Compassion focused therapy for people with dementia : a feasibility study

• Main Author: Craig, Catriona
• Other Authors: Spector, A. ; Royan, L. ; Hiskey, S.
• Published: University College London (University of London) 2017
• Online Access: https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.746876

This three-part thesis reviews the effectiveness of Compassion Focused Therapy (CFT), and details the development and a trial of a CFT intervention for people with dementia and psychological distress. PART 1: Literature Review. A systematic literature review of 15 studies that evaluated the effectiveness CFT across clinical populations. Significant improvements in symptomatology and increased self-compassion were found following CFT, and the benefits were at least as effective as other psychological interventions, including CBT, mindfulness and treatment at usual. Further high-quality, adequately powered studies are required to assess its place as an evidence-based treatment. PART 2: Empirical Paper. A feasibility study evaluating the acceptability and impact of a CFT intervention developed for people with dementia and associated psychological distress. An adapted CFT intervention was developed to be delivered to people with dementia based on the relevant literature. A case-series of seven people with dementia was used to assess the intervention’s feasibility, and effectiveness on outcomes of self-compassion, mood, anxiety and quality of life. Improvements in self-compassion, mood and anxiety were seen. Six participants with dementia were able to engage in soothing rhythm breathing, and five were able to engage in discussion of self-criticism and developing self-compassion. Overall the intervention was experienced as helpful, and several participants and their carers described increased self-compassion in response to cognitive decline. PART 3: Critical Appraisal. A reflection and appraisal of the study, including the challenges encountered and lessons learnt.