Evidence map›Paper›PMID 24119856›Full record

Trial reportThe American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry2014

Effects of problem solving therapy on mental health outcomes in family caregivers of persons with a new diagnosis of mild cognitive impairment or early dementia: a randomized controlled trial.

Linda Garand, Donna E Rinaldo, Mary M Alberth, Jill Delany, Stacey L Beasock, Oscar L Lopez, Charles F Reynolds, Mary Amanda Dew

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00321971 (Prevention of Psychiatric Morbidity in AD Caregivers), which is not on this map. Cited by 22 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 3 pooled it
2.1field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00321971 nacompletednot on this map

Prevention of Psychiatric Morbidity in AD Caregivers

TypeinterventionalSponsorUniversity of PittsburghRan2007 to 2011Enrolled73ConditionsDepressionArmsPST-MCI/AD Caregiving, NT-MCI/AD Caregiving
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 3 syntheses or guidelines pooled it, 56 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Reducing Burden for Caregivers of Older Adults With Mild Cognitive Impairment: A Systematic Review.American journal of Alzheimer's disease and other dementias · 2018
    Pooled it
  4. Trial
  5. Trial
  6. A Controlled Pilot Study of the Wish Outcome Obstacle Plan Strategy for Spouses of Persons With Early-Stage Dementia.The journals of gerontology. Series B, Psychological sciences and social sciences · 2022
    Trial
  7. Trial
  8. Design and Implementation of an Intervention Development Study: Retaining Cognition While Avoiding Late-Life Depression (ReCALL).The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2016
    Trial
  9. Trial
  10. Article
  11. Health of the Pandemic Dementia Paid Staff and Unpaid Caregiver Workforce in Congregate Care and Community Settings.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2025
    Article
  12. Article
  13. Review
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Linda GarandHealth & Community Systems Department, The University of Pittsburgh School of Nursing, Pittsburgh, PA. Electronic address: ligst4@pitt.edu.
Donna E RinaldoHealth & Community Systems Department, The University of Pittsburgh School of Nursing, Pittsburgh, PA.
Mary M AlberthHealth & Community Systems Department, The University of Pittsburgh School of Nursing, Pittsburgh, PA.
Jill DelanyHealth & Community Systems Department, The University of Pittsburgh School of Nursing, Pittsburgh, PA.
Stacey L BeasockHealth & Community Systems Department, The University of Pittsburgh School of Nursing, Pittsburgh, PA.
Oscar L LopezDepartments of Neurology and Psychiatry, and Alzheimer Disease Research Center, The University of Pittsburgh School of Medicine, Pittsburgh, PA.
Charles F ReynoldsDepartment of Psychiatry, Advanced Center for Interventions and Services Research in Late Life Depression Prevention and Treatment, The University of Pittsburgh School of Medicine, Pittsburgh, PA.
Mary Amanda DewDepartments of Psychiatry, Biostatistics, Epidemiology, Psychology and Clinical and Translational Science, The University of Pittsburgh Schools of Medicine and Public Health, Pittsburgh, PA.
University of Pittsburgh · US

Funding

UNIVERSITY OF PITTSBURGH CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTE: BPCAUL1RR024153 · NCRR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2006 to 2011
$73.9M
University of Pittsburgh Clinical and Translational Science InstituteUL1TR000005 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2012 to 2015
$50.8M
TREATMENT OF DEPRESSION IN ALZHEIMER'S DISEASEP50AG005133 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BECKER, JAMES T. · 1985 to 2019
$43.0M
VARIABILITY, STABILITY & SMOOTHNESS OF WALKINGP30AG024827 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI JENNIFER S BRACH · 2004 to 2026
$28.6M
RESEARCH METHODS COREP30MH090333 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI DEW, MARY AMANDA · 2011 to 2015
$8.3M
Prevention of Psychiatric Morbidity in AD CaregiversK23MH070719 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI GARAND, LINDA · 2005 to 2009
$628k
NCATS NIH HHS UL1 TR000005NCRR NIH HHS UL1 RR024153NCRR NIH HHS UL1RR024153NIA NIH HHS P30 AG024827NIA NIH HHS P50 AG005133NIA NIH HHS P50 AG05133NIMH NIH HHS K23 MH070719NIMH NIH HHS MH070719NIMH NIH HHS P30 MH090333
6 · The paper itself

Abstract

objectiveInterventions directed at the mental health of family dementia caregivers may have limited impact when focused on caregivers who have provided care for years and report high burden levels. We sought to evaluate the mental health effects of problem-solving therapy (PST), designed for caregivers of individuals with a recent diagnosis of Mild Cognitive Impairment (MCI) or early dementia.

methodSeventy-three (43 MCI and 30 early dementia) family caregivers were randomly assigned to receive PST or a comparison condition (nutritional education). Depression, anxiety, and problem-solving orientation were assessed at baseline and at 1, 3, 6, and 12 months post intervention.

resultsIn general, the PST caregiver intervention was feasible and acceptable to family caregivers of older adults with a new cognitive diagnosis. Relative to nutritional education, PST led to significantly reduced depression symptoms, particularly among early dementia caregivers. PST also lowered caregivers' anxiety levels, and led to lessening of negative problem orientation. DISCUSSION: Enhanced problem-solving skills, learned early after a loved one's cognitive diagnosis (especially dementia), results in positive mental health outcomes among new family caregivers.

Indexed as

Problem SolvingPsychotherapyAdultAgedAged, 80 and overAnxietyCaregiversCognitive DysfunctionDementiaDepressionFemaleHumansMaleMiddle AgedTreatment Outcomeearly dementiaearly family dementia caregivingmild cognitive impairmentProblem-solving therapy

Identifiers

PMID24119856
PMCPMC4021000
OpenAlexW2057248087

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.