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Integrative cognitive-behavioral and spiritual counseling for rural dementia caregivers with depression


Glueckauf, Robert L., Davis, W. Shuford, Allen, Kay, Chipi, Patty, Schettini, Gabriel, Tegen, Lance, Jian, Xu, Gustafson, David J., Maze, Janet, Mosser, Barbara, Prescott, Susie, Robinson, Fay, Short, Cindy, Tickel, Sandra, VanMatre, Joyce, DiGeronimo, Thomas, Ramirez, Carmen


Rehabilitation Psychology, Volume: 54, No.: 4, Pages.: 449-461

Year of Publication



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.; Study Design: 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.; Outcome Measures: 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.;

Bibtex Citation

@article{Glueckauf_2009, doi = {10.1037/a0017855}, url = {}, year = 2009, publisher = {American Psychological Association ({APA})}, volume = {54}, number = {4}, pages = {449--461}, author = {Robert L. Glueckauf and W. Shuford Davis and Kay Allen and Patty Chipi and Gabriel Schettini and Lance Tegen and Xu Jian and David J. Gustafson and Janet Maze and Barbara Mosser and Susie Prescott and Fay Robinson and Cindy Short and Sandra Tickel and Joyce VanMatre and Thomas DiGeronimo and Carmen Ramirez}, title = {Integrative cognitive{textendash}behavioral and spiritual counseling for rural dementia caregivers with depression.}, journal = {Rehabilitation Psychology} }


adaptation psychological, adult, aged, aged, 80 and over, alzheimer disease, caregivers, cognitive therapy, combined modality therapy, communication, community health nursing, cost of illness, counselling, depressive disorder, education, female, humans, inservice training, male, methods, middle aged, pastoral care, psychology, rehabilitation, religion and psychology, rural population, selfhelp groups, specialties nursing, spiritual, spirituality

Countries of Study


Types of Dementia

Dementia (general / unspecified)

Types of Study

Before and After Study

Type of Outcomes

Carers’ Mental Health

Type of Interventions

Intervention for Carers

Carer Focussed Interventions

Other, Training programmes / workshops including behavioural training