Cognitive behavioral interventions for emotional management in the caregiver population. A systematic review

Authors

DOI:

https://doi.org/10.58763/rc2025363

Keywords:

caregiving, intervention, population, review

Abstract

This research aimed to examine cognitive-behavioral interventions applied to caregivers between 2012 and 2022 for the management of emotions. Scielo, Scopus, and WOS databases were searched between February and March 2023. Of 397 articles, 18 were selected for final analysis. The studies, mainly randomized controlled trials, focused on individual, face-to-face, short-term interventions. Significant improvements were observed in variables such as depression, anxiety, emotional well-being, stress, and caregiver burden. The most commonly used techniques included problem-solving, coping strategies, and breathing exercises. Virtual interventions were the most common. Cognitive-behavioral interventions have proven to be effective, with the active participation of caregivers. Virtual modalities complement traditional ones. Emotional regulation and problem-solving techniques are particularly effective. More research is needed to refine these interventions and improve caregiver well-being.

Metrics

Metrics Loading ...

References

Adashek, J., y Subbiah, I. (2020). Caring for the caregiver: A systematic review characterising the experience of caregivers of older adults with advanced cancers. ESMO Open, 5(5), e000862. https://doi.org/10.1136/esmoopen-2020-000862

Applebaum, A., Panjwani, A., Buda, K., … y Menin, D. S. (2018). Emotion regulation therapy for cancer caregivers-an open trial of a mechanism-targeted approach to addressing caregiver distress. Translational Behavioral Medicine, 1-10. https://doi.org/10.1093/tbm/iby104

Banningh, W., Joosten-Weyn, L., Vernooij-Dassen, M., … y Olde, M. (2013). Learning to live with a loved one with mild cognitive impairment: Effectiveness of a waiting list controlled trial of a group intervention on significant others’ sense of competence and well-being. https://doi.org/10.1177/1533317513481093

Biliunaite, I., Dumarkaite, A., Kazlauskas, E., Sanderman, R., y Andersson, G. (2021). ICBT program for improving informal caregiver well-being: A qualitative study. Internet Interventions, 23, 100361. https://doi.org/10.1016/j.invent.2021.100361

Biliunaite, I., Kazlauska, E., Sanderman, R., ... y Andersson, G. (2021). Internet-based cognitive behavioral therapy for informal caregivers: Randomized controlled pilot trial. Journal of Medical Internet Research, 23(4). https://www.jmir.org/2021/4/e21466

Blaney, C., Hitchon, C., Marrie, R., … y El-Gabalawy, R. (2021). Support for a non-therapist assisted, Internet-based cognitivebehavioral therapy (CBT) intervention for mental health in rheumatoid arthritis patients. Internet interventions, 24, 100385. https://doi.org/10.1016/j.invent.2021.100385

Boele, F., Hoeben, W., Hilverda, K., ... y Klein, M. (2013). Enhancing quality of life and mastery of informal caregivers of high-grade glioma patients: a randomized controlled trial. Journal of Neuro-oncology, 111, 303-311. https://doi.org/10.1007/s11060-012-1012-3

Brown, E., Cohen, J., y Mannarino, A. (2020). Trauma-focused cognitive-behavioral therapy: The role of caregivers. Journal of Affective Disorders, 277, 39–45. https://doi.org/10.1016/j.jad.2020.07.123

Chauhan, C., Chatterjee, K., Srivastava, K., Sharma, S., y Saini, R. (2021). Impact of cognitive behavioural intervention on caregiver burden in mothers of children diagnosed with cancer. Medical Journal Armed Forces India. https://doi.org/10.1016/j.mjafi.2021.05.008

Chiu, M., Pauley, T., Wesson, V., Pushpakumar, D., y Sadavoy, J. (2015). Evaluation of a problem-solving (PS) techniques-based intervention for informal carers of patients with dementia receiving in-home care. International Psychogeriatrics, 27(6), 937–948. https://doi.org/10.1017/S1041610214002798

Cohen, G., Russo, M., Campos, J., y Allegri, R. (2020). Living with dementia: Increased level of caregiver stress in times of COVID-19. International psychogeriatrics, 32(11), 1377–1381. https://doi.org/10.1017/S1041610220001593

Cumpston, M., McKenzie, J., Thomas, J., y Brennan, S. (2020). The use of ‘PICO for synthesis’ and methods for synthesis without meta-analysis: Protocol for a survey of current practice in systematic reviews of health interventions. F1000Research, 9, 678. https://doi.org/10.12688/f1000research.24469.2

Duran, M., Torres, C., Arboleda, L, …. y Santos, J. (2019). Effectiveness of an Educational Nursing Intervention on Caring Ability and Burden in Family Caregivers of Patients with Chronic Non-Communicable Diseases. A Preventive Randomized Controlled Clinical Trial. Investigación y Educación en Enfermería, 37(1), e4. https://doi.org/10.17533/udea.iee.v37n1e04

Fernández-Puerta, L., Prados, G., y Jiménez-Mejías, E. (2022). Interventions that Improve Sleep in Caregivers of Adult Care-Recipients: A Systematic Review. Western Journal of Nursing Research, 44(2), 180–199. https://doi.org/10.1177/0193945921995477

Ferré-Grau, C., Sevilla, M., Cid-Buera, D., … y Berenguer-Poblet, M. (2014). Caring for family caregivers: An analysis of a family-centered intervention. Revista da Escola de Enfermagem da USP, 87-94. https://doi.org/10.1590/S0080-623420140000600013

Ferré‐Grau, C., Sevilla‐Casado, M., Lleixá‐Fortuño, M., ... y Vives‐Relats, C. (2014). Effectiveness of problem‐solving technique in caring for family caregivers: a clinical trial study in an urban area of C atalonia (S pain). Journal of Clinical Nursing, 23(1-2), 288-295. https://doi.org/10.1111/jocn.12485

Fidika, A., Herle, M., Lehmann, C., … y Goldbeck, L. (2015). A web-based psychological support program for caregivers of children with cystic fibrosis: a pilot study. Health and quality of life outcomes, 13, 1-9. https://doi.org/10.1186/s12955-015-0211-y

Fossey, J., Charlesworth, G., Fowler, J., … y Ballard, C. (2021). Online Education and Cognitive Behavior Therapy Improve Dementia Caregivers’ Mental Health: A Randomized Trial. Journal of the American Medical Directors Association, 22(7), 1403-1409.e1. https://doi.org/10.1016/j.jamda.2020.10.009

Franta, C., Philipp, J., Waldherr, K.,... y Wagner, G. (2018). Supporting C arers of C hildren and A dolescents with E ating D isorders in A ustria (SUCCEAT): Study protocol for a randomised controlled trial. European Eating Disorders Review, 26(5), 447-461. https://doi.org/10.1002/erv.2600

Fuller-Tyszkiewicz, M., richardson, B., Keriann, L., … y Olsson, C. (2020). Efficacy of a Smartphone App Intervention for Reducing Caregiver Stress: Randomized Controlled Trial. Jmir Mental Health, 7(7). http://mental.jmir.org/2020/7/e17541

Gallego-Alberto, L., Márquez-González, M., Romero-Moreno, R., Cabrera, I., y Losada, A. (2021). Pilot study of a psychotherapeutic intervention for reducing guilt feelings in highly distressed dementia family caregivers (Innovative practice). Dementia, 20(2), 759-769. https://doi.org/10.1177/1471301219886761

Gómez, C., Regatos, G., y Pérez, M. (2021). Intervención psicoeducativa dirigida a la comunicación para cuidadores de personas con demencia: Una revisión sistemática. Revista INFAD de Psicología. International Journal of Developmental and Educational Psychology., 2(2), 17–28. https://doi.org/10.17060/ijodaep.2021.n2.v2.2204

Han, A., Yuen, H., Lee, H., y Zhou, X. (2020). Effects of acceptance and commitment therapy on process measures of family caregivers: A systematic review and meta-analysis. Journal of Contextual Behavioral Science, 18, 201–213. https://doi.org/10.1016/j.jcbs.2020.10.004

Helbach, J., Hoffmann, F., Pieper, D., y Allers, K. (2023). Reporting according to the preferred reporting items for systematic reviews and meta-analyses for abstracts (PRISMA-A) depends on abstract length. Journal of Clinical Epidemiology, 154, 167–177. https://doi.org/10.1016/j.jclinepi.2022.12.019

Hurtado-Vega, J. (2021). Impacto psicosocial e intervenciones de apoyo para cuidadores informales de personas dependientes en México. Psicología Iberoamericana, IBERO ciudad de México, 29(1). https://doi.org/10.48102/pi.v29i1.339

Kwok, T., Au, A., Wong, B., … y Ho, F. (2014). Effectiveness of online cognitive behavioral therapy on family caregivers of people with dementia. Clinical Interventions in Aging, 631. https://doi.org/10.2147/CIA.S56337

Kwon, O., Ahn, H., Kim, H., y Park, K. (2017). Effectiveness of Cognitive Behavioral Therapy for Caregivers of People with Dementia: A Systematic Review and Meta-Analysis. Journal of Clinical Neurology, 13(4), 394-404. https://doi.org/10.3988/jcn.2017.13.4.394

Lee, M., Ryoo, J., Chung, M., … y Williams, I. C. (2020). Effective interventions for depressive symptoms among caregivers of people with dementia: A systematic review and meta-analysis. Dementia, 19(7), 2368-2398. https://doi.org/10.1177/1471301218822640

Livingston, G., Huntley, J., Sommerlad, A., … y Mukadam, N. (2020). Dementia prevention, intervention, and care: 2020 report of the Lancet Commission. The Lancet, 396(10248), 413–446. https://doi.org/10.1016/S0140-6736(20)30367-6

Losada, A., Márquez-González, M., Romero-Moreno, R., … y Nogales-González, C. (2015). Atendiendo a las variadas problemáticas de los cuidadores familiares de personas con demencia: Aportaciones de la terapia cognitivo conductual y de la terapia de aceptación y compromiso. Clinica Y Salud, 26(1), 41-48. https://dx.doi.org/10.1016/j.clysa.2015.02.001

Luichies, I., Goossensen, A., y van der Meide, H. (2021). Caregiving for ageing parents: A literature review on the experience of adult children. Nursing ethics, 28(6), 844–863. https://doi.org/10.1177/0969733019881713

Machado, G., y Barletta, J. (2015). Supervisão clínica presencial e online: perceoçã de estudantes de esoecialização. Revista Brasileira de Terapias Cognitivas, 11(2), 77-85. ISSN 1808-5687. https://dx.doi.org/10.5935/1808-5687.20150012

Martínez, L., Hernández, M., y Rodríguez, D. (2022). Necesidades en cuidadores principales de pacientes hemodializados: Un estudio de teoría fundamentada. Conrado, 18(89), 54–64. http://scielo.sld.cu/scielo.php?pid=S1990-86442022000600054&script=sci_arttext&tlng=pt

Meichsner, F., Theurer, C., y Wilz, G. (2019). Acceptance and treatment effects of an internet‐delivered cognitive‐behavioral intervention for family caregivers of people with dementia: A randomized‐controlled trial. Journal of Clinical Psychology, 75(4), 594-613. https://doi.org/10.1002/jclp.22739

Mercedes, L., y Rivera, J. (2018). El cuidador informal de personas mayores institucionalizadas: análisis de la relación y consecuencias del suministro de apoyo. Trabajo Social Hoy, 85, 65-86. https://doi.org/10.12960/TSH.2018.0016

Mosley, P., Robinson, K., Dissanayaka, N., … y Pye, D. (2021). A Pilot Trial of Cognitive Behavioral Therapy for Caregivers After Deep Brain Stimulation for Parkinson’s Disease. Journal of Geriatric Psychiatry and Neurology, 34(5), 454–465. https://doi.org/10.1177/0891988720924720

Muñoz, Á. (2019). Ansiedad y autoeficacia en cuidadores de pacientes con Alzheimer. Revista INFAD de Psicología. International Journal of Developmental and Educational Psychology, 2(1), 259-268. https://doi.org/10.17060/ijodaep.2019.n1.v2.1438

Norris, L., Rabner, J., Crane, M., … y Frank, H. (2023). What caregivers like the most (and least) about cognitive behavioral therapy for youth anxiety: A mixed methods approach. Journal of Anxiety Disorders, 98, 102742. https://doi.org/10.1016/j.janxdis.2023.102742

Organización Mundial de la Salud. (2019). Guía técnica para el diseño de intervenciones en salud pública. https://www.who.int/es/publications/i/item/9789240010837

Özgül, E., Akyol, M., Akpınar, B., y Küçükgüçlü, Ö. (2023). Caregiving Self-Efficacy in Family Caregivers of People with Dementia: The Role of Knowledge of Dementia and Perceived Social Support. Journal of Community Health Nursing, 40(4), 289–297. https://doi.org/10.1080/07370016.2023.2241454

Pérez, Y., Rojas, G., Sánchez, V., y Pérez, A. (2024). La categoría bienestar psicológico y su importancia en la práctica asistencial: Una revisión semisistemática. Revista Información Científica, 103, 19. https://doi.org/10.5281/zenodo.10615337

Rico-Blázquez, M., García-Sanz, P., Martín-Martín, M., … y Escortell-Mayor, E. (2021). Effectiveness of a home-based nursing support and cognitive restructuring intervention on the quality of life of family caregivers in primary care: A pragmatic cluster-randomized controlled trial. International journal of nursing studies, 120, 103955. https://doi.org/10.1016/j.ijnurstu.2021.103955

Sabo, K., y Chin, E. (2021). Self-care needs and practices for the older adult caregiver: An integrative review. Geriatric Nursing, 42(2), 570–581. https://doi.org/10.1016/j.gerinurse.2020.10.013

Salazar-Barajas, M., Garza-Sarmiento, E., García-Rodríguez, S., … y Durán-Badillo, T. (2019). Funcionamiento familiar, sobrecarga y calidad de vida del cuidador del adulto mayor con dependencia funcional. Enfermería Universitaria, 16(4), 362-373. https://doi.org/10.22201/eneo.23958421e.2019.4.615

Stern, C., Lizarondo, L., Carrier, J., … y Loveday, H. (2021). Methodological guidance for the conduct of mixed methods systematic reviews. JBI evidence implementation, 19(2), 120–129. https://doi.org/10.1097/XEB.0000000000000282

Sun, Y., Ji, M., Leng, M., y Wang, Z. (2022). Which cognitive behavioral therapy delivery formats work for depressive symptoms in dementia caregivers? — A systematic review and network meta-analysis of randomized controlled trials. Journal of Affective Disorders, 308, 181–187. https://doi.org/10.1016/j.jad.2022.04.055

van Groenestijn, A., Schröder, D., Visser-Meily, J., ... y van den Berg, L. (2015). Cognitive behavioural therapy and quality of life in psychologically distressed patients with amyotrophic lateral sclerosis and their caregivers: Results of a prematurely stopped randomized controlled trial. Amyotrophic Lateral Sclerosis and Frontotemporal Degeneration. https://doi.org/10.3109/21678421.2015.1038276

Vázquez, F., Torres, Á., Blanco, V., … y Ferraces, M. (2016). Long-term Follow-up of a Randomized Clinical Trial Assessing the Efficacy of a Brief Cognitive-Behavioral Depression Prevention Intervention for Caregivers with Elevated Depressive Symptoms. The American Journal of Geriatric Psychiatry, 24(6), 421–432. https://doi.org/10.1016/j.jagp.2016.02.050

Verreault, P., Turcotte, V., Ouellet, M., Robichaud, L., y Hudon, C. (2021). Efficacy of cognitive-behavioural therapy interventions on reducing burden for caregivers of older adults with a neurocognitive disorder: A systematic review and meta-analysis. Cognitive Behaviour Therapy, 50(1), 19–46. https://doi.org/10.1080/16506073.2020.1819867

Vlachou, E., Ntikoudi, A., Owens, D., Chalimourdas, T., y Cauli, O. (2022). Effectiveness of cognitive behavioral therapy-based interventions on psychological symptoms in adults with type 2 diabetes mellitus: An update review of randomized controlled trials. Journal of Diabetes and Its Complications, 36(5), 108185. https://doi.org/10.1016/j.jdiacomp.2022.108185

Wilz, G., y Soellner, R. (2016). Evaluation of a short-term telephone-based cognitive behavioral intervention for dementia family caregivers. Clinical Gerontologist, 39(1), 25-47. https://doi.org/10.1080/07317115.2015.1101631

Wilz, G., Reder, M., Meichsner, F., y Soellner, R. (2018). The Tele. TAnDem intervention: telephone-based CBT for family caregivers of people with dementia. The Gerontologist, 58(2), e118-e129. https://doi.org/10.1093/geront/gnx183

Published

2025-01-03

How to Cite

Martínez Rodríguez, L., León Brito, M., Hernández Montes de Oca, E. L., Hernández-Lugo, M. de la C., & Fernández Castillo, E. (2025). Cognitive behavioral interventions for emotional management in the caregiver population. A systematic review. Región Científica, 4(1), 2025363. https://doi.org/10.58763/rc2025363

Issue

Section

Scientific and technological research article