Examinando por Autor "Romero-Moreno, Rosa"

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Body, emotions, and sexuality in the metaverse: A randomized control trial exploring the use of second life for an avatar-based intervention to support women with female orgasmic disorder
(Elsevier, 2024-12) Vila, Ariana; Ardoy-Cuadros, Juan; Romero-Moreno, Rosa; Nogales-Gonzalez, Celia; Ritchey, Andrew J.; Sansoi, Maria; Riva, Giuseppe
Cognitive fusion and treatment response to depression in caregivers of relatives with dementia
(Elsevier, 2022-11-03) Barrera-Caballero, Samara; Romero-Moreno, Rosa; Vara-García, Carlos; Olmos, Ricardo; Márquez-González, María; Losada-Baltar, Andrés
Caring for a relative with dementia is associated with negative psychological consequences for the caregivers, such as depression. Cognitive fusion is considered a key process of psychological inflexibility, associated with psychological distress. The aim of this study is to analyze whether baseline levels of cognitive fusion predict different treatment response of depressive symptoms, comparing individual Acceptance and Commitment Therapy (ACT), Cognitive and Behavioral Therapy (CBT) interventions and a control group. A total of 130 family caregivers participated in the study: ACT intervention (N = 49), CBT intervention (N = 41) and control group (N = 40). Moderation analyses were conducted. The results show a significant effect of the interaction between baseline levels of cognitive fusion and the treatment condition (p < .05) on depressive symptoms. Specifically, caregivers in the CBT condition presented higher change in depressive symptoms than those in the control group when their baseline levels of cognitive fusion were low, medium and high. Participants in the ACT condition showed a greater change in depressive symptoms than participants in the control group when their baseline levels of cognitive fusion were medium and high. Finally, the findings suggest that caregivers in the ACT condition showed a greater change in depressive symptoms than those in the CBT condition when their baseline levels of cognitive fusion were high. These results seem to support the use of cognitive fusion as a screening tool for intervention assignment in clinical practice with dementia caregivers.
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.
Longitudinal effects of ambivalent and guilt feelings on dementia family caregivers' depressive symptoms
(Wiley, 2024-03-14) Losada-Baltar, Andrés; Mausbach, Brent T.; Romero-Moreno, Rosa; Jiménez-Gonzalo, Lucía; Huertas-Domingo, Cristina; Fernandes-Pires, José A.; Barrera-Caballero, Samara; Gallego-Alberto, Laura; Martín-María, Natalia; Olazarán, Javier; Márquez-González, María
Background The world prevalence of people with dementia is increasing. Most of the care received by people with dementia is provided by family caregivers, and this prolonged activity has a significant impact on caregivers' levels of depression. Stressors and frequency of leisure are known predictors of caregivers' depressive levels. The longitudinal impact of caregivers' ambivalent and guilt feelings is unknown. Methods Participants were 177 family caregivers of relatives with dementia who were assessed three times during a 2-year period. In addition to demographic variables, psychological symptoms of the dementias, and frequency of leisure activities, caregivers' ambivalent feelings, guilt, and depressive symptoms were measured. The longitudinal association of changes in these variables with changes in caregivers' depressive symptoms over time was assessed using mixed linear models. Results Changes over time in the assessed variables predicted 48.05% of variance of changes over time in depressive symptoms. Even when variables strongly associated with increased depressive symptoms were controlled (lower caregivers' age and educational level, higher reaction to BPSD, and lower leisure activities), increases in ambivalence and guilt contributed to an increase of 9.22% of the variance of changes depressive symptoms over a 2-year period. The effects of ambivalent feelings on depression are indirect, mediated by guilt feelings. Cessation of caregiving do not seem to alter these findings. Conclusions Caregivers' ambivalent and guilt feelings are significant predictors of caregivers' mental health. Caregivers may significantly benefit from early detection of ambivalent and guilt feelings and preventive strategies targeting triggers associated with ambivalent and guilt symptoms
Longitudinal effects of cognitive fusion in depressive and anxious symptoms of family caregivers of people with dementia
(Elsevier, 2024-07) Barrera-Caballero, Samara; Romero-Moreno, Rosa; Márquez-González, María; Jiménez-Gonzalo, Lucía; Huertas-Domingo, Cristina; Olazarán, Javier; Losada-Baltar, Andrés
Family dementia caregiving has been commonly associated with psychological distress for caregivers. Cognitive fusion, that is, the tendency to become too entangled in thoughts, beliefs, or judgments (in the absence of objectivity) that may often lead to rigid thinking and impact psychological distress, is a transdiagnostic and central process of psychological inflexibility. Cross-sectional studies have shown that family caregivers of people with dementia who could present high levels of stress may be vulnerable to experiencing psychological symptoms such as depression and anxiety (even comorbidity) if they present this rigid way of thinking without seeing the objectivity of their thoughts, which could be related to aspects of the family member's dementia or helplessness in being a caregiver, for example. Specifically, studies in the caregiving field, as well as in other populations, suggest that cognitive fusion could play a mediating role in the relationship between stress and psychological symptoms. However, the predictive role of caregivers' cognitive fusion on psychological distress has not been analyzed in longitudinal studies. The objective of this study was to analyze the longitudinal effect of cognitive fusion in depressive and anxious symptoms after controlling for other relevant variables in a sample of Spanish family caregivers. Face to face assessments were conducted with a total of 176 Spanish family dementia caregivers. The study involved three assessments in a two-year period (baseline, 12 and 24 months). Linear mixed model analysis was used to analyze the associations between time-varying values of frequency and reaction to care-recipient behavioral problems, cognitive fusion, and caregivers' depressive and anxiety symptoms. Increases in cognitive fusion significantly predicted depressive and anxious symptoms (p < 0.01). In addition, reaction to care-recipients’ behavioral problems and being a female caregiver predicted increases in anxiety symptoms over time (p < 0.05). These results suggested that cognitive fusion may constitute a core dysfunctional mechanism involved in depressive and anxious symptoms. Psychological strategies aimed at reducing cognitive fusion and stress levels may be especially helpful for reducing caregivers' distress.
Psychometric properties of the Insomnia Severity Index in a sample of family dementia caregivers
(Elsevier - Sleep Medicine, 2021-04-02) Jimenez-Gonzalo, Lucía; Romero-Moreno, Rosa; Pedroso-Chaparro, María; Gallego-Alberto, Laura; Barrera-Caballero, Samara; Olazarán, Javier; Losada-Baltar, Andrés
Study objectives: Family caregivers of people with dementia frequently report sleep problems that are linked to depressive and anxious symptoms. However, data are needed regarding the psychometric properties of specific measures of sleep problems in caregiving populations. The aim of this study is to analyse the psychometric properties of the Insomnia Severity Index (ISI; Morin, 1993) in a Spanish dementia caregiver sample. Methods: 271 participants took part in face-to face interviews where, along with sociodemographic variables, caregivers' sleep problems, depressive and anxious symptoms were measured. The psychometric properties of the ISI were analysed through Confirmatory Factor Analysis (CFA) and analysis of the internal consistency and convergent and criterion validity. Results: The Spanish version of the Insomnia Severity Index showed adequate indices of internal consistency (Cronbach's alpha ¼ 0.78) in our sample of family caregivers of people with dementia. A onefactor structure provided a better fit to the data than two- and three-factor structures. The ISI was significantly associated with lower sleep quality, less average sleep time per day and lower selfperception of vitality, as well as with higher depressive and anxious symptoms. Differences in ISI scores were found between people with and without depressive and anxious symptoms. Statistically significant gender-based differences in sleep problems were also found, with female caregivers showing higher sleep problems. Conclusions: The ISI is a reliable and valid instrument to assess the subjective severity of sleep problems in the family dementia caregiver population and may be a useful instrument in intervention and research settings. Additional evidence was also provided of the importance of considering sleep problems in the studied population.
Stress, cognitive fusion and comorbid depressive and anxiety symptomatology in dementia caregivers
(American Psychological Association, 2021-08-01) Barrera-Caballero, Samara; Romero-Moreno, Rosa; Del Sequeros Pedroso-Chaparro, María; Olmos, Ricardo; Vara-García, Carlos; Gallego-Alberto, Laura; Cabrera, Isabel; Márquez-González, María; Olazarán, Javier; Losada-Baltar, Andrés
Comorbid depression and anxiety is linked to worse outcomes such as increased impairment, distress, and morbidity, as well as worse treatment outcomes. Transdiagnostic variables such as cognitive fusion are considered potential factors for explaining comorbidity. The aim of this study was to analyze the differences between symptom profiles of caregivers (comorbid, depressive, anxiety, and subclinical) in terms of demographic and contextual factors, stress variables, and cognitive fusion. Individual interviews were conducted with 553 caregivers of a relative with dementia. Sociodemographic variables, stressors, cognitive fusion, and depressive and anxiety symptoms were assessed. Caregivers were grouped into four symptom profiles, comorbid (n = 303), depressed (n = 40) anxiety (n = 86), and subclinical (n = 124), based on their depressive and anxiety symptoms. The likelihood of presenting a comorbid profile relative to the subclinical profile was higher in female caregivers. In addition, higher frequency of disruptive behaviors of the care recipient was a risk factor for presenting a comorbid profile relative to the other three profiles, and higher scores in cognitive fusion were a risk factor of comorbidity relative to the other profiles (anxiety, depressive, and subclinical). The findings suggest that the likelihood of presenting comorbid symptomatology is higher for female caregivers and those reporting higher levels of cognitive fusion and higher frequency of disruptive behaviors
Validation of the Guilt associated with Self-Perception as a Burden Scale (G-SPBS)
(Cambridge University Press., 2021) Pedroso-Chaparro, María del Sequeros; Cabrera, Isabel; Márquez-González, María; Olmos, Ricardo; Romero-Moreno, Rosa; Vara-García, Carlos; Gallego-Alberto, Laura; Barrera-Caballero, Samara; Losada-Baltar, Andrés
Background: One of the main health-related worries for older adults is becoming dependent. Even healthy older adults may worry about becoming dependent, generating guilt feelings due to the anticipation of future needs that others must solve. The guilt associated with self-perception as a burden has not been studied in older adults, and there is no instrument available to measure these feelings. Aims: To adapt the Self-Perceived Burden Scale (SPBS; Cousineau et al., 2003) for the assessment of feelings of guilt for perceiving oneself as a burden for the family in older adults without explicit functional or cognitive impairment. Method: Participants were 298 older adults living independently in the community. Participants completed the assessment protocol, which included measures of guilt associated with self-perception as a burden, depressive and anxious symptomatology, self-perceived burden, and sociodemographic information. Results: Results from exploratory, parallel and confirmatory factor analyses suggest that the scale, named Guilt associated with Self-Perception as a Burden Scale (G-SPBS), has a unidimensional structure, explaining 57.04% of the variance of guilt. Good reliability was found (Cronbach’s alpha = .94). The results revealed significant (p < .01) positive associations with depressive and anxious symptomatology. Discussion: These findings suggest that the G-SPBS shows good psychometric properties which endorse its use with healthy community older adults. Also, guilt associated with perceiving oneself as a burden seems to be a relevant variable that can contribute to improving our understanding of psychological distress in older adults.