Family Meetings in Memory Clinics: Indicated Prevention of developing Anxiety and Depressive Disorders in primary informal caregivers of demented patients

Conditions: psychische stoornissen: angststoornissen- en symptomen
anxiety and depressive disorders
10016214

Registration Number: NL-OMON33647

Lead Sponsor: Vrije Universiteit Medisch Centrum

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Pending

Sex: Not specified

Target Recruitment: 224

Inclusion Criteria

- family caregiver takes primary responsibility for the informal care of a patient with a clinical diagnosis of dementia and lives in the same region as the patient.
- In each family, at least one other family member lives in the same region of the patient and caregiver.
- Both caregiver and patient have sufficient language proficiency in Dutch for adequate participation in meetings, interviews and tests.
- Written informed consent from both patient and caregiver is obtained. In case of mental incompetence of a patient the family caregiver will sign the consent for the patient.

Exclusion Criteria

1) Severe somatic or psychiatric co-morbidity of either caregiver or patient, which will significantly impair cooperation to the program.
2) Caregiver does have a depressive or anxiety disorder at baseline
3) Either caregiver or patient participates in other intervention studies at inclusion or during the study.
4) Scheduled to move a patient to a nursing home.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
<p>- Incidence of major depression and anxiety disorders (i.e. generalised anxiety<br /><br>and panic) as defined according to DSM-IV criteria (APA 1994) and assessed with<br /><br>the Mini International Neuropsychiatric Interview (MINI) (Sheehan 1998). The<br /><br>MINI is used as 6 month prevalence measure.<br /><br>- The dimensional or severity measure of anxiety and depression symptoms is<br /><br>derived by validated self report instruments: the Centre for Epidemiologic<br /><br>Studies Depression Scale (CES-D) and Geriatric Depression Scale (GDS-5) for<br /><br>depression, the anxiety subscale of the Hospital Anxiety and Depression Scale<br /><br>(HADS) for anxiety.</p><br>

Secondary Outcome Measures

Name	Time	Method
<p>Caregiver<br /><br>- Caregiver Burden with the Caregiver Reaction Assessment (CRA) (Given 1992)<br /><br>- Sense of competence with the SSCQ (Vernooij-Dassen 2000)<br /><br>- Quality of Life with the Short Form 12 item version (Ware 1995)<br /><br>- 'Quality adjusted life years' with the SF6D (SF-12)<br /><br><br /><br>Patienten<br /><br>- Depressive symptoms in patients (NPI)<br /><br>- Quality of Life (SF-12)<br /><br><br /><br>Other<br /><br>- Time until institutionalization<br /><br>- Costs<br /><br>Resource utilization of patient and carer will be measured from a societal<br /><br>perspective with cost diaries (filled out by the carer) which include both<br /><br>direct (hospital visits) and indirect costs (travel time) and both within and<br /><br>outside (loss labour days) the health care (RUD, Wimo 1997)</p><br>