![]() (for example attending brief parts of some sessions) to being present at all Their involvement could range from very little ![]() Implementing strategies, for example applying what has been discussed during The carer’s role is to support the person with dementia in During this first phase, the level of carer involvement is alsoĮstablished. Self-monitoring, developing an individualised formulation and identifying Phase 1 involves building a collaborative relationship, psychoeducationĪbout CBT and the excess disability caused by anxiety in dementia, (person-centred) formulation is collaboratively reached to guide progress. The version used in this trial involved a three-phaseįormulation-driven therapy based on Beck & Clark’s Reference Beck and Clark5 cognitive model of anxiety, whereby an individualised ![]() Review, a consensus conference with 30 people and field-testing with three Reference Spector, Orrell, Lattimer, Hoe, King and Harwood14 Its development involved a systematic literature review, expert The manual was developed in several stages, described previously. Research Ethics Committee’ (reference number 10/H0701/124). Ethical approval was obtained through the ‘East London 3 This included an assessment of acceptability, adherence, recruitment, Treatment as usual (TAU) versus TAU for people with dementia (supported by theirĬarers). Reference Craig, Dieppe, Macintyre, Michie, Nazareth and Petticrew13 They were to: (a) develop a CBT intervention manual and (b) assess theįeasibility of the intervention through a single-blind, pilot RCT of CBT plus (MRC’s) guidelines for developing a complex intervention and assessing feasibility. Phases, which correspond to phase I and II of the Medical Research Council’s They all concluded that larger trials are needed. Reference Dagnan, Chadwick and Proudlove9 There is some evidence for the feasibility of CBT for anxiety andĭepression in dementia, primarily through case studies and two small randomisedĬontrolled trials (RCTs) in the USA (for example Teri et al,Įt al Reference Teri, Logsdon, Uomoto and McCurry2, Reference Kipling, Bailey and Charlesworth10– Reference Stanley, Calleo, Bush, Wilson, Snow and Kraus-Schuman12 ). There is evidence that people with dementia can learn and develop skills, Reference Spector, Thorgrimsen, Woods, Royan, Davies and Butterworth8 which suggests that CBT could be used for people with dementia as it hasīeen with other impaired populations including individuals with intellectual disabilities. Improving Access to Psychological Therapies (IAPT) programme, 7 which supports primary care trusts in implementing CBT for depression andĪnxiety. Reference Stanley, Wilson, Novy, Rhoades, Wagener and Greisinger6 The UK National Health Service (NHS) widely endorses CBT through its There is robust evidence thatĬBT is an effective first-line strategy for anxiety in older people without dementia. Reference Moretti, Torre, Antonello and Pizzolato4 Cognitive–behavioural therapy (CBT) Reference Beck and Clark5 is a collaborative psychological approach that addresses the interactionīetween people’s thoughts, feelings and behaviour. Of antipsychotics presents serious risks. Reference Porter, Buxton, Fairbanks, Strickland and O'Connor1 People may get treated with psychotropic medication (such asĪnti-depressants), even though there is little if any evidence of benefit and use Reference Teri, Logsdon, Uomoto and McCurry2, Reference Orrell and Bebbington3 Anxiety in dementia often receives little attention. Reference Porter, Buxton, Fairbanks, Strickland and O'Connor1 Anxiety may physically present as motor restlessness, agitation, day/nightĭisturbance and/or aggression, and as the dementia progresses, often results inĮxacerbated symptoms as a result of increased dependency and behavioural problems. Anxiety in dementia is common, with prevalence estimated from 5 to 21% for anxietyĭisorders and up to 71% for anxiety symptoms.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |