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Original Articles

The involvement of multiple caregivers in cognitive-behavior therapy for anxiety in persons with dementia

, , , , , , & show all
Pages 291-298 | Received 18 Sep 2009, Accepted 16 Nov 2009, Published online: 11 Apr 2011
 

Abstract

Objectives: Peaceful Mind, a cognitive-behavioral therapy for treating anxiety in persons with dementia, is a promising new treatment currently under investigation. This article reports results of our examination of a modification of the treatment protocol in two cases that included multiple caregivers in treating two persons with dementia.

Method: Two case presentations of the benefits and challenges of including multiple caregivers in treatment are discussed. Treatment outcome data for these cases were collected as part of a larger investigation of Peaceful Mind.

Results: The involvement of multiple collaterals resulted in several benefits, including increased family communication, as well as increased opportunities for the practice of new skills. These cases have also presented unique challenges requiring alterations in therapy structure and attention to issues of family conflict.

Conclusions: Including multiple collaterals in cognitive-behavioral therapy for treating anxiety in persons with dementia is feasible and may be beneficial in maximizing treatment gains and increasing the family's investment in therapy.

Acknowledgments

This study was supported by Grant R34-MH078925 from the National Institute of Mental Health awarded to the last author. It is also based upon work supported in part by the VA HSR&D Houston Center of Excellence (HFP90-020).

Conflict of interest: The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIMH, the National Institutes of Health, or the Veterans Administration or Baylor College of Medicine. The NIMH had no role in the design and conduct of the study; the collection, management, analysis, and interpretation of the data; or the preparation, review or approval of the article.

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