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KMID : 1022320200140040221
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Asian Nursing Research
2020 Volume.14 No. 4 p.221 ~ p.230
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The Use of Modified Mindfulness-Based Stress Reduction and Mindfulness-Based Cognitive Therapy Program for Family Caregivers of People Living with Dementia: A Feasibility Study
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Cheung Daphne Sze Ki
Kor Patrick Pui Kin
Jones Cindy
Davies Nathan
Moyle Wendy
Chien Wai Tong
Yip Annie Lai King
Chambers Suzanne
Yu Clare Tsz Kiu
Lai Claudia K.Y.
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Abstract
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Purpose: The aim of this study was to investigate the feasibility and preliminary efficacy of a modifiedmindfulness-based stress reduction (MBSR) program and mindfulness-based cognitive therapy (MBCT)program for reducing the stress, depressive symptoms, and subjective burden of family caregivers ofpeople with dementia (PWD).
Methods: A prospective, parallel-group, randomized controlled trial design was adopted. Fifty-sevenparticipants were recruited from the community and randomized into either the modified MBSRgroup (n ¼ 27) or modified MBCT group (n ¼ 26), receiving seven face-to-face intervention sessions formore than 16 weeks. Various psychological outcomes were measured at baseline (T0), immediately afterintervention (T1), and at the 3-month follow-up (T2).
Results: Both interventions were found to be feasible in view of the high attendance (more than 70.0%)and low attrition (3.8%) rates. The mixed analysis of variance (ANOVA) results showed positive withingroupeffects on perceived stress (p ¼ .030, Cohen's d ¼ 0.54), depressive symptoms (p ¼ .002,Cohen's d ¼ 0.77), and subjective caregiver burden (p < .001, Cohen's d ¼ 1.12) in both interventionsacross the time points, whereas the modified MBCT had a larger effect on stress reduction, comparedwith the modified MBSR (p ¼ .019).
Conclusion: Both the modified MBSR and MBCT are acceptable to family caregivers of PWD. Their preliminaryeffects were improvements in stress, depressive symptoms, and subjective burden. The modifiedMBCT may be more suitable for caregivers of PWD than the MBSR. A future clinical trial is needed toconfirm their effectiveness in improving the psychological well-being of caregivers of PWD.
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KEYWORD
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caregivers, dementia, depression, mindfulness, stress, psychological
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