The process of a group intervention for caregivers of demented persons living at home: conceptual framework, components, and characteristics.
Identifieur interne : 000145 ( Canada/Analysis ); précédent : 000144; suivant : 000146The process of a group intervention for caregivers of demented persons living at home: conceptual framework, components, and characteristics.
Auteurs : L. Lévesque [Canada] ; C. Gendron ; J. Vézina ; R. Hébert ; F. Ducharme ; J-P Lavoie ; M. Gendron ; L. Voyer ; M. PrévilleSource :
- Aging & mental health [ 1360-7863 ] ; 2002.
English descriptors
- KwdEn :
- Adaptation, Psychological, Adult, Aged, Alzheimer Disease (psychology), Alzheimer Disease (therapy), Caregivers (psychology), Family Therapy (methods), Female, Home Nursing (psychology), Humans, Male, Middle Aged, Problem Solving, Psychotherapy, Group (methods), Social Support, Stress, Psychological (complications).
- MESH :
- complications : Stress, Psychological.
- methods : Family Therapy, Psychotherapy, Group.
- psychology : Alzheimer Disease, Caregivers, Home Nursing.
- therapy : Alzheimer Disease.
- Adaptation, Psychological, Adult, Aged, Female, Humans, Male, Middle Aged, Problem Solving, Social Support.
Abstract
Most earlier group interventions for caregivers of demented persons lacked a theoretical basis to guide the intervention process and focused on providing information and practical advice and encouraging the expression of feelings. This article presents the process of a group intervention with emphasis on its conceptual framework, components and characteristics. As caregivers are exposed to numerous daily stressful demands, the intervention's conceptual framework was derived from Lazarus and Folkman's transactional theory of stress and coping and Folkman's Coping Effectiveness Training Program. The central aim of the intervention was to improve the ability of caregivers to cope with the stressful demands at the core of caring for a demented person, rather than to focus on information and the task-oriented aspects of caring. The two components of the intervention deal with the cognitive appraisal of stressors and coping strategies, with a view to determining which strategies are most appropriate on the basis of the changeability of stressors. Three coping strategies were proposed: problem solving (problem-focused coping to deal with changeable stressors), reframing (emotion-focused coping to manage the emotional response to unchangeable stressors), and seeking social support (problem- or emotion-focused coping). The most salient characteristics of this group intervention were its intensity (15 meetings) and its focus on the caregivers' daily reality, which provided concrete reference points for the discussion of conceptual notions.
DOI: 10.1080/13607860220142468
PubMed: 12217092
Affiliations:
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Links to Exploration step
pubmed:12217092Le document en format XML
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<front><div type="abstract" xml:lang="en">Most earlier group interventions for caregivers of demented persons lacked a theoretical basis to guide the intervention process and focused on providing information and practical advice and encouraging the expression of feelings. This article presents the process of a group intervention with emphasis on its conceptual framework, components and characteristics. As caregivers are exposed to numerous daily stressful demands, the intervention's conceptual framework was derived from Lazarus and Folkman's transactional theory of stress and coping and Folkman's Coping Effectiveness Training Program. The central aim of the intervention was to improve the ability of caregivers to cope with the stressful demands at the core of caring for a demented person, rather than to focus on information and the task-oriented aspects of caring. The two components of the intervention deal with the cognitive appraisal of stressors and coping strategies, with a view to determining which strategies are most appropriate on the basis of the changeability of stressors. Three coping strategies were proposed: problem solving (problem-focused coping to deal with changeable stressors), reframing (emotion-focused coping to manage the emotional response to unchangeable stressors), and seeking social support (problem- or emotion-focused coping). The most salient characteristics of this group intervention were its intensity (15 meetings) and its focus on the caregivers' daily reality, which provided concrete reference points for the discussion of conceptual notions.</div>
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