Effects of Grief Focused Intervention on the Mental Health of Dementia Caregivers: Systematic Review and Meta-Analysis
Abstract
Background: The objectives of this study were to systematically review the effects of grief-focused interventions, applied to dementia caregivers, on emotional burden including sadness and to provide baseline information for dementia caregivers to maintain mental health by identifying the effect size of intervention using a meta-analysis.
Methods: We evaluated literature published from Jan 1, 2000, to Jun 28, 2019. Consequently, we selected five studies to conduct a systematic review. The Standard Quality Assessment Criteria for Evaluating Primary Research Papers from a Variety of Fields was used for conducting a quality assessment on the selected literature.
Results: The results of the quality assessment showed that the score ranged from 11 to 24 points: one strong, one good, two adequate, and one limited. When the meta-mean was compared before and after grief intervention, the effect size of the random-effect model was 0.31 (95% CI: -0.07, 0.69) showed ‘intermediate effect’, but the confidence interval was not significant.
Conclusion: The grief intervention for dementia caregivers revealed a moderate effect but it was not significant. In order to prove the effectiveness of grief intervention for dementia caregivers, a meta-analysis targeting RCT studies is needed.
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2. Sun Y, Lee HJ, Yang SC, et al (2014). A na-tionwide survey of mild cognitive im-pairment and dementia, including very mild dementia, in Taiwan. PloS one, 9(6): e100303.
3. Ministry of Health and Welfare (2013). 2012 survey of dementia prevalence. Seoul: Ministry of Health and Welfare. Korea.
4. Korea National Statistical Office (2016). The causes of death statistics in 2015. Daejeon: Korea National Statistical Office. Korea.
5. Dunkin JJ, Anderson-Hanley C (1998). De-mentia caregiver burden: a review of the literature and guidelines for assessment and intervention. Neurology, 51(1 Suppl 1):S53-60.
6. Gaugler JE, Jarrott SE, Zarit SH, et al (2003). Adult day service use and reductions in caregiving hours: Effects on stress and psychological well-being for dementia caregivers. Int J Geriatr Psychiatry, 18(1): 55-62.
7. Goedendorp MM, Gielissen MF, Verhagen CA, Bleijenberg G (2009). Psychosocial interventions for reducing fatigue during cancer treatment in adults. Cochrane Data-base Syst Rev, 21(1): CD006953.
8. Mahoney R, Regan C, Katona C, Livingston G (2005). Anxiety and depression in fam-ily caregivers of people with Alzheimer disease: The LASER-AD study. Am J Geriatr Psychiatry, 13(9): 795-801.
9. Chen HM, Chen CM (2017). Factors associ-ated with quality of life among older adults with chronic disease in Taiwan. Int J Gerontol, 11(1): 12-15.
10. Hsu CC, Wang YM, Huang CR, et al (2017). Sustained benefit of a psycho-educational training program for dementia caregivers in Taiwan. Int J Gerontol, 11(1): 31-35.
11. Chan D, Livingston G, Jones L, Sampson EL (2013). Grief reactions in dementia carers: a systematic review. Int J Geriatr Psychiatry, 28(1): 1-17.
12. Noyes BB, Hill RD, Hicken BL, et al (2010). The role of grief in dementia caregiving. Am J Alzheimers Dis Other Demen, 25(1): 9-17.
13. Schupp LJ (2003). Grief: normal, complicated, traumatic. Eau Claire: PESI Health Care. Wisconsin.
14. Waelde LC, Thompson L, Gallagher‐Thompson D (2004). A pilot study of a yoga and meditation intervention for dementia caregiver stress. J Clin Psychol, 60(6): 677-87.
15. Ott CH, Kelber ST, Blaylock M (2010). “Easing the way” for spouse caregivers of individuals with dementia: A pilot fea-sibility study of a grief intervention. Res Gerontol Nurs, 3(2): 89-99.
16. Higgins JPT, Green S (2011). Cochrane hand-book for systematic reviews of interventions: Ver-sion 5.1.0. Oxford: The Cochrane Collab-oration. United Kingdom.
17. Kmet LM, Lee RC, Cook LS (2004). Stand-ard quality assessment criteria for evaluating pri-mary research papers from a variety of fields. Edmonton: Alberta Heritage Foundation for Medical Research. Canada.
18. Meichsner FG, Wilz G (2018). "Dementia caregivers' coping with pre-death grief: effects of a CBT-based intervention." Ag-ing Ment Health, 22(2): 218-225.
19. Paun O, Farran CJ, Fogg L, et al (2015). A chronic grief intervention for dementia family caregivers in long-term care. West J Nurs Res, 37(1): 6-27.
20. MacCourt P, McLennan M, Somers S, Krawczyk M (2017). Effectiveness of a grief intervention for caregivers of people with dementia. Omega (Westport), 75(3): 230-247.
21. Paun O1, Farran CJ (2011). "Chronic Grief Management for Dementia Caregivers in Transition: Intervention Development and Implementation." J Gerontol Nurs, 37(12): 28-35.
22. Chien LY, Chu H, Guo JL, et al (2011). Caregiver support groups in patients with dementia: A meta-analysis. Int J Geriatr Psychiatry, 26(10): 1089-98.
23. Park S, Park M (2015). Effects of family support programs for caregivers of peo-ple with dementia-caregiving burden, de-pression, and stress: Systematic review and meta-analysis. J Korean Acad Nurs, 45(5): 627-40.
24. Shuter P, Beattie E, Edwards H (2014). An exploratory study of grief and health-related quality of life for caregivers of people with dementia. Am J Alzheimers Dis Other Demen, 29(4): 379-85.
25. Supiano KP, Andersen TC, Haynes LB (2015). Sudden-on-chronic death and complicated grief in bereaved dementia caregivers: Two case studies of compli-cated grief group therapy. J Soc Work End Life Palliat Care, 11(3-4): 267-82.
26. Duke S (1998). An exploration of anticipa-tory grief: The lived experience of people during their spouses' terminal illness and in bereavement. J Adv Nurs, 28(4): 829-39.
27. Park HS, Kim MS, Jung JS, et al (2006). (Concept analysis of preparatory grief in terminal cancer patients). Taehan Kanho Hakhoe Chi, 36(5): 782-91.
2. Sun Y, Lee HJ, Yang SC, et al (2014). A na-tionwide survey of mild cognitive im-pairment and dementia, including very mild dementia, in Taiwan. PloS one, 9(6): e100303.
3. Ministry of Health and Welfare (2013). 2012 survey of dementia prevalence. Seoul: Ministry of Health and Welfare. Korea.
4. Korea National Statistical Office (2016). The causes of death statistics in 2015. Daejeon: Korea National Statistical Office. Korea.
5. Dunkin JJ, Anderson-Hanley C (1998). De-mentia caregiver burden: a review of the literature and guidelines for assessment and intervention. Neurology, 51(1 Suppl 1):S53-60.
6. Gaugler JE, Jarrott SE, Zarit SH, et al (2003). Adult day service use and reductions in caregiving hours: Effects on stress and psychological well-being for dementia caregivers. Int J Geriatr Psychiatry, 18(1): 55-62.
7. Goedendorp MM, Gielissen MF, Verhagen CA, Bleijenberg G (2009). Psychosocial interventions for reducing fatigue during cancer treatment in adults. Cochrane Data-base Syst Rev, 21(1): CD006953.
8. Mahoney R, Regan C, Katona C, Livingston G (2005). Anxiety and depression in fam-ily caregivers of people with Alzheimer disease: The LASER-AD study. Am J Geriatr Psychiatry, 13(9): 795-801.
9. Chen HM, Chen CM (2017). Factors associ-ated with quality of life among older adults with chronic disease in Taiwan. Int J Gerontol, 11(1): 12-15.
10. Hsu CC, Wang YM, Huang CR, et al (2017). Sustained benefit of a psycho-educational training program for dementia caregivers in Taiwan. Int J Gerontol, 11(1): 31-35.
11. Chan D, Livingston G, Jones L, Sampson EL (2013). Grief reactions in dementia carers: a systematic review. Int J Geriatr Psychiatry, 28(1): 1-17.
12. Noyes BB, Hill RD, Hicken BL, et al (2010). The role of grief in dementia caregiving. Am J Alzheimers Dis Other Demen, 25(1): 9-17.
13. Schupp LJ (2003). Grief: normal, complicated, traumatic. Eau Claire: PESI Health Care. Wisconsin.
14. Waelde LC, Thompson L, Gallagher‐Thompson D (2004). A pilot study of a yoga and meditation intervention for dementia caregiver stress. J Clin Psychol, 60(6): 677-87.
15. Ott CH, Kelber ST, Blaylock M (2010). “Easing the way” for spouse caregivers of individuals with dementia: A pilot fea-sibility study of a grief intervention. Res Gerontol Nurs, 3(2): 89-99.
16. Higgins JPT, Green S (2011). Cochrane hand-book for systematic reviews of interventions: Ver-sion 5.1.0. Oxford: The Cochrane Collab-oration. United Kingdom.
17. Kmet LM, Lee RC, Cook LS (2004). Stand-ard quality assessment criteria for evaluating pri-mary research papers from a variety of fields. Edmonton: Alberta Heritage Foundation for Medical Research. Canada.
18. Meichsner FG, Wilz G (2018). "Dementia caregivers' coping with pre-death grief: effects of a CBT-based intervention." Ag-ing Ment Health, 22(2): 218-225.
19. Paun O, Farran CJ, Fogg L, et al (2015). A chronic grief intervention for dementia family caregivers in long-term care. West J Nurs Res, 37(1): 6-27.
20. MacCourt P, McLennan M, Somers S, Krawczyk M (2017). Effectiveness of a grief intervention for caregivers of people with dementia. Omega (Westport), 75(3): 230-247.
21. Paun O1, Farran CJ (2011). "Chronic Grief Management for Dementia Caregivers in Transition: Intervention Development and Implementation." J Gerontol Nurs, 37(12): 28-35.
22. Chien LY, Chu H, Guo JL, et al (2011). Caregiver support groups in patients with dementia: A meta-analysis. Int J Geriatr Psychiatry, 26(10): 1089-98.
23. Park S, Park M (2015). Effects of family support programs for caregivers of peo-ple with dementia-caregiving burden, de-pression, and stress: Systematic review and meta-analysis. J Korean Acad Nurs, 45(5): 627-40.
24. Shuter P, Beattie E, Edwards H (2014). An exploratory study of grief and health-related quality of life for caregivers of people with dementia. Am J Alzheimers Dis Other Demen, 29(4): 379-85.
25. Supiano KP, Andersen TC, Haynes LB (2015). Sudden-on-chronic death and complicated grief in bereaved dementia caregivers: Two case studies of compli-cated grief group therapy. J Soc Work End Life Palliat Care, 11(3-4): 267-82.
26. Duke S (1998). An exploration of anticipa-tory grief: The lived experience of people during their spouses' terminal illness and in bereavement. J Adv Nurs, 28(4): 829-39.
27. Park HS, Kim MS, Jung JS, et al (2006). (Concept analysis of preparatory grief in terminal cancer patients). Taehan Kanho Hakhoe Chi, 36(5): 782-91.
| Files | ||
| Issue | Vol 49 No 12 (2020) | |
| Section | Review Article(s) | |
| DOI | https://doi.org/10.18502/ijph.v49i12.4808 | |
| Keywords | ||
| Grief intervention; Dementia caregivers; Meta-analysis; Systematic review | ||
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
BYEON H. Effects of Grief Focused Intervention on the Mental Health of Dementia Caregivers: Systematic Review and Meta-Analysis. Iran J Public Health. 2020;49(12):2275-2286.
