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Volume 25, Issue 2 (Summer 2023)                   JHC 2023, 25(2): 146-157 | Back to browse issues page

Ethics code: IR.IAU.KHUISF.REC.1400.337
Clinical trials code: IRCT20220127053841N1


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Ramezani N, Sajjadian I. A Comparison of the Effectiveness of Schema-based and Caregiver-centered Mindfulness Methods on Psychological Distress and Burden in Caregivers of Patients with Dementia. JHC 2023; 25 (2) :146-157
URL: http://hcjournal.arums.ac.ir/article-1-1480-en.html
Clinical Psychology Department, Community Health Research Center, Isfahan (Khorasgan) Branch , Islamic Azad University, Isfahan, Iran
Abstract:   (292 Views)
Background & aim: The stressful and chronic process of caring for patients with dementia is a long process that imposes too much care burden. Therefore, the present study was conducted with the aim of comparing the effectiveness of schema-based and caregiver-centered mindfulness methods on psychological distress and burden in caregivers of patients with dementia.
Methods: This semi-experimental research was conducted with a pre-test-post-test and follow-up design with a control group. The study population was the caregivers of patients with dementia who visited the neurology clinics of Kashani and Khurshid hospitals in Isfahan during the summer of 1401. Among these caregivers, 45 people were selected through convenient sampling while considering the inclusion and exclusion criteria. They were randomly divided into two experimental groups and a control group (15 people in each group). The two experimental groups completed eight 90-minute sessions of schema-based and caregiver-based mindfulness therapy separately. The data collection tools were DASS psychological distress and Zarit burden questionnaires. The data were analyzed using repeated measures analysis of variance by SPSS-23 software.
Results: The results showed that the mean scores of the psychological distress and burden were significantly different in the two groups of schema-based and caregiver-centered mindfulness and the control group in both the post-test and follow-up phases (p<0.05). However, in the comparison of the two treatment methods, the results indicated that the mean scores of the study variables in the post-test and follow-up phase in the two intervention groups did not show any significant difference.
Conclusion: The results showed that due to the lack of significant difference between the two treatment methods, schema-based and caregiver-centered mindfulness methods can be used to reduce psychological distress and burden in caregivers of patients with dementia.
Full-Text [PDF 254 kb]   (137 Downloads)    
Type of Study: experimental study | Subject: Nursing care
Received: 2023/06/3 | Accepted: 2023/09/1 | Published: 2023/09/1

References
1. Grande G, Qiu C, Fratiglioni L. Prevention of dementia in an ageing world: evidence and biological rationale. Ageing Research Reviews. 2020;64:101045. [DOI:10.1016/j.arr.2020.101045] [PMID]
2. World Health Organization. Quality health services and palliative care: practical approaches and resources to support policy, strategy and practice; 2021.
3. McAuliffe L, Ong B, Kinsella G. Mediators of burden and depression in dementia family caregivers: kinship differences. Dementia. 2020;19(7):2234-50. [DOI:10.1177/1471301218819345] [PMID]
4. del-Pino-Casado R, Priego-Cubero E, López-Martínez C, Orgeta V. Subjective caregiver burden and anxiety in informal caregivers: a systematic review and meta-analysis. Public Library of Science One. 2021;16(3):e0247143. [DOI:10.1371/journal.pone.0247143] [PMID] []
5. Lovibond PF, Lovibond SH. The structure of negative emotional states: comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research and Therapy. 1995;33(3):335-43. [DOI:10.1016/0005-7967(94)00075-U] [PMID]
6. Gérain P, Zech E. Informal caregiver burnout? development of a theoretical framework to understand the impact of caregiving. Frontiers in Psychology. 2019;10:466359. [DOI:10.3389/fpsyg.2019.01748] [PMID] []
7. Razi NA, Minhat HS, Zulkefli NA, Ahmad N, Mohd TA, Jaafar H. A systematic review on caregiver's burden among caregivers of dementia patients in Malaysia. Malaysian Journal of Medicine and Health Sciences. 2023;19:254-62. [DOI:10.47836/mjmhs.19.1.33]
8. Watson B, Tatangelo G, McCabe M. Depression and anxiety among partner and offspring carers of people with dementia: a systematic review. The Gerontologist. 2019;59(5):e597-610. [DOI:10.1093/geront/gny049] [PMID]
9. Whitworth HB, Whitworth J. A caregiver's guide to Lewy body dementia. Springer Publishing Company; 2020. [DOI:10.1891/9780826148759]
10. Mohammed MA, Moles RJ, Hilmer SN, O'Donnel LK, Chen TF. Development and validation of an instrument for measuring the burden of medicine on functioning and well-being: the Medication-Related Burden Quality of Life (MRB-QoL) tool. British Medical Journal Open. 2018;8(1):e018880. [DOI:10.1136/bmjopen-2017-018880] [PMID] []
11. Zarit SH, Reever KE, Bach-Peterson J. Relatives of the impaired elderly: correlates of feelings of burden. The Gerontologist. 1980;20(6):649-55. [DOI:10.1093/geront/20.6.649] [PMID]
12. Gabriel IO, Aluko JO, Okeme MI. Caregiver burden among informal caregivers of women with breast cancer. Biomedical Journal of Scientific & Technical Research. 2019;15(3):1-9. [DOI:10.26717/BJSTR.2019.15.002704]
13. Liu Z, Heffernan C, Tan J. Caregiver burden: a concept analysis. International Journal of Nursing Sciences. 2020;7(4):438-45. [DOI:10.1016/j.ijnss.2020.07.012] [PMID] []
14. Calvete E, Franco MA, Oñate L, Alonso MS, Bermejo-Toro L. Trait mindfulness, rumination, and well-being in family caregivers of people with acquired brain injury. Clínica y Salud. 2021;32(2):71-77. [DOI:10.5093/clysa2021a5]
15. Brodaty H, Donkin M. Family caregivers of people with dementia. Dialogues in Clinical Neuroscience. 2009;11(2):217-28. [DOI:10.31887/DCNS.2009.11.2/hbrodaty] [PMID] []
16. Goodridge D, Reis N, Neiser J, Haubrich T, Westberg B, Erickson-Lumb L, et al. An app-based mindfulness-based self-compassion program to support caregivers of people with dementia: participatory feasibility study. Journal of Medical Internet Research Aging. 2021;4(4):e28652. [DOI:10.2196/28652] [PMID] []
17. Spigelmyer PC, Kalarchian M, Lutz C, Brar P. Mindfulness self-compassion: helping family caregivers cope with cognitive behaviors of dementia. Journal of Holistic Nursing. 2023;41(2):118-29. [DOI:10.1177/08980101221123730] [PMID]
18. Molero Jurado MD, Perez-Fuentes MD, Barragan Martin AB, Soriano Sanchez JG, Oropesa Ruiz NF, Sisto M, et al. Mindfulness in family caregivers of persons with dementia: systematic review and meta-analysis. Healthcare. 2020;8(3):93. [DOI:10.3390/healthcare8030193] [PMID] []
19. Tolea MI, Camacho S, Cohen IR, Galvin JE. Mindfulness and care experience in family caregivers of persons living with dementia. Journal of Alzheimer's Disease Reports. 2023;(Preprint):1-4. [DOI:10.3233/ADR-220069] [PMID] []
20. Awuah DM. Interventions to reduce the role strain of informal adult caregivers of individuals with neurocognitive and mental disorders. Clinical NeuroSciences Spectrums. 2023;28(2):223-24. [DOI:10.1017/S1092852923001426]
21. Van Vreeswijk M, Broersen J, Schurink G. Mindfulness and schema therapy: a practical guide. John Wiley & Sons; 2014. [DOI:10.1002/9781118753125]
22. Mozamzadeh T, Gholamrezai S, Rezaei F. The effect of schema therapy on severity of depression and suicidal thoughts in patients with resistant to depression. Armaghane Danesh. 2018;23(2):253-66 [Persian].
23. Aghili M, Hejazi F. Comparison of the effectiveness of schema therapy and mindfulness on primary maladaptive schemas and stress in the elderly of Gorgan daily centers in 1398-1399. Clinical Psychology of Achievements. 2019;4(4):11-24 [Persian].
24. Koppers D, Van HL, Peen J, Dekker JJ. Exploring the effect of group schema therapy and comorbidity on the treatment course of personality disorders. Current Opinion in Psychiatry. 2023;36(1):80-85. [DOI:10.1097/YCO.0000000000000828] [PMID]
25. Rezek C. Mindfulness for carers: how to manage the demands of caregiving while finding a place for yourself. Jessica Kingsley Publishers; 2015.
26. Tobore TO. On the etiopathogenesis and pathophysiology of alzheimer's disease: a comprehensive theoretical review. Journal of Alzheimer's Disease. 2019;68(2):417-37. [DOI:10.3233/JAD-181052] [PMID]
27. Stall NM, Kim SJ, Hardacre KA, Shah PS, Straus SE, Bronskill SE, et al. Association of informal caregiver distress with health outcomes of community‐dwelling dementia care recipients: a systematic review. Journal of the American Geriatrics Society. 2019;67(3):609-17. [DOI:10.1111/jgs.15690] [PMID]
28. van den Hurk DG, Schellekens MP, Molema J, Speckens AE, van der Drift MA. Mindfulness-based stress reduction for lung cancer patients and their partners: results of a mixed methods pilot study. Palliative Medicine. 2015;29(7):652-60. [DOI:10.1177/0269216315572720] [PMID] []
29. Lindeza P, Rodrigues M, Costa J, Guerreiro M, Rosa MM. Impact of dementia on informal care: a systematic review of family caregivers' perceptions. British Medical Journal Supportive & Palliative Care. 2020;0:1-12. [DOI:10.1136/bmjspcare-2020-002242] [PMID]
30. Thimm JC. Relationships between early maladaptive schemas, mindfulness, self-compassion, and psychological distress. International Journal of Psychology and Psychological Therapy. 2017;17(1):3-17.
31. Jury TK, Jose PE. Does rumination function as a longitudinal mediator between mindfulness and depression? Mindfulness. 2019;10:1091-104. [DOI:10.1007/s12671-018-1031-z]
32. Antony MM, Bieling PJ, Cox PJ, Enns MW, Swinson RP. Psychometric properties of the 42-item and 21-item versions of the Depression Anxiety Stress Scales (DASS) in clinical groups and a community sample. Psychological Assessment. 1998;10(2):176-81. [DOI:10.1037/1040-3590.10.2.176]
33. Sahebi A, Asghari MJ, Salari RS. Validation of depression anxiety and stress scale (DASS-21) for an Iranian population. Journal of Developmental Psychology: Iranian Psychologists. 2005;1(4) [Persian].
34. Talebi M, Mokhtari Lakeh N, Rezasoltani P. Caregiver burden in caregivers of renal patients under hemodialysis. Journal of Holistic Nursing and Midwifery. 2016;26(2):59-68.

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