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Abstract| Volume 25, ISSUE 3, SUPPLEMENT , S88-S89, March 2017

Caregiver Burnout: Application of Dialectal Behavioral Therapy

      Introduction: Caregiver burnout is a well-documented phenomenon. As high as 50% of caregivers have been shown to experience significant psychological distress which can escalate to symptoms of burnout, depression and anxiety.
      • Kim Y.
      • Shaffer K.M.
      • Carver C.S.
      • Cannady R.S.
      Prevalence and predictors of depressive symptoms among cancer caregivers 5 years after the relative's cancer diagnosis.
      • Merckaert I.
      • Libert Y.
      • Lieutenant F.
      • et al.
      Desire for formal psychological support among caregivers of patients with cancer: prevalence and implications for screening their needs.
      Caregivers of geriatric patients are usually engaged full time without periods of respite to attend to their own needs. They are often spouses, family, or friends and may be living with the patient. This may lead to neglect of their other responsibilities, their own health and wellness,
      • Legg L.
      • Weir C.J.
      • Langhorne P.
      • Smith L.N.
      • Stott D.J.
      Is informal caregiving independently associated with poor health? A population-based study.
      and eventually progress from distress to caregiver burnout, and to clinically significant mental health problems. This is especially problematic in caregivers of patients with cognitive impairments, and stroke which increase the risk of psychological distress and poor overall health.
      • Malhotra R.
      • Chei C.L.
      • Ostbye T.
      • Chan A.
      • Matchar D.B.
      Older person behavioral and psychological symptoms (BPS) and functional limitations mediate the association between older person cognitive impairment and depressive symptoms in the caregiver.
      While caregiver burnout has been well-documented, there is minimal information on effective interventions. There is some evidence showing potentially positive effects of Mindfulness-Based Stress Reduction
      • Whitebird R.R.
      • Kreitzer M.
      • Crain A.L.
      • Lewis B.A.
      • Hanson L.R.
      • Enstad C.J.
      Mindfulness-based stress reduction for family caregivers: a randomized controlled trial.
      • Hou R.J.
      • Wong S.Y.
      • Yip B.H.
      • et al.
      The effects of mindfulness-based stress reduction program on the mental health of family caregivers: a randomized controlled trial.
      and mixed results when using technology-based interventions.
      • Hu C.
      • Kung S.
      • Rummans T.A.
      • Clark M.M.
      • Lapid M.I.
      Reducing caregiver stress with internet-based interventions: a systematic review of open-label and randomized controlled trials.
      • Kajiyama B.
      • Thompson L.W.
      • Eto-Iwase T.
      • et al.
      Exploring the effectiveness of an internet-based program for reducing caregiver distress using the iCare Stress Management e-Training Program.
      The goal of this study is to evaluate the impact of implementing a short intervention to teach distress tolerance and stress reduction based on dialectal behavioral therapy (DBT). DBT was chosen due to its evidence-based efficacy in mindfulness, distress tolerance and emotional regulation, as well as its practical use in the general population. We will present the results of the potential effectiveness of this intervention.
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