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AWARD PAPER: DR. JK TRIVEDI AWARD PAPER
Year : 2020  |  Volume : 36  |  Issue : 1  |  Page : 19-28

Effect of caregiver group therapy on caregiver burden and neuropsychiatric symptoms in patients with dementia


Department of Psychiatry, Government Medical College and Hospital, Chandigarh, India

Correspondence Address:
Subhash Das
Department of Psychiatry, Government Medical College and Hospital, Sector-32, Chandigarh - 160 062
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijsp.ijsp_17_20

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Background: Dementia is a disease characterized by brain atrophy, leading to cognitive decline. The clinical picture includes the presence of neuropsychiatric symptoms (NPSs), which can increase the caregiver burden. The present research was aimed at studying the effect of group therapy intervention with caregivers of patients with dementia on caregiver burden and NPSs of patients. The study was prospective, interventional, and exploratory. Materials and Methods: The study included 30 primary caregivers of geriatric patients (aged 60 and above) with dementia. The caregivers were divided into two groups of 15, in which one group received routine treatment and the other group received group therapy in addition to routine treatment. The patients in both groups were assessed on Neuropsychiatric Inventory Questionnaire, Everyday Abilities Scale for India, and Hindi Mental State Examination, and the caregivers of both groups were assessed on Zarit Burden Interview before and after the intervention. Statistical Analysis Used: Independent t-test was used to compare the age between two groups and Chi-square test to compare other sociodemographic variables between groups. Paired samples t-test was used for within-group comparison, and Mann–Whitney U-test was used between-group comparison. Results: There was significant improvement in NPSs of the patients and caregiver burden after intervention in the combined group. However, there was greater improvement in NPS of patients and caregiver burden in the group that received group therapy. Conclusions: Group therapy in caregivers of the patients with dementia is effective in improving the NPSs of patients, as well as in reducing caregiver burden.


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