Am J Psychiatry 161:850-856, May 2004
© 2004 American Psychiatric Association
Sustained Benefit of Supportive Intervention for Depressive Symptoms in Caregivers of Patients With Alzheimer’s Disease
Mary S. Mittelman, Dr.P.H.,
David L. Roth, Ph.D.,
David W. Coon, Ph.D., and
William E. Haley, Ph.D.
OBJECTIVE: The long-term effect of counseling and support on symptoms of depression was examined in spouse-caregivers of patients with Alzheimer’s disease. METHOD: The participants were 406 spouse-caregivers of Alzheimer’s disease patients who lived at home at baseline. The caregivers were randomly assigned to either a group receiving enhanced counseling and support treatment or a group receiving usual care (control group). Caregivers in the enhanced treatment group were provided with six sessions of individual and family counseling, agreed to join support groups 4 months after enrollment, and received ongoing ad hoc counseling. The Geriatric Depression Scale was administered at baseline and at regular follow-up intervals for as long as the caregiver participated in the study. RESULTS: After baseline differences were controlled for, caregivers in the enhanced treatment group had significantly fewer depressive symptoms after the intervention than did the control subjects. These effects were sustained for 3.1 years after baseline, similar across gender and patient severity level, and sustained after nursing home placement or death of the patient. CONCLUSIONS: Counseling and support lead to sustained benefits in reducing depressive symptoms in spouse-caregivers of Alzheimer’s disease patients and should be widely available to provide effective, evidence-based intervention for family caregivers.
Related Article:
-
In This Issue
Am J Psychiatry 2004 161: A96.
[Full Text]
[PDF]
This article has been cited by other articles:
|
|
|
|
 
R. H. Fortinsky, I. Zlateva, C. Delaney, and A. Kleppinger
Primary Care Physicians' Dementia Care Practices: Evidence of Geographic Variation
Gerontologist,
July 13, 2009;
(2009)
gnp106v1.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. Specht, A. Bossen, G. R. Hall, B. Zimmerman, and J. Russell
The Effects of a Dementia Nurse Care Manager on Improving Caregiver Outcomes Outcomes
American Journal of Alzheimer's Disease and Other Dementias,
June 1, 2009;
24(3):
193 - 207.
[Abstract]
[PDF]
|
|
|
|
|
|
|
W. D. Cabin
Evidence-based Research Challenges Home Care PPS Patient Benefits, Costs, and Payment Structure
Home Health Care Management Practice,
June 1, 2009;
21(4):
240 - 245.
[Abstract]
[PDF]
|
|
|
|
|
|
|
W. D. Cabin
Why Research Supports Home Care PPS Coverage and Reimbursement of Counseling and Support Groups
Home Health Care Management Practice,
April 1, 2009;
21(3):
217 - 219.
[PDF]
|
|
|
|
|
|
|
N. Ortiz, R. Lamdan, S. Johnson, and A. Korbage
Caregiver Status: A Potential Risk Factor for Extreme Self-Neglect
Psychosomatics,
March 1, 2009;
50(2):
166 - 168.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
N. Herrmann MD and S. Gauthier MD
Diagnosis and treatment of dementia: 6. Management of severe Alzheimer disease
Can. Med. Assoc. J.,
December 2, 2008;
179(12):
1279 - 1287.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
W. E. Haley, E. J. Bergman, D. L. Roth, T. McVie, J. E. Gaugler, and M. S. Mittelman
Long-Term Effects of Bereavement and Caregiver Intervention on Dementia Caregiver Depressive Symptoms
Gerontologist,
December 1, 2008;
48(6):
732 - 740.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
G. Tremont, J. Duncan Davis, D. S. Bishop, and R. H. Fortinsky
Telephone-delivered psychosocial intervention reduces burden in dementia caregivers
Dementia,
November 1, 2008;
7(4):
503 - 520.
[Abstract]
[PDF]
|
|
|
|
|
|
|
W. W. Muhwezi, E. S. Okello, S. Neema, and S. Musisi
Caregivers' Experiences With Major Depression Concealed by Physical Illness in Patients Recruited From Central Ugandan Primary Health Care Centers
Qual Health Res,
August 1, 2008;
18(8):
1096 - 1114.
[Abstract]
[PDF]
|
|
|
|
|
|
|
W. D. Cabin
Revaluing Social Work in Home Care: Lessons From Innovators, Rebels, and Hospice
Home Health Care Management Practice,
April 1, 2008;
20(3):
265 - 272.
[Abstract]
[PDF]
|
|
|
|
|
|
|
R. J. Caselli and R. Yaari
Medical Management of Frontotemporal Dementia
American Journal of Alzheimer's Disease and Other Dementias,
January 1, 2008;
22(6):
489 - 498.
[Abstract]
[PDF]
|
|
|
|
|
|
|
J. E. Gaugler, A. M. Pot, and S. H. Zarit
Long-Term Adaptation to Institutionalization in Dementia Caregivers
Gerontologist,
December 1, 2007;
47(6):
730 - 740.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
C. H. Ott, S. Sanders, and S. T. Kelber
Grief and Personal Growth Experience of Spouses and Adult-Child Caregivers of Individuals With Alzheimer's Disease and Related Dementias
Gerontologist,
December 1, 2007;
47(6):
798 - 809.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
C. M. Boyd, C. Boult, E. Shadmi, B. Leff, R. Brager, L. Dunbar, J. L. Wolff, and S. Wegener
Guided Care for Multimorbid Older Adults: Kathleen Walsh Piercy, PhD, Editor
Gerontologist,
October 1, 2007;
47(5):
697 - 704.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
Y. K. Chee, L. N. Gitlin, M. P. Dennis, and W. W. Hauck
Predictors of Adherence to a Skill-Building Intervention in Dementia Caregivers
J. Gerontol. A Biol. Sci. Med. Sci.,
June 1, 2007;
62(6):
673 - 678.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
M. S. Mittelman, W. E. Haley, O. J. Clay, and D. L. Roth
Improving caregiver well-being delays nursing home placement of patients with Alzheimer disease.
Neurology,
November 14, 2006;
67(9):
1592 - 1599.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. Corey-Bloom, R. Yaari, and D. Weisman
Managing patients with Alzheimer's disease
Practical Neurology,
April 1, 2006;
6(2):
78 - 89.
[Full Text]
[PDF]
|
|
|
|
|
|
|
L. F. Jarvik and D. Blazer
Children of Alzheimer Patients: An Overview
J Geriatr Psychiatry Neurol,
December 1, 2005;
18(4):
181 - 186.
[PDF]
|
|
|
|
|
|
|
B. T. Mausbach, J. E. Dimsdale, M. G. Ziegler, P. J. Mills, S. Ancoli-Israel, T. L. Patterson, and I. Grant
Depressive Symptoms Predict Norepinephrine Response to a Psychological Stressor Task in Alzheimer's Caregivers
Psychosom Med,
July 1, 2005;
67(4):
638 - 642.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
A. K. Desai and G. T. Grossberg
Diagnosis and treatment of Alzheimer's disease
Neurology,
June 28, 2005;
64(12_suppl_3):
S34 - S39.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
23 Apr 2004 to 23 Jul 2004
Evid. Based Nurs.,
October 1, 2004;
7(4):
e4 - e4.
[Full Text]
[PDF]
|
|
|
|
|
|
|
Other articles noted
Evid. Based Med.,
September 1, 2004;
9(5):
e5 - e5.
[Full Text]
[PDF]
|
|
|
|
|
|
|
Other articles noted
Evid. Based Med.,
September 1, 2004;
9(5):
159 - 160.
[Full Text]
[PDF]
|
|
|
|
|
|
|
Depressed AD Caregivers: Long-Term Benefits from Counseling
Journal Watch Psychiatry,
August 4, 2004;
2004(804):
9 - 9.
[Full Text]
|
|
|
|
|
|
|
Depressed AD Caregivers: Long-Term Benefits from Counseling
Journal Watch Women's Health,
July 8, 2004;
2004(708):
6 - 6.
[Full Text]
|
|
|
Get information about faster international access.
Privacy Policy
Copyright © 2004
American Psychiatric Association.
All rights reserved.
Home
| Search
| Current Issue
| Past Issues
| Subscribe
| All APPI Journals
| Help
| Contact Us
|
