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Implementing a 1-Night, 2-Day Mental Health Healing Center Program for Dementia Patients and Their Caregivers

  • Seojae Jeon (Korea Institute of Integrated Medical Research) ;
  • Do-Eun Lee (Department of Korean Neuropsychiatry, College of Korean Medicine, Wonkwang University) ;
  • Namju Lee (The Korean Medicine Center for Integrative Research, Wonkwang University) ;
  • Hyung Won Kang (Korea Institute of Integrated Medical Research)
  • Received : 2024.03.05
  • Accepted : 2024.03.21
  • Published : 2024.03.30

Abstract

Objectives: This study aimed to assess the effects of a 1-night, 2-day mental health healing center program on the physical stress, autonomic nervous system health, brain activity levels, brain stress, concentration levels, and Patient Health Questionnaire-9 (PHQ-9) scores of dementia patients and their caregivers. Methods: Forty-eight dementia patients (average age 80 years, 14 males and 34 females) and 48 caregivers (average age 65.23 years, 14 males and 34 females) participated in the program. Pre- and post-assessments were conducted to measure the variables. Results: Dementia patients experienced reduced physical stress, increased brain activity levels, decreased brain stress, improved concentration levels, and a significant decrease in PHQ-9 scores (p<0.05). However, there was a tendency for a decline in autonomic nervous system health among dementia patients. A significant decrease in physical stress was seen in caregivers, but no other significant differences were observed. Conclusions: While the 1-night, 2-day mental health healing center program did not produce significant changes in the caregivers of dementia patients, it exhibited overall positive effects in dementia patients. Consequently, mental healing programs should be utilized effectively for dementia patients. Furthermore, investigating the significance of ongoing programs for the mental well-being of dementia caregivers is imperative, mirroring the attention given to dementia patient care.

Keywords

Acknowledgement

This research was supported by a grant from the Korea Health Technology R&D Project through the Korea Health Industry Development Institute (KHIDI), funded by the Ministry of Health & Welfare, Republic of Korea (grant number HI20C1951).

References

  1. Pinquart M, Sorensen S. Differences between caregivers and noncaregivers in psychological health and physical health: a meta-analysis. Psychology and Aging. 2003;18:250.
  2. Boots LM, de Vugt ME, Van Knippenberg RJM, Kempen GIJM, Verhey FR. A systematic review of Internet-based supportive interventions for caregivers of patients with dementia. International Journal of Geriatric Psychiatry. 2014;29:331-44.
  3. Guo M, Liu J, Xu L, Zhang L, Zhang J. Effectiveness of peer support for improving emotional well-being of dementia caregivers: A meta-analysis. International Nursing Review. 2017;64:280-7.
  4. Gitlin LN, Hodgson NA. Caregivers as therapeutic agents in dementia care: The evidence-base for interventions supporting their role. 2015;305-56.
  5. Lee NY, Ahn SH, Yang Y. The effect of Fumanet exercise program for life care on cognition function, depression in dementia. Journal of agricultural medicine and community health. 2020;45:121-9.
  6. Han A. Effects of mindfulness-based interventions on depressive symptoms, anxiety, stress, and quality of life in family caregivers of persons living with dementia: A systematic review and meta-analysis. Research on Aging. 2022;44:494-509.
  7. Jenkins A, Tree J, Tales A. Distinct profile differences in subjective cognitive decline in the general public are associated with metacognition, negative affective symptoms, neuroticism, stress, and poor quality of life. Journal of Alzheimer's Disease. 2021;80:1231-42.
  8. Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. Journal of General Internal Medicine. 2001;16:606-13.
  9. Spitzer RL, Kroenke K, Williams JB, Lowe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Archives of Internal Medicine. 2006;166:1092-7.
  10. Gilbody S, Richards D, Brealey S, Hewitt C. Screening for depression in medical settings with the Patient Health Questionnaire (PHQ): a diagnostic meta-analysis. Journal of General Internal Medicine. 2007;22:1596-602.
  11. Lowe B, Decker O, Muller S, Brahler E, Schellberg D, Herzog W, Herzberg PY. Validation and standardization of the Generalized Anxiety Disorder Screener (GAD-7) in the general population. Medical Care. 2008;46:266-74.
  12. Cheong MJ, Lee MS, Joo MC, Lee SY, Lee JH, Yun JM, Kang YS, Lee MS, Kang, HW. Introduction to methodology for the development of an integrative medical service model. Integrative Medicine Research. 2022;11:100840.
  13. An HJ, Kang SA. A Study on the Effect of Healing Experience Program on Satisfaction: Focused on Experience Cost and Experience Time. The Korean Society of Business Venturing and Entrepreneurship. 2022;17:183-300.
  14. Etters L, Goodall D, Harrison BE. Caregiver burden among dementia patient caregivers: a review of the literature. Journal of The American Academy of Nurse Practitioners. 2008;20:423-8.
  15. Joling KJ, van Hout HP, Schellevis FG, van der Horst HE, Scheltens P, Knol DL, van Marwijk HW. Incidence of depression and anxiety in the spouses of patients with dementia: a naturalistic cohort study of recorded morbidity with a 6-year follow-up. The American Journal of Geriatric Psychiatry. 2010;18:146-53.
  16. Schulz R, Sherwood PR. Physical and mental health effects of family caregiving. Journal of Social Work Education. 2008;108(9 Suppl):23-7.
  17. Gitlin LN, Marx KA, Stanley IH, Hodgson N. Translating evidence-based dementia caregiving interventions into practice: State-of-the-science and next steps. Gerontologist. 2015;55:210-26.
  18. Nichols LO, Martindale-Adams J, Burns R, Graney MJ, Zuber J, Kennedy SE. Translation of a dementia caregiver support program in a health care system--REACH VA. Archives of Internal Medicine. 2011;171:353-9.
  19. Schulz R, Martire LM. Family caregiving of persons with dementia: prevalence, health effects, and support strategies. The American Journal of Geriatric Psychiatry. 2004;12: 240-9.
  20. Covinsky KE, Newcomer R, Fox P, Wood J, Sands L, Dane K, Yaffe K. Patient and caregiver characteristics associated with depression in caregivers of patients with dementia. Journal of General Internal Medicine. 2003;18: 1006-14.
  21. Gaugler JE, Yu F, Krichbaum K, Wyman JF. Predictors of nursing home admission for persons with dementia. Medical Care. 2009;47:191-8.
  22. Brodaty H, Donkin M. Family caregivers of people with dementia. Dialogues in Clinical Neuroscience. 2009;11: 217-28.
  23. Gitlin LN, Winter L, Dennis MP, Hauck WW. Targeting and managing behavioral symptoms in individuals with dementia: a randomized trial of a nonpharmacological intervention. Journal of the American Geriatrics Society. 2010;58:1465-74.