scholarly journals Mindfulness-Based Cognitive Therapy for Stress Reduction in Family Carers of People Living with Dementia: A Systematic Review

2022 ◽  
Vol 19 (1) ◽  
pp. 614
Author(s):  
Emme Chacko ◽  
Benjamin Ling ◽  
Nadav Avny ◽  
Yoram Barak ◽  
Sarah Cullum ◽  
...  
Keyword(s):  
Cognitive Therapy ◽  
Stress Reduction ◽  
Therapy Group ◽  
Ethnically Diverse ◽  
High Risk Group ◽  
Cochrane Library ◽  
Depression And Anxiety ◽  
Family Carers ◽  
Care Needs ◽  
Reducing Stress

The prevalence of dementia is increasing and the care needs of people living with dementia are rising. Family carers of people living with dementia are a high-risk group for psychological and physical health comorbidities. Mindfulness-based interventions such as mindfulness-based cognitive therapy show potential for reducing stress experienced by family carers of people living with dementia. This study aims to systematically assess the efficacy of mindfulness-based cognitive therapy in reducing stress experienced by family carers of people living with dementia. Electronic databases including MEDLINE, APA PsycINFO, EMBASE, CINAHL, Scopus, Web of Science, Cochrane Library, AMED, ICTRP, and ALOIS were searched for relevant studies up to August 2020. All types of intervention studies were included. Quantitative findings were explored. Seven studies were eligible for inclusion. The analysis showed that there was a statistically significant reduction in self-rated carer stress in four studies for the mindfulness-based cognitive therapy group compared to controls. One study that was adequately powered also showed reductions in carer burden, depression, and anxiety compared to control. Mindfulness-based cognitive therapy appears to be a potentially effective intervention for family carers of people living with dementia, but large, high-quality randomized controlled trials in ethnically diverse populations are required to evaluate its effectiveness.

scholarly journals Understanding the palliative care needs and experiences of people with mesothelioma and their family carers: An integrative systematic review

2021 ◽  
pp. 026921632110073
Author(s):  
Madeleine Harrison ◽  
Clare Gardiner ◽  
Bethany Taylor ◽  
Stephanie Ejegi-Memeh ◽  
Liz Darlison
Keyword(s):  
Systematic Review ◽  
Palliative Care ◽  
Information Needs ◽  
Empirical Studies ◽  
Cochrane Library ◽  
Specialist Palliative Care ◽  
Family Carers ◽  
Care Needs ◽  
The Impact ◽  
Palliative Care Needs

Background: People with mesothelioma and their families have palliative care needs throughout the relatively short trajectory of their illness. Aim: To describe the palliative care needs and experiences of people with mesothelioma and their family carers. Design: Integrative systematic review with narrative synthesis (PROSPERO: CRD42020190115). Data sources: MEDLINE, CINAHL, PsycINFO and the Cochrane Library were searched for articles published between 01 January 2000 and 10 May 2020. Articles were included if they presented empirical studies or comprehensive reviews including information about the palliative care needs and experiences of people with mesothelioma and their family carers. Results: The search yielded 508 articles, 14 were included in the analysis. A cross cutting theme of ‘uncertainty’ was identified encompassing five themes: (1) organisation and co-ordination of services, (2) communication and information needs, (3) management of care needs and high symptom burden, (4) consideration of the impact of seeking compensation and (5) family carer needs. Our findings demonstrate that people with mesothelioma want a co-ordinated, team-based approach to palliative care with a named point of contact. Whilst carers value and benefit from early referral to specialist palliative care, this does not necessarily reflect the outcomes and views of patients. Conclusion: The evidence base around the palliative care needs and experiences of people with mesothelioma and their carers needs to be strengthened. The results of this review support the need to develop a greater understanding about the role non-specialist palliative care clinicians’ play in providing generalist palliative care for people with mesothelioma and their carers.

scholarly journals Cognitive therapy for command hallucinations: randomised controlled trial

2004 ◽  
Vol 184 (4) ◽  
pp. 312-320 ◽  
Author(s):  
Peter Trower ◽  
Max Birchwood ◽  
Alan Meaden ◽  
Sarah Byrne ◽  
Angela Nelson ◽  
...  
Keyword(s):  
Randomised Controlled Trial ◽  
Cognitive Therapy ◽  
Therapy Group ◽  
Controlled Trial ◽  
Social Rank ◽  
High Risk Group ◽  
Control Group ◽  
Treatment As Usual ◽  
Randomised Controlled ◽  
Command Hallucinations

BackgroundCommand hallucinations are a distressing and high-risk group of symptoms that have long been recognised but little understood, with few effective treatments. In line with our recent research, we propose that the development of an effective cognitive therapy for command hallucinations (CTCH) would be enhanced by applying insights from social rank theory.AimsWe tested the efficacy of CTCH in reducing beliefs about the power of voices and thereby compliance, in a single-blind, randomised controlled trial.MethodA total of 38 patients with command hallucinations, with which they had recently complied with serious consequences, were allocated randomly to CTCH or treatment as usual and followed up at 6 months and 12 months.ResultsLarge and significant reductions in compliance behaviour were obtained favouring the cognitive therapy group (effect size=1.1). Improvements were also observed in the CTCH but not the control group in degree of conviction in the power and superiority of the voices and the need to comply, and in levels of distress and depression. No change in voice topography (frequency, loudness, content) was observed. The differences were maintained at 12 months' follow-up.ConclusionsThe results support the efficacy of cognitive therapy for CTCH.

Achtsamkeitsbasierte kognitive Therapie

2014 ◽  
Vol 43 (4) ◽  
pp. 233-240 ◽  
Author(s):  
Thomas Heidenreich ◽  
Christoph Grober ◽  
Johannes Michalak
Keyword(s):  
Cognitive Therapy ◽  
Stress Reduction ◽  
Kognitive Therapie ◽  
Mindfulness Based Stress Reduction ◽  
Praktische Umsetzung

Unter den im Zentrum dieses Sonderhefts stehenden Neuentwicklungen nehmen achtsamkeitsbasierte Verfahren eine bedeutsame Rolle ein: Während die „Achtsamkeitsbasierte Stressreduktion” (mindfulness-based stress reduction, MBSR) bereits in der zweiten Hälfte der 1970er Jahre entwickelt wurde ( Kabat-Zinn, 1990 ), erlangte insbesondere die von Segal, Williams und Teasdale (2002) speziell für die Rückfallprävention bei rezidivierender depressiver Störung entwickelte „Achtsamkeitsbasierte Kognitive Therapie” (mindfulness-based cognitive therapy, MBCT) eine zunehmende Bedeutung im Bereich kognitiv-behavioraler Ansätze. Der vorliegende Beitrag geht zunächst auf den historischen und theoretischen Hintergrund der Achtsamkeitsbasierten Kognitiven Therapie ein. Im Anschluss daran wird die praktische Umsetzung des Gruppenkonzepts vorgestellt und der Stand der Forschung anhand aktueller Metaanalysen referiert. Der Beitrag schließt mit einer kritischen Diskussion einer allzu verkürzten Anwendung von Achtsamkeit in der klinischen Praxis.

Teaching Mindfulness Skills in DBT

2017 ◽  
pp. 366-388
Author(s):  
Maggie Stanton ◽  
Christine Dunkley
Keyword(s):  
Cognitive Therapy ◽  
Stress Reduction ◽  
Individual Therapy ◽  
Behaviour Therapy ◽  
Dialectical Behaviour Therapy ◽  
Mindfulness Skills ◽  
Skills Group ◽  
Phone Contact ◽  
Mindfulness Based Stress Reduction ◽  
The Way

Dialectical Behaviour Therapy (DBT) differs from other approaches by teaching mindfulness as a set of skills. In contrast to mindfulness-based therapies such as Mindfulness Based Stress Reduction (MBSR) and Mindfulness Based Cognitive Therapy (MBCT), DBT makes a distinction between observe, describe, and participate (the “What Skills”) and teaches each as a separate skill. DBT makes explicit the way in which these skills are practised, i.e. non-judgementally, one-mindfully, and effectively (the “How Skills”). In addition, the skill of “Wise Mind” teaches the client how to make decisions and choices that provide a synthesis of both logical and emotional perspectives. Mindfulness skills are acquired in skills group, strengthened in individual therapy, and generalized via phone contact. Thus, the chapter is organized around these three modes of delivering therapy. Client examples and scenarios demonstrate the process and strategies used with attention to overcoming challenges that can arise when teaching these skills.

scholarly journals Factors Associated with Depression and Anxiety in Adults ≥60 Years Old during the COVID-19 Pandemic: A Systematic Review

2021 ◽  
Vol 18 (22) ◽  
pp. 11859
Author(s):  
Gianluca Ciuffreda ◽  
Sara Cabanillas-Barea ◽  
Andoni Carrasco-Uribarren ◽  
María Isabel Albarova-Corral ◽  
María Irache Argüello-Espinosa ◽  
...  
Keyword(s):  
Systematic Review ◽  
Female Gender ◽  
Cochrane Library ◽  
Poor Sleep ◽  
Depression And Anxiety ◽  
Poor Sleep Quality ◽  
Cross Sectional ◽  
Factors Associated ◽  
Population Prevalence ◽  
Cross Sectional Design

COVID-19 represents a threat to public health and the mental health of the aged population. Prevalence and risk factors of depression and anxiety have been reported in previous reviews in other populations; however, a systematic review on the factors associated with depression and anxiety in older adults is not currently present in the literature. We searched PubMed, Embase, Scopus, ProQuest Psychology Database, Science Direct, Cochrane Library and SciELO databases (23 February 2021). The results were obtained by entering a combination of MeSH or Emtree terms with keywords related to COVID-19, elderly, depression and anxiety in the databases. A total of 11 studies were included in the systematic review. Female gender, loneliness, poor sleep quality and poor motor function were identified as factors associated with both depression and anxiety. Aspects related to having a stable and high monthly income represent protective factors for both depression and anxiety, and exercising was described as protective for depression. This study synthesised information and analysed the main factors associated with depression and anxiety in the older population during the COVID-19 pandemic. However, the cross-sectional design of most of the included studies does not allow a causal relationship between the factors analysed and depression or anxiety.

The conscious state of the dying patient: An integrative review

2021 ◽  
pp. 1-13
Author(s):  
Tricia O'Connor ◽  
Catherine Paterson ◽  
Jo Gibson ◽  
Karen Strickland
Keyword(s):  
Case Series ◽  
Conscious State ◽  
Integrative Review ◽  
World Health ◽  
Holistic Care ◽  
Cochrane Library ◽  
Cognitive State ◽  
Care Needs ◽  
Research Perspectives ◽  
Dying Patient

Abstract Objectives The cognitive state of the dying in the last days of life may deteriorate, resulting in a reduced ability to communicate their care needs. Distressing symptoms, physical and existential, may go unrecognized and untreated. The objectives of this integrative review were to systematically interrogate the literature to determine the changing conscious state of dying adults and to identify changes in their care needs. Methods An integrative review protocol was registered with PROSPERO (CRD42020160475). The World Health Organization definition of palliative care informed the review. CINAHL, MEDLINE (OVID), Scopus, PsycINFO, Cochrane Library, and PubMed were searched from inception to October 2019 using search strategies for each database. Inclusion and exclusion criteria were applied. Methodological quality was appraised using the Joanna Briggs Institute Checklist for the Case Series appraisal tool. Extracted data were synthesized using a narrative approach. Results Of 5,136 papers identified, 11 quantitative case series studies were included. Six themes were identified: conscious state and change over time, awareness, pain, absence of holistic care, the voiceless patient, and signs and symptoms of dying. Significance of results In the last days of life, the physical and conscious state of the dying patient declines, resulting in an inability to express their care needs. Dignity in dying and freedom from pain and suffering are both an imperative and a human right; and unvoiced care needs can result in unnecessary suffering and distress. This review revealed that little is known about how healthcare professionals assess holistic care needs at this vulnerable time. Although much has been written about palliative and end-of-life care, the assessment of care needs when patients are no longer able to voice their own needs has largely been ignored, with little attention from clinical, educational, or research perspectives. This gap in evidence has important implications for the dying and their families.

Sign in / Sign up

Export Citation Format

Share Document