Acceptance and commitment therapy (ACT) for people with dementia experiencing psychological distress: A hermeneutic single‐case efficacy design (HSCED) series.
Introduction: People with dementia have a high prevalence of psychological distress but are underserved with evidence‐based psychological interventions. To promote choice and improve clinical outcomes, there is a necessity to test different psychological intervention options for this population. Pur...
| Publicado en: | Counselling & Psychotherapy Research Vol. 23; no. 4; pp. 1108 - 1123 |
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| Autores principales: | , , |
| Formato: | case study research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Dec2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=173115823&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 173115823 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14733145 TFX jtl: Counselling & Psychotherapy Research issn: 14733145 maglogo: Y pubinfo: dt: Dec2023 vid: 23 iid: 4 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 173115823 162885890 173115823 173115823 10.1002/capr.12646 173115823 ppf: 1108 ppct: 15 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Acceptance and commitment therapy (ACT) for people with dementia experiencing psychological distress: A hermeneutic single‐case efficacy design (HSCED) series. aug: au: Robinson, Amie De Boos, Danielle Moghaddam, Nima affil: Division of Psychiatry and Applied Psychology, University of Nottingham, B Floor Yang Fujia, Jubilee Campus, Nottingham, UK sug: subj: Dementia Drug Therapy Psychological Distress Evaluation Life Experiences Acceptance and Commitment Therapy Phenomenology Evaluation Dementia Patients Treatment Outcomes Evaluation Human Psychotherapy Aged Female Alzheimer's Disease Diagnosis Bereavement Depression Drug Therapy Sertraline Hydrochloride Therapeutic Use Galanthamine Therapeutic Use Funding Source Aged: 65+ years Female ab: Introduction: People with dementia have a high prevalence of psychological distress but are underserved with evidence‐based psychological interventions. To promote choice and improve clinical outcomes, there is a necessity to test different psychological intervention options for this population. Purpose: This study aimed to investigate the effectiveness and acceptability of acceptance and commitment therapy (ACT) for people with dementia, considering carer‐supported, remote delivery and necessary therapy adaptations. Methods: A hermeneutic single‐case efficacy design series was used to analyse the therapy process and change for three clients with dementia and psychological distress. A matrix of quantitative and qualitative data was collated ("rich case records") and subject to critical analyses by three independent psychotherapy experts ("judges") who identified change processes and determined the outcome for each client. Results: Adjudication concluded that one client made positive changes, specifically reliable reductions in psychological distress, which were largely attributable to ACT. Two clients remained unchanged. Discussion/Conclusion: Where change was achieved, the ACT‐specific processes of values, committed action and acceptance, in combination with non‐specific therapy factors, including a strong client–carer relationship, existing client interests and individualised therapy adaptations, were facilitative. Hence, ACT may be a feasible and effective vehicle for therapeutic change by helping carers to better meet the needs of their loved ones. Future research to optimise ACT delivery in this population may be beneficial. Furthermore, the assessment of carer factors (e.g., their psychological flexibility and the client–carer relationship) may strengthen the evidence base for systemic ACT use. pubtype: Academic Journal doctype: case study research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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