Analysis of the Components of a Cognitive-Behavioral Intervention for the prevention of Depression Administered via Conference Call to Nonprofessional Caregivers: A Randomized Controlled Trial
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Title: | Analysis of the Components of a Cognitive-Behavioral Intervention for the prevention of Depression Administered via Conference Call to Nonprofessional Caregivers: A Randomized Controlled Trial |
Author: | Vázquez González, Fernando Lino López Ares, Lara Torres Iglesias, Ángela Juana Otero Otero, Patricia Blanco Seoane, Vanessa Díaz Fernández, Olga Páramo Fernández, Mario |
Affiliation: | Universidade de Santiago de Compostela. Departamento de Psicoloxía Clínica e Psicobioloxía Universidade de Santiago de Compostela. Departamento de Psicoloxía Evolutiva e da Educación Universidade de Santiago de Compostela. Departamento de Psiquiatría, Radioloxía, Saúde Pública, Enfermaría e Medicina |
Subject: | Depression | Nonprofessional caregiver | Prevention | Cognitive | Behavioral | Telephone | Dismantling | |
Date of Issue: | 2020 |
Publisher: | MDPI |
Citation: | Vázquez, F.L.; López, L.; Torres, Á.J.; Otero, P.; Blanco, V.; Díaz, O.; Páramo, M. Analysis of the Components of a Cognitive-Behavioral Intervention for the prevention of Depression Administered via Conference Call to Nonprofessional Caregivers: A Randomized Controlled Trial. Int. J. Environ. Res. Public Health 2020, 17, 2067 |
Abstract: | Effective and accessible interventions for indicated prevention of depression are necessary and lacking, especially for informal caregivers. Although telephone-based interventions could increase the accessibility for caregivers, randomized controlled trials are scarce, with no examination of prevention to date. Moreover, the efficacy of specific therapeutic components in preventive cognitive-behavioral programs is unknown. The main objective of this study was to evaluate the efficacy of a telephone-administered psychological preventive intervention in informal caregivers with high depressive symptoms. A total of 219 caregivers were randomized to a cognitive-behavioral conference call intervention (CBCC, n = 69), a behavioral-activation conference call intervention (BACC, n = 70), or a usual care control group (CG, n = 80). Both interventions consisted of five 90-minute group sessions. At the post-intervention, incidence of depression was lower in CBCC and BACC compared to CG (1.5% and 1.4% vs. 8.8%). Relative risk was 0.17 for the CBCC and 0.16 for the BACC, and the number-needed-to-treat was 14 in both groups. Depressive symptoms were significantly lower in BACC and BACC groups compared to CG (d = 1.16 and 1.29), with no significant differences between CBCC and BACC groups. The conference call intervention was effective in preventing depression and the behavioral-activation component (BACC) was comparable to the CBCC intervention |
Publisher version: | https://doi.org/10.3390/ijerph17062067 |
URI: | http://hdl.handle.net/10347/23717 |
DOI: | 10.3390/ijerph17062067 |
E-ISSN: | 1660-4601 |
Rights: | © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/) Atribución 4.0 Internacional |
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