from support group membership alone. We find it very encouraging that the Latino caregivers responded well on key outcome variables, suggesting that Latinos will participate in clinical research and will benefit from their involvement when services are provided to meet their specific needs.