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Guilt Focused Intervention for Family Caregivers. Preliminary Results of a Randomized Clinical Trial
Open accessAbstract
Objectives A pilot randomized controlled trial study was conducted for testing the efficacy of a novel Guilt Focused Intervention (GFI), that was compared with a Cognitive Behavioral Intervention (CBI) for caregivers of people with dementia with high levels of guilt and distress. Methods Participants were 42 caregivers who were randomized assigned to the intervention conditions. Results Participants in the GFI showed significant reductions in depression, anxiety, and guilt at posttreatment and follow-up. Participants in the CBI presented reductions in anxiety and guilt at posttreatment and follow-up. Clinically significant change for guilt was found in 62.5% in the GFI and 9.09% in the CBI group at posttreatment. At follow-up, 58.33% in GFI and 12.5% in the CBI group were recovered. Conclusions The preliminary results of this pilot study suggest that caregivers with significant levels of guilt and distress might benefit from an intervention specifically designed to target guilt feelings. Clinical implications A novel and initial intervention approach specifically designed for targeting caregivers' feelings of guilt might have the potential to reduce caregiver's emotional distress.
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Two pilot studies conducted in Spain involved a group-based in-person guilt-focused intervention based on CBT, ACT, and compassion-focused therapy approaches and found promising findings, such as significant reductions in depression, anxiety, and guilt over time.
“Two pilot studies conducted in Spain involved a group-based in-person guilt-focused intervention based on CBT, ACT, and compassion-focused therapy approaches and found promising findings, such as significant reductions in depression, anxiety, and guilt over time”
From The feasibility and preliminary effects of a pilot randomized controlled trial: Videoconferencing acceptance and commitment therapy in distressed family caregivers of people with dementia. (2023) · cites this paper as Romero-Moreno et al., 2022
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Introducing compassion-focused therapy
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“A score equal to or higher than 13 is considered an indicator of clinical anxiety (Losada et al., 2015).”
BackgroundMethodResultInfluentialSelf-citationHopkinson, M. D., Reavell, J., Lane, D. A., & Mallikarjun, P. (2019) · The Gerontologist · doi:10.1093/geront/gnx217 · Cited by 142 · cited 1×
“This study adds preliminary evidence to previous research supporting the efficacy of CBI interventions (Hopkinson et al., 2019) by showing its effects on anxiety and guilt feelings.”
ResultA systematic review of intervention studies about anxiety in caregivers of people with dementia
Cooper, C., Balamurali, T. B. S., Selwood, A., & Livingston, G. (2007) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.1656 · Cited by 117
Family Caregivers and Guilt in the Context of Cancer Care
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Márquez-González, M., Romero-Moreno, R., Cabrera, I., Olmos, R., Pérez-Miguel, A., & Losada, A. (2020) · Psychology and Aging · doi:10.1037/pag0000412 · Cited by 49 · cited 4×
“…with high levels of guilt feelings and emotional distress, they are coherent with arguments recommending the need for tailoring interventions to target the specific needs of a caregiver, instead of using general interventions for the general caregiving population (Márquez-González et al., 2020).”
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Han, A., Yuen, H. K., & Jenkins, J. (2023) · Journal of Health Psychology · doi:10.1177/13591053221141131 · Cited by 30
Atefi, G. L., van Knippenberg, R. J. M., Bartels, S. L., Losada-Baltar, A., Márquez-González, M., Verhey, F. R. J., & de Vugt, M. E. (2024) · JMIR Aging · doi:10.2196/53489 · Cited by 15
Self-citation
Metadata
- Authors
- Romero-Moreno, R., Márquez-González, M., Gallego-Alberto, L., Cabrera, I., Vara-García, C., Pedroso-Chaparro, M. D. S., Barrera-Caballero, S., & Losada, A.
- Affiliations
- Universidad Rey Juan Carlos
- Universidad Autónoma de Madrid
- Universidad Autónoma de Madrid (ES)
- ORCID
- Venue
- Clinical Gerontologist
- Publisher
- Informa UK Limited
- Published
- 2022-03-14
- Volume
- 45
- Issue
- 5
- Pages
- 1304-1316
- ISSN
- 0731-7115 (ISSN-L)
- 1545-2301
- OpenAlex
- W4220680574
- Cited by
- 22
- References
- 8
- Citations by year
- 2026: 3 · 2025: 9 · 2024: 5 · 2023: 3 · 2022: 2
- FWCI
- 2.60
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Licence
- cc-by-nc
- Locations
- Clinical Gerontologist (publishedVersion)
- PubMed (publishedVersion)
- BURJC Digital (King Juan Carlos University) (submittedVersion, cc-by-nc)
- Hispana (submittedVersion, cc-by-nc)
- Funders
- Spanish Ministry of Education, Culture and Sport (FPU grant FPU17/02548)
- the Spanish Ministry of Economy and Competitiveness (PSI2015-65152-C2-1-R)
- the Spanish Ministry of Science and Innovation (PID2019-106714RB-C21)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Nursing › Research and Theory › Nursing care and research
- Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
- Keywords
- family caregivers, dementia caregiving, guilt, caregiver distress, depression, anxiety, cognitive-behavioral intervention, caregiver emotional well-being
- MeSH terms
- Anxiety, Dementia, Guilt, Humans, Pilot Projects, Caregivers
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