A meta-analysis of low-intensity cognitive behavioral therapy-based interventions for dementia caregivers

Kaddour, Laura, Kishita, Naoko and Schaller, Anthony (2019) A meta-analysis of low-intensity cognitive behavioral therapy-based interventions for dementia caregivers. International Psychogeriatrics, 31 (7). pp. 961-976. ISSN 1041-6102

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Objectives: This study aimed to review the effectiveness of low-intensity cognitive behavioural therapy (CBT)-based interventions for informal dementia caregivers, when compared to non-active control conditions. Design: Literature searches were conducted in databases of published (PsycINFO; MEDLINE; CINAHL; Scopus) and unpublished (Open Grey; ISRCTN registry; Clinical Trials.gov; ProQuest) literature. Individual meta-analyses were conducted for each outcome variable. Pooled intervention effect estimates were calculated as Hedge’s g using a random-effects model. Included studies: Studies examining the effect of low-intensity CBT-based interventions for informal caregivers for people with any progressive dementia were included. Randomised controlled trials and controlled clinical trials were included. Measurements: Outcomes included the psychological variables of anxiety, depression, burden and distress (defined as stress or strain). Results: A total of five studies reported anxiety outcomes, twelve reported on depression, three reported on burden and six reported distress outcomes. Results demonstrated a significant effect of low-intensity CBT-based interventions in reducing all examined psychological difficulties. Small effects sizes were found for anxiety (g = 0.35), depression (g= 0.27) and distress (g = 0.33). A medium effect was found for burden (g = 0.53). Conclusions: The results provide initial support for low-intensity CBT-based interventions for dementia caregivers. Clinical implications and research recommendations are explored. Strengths and limitations of the study are discussed.

Item Type: Article
Uncontrolled Keywords: dementia caregivers,cognitive behavioural therapy,cbt,low-intensity,anxiety,depression,burden,distress
Faculty \ School: Faculty of Medicine and Health Sciences > School of Health Sciences
Faculty of Medicine and Health Sciences > Norwich Medical School
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Depositing User: LivePure Connector
Date Deposited: 26 Jul 2018 09:19
Last Modified: 24 May 2022 12:58
URI: https://ueaeprints.uea.ac.uk/id/eprint/67862
DOI: 10.1017/S1041610218001436

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