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Psychosocial interventions to support the mental health of informal caregivers of persons living with dementia – a systematic literature review
BACKGROUND: Informal caregivers of persons living with dementia have an increased risk of adverse mental health effects. It is therefore important to systematically summarize published literature in order to find out which mental health interventions generate effective support for informal caregiver...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7849618/ https://www.ncbi.nlm.nih.gov/pubmed/33526012 http://dx.doi.org/10.1186/s12877-021-02020-4 |
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author | Wiegelmann, Henrik Speller, Sarah Verhaert, Lisa-Marie Schirra-Weirich, Liane Wolf-Ostermann, Karin |
author_facet | Wiegelmann, Henrik Speller, Sarah Verhaert, Lisa-Marie Schirra-Weirich, Liane Wolf-Ostermann, Karin |
author_sort | Wiegelmann, Henrik |
collection | PubMed |
description | BACKGROUND: Informal caregivers of persons living with dementia have an increased risk of adverse mental health effects. It is therefore important to systematically summarize published literature in order to find out which mental health interventions generate effective support for informal caregivers of persons living with dementia. The objective of this study is to conduct a systematic review of intervention content, effectiveness and subgroup differentiation of mental health interventions for informal caregivers of persons with dementia living at home. METHOD: We searched four electronic databases (PubMed, PsychINFO, Scopus and CINAHL) and included only methodically high-quality randomized controlled trials (RCTs), published in English or German language between 2009 and 2018. The intervention programmes focused on mental health of family caregivers. A narrative synthesis of the included studies is given. RESULTS: Forty-eight publications relating to 46 intervention programmes met the inclusion criteria. Burden, depression and quality of life (QoL) are the predominant parameters that were investigated. Twenty-five of forty-six interventions (54.3%) show positive effects on at least one of the outcomes examined. Most often, positive effects are reported for the outcome subjective burden (46.2%). Only six studies explicitly target on a certain subgroup of informal dementia caregivers (13%), whereas all other interventions (87%) target the group as a whole without differentiation. CONCLUSION: The most beneficial results were found for cognitive behavioural approaches, especially concerning the reduction of depressive symptoms. Besides this, leisure and physical activity interventions show some good results in reducing subjective caregiver burden. In order to improve effectiveness, research and practice may focus on developing more targeted interventions for special dementia informal caregiver subgroups. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12877-021-02020-4. |
format | Online Article Text |
id | pubmed-7849618 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-78496182021-02-02 Psychosocial interventions to support the mental health of informal caregivers of persons living with dementia – a systematic literature review Wiegelmann, Henrik Speller, Sarah Verhaert, Lisa-Marie Schirra-Weirich, Liane Wolf-Ostermann, Karin BMC Geriatr Research Article BACKGROUND: Informal caregivers of persons living with dementia have an increased risk of adverse mental health effects. It is therefore important to systematically summarize published literature in order to find out which mental health interventions generate effective support for informal caregivers of persons living with dementia. The objective of this study is to conduct a systematic review of intervention content, effectiveness and subgroup differentiation of mental health interventions for informal caregivers of persons with dementia living at home. METHOD: We searched four electronic databases (PubMed, PsychINFO, Scopus and CINAHL) and included only methodically high-quality randomized controlled trials (RCTs), published in English or German language between 2009 and 2018. The intervention programmes focused on mental health of family caregivers. A narrative synthesis of the included studies is given. RESULTS: Forty-eight publications relating to 46 intervention programmes met the inclusion criteria. Burden, depression and quality of life (QoL) are the predominant parameters that were investigated. Twenty-five of forty-six interventions (54.3%) show positive effects on at least one of the outcomes examined. Most often, positive effects are reported for the outcome subjective burden (46.2%). Only six studies explicitly target on a certain subgroup of informal dementia caregivers (13%), whereas all other interventions (87%) target the group as a whole without differentiation. CONCLUSION: The most beneficial results were found for cognitive behavioural approaches, especially concerning the reduction of depressive symptoms. Besides this, leisure and physical activity interventions show some good results in reducing subjective caregiver burden. In order to improve effectiveness, research and practice may focus on developing more targeted interventions for special dementia informal caregiver subgroups. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12877-021-02020-4. BioMed Central 2021-02-01 /pmc/articles/PMC7849618/ /pubmed/33526012 http://dx.doi.org/10.1186/s12877-021-02020-4 Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Wiegelmann, Henrik Speller, Sarah Verhaert, Lisa-Marie Schirra-Weirich, Liane Wolf-Ostermann, Karin Psychosocial interventions to support the mental health of informal caregivers of persons living with dementia – a systematic literature review |
title | Psychosocial interventions to support the mental health of informal caregivers of persons living with dementia – a systematic literature review |
title_full | Psychosocial interventions to support the mental health of informal caregivers of persons living with dementia – a systematic literature review |
title_fullStr | Psychosocial interventions to support the mental health of informal caregivers of persons living with dementia – a systematic literature review |
title_full_unstemmed | Psychosocial interventions to support the mental health of informal caregivers of persons living with dementia – a systematic literature review |
title_short | Psychosocial interventions to support the mental health of informal caregivers of persons living with dementia – a systematic literature review |
title_sort | psychosocial interventions to support the mental health of informal caregivers of persons living with dementia – a systematic literature review |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7849618/ https://www.ncbi.nlm.nih.gov/pubmed/33526012 http://dx.doi.org/10.1186/s12877-021-02020-4 |
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