Efecto de una intervención emocional y farmacoterapéutica en cuidadores informales de pacientes con deterioro cognitivo: un estudio piloto
HTML Full Text (Spanish)
PDF (Spanish)
XML (Spanish)

Keywords

caregivers
psychotherapy
pharmacotherapeutic follow-up
perceived health
burden
drugs

How to Cite

Efecto de una intervención emocional y farmacoterapéutica en cuidadores informales de pacientes con deterioro cognitivo: un estudio piloto. (2024). Universitas Psychologica, 23, 1-14. https://doi.org/10.11144/Javeriana.upsy23.eief
Almetrics
 
Dimensions
 

Google Scholar
 
Search GoogleScholar

Abstract

This pilot study aims to analyze the effect of an emotional and/or pharmacotherapeutic intervention in informal caregivers of people with mild cognitive impairment on burden, perceived health, blocks to healthy growth, and drugs use. For that, 21 caregivers (mean age = 67.10 ± 3.80 years) were assigned to one of four groups: control, emotional intervention, pharmacotherapeutic follow-up, and emotional intervention with pharmacotherapeutic follow-up. The program lasted nine weeks. Results showed significant differences between the pharmacotherapeutic follow-up group and the control group in the evolution of perceived health, with the first group showing improvements in the dimensions of vitality, emotional role and transition. Our findings suggest the need for combined pharmacological and emotional programs in our health system, considering the interrelation between both dimensions.

HTML Full Text (Spanish)
PDF (Spanish)
XML (Spanish)

Aaronson, N.K., Acquadro, C., Alonso, J., Apolone, G., Bucquet, D., Bullinger, M., Bungay, K., Fukuhara, S., Gandek, B., Keller, S. y Razavi, D. (1992). International quality of life assessment (IQOLA) project. Quality of Life Research, 1, 349-351. https://doi.org/10.1007/bf00434949

Abrahams, R., Liu, K., Bissett, M., Fahey, P., Cheung, K., Bye, R., Chaudhary, K. y Chu, L. W. (2018). Effectiveness of interventions for co-residing family caregivers of people with dementia: Systematic review and meta-analysis. Australian Occupational Therapy Journal, 65, 208-224. https://doi.org/10.1111/1440-1630.12464

Alonso, J., Prieto, L. y Anto, JM. (1995). La versión española del SF-36 Health Survey (Cuestionario de Salud SF-36): un instrumento para la medida de los resultados clínicos. Medicina Clínica, 104, 771-776.

Alzheimer’s Association (2020). Alzheimer’s disease facts and figures. Alzheimer’s & Dementia, 16, 391-460. https://doi.org/10.1002/alz.12068

Baharudin, A. D., Din, N. C., Subramaniam, P. y Razali, R. (2019). The associations between behavioral-psychological symptoms of dementia (BPSD) and coping strategy, burden of care and personality style among low-income caregivers of patients with dementia. BMC Public Health, 19, 447. https://doi.org/10.1186/s12889-019-6868-0

Bakker, T. J., Duivenvoorden, H. J., van der Lee, J., Olde Rikkert, M. G., Beekman, A. T. y Ribbe, M. W. (2013). Benefit of an integrative psychotherapeutic nursing home program to reduce multiple psychiatric symptoms of psychogeriatric patients and caregiver burden after six months of follow-up: a reanalysis of a randomized controlled trial. International Psychogeriatics 25, 34-46. https://doi.org/10.1017/s1041610212001305

Bianchi, M., Flesch, L. D., Alves, E. V. D. C., Batistoni, S. S. T. y Neri, A. L. (2016). Zarit burden interview psychometric indicators applied in older people caregivers of other elderly. Revista latino-americana de enfermagem, 24, e2835. https://doi.org/10.1590/1518-8345.1379.2835

Bott, N. T., Sheckter, C. C., y Milstein, A. S. (2017). Dementia care, women's health, and gender equity: the value of well-timed caregiver support. JAMA Neurology, 74, 757-758. https://doi.org/10.1001/jamaneurol.2017.0403

Camargos, E. F., Souza, A. B., Nascimento, A. S., Morais-e-Silva, A. C., Quintas, J. L., Louzada, L. L. y Medeiros-Souza, P. (2012). Use of psychotropic medications by caregivers of elderly patients with dementia: is this a sign of caregiver burden? Arquivos de Neuro-psiquiatria, 70, 169-174. https://doi.org/10.1590/s0004-282x2012000300003

Campos-Puente, A. D. L. M., Avargues-Navarro, M. L., Borda-Mas, M., Sánchez-Martín, M., Aguilar-Parra, J. M. y Trigueros, R. (2019). Emotional exhaustion in housewives and alzheimer patients’ caregivers: Its effects on chronic diseases, somatic symptoms and social dysfunction. International Journal of Environmental Research and Public Health, 16, 3250. https://doi.org/10.3390/ijerph16183250

Cheng, S. T., Au, A., Losada, A., Thompson, L. W. y Gallagher-Thompson, D. (2019). Psychological interventions for dementia caregivers: What we have achieved, what we have learned. Current Psychiatry Reports, 21, 1-12. https://doi.org/10.1007/s11920-019-1045-9

De Andrés-García, S., Cano-López, I., Moya-Albiol, L. y González-Bono, E. (2016). Negative affect, perceived health, and endocrine and immunological levels in caregivers of offspring with schizophrenia. Psicothema, 28, 377-382. https://doi.org/10.7334/psicothema2015.76

De Reuck, J., Maurage, C. A., Deramecourt, V., Pasquier, F., Cordonnier, C., Leys, D. y Bordet, R. (2018). Aging and cerebrovascular lesions in pure and in mixed neurodegenerative and vascular dementia brains: a neuropathological study. Folia Neuropathologica, 56, 81-87. https://doi.org/10.5114/fn.2018.76610

Domingues, N. S., Verreault, P. y Hudon, C. (2018). Reducing burden for caregivers of older adults with mild cognitive impairment: A systematic review. American Journal of Alzheimer's Disease & Other Dementias, 33, 401-414. https://doi.org/10.1177/1533317518788151

Etters, L., Goodall, D. y Harrison, B. E. (2008). Caregiver burden among dementia patient caregivers: a review of the literature. Journal of the American Academy Nurse Practicioners, 20, 423-428. https://doi.org/10.1111/j.1745-7599.2008.00342.x

Garre-Olmo, J. (2018). Epidemiología de la enfermedad de Alzheimer y otras demencias. Revista de Neurología, 66, 377-386. https://doi.org/10.33588/rn.6611.2017519

Hovland, C. (2018). Welcoming death: exploring pre-death grief experiences of caregivers of older adults with dementia. Journal of Social Work in End-of-life & Palliative Care, 14, 274-290. https://doi.org/10.1080/15524256.2018.1508538

Jütten, L. H., Mark, R. E., Wicherts, J. M. y Sitskoorn, M. M. (2018). The effectiveness of psychosocial and behavioral interventions for informal dementia caregivers: meta-analyses and meta-regressions. Journal of Alzheimer's Disease, 66, 149-172. https://doi.org/10.3233/jad-180508

Koolhaas, J.M., Bartolomucci, A., Buwalda, B., de Boer, S.F., Flügge, G., Korte, S.M., Meerlo, P., Murison, R., Olivier, B., Palanza, P. y Richter-Levin, G. (2011). Stress revisited: a critical evaluation of the stress concept. Neuroscience & Biobehavioral Reviews, 35, 1291-1301. https://doi.org/10.1016/j.neubiorev.2011.02.003

Lazarus, R.S. y Folkman, S. (1984). Stress, appraisal and coping. Springer Publishing Company.

Martín, M., Salvadó, I., Nadal, S., Miji, L. C., Rico, J. M., Lanz, P. y Taussig, M. I. (1996). Adaptación para nuestro medio de la Escala de Sobrecarga del Cuidador (Caregiver Burden Interview) de Zarit. Revista de Gerontología, 6, 338-345.

Martínez-Romero, F., Fernández-Llimós, F., Gastelurrutia, M. Á., Parras-Martín, M. y Faus Dáder, M. J. (2001). Programa Dáder de seguimiento del tratamiento farmacológico: resultados de la fase piloto. Ars Pharmaceutica, 42, 53-65.

Martín-García, R., Martín-Avila, G., De la Rubia-Marcos, M., Maroto-Rodríguez, R., Ortega-Angulo, C., Rodriguez, M.T.C., Santos, F.A. y Veiga, A.B.G. (2016). Consumption of drugs and nonpharmacological therapies in caregivers of patients with Alzheimer's Disease: a case-control study in Madrid. Dementia and Geriatric Cognitive Disorders , 6, 68-77. https://doi.org/10.1159/000442942.

Melo, G., Maroco, J., Lima-Basto, M. y de Mendonça, A. (2016). Personality of the caregiver influences the use of strategies to deal with the behavior of persons with dementia. Geriatric Nursing, 38, 63–69. https://doi.org/10.1016/j.gerinurse.2016.08.001

Organización Mundial de la Salud (2018). Ageing and health. Fact sheet. https://www.who.int/news-room/fact-sheets/detail/ageing-and-health

Organización Mundial de la Salud. (2019). Demencia. Fact sheet. https://www.who.int/es/news-room/fact-sheets/detail/dementia

Parks, S. M. y Novielli, K. D. (2000). A practical guide to caring for caregivers. American family Physician, 62, 2613-2620.

Ponjoan, A., Garre-Olmo, J., Blanch, J., Fages, E., Alves-Cabratosa, L., Martí, R., Comas, M., Parramon, D., García-Gil M. y Ramos, R. L. (2019). Epidemiology of dementia: prevalence and incidence estimates using validated electronic health records from primary care. Clinical Epidemiology, 11, 217-228. https://doi.org/10.2147/clep.s186590

Salama, H. (1992). Manual del Test de Psicodiagnóstico Gestalt de Salama (T.P.G). Centro Gestalt de México.

Salama, H. (2006). Gestalt de persona a persona. Alfaomega.

Seeher, K., Low, L. F., Reppermund, S. y Brodaty, H. (2013). Predictors and outcomes for caregivers of people with mild cognitive impairment: a systematic literature review. Alzheimer´s and Dementia, 9, 346-355. https://doi.org/10.1016/j.jalz.2012.01.012

Smale, B. y Dupuis, S. L. (2004). Caregivers of persons with dementia: roles, experiences, supports and coping. Murray Alzheimer Research and Education Program.

Soto-Rubio, AL., Valero-Moreno, S. y Pérez-Marín, M. (2020). Benefits of a support programme for family caregivers of patients at the end of life: a randomised controlled trial. Journal of Health Psychology. https://doi.org/10.1177/1359105320944993

Tak, Y., Song, J., Woo, H. y An, J. (2019). Realist Review: Understanding Effectiveness of Intervention Programs for Dementia Caregivers. Asian Nursing Research, 13, 11-19. https://doi.org/10.1016/j.anr.2019.01.002

Thorpe, J. M., Thorpe, C. T., Kennelty, K. A., Gellad, W. F. y Schulz, R. (2012). The impact of family caregivers on potentially inappropriate medication use in noninstitutionalized older adults with dementia. The American Journal of Geriatric Pharmacotherapy, 10, 230-241. https://doi.org/10.1016/j.amjopharm.2012.05.001

Villarejo, A., Eimil, M., Llamas, S., Llanero, M., López, C. y Prieto, C. (2017). Informe de la Fundación del Cerebro. Impacto social de la enfermedad de Alzheimer y otras demencias. Neurología, 36, 39-49. https://doi.org/10.1016/j.nrl.2017.10.005

Ware Jr, J. E. y Sherbourne, C. D. (1992). The MOS 36-item short-form health survey (SF-36): I. Conceptual framework and item selection. Medical Care, 30, 473-483.

Wu, B., Petrovsky, D. V., Wang, J., Xu, H., Zhu, Z., McConnell, E. S. y Corrazzini, K. N. (2019). Dementia caregiver interventions in Chinese people: a systematic review. Journal of Advanced Nursing, 75, 528-542. https://doi.org/10.1111/jan.13865

Zarit, S. H., Reever, K. E. y Bach-Peterson, J. (1980). Relatives of the impaired elderly: correlates of feelings of burden. The Gerontologist, 20, 649-655. https://doi.org/10.1093/geront/20.6.649

Zvěřová, M. (2012) Frequency of some psychosomatic symptoms in informal caregivers of Alzheimer's disease individuals. Prague's experience. Neuroendocrinology Letters, 33, 565-567.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright (c) 2024 María Dolores Guerrero, Irene López-Palanca, Lucrecia Moreno, Irene Cano-López