title: Effects of the Minnesota Adaptation of the NYU Caregiver Intervention on Primary Subjective Stress of Adult Child Caregivers of Persons With Dementia.
abstract: This study determined whether the NYU Caregiver Intervention for Adult Children (the NYUCI-AC) significantly reduced primary subjective stress for adult child caregivers of persons with dementia.
  
  
  
  The NYUCI-AC was evaluated within a single-blinded randomized controlled trial. The sample included 107 adult child caregivers of persons with dementia (n = 54 assigned to the multicomponent treatment group; n = 53 assigned to a contact control group). Participants completed comprehensive assessments at baseline and at 4-month intervals during the first year and every 6 months thereafter. The focus of the current analysis was on the effects of the NYUCI-AC on change in primary subjective stress over 8, 12, and 18 months.
  
  
  
  Individual growth curve models found that caregivers in the NYUCI-AC treatment condition indicated statistically significant (p < .05) linear declines in overall negative reactions to behavior problems over a 1-year period when compared with controls. Adult child caregivers in the NYUCI-AC also indicated greater decreases in negative reactions to disruptive behavior problems when compared with controls over 8, 12, and 18 months.
  
  
  
  The NYUCI-AC offered adult child caregivers counseling and support that improved their ability to manage their reactions to disruptive behaviors. This occurred despite the fact that other primary subjective stressors, such as role captivity and role overload, were not reduced.
authors: School of Nursing, Center on Aging, University of Minnesota, Minneapolis. gaug0015@umn.edu.
authors: Joseph E
authors: JE
authors: Gaugler
authors: School of Nursing, University of Minnesota, Minneapolis.
authors: Mark
authors: M
authors: Reese
authors: Aging and Dementia Research Center, NYU School of Medicine.
authors: Mary S
authors: MS
authors: Mittelman
mesh_terms: D032721:Adult Children / Q000523:psychology*; D000368:Aged; D017028:Caregivers / Q000523:psychology*; D003376:Counseling; D003704:Dementia / Q000523:psychology / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D008910:Minnesota; D011446:Prospective Studies; D011788:Quality of Life / Q000523:psychology*; D016037:Single-Blind Method; D012944:Social Support; D013315:Stress, Psychological / Q000209:etiology / Q000523:psychology*
keywords: Alzheimer’s disease; Caregiving; Psychosocial intervention; Randomized controlled trial; Stress
references: Gerontologist. 2003 Aug;43(4):532-46
references: 12937332
references: Multivariate Behav Res. 2000 Jan 1;35(1):51-88
references: 26777231
references: Am J Psychiatry. 2012 Sep;169(9):946-53
references: 22952073
references: Am J Psychiatry. 1982 Sep;139(9):1136-9
references: 7114305
references: Gerontologist. 1995 Dec;35(6):792-802
references: 8557206
references: Gerontologist. 1990 Oct;30(5):583-94
references: 2276631
references: J Gerontol. 1993 Mar;48(2):S74-83
references: 8473708
references: Aging Ment Health. 2001 May;5 Suppl 1:S23-34
references: 11513494
references: N Engl J Med. 2003 Nov 13;349(20):1936-42
references: 14614169
references: Int Psychogeriatr. 2012 Oct;24(10):1536-52
references: 22612881
references: Gerontologist. 2001 Feb;41(1):4-14
references: 11220813
references: Neurology. 2006 Nov 14;67(9):1592-9
references: 17101889
references: BMJ. 2013 Jul 12;347:f4313
references: 23851720
references: Int J Geriatr Psychiatry. 2014 Jan;29(1):41-8
references: 23606378
references: Psychol Methods. 2012 Mar;17(1):15-30
references: 22251268
references: Am J Psychiatry. 2004 May;161(5):850-6
references: 15121650
references: Health Aff (Millwood). 1993 Summer;12(2):164-76
references: 8375811
references: Scand J Caring Sci. 2008 Mar;22(1):98-109
references: 18269429
references: Gerontologist. 2013 Dec;53(6):985-97
references: 23339050
references: Psychol Aging. 2011 Mar;26(1):1-14
references: 21417538
references: J Palliat Med. 2003 Apr;6(2):215-24
references: 12854938
references: Am J Geriatr Psychiatry. 2007 Sep;15(9):780-9
references: 17804831
references: J Gerontol B Psychol Sci Soc Sci. 2004 Jan;59(1):P27-34
references: 14722336
references: J Am Geriatr Soc. 2003 May;51(5):657-64
references: 12752841
references: Psychol Aging. 1992 Dec;7(4):622-31
references: 1466831
references: ScientificWorldJournal. 2011 Jan 05;11:42-76
references: 21218263
references: J Gerontol B Psychol Sci Soc Sci. 1997 Jul;52(4):S200-11
references: 9224448
references: Gerontologist. 2006 Jun;46(3):344-56
references: 16731873
references: Res Nurs Health. 2001 Oct;24(5):349-60
references: 11746065
references: J Gerontol B Psychol Sci Soc Sci. 2011 Sep;66(5):640-7
references: 21840840
references: J Cogn Dev. 2010;11(2):121-136
references: 21743795
references: Psychol Aging. 1987 Sep;2(3):225-32
references: 3268213
references: Health Aff (Millwood). 2014 Apr;33(4):587-95
references: 24711319
references: Med Care. 2009 Feb;47(2):191-8
references: 19169120
references: Gerontologist. 2002 Jun;42(3):356-72
references: 12040138
references: Ann Intern Med. 2006 Nov 21;145(10):727-38
references: 17116917