title: Integrative cognitive-behavioral and spiritual counseling for rural dementia caregivers with depression.
abstract: OBJECTIVE
  Discuss initial evaluation of a program for training faith community nurses (FCNs) to conduct cognitive-behavioral and spiritual counseling (CBSC) for rural dementia caregivers (CGs), and present 2 case studies on the use of CBSC for treating depression in this population.
  
  
  METHODS
  Pre-post evaluation of the effectiveness of CBSC training and a case study analysis of the effectiveness of CBSC on CG problem improvement and depression.
  
  
  METHODS
  For FCN training, we used the FCN Counseling Comfort Scale, FCN Counseling Efficacy Scale, and the FCN Counseling Workshop Satisfaction Survey. The Problem Severity Scale and Center for Epidemiologic Studies Depression Scale were used in the case studies.
  
  
  RESULTS
  Significant post-training increases in FCN counseling comfort and perceived counseling efficacy were obtained. Case study findings provided evidence of substantial improvement in caregiving problems and reductions in depression.
  
  
  CONCLUSIONS
  Preliminary outcomes of FCN training and CBSC for dementia CGs were promising. However, replication across the sample is required to evaluate the overall effectiveness of CBSC for reducing CG depression. Specific competencies and ethical considerations in supervising this form of intervention are also addressed.
authors.affiliation: Florida State University, Tallahassee, FL 32306-4300, USA. robert.glueckauf@med.fsu.edu
authors.forename: Robert L
authors.initials: RL
authors.lastname: Glueckauf
authors.forename: W Shuford
authors.initials: WS
authors.lastname: Davis
authors.forename: Kay
authors.initials: K
authors.lastname: Allen
authors.forename: Patty
authors.initials: P
authors.lastname: Chipi
authors.forename: Gabriel
authors.initials: G
authors.lastname: Schettini
authors.forename: Lance
authors.initials: L
authors.lastname: Tegen
authors.forename: Xu
authors.initials: X
authors.lastname: Jian
authors.forename: David J
authors.initials: DJ
authors.lastname: Gustafson
authors.forename: Janet
authors.initials: J
authors.lastname: Maze
authors.forename: Barbara
authors.initials: B
authors.lastname: Mosser
authors.forename: Susie
authors.initials: S
authors.lastname: Prescott
authors.forename: Fay
authors.initials: F
authors.lastname: Robinson
authors.forename: Cindy
authors.initials: C
authors.lastname: Short
authors.forename: Sandra
authors.initials: S
authors.lastname: Tickel
authors.forename: Joyce
authors.initials: J
authors.lastname: VanMatre
authors.forename: Thomas
authors.initials: T
authors.lastname: DiGeronimo
authors.forename: Carmen
authors.initials: C
authors.lastname: Ramirez
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000544:Alzheimer Disease / Q000523:psychology* / Q000534:rehabilitation*; D017028:Caregivers / Q000523:psychology*; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003131:Combined Modality Therapy; D003142:Communication; D003152:Community Health Nursing / Q000193:education; D017281:Cost of Illness; D003866:Depressive Disorder / Q000523:psychology / Q000534:rehabilitation*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007318:Inservice Training; D008297:Male; D008875:Middle Aged; D010327:Pastoral Care / Q000379:methods*; D012069:Religion and Psychology; D012424:Rural Population; D012657:Self-Help Groups; D013041:Specialties, Nursing / Q000193:education; D029181:Spirituality