Effects of a modified mindfulness-based cognitive therapy for family caregivers of people with dementia: A randomized clinical trial

Pui Kin Kor, P. Justina Yat Wah Liu, J. & Tong Chien, W. (2020) |Effects of a modified mindfulness-based cognitive therapy for family caregivers of people with dementia: A randomized clinical trial| The Gerentologist | https://doi.org/10.1093/geront/gnaa125

The latest issue of The Gerentologist features a study that examined the impact of MBCT for caregivers of people with dementia, the authors of the study report that the MBCT reduce the caregivers’ stress and promote their psychological well-being over 6-month follow-up.

Abstract

Background and Objectives

Family caregivers of people with dementia (PWD) experience high levels of stress resulting from caregiving. This study aimed to investigate the effects of a modified of Mindfulness-Based Cognitive Therapy (MBCT) for dementia caregiving

Research Design and Methods

113 family caregivers of PWD were randomized to either the intervention group, receiving the 7-session modified MBCT over 10 weeks with telephone follow-up; or the control group, receiving the brief education on dementia care and usual care. The caregiving stress (primary outcome), and various psychological outcomes of caregivers and the behavioral and psychological symptoms of dementia(BPSD) in the care-recipients were assessed and compared at baseline (T0), post-intervention (T1), and at the 6-month follow-up (T2)

Results

At both T1 and T2, the intervention group had a statistically greater improvement in stress, depression, anxiety and BPSD-related caregivers’ distress. A significant greater improvement was also demonstrated in mental health-related QoL at T2 and BPSD of the care-recipients at T1. The increased caregivers’ level of mindfulness was significantly correlated with the improvement of various psychological outcomes at T1 and T2 with correlation coefficient -0.64 to 0.43

Discussion and Implications

The modified MBCT enhanced the level of mindfulness in the caregivers and was effective to reduce the caregivers’ stress and promote their psychological well-being over 6-month follow-up. Future research is recommended to further examine its effects on the varieties of psychological and behavioural outcomes of both caregivers and care-recipients and their dyadic relationships, as well as explore its mechanism of action in facilitating dementia caregiving (Source: The Gerentologist)

This article can be requested by Rotherham NHS staff here

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