Anger and depression management: Psychoeducational skill training interventions for women caregivers of a relative with dementia
Anger and depression management: Psychoeducational skill training interventions for women caregivers of a relative with dementia
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DOI：
10.1093/geront/43.5.678
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发表时间：
2003-10-01
期刊：
影响因子：
5.7
通讯作者：
Gallagher-Thompson, D
中科院分区：
文献类型：
--
作者：
Coon, DW;Thompson, L;Gallagher-Thompson, D
目的：本研究探讨了两个理论为基础的心理教育小组干预与苦恼的照顾者的短期影响，它也探讨了具体的调节和中介变量的作用，照顾者的结果。设计和方法：女性参与者（N = 169）年龄在50岁及以上谁是照顾一个社区居住的亲属与痴呆症被随机分配到三个治疗干预之一：愤怒管理，抑郁症管理，或等待列表控制组。这些干预措施持续了3至4个月。研究的主要结果是愤怒或敌对情绪，抑郁情绪，积极和消极应对策略的使用频率，以及自我效能感。结果：在预期的方向显着的主效应被发现在大多数这些措施的变化。与等待名单控制组的参与者相比，愤怒管理组和抑郁管理组的参与者从时间I到时间2的愤怒或敌意和抑郁水平显着降低。积极认知应对策略的使用仅在愤怒管理组中增加。两个干预组的参与者的自我效能显着增加，它也被证明是干预效果的中介。抑郁症状和愤怒表达方式（愤怒表达）的预处理水平调节了两种干预措施对情绪和应对的相对影响。含义：这些数据是一致的，越来越多的证据支持技能培训的有效性，在小组，以改善情感状态和类型的应对策略的照顾者。此外，这项研究强调，需要评估关键的预处理变量，以确定哪种形式的治疗可能更符合照顾者的特点，从而更有可能是有益的个人。
Purpose: This study examines the short-term impact of two theoretically based psychoeducational small group interventions with distressed caregivers, and it also examines the role of specific moderator and mediator variables on caregiver outcomes. Design and Methods: Female participants (N = 169) aged 50 and older who were caring for a community-dwelling relative with a dementing illness were randomly assigned to one of three treatment interventions: anger management, depression management, or a wait-list control group. These, interventions took place over a 3- to 4-month period. The primary outcomes examined were anger or hostile mood, depressed mood, frequency of use of positive and negative coping strategies, and perceived caregiving self-efficacy. Results: Significant main effects in the expected direction were found for changes in most of these measures. Participants in both anger management and depression management groups had significant reductions in their levels of anger or hostility and depression from Time I to Time 2 in comparison to participants in the wait-list control group. Use of positive cognitive coping strategies increased in the anger management group only. Self-efficacy significantly increased for participants in both intervention groups, and it was also demonstrated to function as a mediator of intervention effects. Pretreatment levels of depressive symptoms and anger expression style (Anger Expression-Out) moderated the relative effects of the two interventions on mood and coping. Implications: These data are consistent with a growing body of evidence supporting the effectiveness of skills training, in small groups, to improve both the affective states and the type of coping strategies used by caregivers. In addition, this study underscores the need to evaluate key pretreatment variables in order to determine which form of treatment may be more compatible with caregiver characteristics and thus more likely to be beneficial to individuals.