Forty caregivers who were depressed or at risk of depression were randomly assigned to either a cognitive behavioral treatment (CBT) group or a mutual support treatment (MST) group, led respectively by 2 psychotherapists and 1 psychologist- facilitator. Before and after intervention, all participants were individually assessed with the Beck Depression Inventory and Family Problems questionnaire.
Both the CBT and MST therapies produced reductions in depression, though in the MST groups the trend was not significant. Nevertheless, analysis of the clinical significance of change in the Beck Depression Inventory score for each subject showed an improvement in 58.3% of depressed caregivers treated with CBT and in 45.4% of those treated with MST. And unlike CBT, MST produced an improvement in two dimensions of family burden.
Citation: Steinhauser KE, Christakis NA, Clipp EC, McNeilly M, Grambow S, Parker J, Tulsky JA. Preparing for the end of life: preferences of patients, families, physicians, and other care providers. Journal of Pain and Symptom Management 2001 Sep;22(3):727-37.