Regular Research ArticleThe Peaceful Mind Program: A Pilot Test of a Cognitive–Behavioral Therapy–Based Intervention for Anxious Patients with Dementia
Section snippets
Participants
Participants were recruited from outpatient clinics at 1) the Veterans Affairs medical center (geriatrics, primary care, neurology, and psychiatry); 2) Baylor College of Medicine's affiliated geriatric, primary care and Alzheimer disease center; 3) the Harris County Hospital District's geriatric service; and 4) community day centers specializing in dementia care. Potential participants were identified, using three different recruitment strategies: 1) direct provider referral; 2) facilitated
Patient and Caregiver Characteristics
Sample characteristics are given in Table 1. Base-line scores suggested clinically significant anxiety on primary measures (NPI-A, RAID) and mild symptoms on secondary measures (PSWQ-A, GAI). The majority (65%) had at least one psychiatric diagnosis. GAD was the most frequent principal diagnosis, and comorbid anxiety and depressive disorders were common. Most patients (75%) were taking psychotropic medication, most frequently antidepressants (59%). Patients self-reported minimal depressive
Discussion
Feasibility of the Peaceful Mind intervention was demonstrated in a number of ways. First, the inclusion rate from direct provider referral (39%) was comparable to studies of depression treatment among older adults with executive dysfunction (43%),24, 27, 28 and inclusion via facilitated provider referral (16%) was comparable to our own prior work using a similar recruitment strategy (14%).32 In addition, attrition from Peaceful Mind was within the range of rates reported in clinical trials of
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