Cognitive-Behavioral Group Intervention for Spousal Caregivers: Findings and Clinical Considerations

Cognitive-Behavioral Group Intervention for Spousal Caregivers: Findings and Clinical Considerations

Cognitive-Behavioral Group Intervention for Spousal Caregivers: Findings and Clinical Considerations

Cognitive-Behavioral Group Intervention for Spousal Caregivers: Findings and Clinical Considerationss

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Référence bibliographique [7673]

Gendron, Carole, Poitras, Lorraine, Dastoor, Dolly P. et Pérodeau, Guillème. 1996. «Cognitive-Behavioral Group Intervention for Spousal Caregivers: Findings and Clinical Considerations ». Clinical Gerontologist, vol. 17, no 1, p. 3-19.

Fiche synthèse

1. Objectifs


Intentions :
« The present study was designed to evaluate the effectiveness, for spousal caregivers, of a cognitive-behavioral group intervention emphasizing training in assertiveness, problem-solving and cognitive-restructuring and comparing it to that of support group focusing on information-giving and socialization. » (p. 5)

2. Méthode


Échantillon/Matériau :
- « Spousal caregivers were recruited through health professionals, community service agencies, and the Alzeimer Society of Montreal. Selection was based ont the following criteria (a) was living at home with the care reciever who had been diagnosed as suffering from dementia, (b) had primary responsibility for the care receiver, and (c) had expressed the wish to obtain help in coping with the situation. » (p. 6)
- « 35 spousal caregivers (23 women, 12 men), their age ranging from 46 to 83 years. They had been married for a an average of 40 years. and had been providing care to their spouse for a mean of 26.6 months. » (p. 4)

Instruments :
- Memory and Behavior Problems Checklist;
- Hopkins Symptom Checklist;
- Automatic Thoughts Questionnaire;
- Jalowiec Coping Scale;
- Rathus Assertion Inventory;
- Dyadic Adjustment Scale;
- Burden Interview Scale;
- Program Evaluation Questionnaire.

Type de traitement des données :
Analyse statistique

3. Résumé


« Caring for a family member who suffers from dementia represents en important source of stress for caregivers. Group interventions are increasingly being used as a means of relieving caregiver burden but it remains unclear which types of groups are most helpful. The object of this study was to evaluate the effectiveness of a skills training cognitive-behavioral group intervention which focused on assertion, problem-solving and cognitive restructuring. This intervention was compared to a support group which emphasized information-giving and social exchanges between participants. Thirty-five spousal caregivers were randomly assigned to one of two 8-weeks interventions. Using a covariance analysis, with pre-test scores as covariants, the two groups were found to differ significantly following the intervention on one measure of assertion and on two dimensions of marital adjustment. No significant differences were found on measures of psychological distress, negative thoughts, coping styles and perceived burden. Findings suggest the need to evaluate the effect of specific components of a group intervention, such as the Assertive Training and Cognitive Restructuring. » (p. 4)