psychische stoornissen: angststoornissen- en symptomen anxiety and depressive disorders
Conditions
Interventions
Four meetings with family and close friends will be organized and run by a
trained counsellor according to a manual (Mittelman 2003) . The aim is to offer
psycho-education, increase problem-solving
Sponsors
Vrije Universiteit Medisch Centrum
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: - family caregiver takes primary responsibility for the informal care of a patient with a clinical diagnosis of dementia and lives in the same region as the patient. - In each family, at least one other family member lives in the same region of the patient and caregiver. - Both caregiver and patient have sufficient language proficiency in Dutch for adequate participation in meetings, interviews and tests. - Written informed consent from both patient and caregiver is obtained. In case of mental incompetence of a patient the family caregiver will sign the consent for the patient.
Exclusion criteria
Exclusion criteria: 1) Severe somatic or psychiatric co-morbidity of either caregiver or patient, which will significantly impair cooperation to the program. 2) Caregiver does have a depressive or anxiety disorder at baseline 3) Either caregiver or patient participates in other intervention studies at inclusion or during the study. 4) Scheduled to move a patient to a nursing home.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| - Incidence of major depression and anxiety disorders (i.e. generalised anxiety and panic) as defined according to DSM-IV criteria (APA 1994) and assessed with the Mini International Neuropsychiatric Interview (MINI) (Sheehan 1998). The MINI is used as 6 month prevalence measure. - The dimensional or severity measure of anxiety and depression symptoms is derived by validated self report instruments: the Centre for Epidemiologic Studies Depression Scale (CES-D) and Geriatric Depression Scale (GDS-5) for depression, the anxiety subscale of the Hospital Anxiety and Depression Scale (HADS) for anxiety. | — |
Secondary
| Measure | Time frame |
|---|---|
| Caregiver - Caregiver Burden with the Caregiver Reaction Assessment (CRA) (Given 1992) - Sense of competence with the SSCQ (Vernooij-Dassen 2000) - Quality of Life with the Short Form 12 item version (Ware 1995) - 'Quality adjusted life years' with the SF6D (SF-12) Patienten - Depressive symptoms in patients (NPI) - Quality of Life (SF-12) Other - Time until institutionalization - Costs Resource utilization of patient and carer will be measured from a societal perspective with cost diaries (filled out by the carer) which include both direct (hospital visits) and indirect costs (travel time) and both within and outside (loss labour days) the health care (RUD, Wimo 1997) | — |
Countries
Netherlands
Outcome results
None listed