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Peaceful mind: an open trial of cognitive-behavioral therapy for anxiety in persons with dementia

Published online by Cambridge University Press:  16 June 2010

Amber L. Paukert ,
Jessica Calleo ,
Cynthia Kraus-Schuman ,
Lynn Snow ,
Nancy Wilson ,
Nancy J. Petersen ,
Mark E. Kunik  and
Melinda A. Stanley
Amber L. Paukert*
Affiliation:
Department of Veterans Affairs Medical Center, Seattle, Washington, U.S.A.
Jessica Calleo
Affiliation:
Veterans Affairs Health Services Research & Development Center of Excellence, Houston, Texas, U.S.A. Michael E. DeBakey Veterans Affairs Medical Center, Houston, Texas, U.S.A. Baylor College of Medicine, Houston, Texas, U.S.A.
Cynthia Kraus-Schuman
Affiliation:
Michael E. DeBakey Veterans Affairs Medical Center, Houston, Texas, U.S.A. Baylor College of Medicine, Houston, Texas, U.S.A.
Lynn Snow
Affiliation:
Veterans Affairs South Central Mental Illness, Research, Education, and Clinical Center (MIRECC), Texas, U.S.A. Center for Mental Health and Aging and Department of Psychology, University of Alabama, Tuscaloosa, Alabama, U.S.A. Tuscaloosa Veterans Affairs Medical Center, Tuscaloosa, Alabama, U.S.A.
Nancy Wilson
Affiliation:
Veterans Affairs Health Services Research & Development Center of Excellence, Houston, Texas, U.S.A. Baylor College of Medicine, Houston, Texas, U.S.A.
Nancy J. Petersen
Affiliation:
Veterans Affairs Health Services Research & Development Center of Excellence, Houston, Texas, U.S.A.
Mark E. Kunik
Affiliation:
Veterans Affairs Health Services Research & Development Center of Excellence, Houston, Texas, U.S.A. Michael E. DeBakey Veterans Affairs Medical Center, Houston, Texas, U.S.A. Baylor College of Medicine, Houston, Texas, U.S.A. Veterans Affairs South Central Mental Illness, Research, Education, and Clinical Center (MIRECC), Texas, U.S.A.
Melinda A. Stanley
Affiliation:
Veterans Affairs Health Services Research & Development Center of Excellence, Houston, Texas, U.S.A. Michael E. DeBakey Veterans Affairs Medical Center, Houston, Texas, U.S.A. Baylor College of Medicine, Houston, Texas, U.S.A. Veterans Affairs South Central Mental Illness, Research, Education, and Clinical Center (MIRECC), Texas, U.S.A.
*
Correspondence should be addressed to: Amber L. Paukert, PhD, Home-Based Primary Care, Department of Veterans Affairs Medical Center, Puget Sound, 1660 South Columbian Way; Mail Stop: S-123-HBPC, Seattle, Washington 98108, U.S.A. Phone: +1 (206) 277-4319; Fax: +1 (206) 768-5271. Email: Amber.Paukert@va.gov.
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Abstract

Background: Anxiety has a high prevalence among individuals with dementia, and it has a significant negative impact on their functioning; yet intervention studies are lacking. We developed Peaceful Mind, a cognitive-behavioral intervention for persons with dementia. In this paper, we describe the intervention and results of an open trial evaluating the feasibility and utility of the intervention and assessment procedures.

Methods: Peaceful Mind is implemented over a period of three months in the participant's home with involvement of a caregiver or “collateral.” Dyads are followed for an additional three months via telephone. An assortment of simplified skills is offered, including self-awareness, breathing, behavioral activation, calming thoughts, and sleep skills.

Results: Nine participants were enrolled, eight completed the three-month assessment, and seven completed the six-month assessment. Overall, participants and collaterals were satisfied with the intervention and reported that they benefited in terms of anxiety, depression, and collateral distress.

Conclusions: A randomized controlled trial would help determine whether this promising new treatment has a statistically significant impact on anxiety in this population.

Keywords

CBTcaregiverinterventionhome
Type
Research Article
Information
International Psychogeriatrics , Volume 22 , Special Issue 6: Focus on training in psychogeriatrics , September 2010 , pp. 1012 - 1021
Copyright
Copyright © International Psychogeriatric Association 2010

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