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Compassion focused therapy for people with dementia: A feasibility study

Craig, C; Hiskey, S; Royan, L; Poz, R; Spector, A; (2018) Compassion focused therapy for people with dementia: A feasibility study. International Journal of Geriatric Psychiatry 10.1002/gps.4977. (In press). Green open access

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Abstract

Objectives: There is a lack of evidence‐based psychological therapies for dementia and psychological distress. The study aimed to develop a compassion focused therapy intervention for people with dementia with depression and/or anxiety, and to assess its feasibility, acceptability, and utility. / Methods: A mixed methods multiple case series (n = 7) was used to assess the intervention's feasibility and changes in self‐compassion, mood, anxiety, and quality of life. Outcome measures were administered at pre‐intervention, midpoint, and post‐intervention. Data were analysed using reliable change and clinically significant change. Thematic analysis on post‐therapy interviews and session rating forms was used to assess acceptability and perceived change from the intervention. / Results: Over the course of the intervention, improvements in mood, anxiety, and self‐compassion were seen, and three of six participants moved out of the clinical depression range. Six participants were able to engage in soothing rhythm breathing, and five in discussion of self‐criticism and developing self‐compassion. Several participants and their carers described increased self‐compassion in response to cognitive decline. / Conclusions: Compassion focused therapy can be adapted to be delivered to people with dementia and low mood, anxiety, or other distress. The intervention may improve self‐compassion, mood, and anxiety. A larger pilot trial with a comparator group and follow‐up is needed to evaluate the intervention's effectiveness for people with dementia.

Type: Article
Title: Compassion focused therapy for people with dementia: A feasibility study
Open access status: An open access version is available from UCL Discovery
DOI: 10.1002/gps.4977
Publisher version: https://doi.org/10.1002/gps.4977
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: anxiety, CFT, compassion focused therapy, dementia, depression
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
URI: https://discovery.ucl.ac.uk/id/eprint/10056610
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