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The Peaceful Mind program: A pilot test of a cognitive–behavioral therapy–based intervention for anxious patients with Dementia


Stanley, Melinda A., Calleo, Jessica, Bush, Amber L., Wilson, Nancy, Snow, A. Lynn, Kraus-Schuman, Cynthia, Paukert, Amber L., Petersen, Nancy J., Brenes, Gretchen A., Schulz, Paul E., Williams, Susan P., Kunik, Mark E.


The American Journal of Geriatric Psychiatry, Volume: 21, No.: 7, Pages.: 696-708

Year of Publication



Objectives: To assess feasibility and to conduct a preliminary evaluation of outcomes following Peaceful Mind, a cognitive-behavioral therapy-based intervention for anxiety in dementia, relative to usual care. Design: Pilot randomized controlled trial including assessments at baseline and 3 and 6 months. Setting: Houston, TX. Participants: Thirty-two outpatients diagnosed with mild (47%) or moderate (53%) dementia receiving care through outpatient clinics at the Veterans Affairs medical center, Baylor College of Medicine, Harris County Hospital District, and community day centers for dementia, and their collaterals, who spent at least 8 hours a week with them. Intervention: Peaceful Mind included up to 12 weekly in-home sessions (mean: 8.7, SD: 2.27) during the initial 3 months and up to eight brief telephone sessions (mean: 5.4, SD: 3.17) during months 3-6, involving self-monitoring for anxiety, deep breathing, and optional skills (coping self-statements, behavioral activation, and sleep management). Patients learned skills, and collaterals served as coaches. In usual care, patients received diagnostic feedback, and providers were informed of inclusion status. Measurements: Neuropsychiatric Inventory-Anxiety subscale, Rating Anxiety in Dementia scale, Penn State Worry Questionnaire-Abbreviated, Geriatric Anxiety Inventory, Geriatric Depression Scale, Quality of Life in Alzheimer disease, Patient Health Questionnaire, and Client Satisfaction Questionnaire. Results: Feasibility was demonstrated with regard to recruitment, attrition, and treatment characteristics. At 3 months, clinicians rated patients receiving Peaceful Mind as less anxious, and patients rated themselves as having higher quality of life; collaterals reported less distress related to loved ones’ anxiety. Although significant positive effects were not noted in other outcomes or at 6-month follow-up, the pilot nature of the trial prohibits conclusions about efficacy. Conclusions: Results support that Peaceful Mind is ready for future comparative clinical trials. (PsycINFO Database Record (c) 2014 APA, all rights reserved). (journal abstract)

Bibtex Citation

@article{Stanley_2013, doi = {10.1016/j.jagp.2013.01.007}, url = {}, year = 2013, month = {jul}, publisher = {Elsevier {BV}}, volume = {21}, number = {7}, pages = {696--708}, author = {Melinda A. Stanley and Jessica Calleo and Amber L. Bush and Nancy Wilson and A. Lynn Snow and Cynthia Kraus-Schuman and Amber L. Paukert and Nancy J. Petersen and Gretchen A. Brenes and Paul E. Schulz and Susan P. Williams and Mark E. Kunik}, title = {The Peaceful Mind Program: A Pilot Test of a Cognitive{textendash}Behavioral Therapy{textendash}Based Intervention for Anxious Patients with Dementia}, journal = {The American Journal of Geriatric Psychiatry} }


activation, anxiety, anxiety disorders, anxious patients, breathing, cognitive behavior therapy, cognitive behavioral therapy, cognitive intervention, coping, dementia, for, intervention, management, mind, optional, patients, peaceful, peaceful mind, program evaluation, selfstatements, skills, sleep

Countries of Study


Types of Dementia

Dementia (general / unspecified)

Types of Study

Randomised Controlled Trial

Type of Outcomes

Depression and Anxiety, Quality of Life of Person With Dementia


Extra Care Housing

Type of Interventions

Non-pharmacological Treatment

Non-Pharmaceutical Interventions

Behavioural Therapies, Other, Reminiscence and Anxiety Therapies