Psychosocial and behavioural interventions in dementia

Current Opinion in Psychiatry

Volumn 17, Issue 6, 2004, Pages 433-437

  Burns, Alistair ^a  

^a UNIVERSITY OF MANCHESTER   (United Kingdom)

Author keywords

Behaviour; Caregivers; Dementia; Interventions; Psychosocial

Indexed keywords

ANXIETY; BEHAVIOR THERAPY; CAREGIVER; DEMENTIA; DEPRESSION; HUMAN; MEDICAL RESEARCH; MENTAL HEALTH; MENTAL STRESS; PSYCHOSOCIAL CARE; PUBLICATION; REVIEW; TREATMENT OUTCOME;

EID: 8344266749     PISSN: 09517367     EISSN: None     Source Type: Journal    
DOI: 10.1097/00001504-200411000-00002     Document Type: Review

References (39)

1. Bosanquet N, et al. Alzheimer's disease in the UK. Imperial College, London; 1998.
2. Arno PS, Levine C, Memmott MM. The economic value of informal caregiving. Health AFf (Millwood) 1999; 18:182-188.
3. Jones D, Peters T. Caring for elderly dependents: effect on carers' quality of life. Age Ageing 1992; 21:421-428.
4. Patterson T, Grant I. Interventions for caregiving in dementia: physical outcomes. Curr Opin Psychiatry 2003; 16:629-633.
5. Haley WE, Levine EG, Brown SL, et al. Psychological, social and health consequences of caring for a relative with senile dementia. J Am Geriatr Soc 1987; 35:405-411.
6. Pusey H, Richards D. A systematic review of the effectiveness of psychosocial interventions for carers of people with dementia. Ageing Ment Health 2001; 5:117-119.
7. Sorensen S, Pinquart N, Duberstein P. How effective are interventions with caregivers? Gerontologist 2002; 42:356-372.
8. Donaldson C, Tarrier N, Burns A. The impact of the symptoms of dementia on caregivers. Br J Psychiatry 1997; 170:62-68.
9. Proctor R, Burns A, Stratton Powell H, et al. Behavioural management in nursing and residential homes: a randomised controlled trial. Lancet 1999; 354:26-29.
10. Furniss L, Burns A, Cook J, et al. Effects of a pharmacist's medication review in nursing homes. Br J Psychiatry 2000; 176:563-567.
11. Rait G, Chew C, Burns A. Age, ethnicity and mental illness: a triple whammy. BMJ 1996; 313:1347-1348.
12. Brodaty H, Gresham M. The effects of a training programme to reduce stress in carers of patients with dementia. BMJ 1989; 299:1375-1379.
13. Mittelman MS, Ferris SH, Shulman E, et al. A family intervention to delay nursing home placement of patients with Alzheimer's disease: a randomised controlled design. JAMA 1996; 276:1725-1731.
14. Brodaty H, Green A, Koschera A. A meta analysis of carer interventions. J Am Geriatr Soc 2003; 51:657-664. A summary of the literature on interventions from 1985, showing the characteristics of interventions which are successful and demonstrating the improvements in methodology which have occurred over the years.
15. ••] drawing broadly the same conclusions in terms of carer interventions.
16. Carradice A, Beail N, Shankland MC. Interventions with family caregivers for people with dementia: efficacy problems and potential solution. J Psychiatr Ment Health Nurs 2003; 10:307-315.
17. Teri L, Logsdon RG, Uomoto J, McCurry SM. Behavioural treatment of depression in dementia patients: a controlled clinical trial. J Gerontol B Psychol Sci Soc Sci 1997; 52B:P159-P166.
18. Teri L, Logsdon RG, Pesking E, et al. Treatment of agitation in Alzheimer's disease: a randomized placebo-controlled clinical trial. Neurology 2000; 55:1271-1278.
19. Coon DW, Thompson L, Steffen A, et al. Anger and depression management: psychoeducational skill training interventions for women caregivers of a relative with dementia. Gerontologist 2003; 43:678-689. Shows that management of anger and depression can be effective in helping female caregivers. An important contribution to defining what specific interventions are helpful.
20. Beeson R. Loneliness and depression in spousal caregivers of those with Alzheimer's disease versus non-caregiving spouses. Arch Psychiatr Nurs 2003; XVIII:135-143. Raises the profile of loneliness as a determinant of stress in carers, suggesting that simple social support can be very effective.
21. Lilly ML, Richards BS, Buckwalter KC. Friends and social support in dementia caregiving. Assessment and intervention. J Gerontol Nurs 2003; 29:29-36.
22. Burns R, Nichols LO, Martindale-Adams J, et al. Primary care interventions for dementia caregivers: 2-year outcomes from the REACH study. Gerontologist 2003; 43:547-555.
23. Maas ML, Reed D, Park M, et al. Outcomes of family involvement in care interventions for caregivers of individuals with dementia. Nurs Res 2004; 53:76-86.
24. Akkerman RL, Ostwald SK. Reducing anxiety in Alzheimer's disease family caregivers: the effectiveness of a nine-week cognitive-behavioral intervention. Am J Alzheimer Dis Other Dementias 2004; 19:117-123. This study showed that a 9-week intervention improved not just anxiety but also sleep in carers of patients with Alzheimer's disease. Also, an important contribution to defining what specific interventions are helpful.
25. Mittelman MS, Roth DL, Coon DW, Haley WE. Sustained benefit of supportive intervention for depressive symptoms in caregivers of patients with Alzheimer's disease. Am J Psychiatry 2004; 161:850-856. An important study showing that the benefit of interventions can last for up to 3 years.
26. Tarrier N, Ward J, Burns A, et al. Expressed emotion and attributes in the carers of patients with Alzheimer's disease: the effect on carer burden. J Abnorm Psychol 2002; 111:340-349.
27. Mittelman MS, Roth DL, Haley WE, Zarit SH. Effects of a caregiver intervention on negative caregiver appraisals of behavior problems in patients with Alzheimer's disease: results of a randomized trial. J Gerontol B Psychol Sci Soc Sci 2004; 59B:27-34.
28. Teri L, Gibbons LE, McCurry SM, et al. Exercise plus behavioral management in patients with Alzheimer's disease. JAMA 2003; 290:2015-2022. A multi-factorial intervention including exercise which improved well-being and symptoms of depression, leading to a reduction in disability.
29. Thomas VS, Hageman PA. Can neuromuscular strength and function in people with dementia be rehabilitated using resistance-exercise training? Results from a preliminary intervention study. J Gerontol A Biol Sci Med Sci 2003; 58A:746-751. Neuromuscular strength and gait can be improved with exercise.
30. Lepp M, Ringsberg KC, Holm A-K, Sellersjö G. Dementia - involving patients and their caregivers in a drama programme: the caregivers' experience. J Clin Nurs 2003; 12:873-881.
31. McCurry SM, Gibbons LE, Logsdon RG, et al. Training caregivers to change the sleep hygiene practices of patients with dementia: the NITE-AD project. J Am Geriatr Soc 2003; 51:1455-1460. Sleep disturbance, a potent causative factor in stress, can be improved with a training programme.
32. Sands LP, Ferreira P, Stewart AL, et al. What explains differences between dementia patients' and their caregivers' ratings of patients' quality of life? Am J Geriatr Psychiatry 2004; 12:272-280. Evaluates the different perceptions of quality of life between patients and their caregivers.
33. Thompson RL, Lewis SL, Murphy MR, et al. Are there sex differences in emotional and biological responses in spousal caregivers of patients with Alzheimer's disease? Biol Res Nurs 2004; 5:319-330.
34. Burgio L, Stevens A, Guy D, et al. Impact of two psychosocial interventions on white and African American family caregivers of individuals with dementia. Gerontologist 2004; 43:568-579. A unique study evaluating the different effects of carers' intervention in two ethnic groups. Provides important insights into transcultural research in this area.
35. Gallacher-Thompson D, Solano N, Coon D, Areán P. Recruitment and retention of Latino dementia family caregivers in intervention research: issues to face, lessons to learn. Gerontologist 2003; 43:45-51. A novel description of how to approach people from ethnic groups with a view to involving them in research projects.
36. Aranda MP, Villa VM, Trejo L, et al. El Portal latino Alzheimer's project: model program for Latino caregivers of Alzheimer's disease-affected people. Social Work 2003; 48:259-271. A description of a project which proves that involvement of caregivers from cultures not normally fully engaged with services can be successful.
37. Choo W-Y, Low W-Y, Karina R, et al. Social support and burden among caregivers of patients with dementia in Malaysia. Asia Pac J Public Health 2003; 15:23-29. Emphasizes the unique aspects of caring for patients with dementia in Asia.
38. Woods RT, Moniz-Cook E, Iliffe S, et al. Dementia: issues in early recognition and intervention in primary care. J R Soc Med 2003; 96:320-324.
39. Zarit SH, Femia EE, Watson J, et al. Memory Club: a group intervention for people with early-stage dementia and their care partners. Gerontologist 2004; 44:262-269. A description of a service specifically for people with early dementia.