Quality of Life (QoL) has become increasingly valued as a key outcome in dementia both in clinical practice and in research. This study compares the QoL of long-term residents with dementia as assessed by the individuals, their relatives, and their care staff. Data on residents with dementia were collected in 11 nursing homes. The Quality of Life-Alzheimer's Disease Scale (QOL-AD) residential version was directly applied to residents with dementia diagnosis and Mini-Mental State Examination scores under 27, randomly selected in each canter. Residents' QoL was further assessed from the perspective of some close relative and of some staff member. Altogether, 102 data sets from residents, 184 from relatives, and 197 from staff members were collected. The completion rate for the resident QOL-AD was 48.8%. Residents' QoL ratings were significantly higher than proxies' ratings. Proxy (i.e., family and staff) scores in the QOL-AD tended to correlate with each other and did not correlate with resident scores. Various sources of data provided different perspectives on resident's QoL. Each perspective is relatively independent and somewhat unique. In those patients with mild to moderate cognitive impairment, direct measures of QoL should be considered.
17 June 2005 in International Journal of Geriatric Psychiatry
This study evaluates the long-term efficacy of a brief psychotherapeutic cognitive-behavioral program in group format for female victims of violence by their intimate partner. 53 battered women were randomized into one of two intervention programs: one including among others exposure technique (n = 28) and another one in which exposure procedures were substituted by communication skills training (n = 25). Additionally, both programs included: psycho-education, breath control, training to improve self-esteem, cognitive restructuring, problem-solving, planning pleasant activities, and relapse prevention. The treatment was carried out in 8 weekly sessions. Measures of posttraumatic symptoms, anxiety, depression, self-esteem and anger expression were analyzed at pre- and post-treatment, and at 1-, 3-, 6- and 12-months follow-ups. Results show a pronounced decrease of posttraumatic, depressive and anxiety symptoms, which maintained in the different measure moments, with scarce difference between the two programs. The results and their clinical implications are discussed.