A disproportionate number of family caregivers of dementia patients experience depressive symptoms compared to non-caregivers. Many caregivers seek help by enrolling in psychosocial interventions. Behavioral interventions incorporating Lewinsohn's theory of depression appear effective with family caregivers. Lewinsohn's theory postulates that engaging in more pleasurable activities reduces one's experience of negative effect. However, caregivers can find interventions too time-consuming and consequently do not enroll or dropout. This project proposes an innovative intervention that is time-efficient and based upon theories already shown to be effective at reducing negative emotions. Using time-series analysis, detailed feedback and advice will be provided regarding individual patterns in the relations between engaging in pleasurable activities and both positive and negative moods. Across two weeks, 60caregivers will complete measures assessing their engagement in pleasurable activities and experience of positive and negative affect. These measures will be completed four times daily. Data will be analyzed for temporal relations. After data collection, half of all participants will be randomly assigned to receive instant feedback and advice about the temporal relations between variables of interest. The remaining participants will receive no feedback. All participants will receive a one-month follow-up to determine if those receiving detailed feedback experience fewer negative emotions and more positive emotions.

Agency
National Institute of Health (NIH)
Institute
National Institute on Aging (NIA)
Type
Postdoctoral Individual National Research Service Award (F32)
Project #
7F32AG023989-02
Application #
6947556
Study Section
Special Emphasis Panel (ZRG1-RPHB (20))
Program Officer
Stahl, Sidney M
Project Start
2004-05-01
Project End
2007-04-30
Budget Start
2004-09-01
Budget End
2005-04-30
Support Year
2
Fiscal Year
2004
Total Cost
$42,976
Indirect Cost
Name
University of California San Diego
Department
Psychiatry
Type
Schools of Medicine
DUNS #
804355790
City
La Jolla
State
CA
Country
United States
Zip Code
92093
von Känel, Roland (2015) ACUTE MENTAL STRESS AND HEMOSTASIS: WHEN PHYSIOLOGY BECOMES VASCULAR HARM. Thromb Res 135:S52-S55
von Känel, Roland (2015) Acute mental stress and hemostasis: When physiology becomes vascular harm. Thromb Res 135 Suppl 1:S52-5
Rabinowitz, Yaron G; Saenz, Ericka C; Thompson, Larry W et al. (2011) Understanding caregiver health behaviors: depressive symptoms mediate caregiver self-efficacy and health behavior patterns. Am J Alzheimers Dis Other Demen 26:310-6
Mausbach, Brent T; Harmell, Alexandrea L; Moore, Raeanne C et al. (2011) Influence of caregiver burden on the association between daily fluctuations in pleasant activities and mood: A daily diary analysis. Behav Res Ther 49:74-9
Rabinowitz, Yaron G; Hartlaub, Mark G; Saenz, Ericka C et al. (2010) Is religious coping associated with cumulative health risk? An examination of religious coping styles and health behavior patterns in Alzheimer's dementia caregivers. J Relig Health 49:498-512
Rabinowitz, Yaron G; Mausbach, Brent T; Atkinson, Philip J et al. (2009) The relationship between religiosity and health behaviors in female caregivers of older adults with dementia. Aging Ment Health 13:788-98
Mills, Paul J; Ancoli-Israel, Sonia; von Känel, Roland et al. (2009) Effects of gender and dementia severity on Alzheimer's disease caregivers' sleep and biomarkers of coagulation and inflammation. Brain Behav Immun 23:605-10
Rabinowitz, Yaron G; Mausbach, Brent T; Gallagher-Thompson, Dolores (2009) Self-efficacy as a moderator of the relationship between care recipient memory and behavioral problems and caregiver depression in female dementia caregivers. Alzheimer Dis Assoc Disord 23:389-94
Cardenas, Veronica; Mausbach, Brent T; Barrio, Concepcion et al. (2008) The relationship between functional capacity and community responsibilities in middle-aged and older Latinos of Mexican origin with chronic psychosis. Schizophr Res 98:209-16
Mausbach, Brent T; Aschbacher, Kirstin; Mills, Paul J et al. (2008) A 5-year longitudinal study of the relationships between stress, coping, and immune cell beta(2)-adrenergic receptor sensitivity. Psychiatry Res 160:247-55

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