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The Use of Modified Mindfulness-Based Stress Reduction and Mindfulness-Based Cognitive Therapy Program for Family Caregivers of People Living with Dementia: A Feasibility Study

Asian Nursing Research 2020년 14권 4호 p.221 ~ 230
Cheung Daphne Sze Ki, Kor Patrick Pui Kin, Jones Cindy, Davies Nathan, Moyle Wendy, Chien Wai Tong, Yip Annie Lai King, Chambers Suzanne, Yu Clare Tsz Kiu, Lai Claudia K.Y.,
소속 상세정보
 ( Cheung Daphne Sze Ki ) - Hong Kong Polytechnic University School of Nursing
 ( Kor Patrick Pui Kin ) - Hong Kong Polytechnic University School of Nursing
 ( Jones Cindy ) - Bond University Faculty of Health Sciences and Medicine
 ( Davies Nathan ) - University College London Primary Care and Population Health
 ( Moyle Wendy ) - Griffith University Menzies Health Institute Queensland
 ( Chien Wai Tong ) - Chinese University of Hong Kong Nethersole School of Nursing
 ( Yip Annie Lai King ) - Hong Kong Polytechnic University School of Nursing
 ( Chambers Suzanne ) - University of Technology Sydney
 ( Yu Clare Tsz Kiu ) - Hong Kong Polytechnic University School of Nursing
 ( Lai Claudia K.Y. ) - Hong Kong Polytechnic University School of Nursing

Abstract


Purpose: The aim of this study was to investigate the feasibility and preliminary efficacy of a modifiedmindfulness-based stress reduction (MBSR) program and mindfulness-based cognitive therapy (MBCT)program for reducing the stress, depressive symptoms, and subjective burden of family caregivers ofpeople with dementia (PWD).

Methods: A prospective, parallel-group, randomized controlled trial design was adopted. Fifty-sevenparticipants were recruited from the community and randomized into either the modified MBSRgroup (n ¼ 27) or modified MBCT group (n ¼ 26), receiving seven face-to-face intervention sessions formore than 16 weeks. Various psychological outcomes were measured at baseline (T0), immediately afterintervention (T1), and at the 3-month follow-up (T2).

Results: Both interventions were found to be feasible in view of the high attendance (more than 70.0%)and low attrition (3.8%) rates. The mixed analysis of variance (ANOVA) results showed positive withingroupeffects on perceived stress (p ¼ .030, Cohen's d ¼ 0.54), depressive symptoms (p ¼ .002,Cohen's d ¼ 0.77), and subjective caregiver burden (p < .001, Cohen's d ¼ 1.12) in both interventionsacross the time points, whereas the modified MBCT had a larger effect on stress reduction, comparedwith the modified MBSR (p ¼ .019).

Conclusion: Both the modified MBSR and MBCT are acceptable to family caregivers of PWD. Their preliminaryeffects were improvements in stress, depressive symptoms, and subjective burden. The modifiedMBCT may be more suitable for caregivers of PWD than the MBSR. A future clinical trial is needed toconfirm their effectiveness in improving the psychological well-being of caregivers of PWD.

키워드

caregivers; dementia; depression; mindfulness; stress, psychological

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