What You Believe Can Affect How You Feel: Anger Among Caregivers of Elderly People With Dementia

Background and Purpose: Anger has been recognized as a commonly experienced emotion among caregivers of elderly people with dementia. While several cognitive behavioral therapy (CBT)-based intervening methods have been developed, limited research has systematically examined the associations between dementia-related cognition and caregiving anger. Currently, we focused on three representative and well-studied cognitive constructs, person-centered attitude (PCA), dementia representation (DR), and empathy, exploring how they related to caregiving anger.Methods & Results: In total, 327 caregivers (239 female) participated in the study and finished online questionnaires. Multi-variable regression analyzes showed that PCA (βPCA = −0.22**) and empathy (βempathy = −0.18**) could negatively predict caregiving anger. However, all DR dimensions had no influence on caregiving anger except coherence (βcoherence = −0.24**) in the current study.Conclusion: Generally, lower caregiving anger was associated with: (1) being more empathic; (2) having a person-centered attitude; and (3) having a comprehensive understanding of dementia. The results of this study provide detailed suggestions for the development of anger management programs for caregivers of people with dementia.

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P1-047: COGNITIVE BEHAVIORAL THERAPY TO ENHANCE MEMORY TRAINING EFFICACY IN PEOPLE WITH DEMENTIA: 1-YEAR FOLLOW-UP

Alzheimer s & Dementia ◽

10.1016/j.jalz.2018.06.048 ◽

2006 ◽

Vol 14 (7S_Part_5) ◽

pp. P285-P285

Author(s):

Anne Marie Teti ◽

Joanna M. Fiszdon ◽

Beth Taylor ◽

Elizabeth W. Twamley ◽

Godfrey D. Pearlson ◽

...

Keyword(s):

Cognitive Behavioral Therapy ◽

Behavioral Therapy ◽

Cognitive Behavioral ◽

Memory Training ◽

People With Dementia

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Anger Management using Cognitive Behavioral Therapy Approach in Dating Relationship

10.5176/2251-1865_cbp16.24 ◽

2016 ◽

Author(s):

Cantyo Atindriyo Dannisworo ◽

◽

Dra. Ina Saraswati ◽

Adhityawarman Menaldi ◽

Lathifah Hanum

Keyword(s):

Cognitive Behavioral Therapy ◽

Anger Management ◽

Behavioral Therapy ◽

Cognitive Behavioral ◽

Therapy Approach ◽

Dating Relationship

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Feasibility and Acceptability of Cognitive-Behavioral Therapy in Older Japanese People with Dementia: A Single-Arm Intervention.

10.21203/rs.3.rs-20136/v1 ◽

2020 ◽

Author(s):

Masami Kashimura ◽

Toshiaki Nomura ◽

Akiko Ishiwata ◽

Amane Tateno ◽

Akane Nogami ◽

...

Keyword(s):

Cognitive Behavioral Therapy ◽

Mixed Model ◽

Linear Mixed Model ◽

Behavioral Therapy ◽

Neuropsychiatric Symptoms ◽

Japanese Patients ◽

Cognitive Behavioral ◽

Clinical Psychologist ◽

Japanese People ◽

People With Dementia

Abstract Background Cognitive-behavioral therapy (CBT) for older people with dementia and depression/anxiety alleviates negative moods. However, CBT research focusing on this population in Japan is limited. This study aimed to evaluate the feasibility and acceptability of a recently developed cognitive-behavioral program for people with dementia or mild cognitive impairment (MCI), focusing on symptom alleviation and patient satisfaction. Method Sixteen Japanese patients with mild dementia ( n =3) and MCI ( n =13) participated in the study. A single-arm, pre-post study was implemented in two medical school hospitals in Japan. The CBT program included eight bi-weekly sessions conducted by one clinical psychologist. The feasibility and acceptability outcomes (perceived satisfaction, understanding, and usefulness of the program) were measured before and immediately after completing the sessions, and the psychological outcomes (depression, anxiety, quality of life [QOL], neuropsychiatric symptoms, and caregiver burden) were measured at three periods (i.e., before, immediately after, and three months after the intervention). A linear mixed model was adopted for comparing these outcomes. Results Three candidates were excluded because of unavailability, lack of interest, and refusal to participate; therefore, 13 candidates (81%) participated in this study. However, three participants dropped out because of lack of motivation and health-related reasons during the program. Finally, ten participants (76.9%) attended all program modules. The mean patient and caregiver satisfaction scores using the Client Satisfaction Questionnaire were 31.0±10.05 and 28.0±2.83 out of 32, respectively. The linear mixed model demonstrated that the time effect was significant at a 99% level for depression ( d =1.62), anxiety ( d =1.39), and QOL ( d =1.00) for the patients, and significant at a 95% level for anxiety ( d =1.08) for their caregivers. Conclusion The study found that this CBT program is feasible and acceptable for older Japanese people with dementia and MCI. The program also improved patients’ QOL, alleviated anxiety and depressive symptoms, and decreased caregivers’ anxiety.

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