Examinando por Autor "Nogales-González, Celia"

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Assessment of preference for edible and leisure items in individuals with dementia
(Wiley Online Library, 2013-09-02) Virués Ortega, Javier; Iwata, Brian A.; Nogales-González, Celia; Frades, Belén
We conducted 2 studies on reinforcer preference in patients with dementia. Results of preference assessments yielded differential selections by 14 participants. Unlike prior studies with individuals with intellectual disabilities, all participants showed a noticeable preference for leisure items over edible items. Results of a subsequent analysis with 3 participants showed reinforcement effects when highly preferred items were delivered as consequences.
Behavioral correlates of anxiety in well-functioning older adults
(Elsevier, 2014-07-03) Losada, Andrés; Márquez-González, María; Pachana, Nancy A.; Wetherell, Julie L.; Fernández- Fernández, Virginia; Nogales-González, Celia; Ruíz- Díaz, Miguel
Background: Research on the behavioral correlates of anxiety in older adults is sparse. The aim of this study was to explore the association of anxiety with behavioral patterns defined by health, activity, emotional and social variables. Methods: A convenience sample of 395 older adults completed measures of health, activity, emotions, social variables and experiential avoidance. Cross-sectional data were analysed using cluster analysis. Results: Five clusters were identified: active healthy, healthy, active vulnerable, lonely inactive and frail lonely. Participants in the active healthy and healthy clusters showed the highest scores on health variables (vitality and physical function), and adaptive scores on the rest of variables. They also reported the lowest scores on anxiety and included the lowest number of cases with clinically significant anxiety levels. Active vulnerable showed high scores on social support, leisure activities and capitalization on them but low scores in vitality and physical functioning. Participants in the lonely inactive cluster reported the highest mean score in experiential avoidance and high scores on boredom and loneliness, and low scores on social support, leisure activities capitalizing on pleasant activities and health variables. Frail lonely represent a particularly vulnerable profile of participants, similar to that of lonely inactive, but with significantly lower scores on health variables and higher scores on boredom and hours watching TV. Conclusions: Anxiety in older adults is not only linked to poor health, but also to dysfunctional social behavior, loneliness, boredom and experiential avoidance. Maladaptive profiles of older adults with regard to these variables have been identified.
Cognitive–Behavioral Therapy (CBT) Versus Acceptance and Commitment Therapy (ACT) for Dementia Family Caregivers With Significant Depressive Symptoms: Results of a Randomized Clinical Trial
(American Psychological Association, 2015-06-15) Losada, Andrés; Márquez-González, María; Romero-Moreno, Rosa; Mausbach, Brent T.; López, Javier; Fernández-Fernández, Virginia; Nogales-González, Celia
Objective: The differential efficacy of acceptance and commitment therapy (ACT) and cognitive–behavioral therapy (CBT) for dementia family caregivers’ is analyzed through a randomized controlled trial. Method: Participants were 135 caregivers with high depressive symptomatology who were randomly allocated to the intervention conditions or a control group (CG). Pre-, postintervention, and follow-up measurements assessed depressive symptomatology, anxiety, leisure, dysfunctional thoughts, and experiential avoidance. Results: Depression: Significant effects of interventions compared with CG were found for CBT (p < .001, d = 0.98, number needed to treat [NNT] = 3.61) and ACT (p < .001, d = 1.17, NNT = 3.53) at postintervention, but were maintained only at follow-up for CBT (p = .02, d = 0.74, NNT = 9.71). Clinically significant change was observed in 26.7% participants in CBT, 24.2% in ACT, and 0% in CG. At follow-up, 10.53% in CBT and 4% in ACT were recovered (0% CG). Anxiety: At postintervention, ACT participants showed lower anxiety than CBT participants (p < .05, d = 0.50) and CG participants (p < .01, d = 0.79, NNT = 3.86), with no effects at follow-up. At postintervention, 23.33% in CBT, 36.36% in ACT, and 6.45% in CG showed clinically significant change. At follow-up, 26.32% in CBT, 36% in ACT, and 13.64% in CG were recovered. Significant changes at postintervention were found in leisure and dysfunctional thoughts in both ACT and CBT, with changes in experiential avoidance only for ACT. Conclusion: Similar results were obtained for ACT and CBT. ACT seems to be a viable and effective treatment for dementia caregivers. (PsycInfo Database Record (c) 2020 APA, all rights reserved)
Confirmatory factor analysis of the Spanish verson of the revised memory and behavior problems checklist
(Cambridge University Press, 2014-12-03) Nogales-González, Celia; Losada, Andrés; Romero-Moreno, Rosa
Abstract Background: Behavioral and psychological symptoms of Dementia (BPSD) are a cause of significant stress in caregivers. The revised memory and behavior problems checklist (RMBPC) (Teri et al., 1992) is an instrument used for the assessment of BPSD. The psychometric properties of the RMBPC-Spanish version were analyzed. Method: 361 family caregivers of people with dementia were interviewed individually. The RMBPC is a 24-item questionnaire that assesses both the frequency of the BPSD and the reaction they cause in the caregiver. It has three factors: memory problems, disruptive behaviors, and depressive behaviors. Caregivers’ depressive symptomatology, anxiety and burden, and the functional capacity of the person with dementia were also measured. Results: The results of a confirmatory factor analysis (CFA) show that the original three-factor model with 24 items, with error covariances, had a marginally acceptable adjustment for the frequency and reaction scales. The deletion of items with low factor loadings results in a better adjustment of the data to the model, for both the frequency and reaction scales. We found adequate internal consistency for all subscales, and significant associations between the subscales, burden, anxiety, and depression. Conclusions: The results suggest that the Spanish version of the RMBPC shows adequate adjustment for the three-factor model with 24-items, but that removing some of the items improves the adjustment. The results support the use of this instrument for the assessment of BPSD in Spanish people with dementia.
Leisure, Gender, and Kinship in Dementia Caregiving: Psychological Vulnerability of Caregiving Daughters With Feelings of Guilt
(Oxford University Press, 2013-05-18) Romero-Moreno, Rosa; Losada, Andrés; Márquez, María; Laidlaw, Ken; Fernández- Fernández, Virginia; Nogales-González, Celia; López, Javier
Objectives. The moderator role of guilt on the effect of leisure activities on dementia caregivers’ depressive symptoms was analyzed, considering differences by kinship and guilt as a multidimensional construct. Method. Participants were 351 caregivers (58.97% daughters, 10.54% sons, 19.66% wives, and 10.83% husbands). Measures included frequency of leisure activities, depressive symptoms, and guilt (total scale and 5 factors). Results. A moderator role of guilt was found only for daughters. Specifically, significant interactions between guilt and frequency of leisure activities were found for the total scale and for the Factors 1 (guilt about doing wrong by the care recipient), 2 (guilt about failing to meet the challenges of caregiving), and 3 (guilt about self-care). For those daughters who reported lower levels of leisure activities, showing higher levels of guilt was associated with higher scores in depressive symptoms, whereas those with lower levels of guilt showed lower depressive symptoms scores. Discussion. Feelings of guilt may have different consequences on caregivers’ distress depending on caregivers’ gender and kinship. Daughters with higher levels of guilt who do not engage in leisure activities may be especially vulnerable to suffering psychological distress.
The importance of Family Support profiles in the wellbeing of parents of an infant: loneliness and positive affect. Preliminary analysis
(Dykinson, 2023) Pedroso-Chaparro, María del Sequeros; de la Vega Castelo, Ariadna; Nogales-González, Celia; Romero Moreno, Rosa; Vara García, Carlos
the main aim of this study has been to analyze potential differences between parents of an infant who report high, medium or low levels of family support on indicators of mental health (positive affect and perceived loneliness). A total of 64 parents of an infant child participated in the study. All participants resided in the Community of Madrid (Spain). The inclusion criteria for participation in the study were: (a) being over 18 years and (b) having a child between the ages of 0 and 6 years old. As Table 1 shows, the mean age of the participants was 40.36 years, most of the participants were female, had between 1 and 4 children aged 0-19 years, and most were married.The results show new results regarding the protective effect of family support, specifically in relation to the association between higher levels of family support and lower levels of loneliness and greater levels of positive affect in parents. These results suggest the importance of attending to family support for those preventive or interventive actions aimed to reduce psychological distress in parents of an infant, including frequent feelings of loneliness and reduced positive affect.