Life review therapy using autobiographical retrieval practice for older adults with clinical depression

The aim of this experiment was to examine the efficacy of life review based on autobiographical retrieval practice for treating depression in older adults. Thirty-seven clinically depressed older adults aged 64-83, who were also receiving pharmacological treatment, were randomly assigned to life review therapy or to a placebo condition with supportive therapy. Results indicated decreased depression for both conditions, with no significant differences between the two therapies. There was some indication of greater gain in production of specific memories among those in life review therapy. Patients who produced higher numbers of specific memories decreased their depression scores at a faster rate.     

Improving specific autobiographical memory in older adults: impacts on mood,social problem solving,and functional limitations

Older adults have difficulty recalling specific autobiographical events. This over-general memory style is a vulnerability factor for depression. Two groups receiving interventions that have previously been successful at reducing over-general memory in depressed populations were compared to a control group. Participants were healthy older adults aged ≥70 years: memory specificity training (MEST; n = 22), life review (n = 22), and control group (n = 22). There were significant improvements in autobiographical memory specificity in the MEST and life review groups at post-training, relative to the control group, suggesting that over-general memory can be reduced in older adults. Change in social problem solving ability and functional limitations were related to change in autobiographical memory specificity, supporting the suggested role of specific retrieval in generating solutions to social problems and maintaining independence. Qualitative analysis of participants’ feedback revealed that life review may be more appropriate for older adults, possibly because it involves integrating specific memories into a positive narrative.     

Body posture facilitates retrieval of autobiographical memories

We assessed potential facilitation of congruent body posture on access to and retention of autobiographical memories in younger and older adults. Response times were shorter when body positions during prompted retrieval of autobiographical events were similar to the body positions in the original events than when body position was incongruent. Free recall of the autobiographical events two weeks later was also better for congruent-posture than for incongruent-posture memories. The findings were similar for younger and older adults, except for the finding that free recall was more accurate in younger adults than in older adults in the congruent condition. We discuss these findings in the context of theories of embodied cognition.     

Encouraging Occupation: A Systematic Review of the Use of Life Review and Reminiscence Therapy for the Treatment of Depressive Symptoms in Older Adults

The present systematic review investigates the efficacy of both life review and reminiscence therapy interventions in the treatment of depressive symptoms in older adults. A systematic review of the literature was conducted using three databases: Cumulative Index of Nursing and Allied Health Literature (CINAHL), PubMed, and PsycINFO. Six studies met the inclusion criteria, and pertinent variables were extracted for data analysis. In all six articles, the reminiscence therapy or life review intervention was found to be effective in the treatment of depressive symptoms in older adults. These interventions are appropriate for use in occupational therapy practice, as occupational therapists are well-equipped to treat the psychosocial needs of individuals.     

Comparing music- and food-evoked autobiographical memories in young and older adults: A diary study

Previous research has found that music brings back more vivid and emotional autobiographical memories than various other retrieval cues. However, such studies have often been low in ecological validity and constrained by relatively limited cue selection and predominantly young adult samples. Here, we compared music to food as cues for autobiographical memories in everyday life in young and older adults. In two separate four-day periods, 39 younger (ages 18–34) and 39 older (ages 60–77) adults recorded their music- and food-evoked autobiographical memories in paper diaries. Across both age groups, music triggered more frequent autobiographical memories, a greater proportion of involuntary memories, and memories rated as more personally important in comparison to food cues. Age differences impacted music- and food-evoked memories similarly, with older adults consistently recalling older and less specific memories, which they rated as more positive, vivid, and rehearsed. However, young and older adults did not differ in the number or involuntary nature of their recorded memories. This work represents an important step in understanding the phenomenology of naturally occurring music-evoked autobiographical memories across adulthood and provides new insights into how and why music may be a more effective trigger for personally valued memories than certain other everyday cues.     

Emotional organization of autobiographical memory

The emotional organization of autobiographical memory was examined by determining whether emotional cues would influence autobiographical retrieval in younger and older adults. Unfamiliar musical cues that represented orthogonal combinations of positive and negative valence and high and low arousal were used. Whereas cue valence influenced the valence of the retrieved memories, cue arousal did not affect arousal ratings. However, high-arousal cues were associated with reduced response latencies. A significant bias to report positive memories was observed, especially for the older adults, but neither the distribution of memories across the life span nor response latencies varied across memories differing in valence or arousal. These data indicate that emotional information can serve as effective cues for autobiographical memories and that autobiographical memories are organized in terms of emotional valence but not emotional arousal. Thus, current theories of autobiographical memory must be expanded to include emotional valence as a primary dimension of organization.     

Mechanisms of autobiographical memory retrieval in younger and older adults

In this study, retrieval of autobiographical memories was compared within or without the context of a lifetime period and between younger and older adults. The results of two experiments demonstrated that memories were more accessible for younger and older adults when they were retrieved within a time period context than without such context. However, when the retrieval context was more constrained and limited to cue word memories, the benefit of retrieval context disappeared. The results also suggested that as compared with younger adults, older adults were more likely to selectively retain memories with distinctive characteristics, such as being self-relevant and emotionally intense, particularly when remote memories were involved. Mechanisms of autobiographical memory retrieval in younger and older adults.     

Divergent thinking and constructing episodic simulations

Divergent thinking likely plays an important role in simulating autobiographical events. We investigated whether divergent thinking is differentially associated with the ability to construct detailed imagined future and imagined past events as opposed to recalling past events. We also examined whether age differences in divergent thinking might underlie the reduced episodic detail generated by older adults. The richness of episodic detail comprising autobiographical events in young and older adults was assessed using the Autobiographical Interview. Divergent thinking abilities were measured using the Alternative Uses Task. Divergent thinking was significantly associated with the amount of episodic detail for imagined future events. Moreover, while age was significantly associated with imagined episodic detail, this effect was strongly related to age-related changes in episodic retrieval rather than divergent thinking.     

Inside and outside the mind: The effects of age,organization, and access to external sources on retrieval of life events

Older and middle-aged adults recorded autobiographical events on one of two forms of a Personal History Calendar, organized either by year-of-occurrence or by life event category. In Experiment 1, calendars were completed in three stages. In Stage 1, subjects completed the calendar from memory (half were told to expect Stage 2). In Stage 2, each subject reviewed Stage 1 responses with his/her spouse. In Stage 3, subjects could consult external sources. The Event Calendar yielded the most complete Stage 1 recall only for the older group. The Year Calendar generally yielded the greatest number of events, but only when members of a couple did not expect Stage 2. In Experiment 2, subjects completed the calendars in one stage, during which they had access to external sources. The Year Calendar elicited more events than the Event Calendar, but only for older subjects. The results are discussed in terms of retrieval processes in autobiographical memory, and implicatons for survey-based research.     

Age differences and similarities in the correlates of depressive symptoms

The authors investigated whether several life events or concerns were differentially related to depressive symptoms across 3 adult age groups (young adults, middle-aged adults, and older adults). They examined the relationships of 2 measures of depressive symptoms to work status and satisfaction, relationship status and satisfaction, loneliness, recent losses, parenting strain, and caregiving. Some differences between age groups in these relationships were found. Yet, most results suggested that, although the frequency with which people experience specific life events or concerns varies across the adult life span, the relationships between these events or concerns and depressive symptoms are similar across age groups.     

A matter of focus: Detailed memory in the intentional autobiographical recall of older and younger adults

The intricately interwoven role of detailed autobiographical memory in our daily lives and in our imaginative envisioning of the future is increasingly recognized. But how is the detail-rich nature of autobiographical memory best assessed and, in particular, how can possible aging-related differences in autobiographical memory specificity be most effectively evaluated? This study examined whether a modified interview, involving fewer and time-matched events for older and younger adults, yielded age-related outcomes similar to those that have been previously reported. As in earlier studies, modest age-related changes in the specificity of autobiographical recall were observed, yet the largest most robust effect for both age groups was the substantial proportion of specific details retrieved. Both age groups rated recent memories as significantly less important and as less emotional than more temporally distant events. Our findings counter conceptions of older adults’ autobiographical memories as invariably less episodically rich than those of younger adults.     

Redemptive processing of impactful COVID-19 experiences predicts well-being among older but not younger adults

People engage in autobiographical reasoning to make sense of major life events. This study examined whether younger and older adults utilized different autobiographical reasoning strategies to make sense of highly emotional and impactful experiences during the COVID-19 pandemic. We hypothesized that older adults would show higher levels of redemptive processing, younger adults would show higher levels of exploratory processing, and that these respective processes would be associated with well-being for each group. Two samples of younger (n = 245; ages 17–22) and older (n = 224; ages 55–83) adults provided written narratives about their most impactful positive and negative experiences from the COVID-19 pandemic and responded to a questionnaire assessing well-being. We found that younger and older adults did not differ in their use of exploratory and redemptive processing. Redemptive processing was uniquely predictive of well-being among older adults, although this relationship disappeared when positive and negative events were considered independently. These results suggest that the ability to positively reframe COVID-related events could be particularly important for the well-being of older adults.     

Age influences the relation between subjective valence ratings and emotional word use during autobiographical memory retrieval

Recent research reveals an age-related increase in positive autobiographical memory retrieval using a number of positivity measures, including valence ratings and positive word use. It is currently unclear whether the positivity shift in each of these measures co-occurs, or if age uniquely influences multiple components of autobiographical memory retrieval. The current study examined the correspondence between valence ratings and emotional word use in young and older adults' autobiographical memories. Positive word use in narratives was associated with valence ratings only in young adults' narratives. Older adults' narratives contained a consistent level of positive word use regardless of valence rating, suggesting that positive words and concepts may be chronically accessible to older adults during memory retrieval, regardless of subjective valence. Although a relation between negative word use in narratives and negative valence ratings was apparent in both young and older adults, it was stronger in older adults' narratives. These findings confirm that older adults do vary their word use in accordance with subjective valence, but they do so in a way that is different from young adults. The results also point to a potential dissociation between age-related changes in subjective valence and in positive word use.     

Young and Older Adults' Expression of Emotional Experience: Do Autobiographical Narratives Tell a Different Story?

Though autobiographical remembering is a common means of emotional expression in everyday life, rarely have autobiographical narratives been used to assess emotion. Studies rely instead on retrospective scalar measures. In this study, 87 young (M = 20) and older (M = 62) adults' scalar reports and narratives of the salience, frequency, and intensity of emotional reactions to the OJ Simpson verdict announcement were compared. Scalar measures and autobiographical narratives sometimes tell different stories about certain aspects of emotion. Supporting theory, scalars measures, and narratives both indicate greater salience of emotion in late life. In contrast to expectation, older adults more frequently expressed negative affect in their narratives, but not in scalars measures. Both types of measures did, however, show a higher intensity of sadness in older adults. Theories of emotion and aging may benefit from incorporating the role of memory, and reactions to specific negative life events.     

成员关系对协作提取成绩的影响

当人们与搭档组成社会群体一起协作讨论某些已经发生的事件或经验时, 该社会群体中的成员关系对协作提取成绩的影响仍不明确。本研究通过两项实验, 分别使用语词词单和情景故事作为实验材料, 考察成员关系(包括关系类型和关系时长)对协作提取成绩的影响。研究结果表明, 当记忆的材料为语词词单时, 青年陌生组出现了协作抑制; 而当记忆的材料为情景故事时, 青年夫妻和老年夫妻组均出现了协作促进。此外, 老年夫妻在协作提取情景故事的过程中使用的有效交流策略更多, 且这些有效交流策略的使用与更高的协作提取成绩有关。该结果支持了具有长时亲密关系的老年夫妻之间的“交互记忆系统”对协作促进的关键作用, 为理解成员关系对协作提取成绩的影响提供了全面的证据。     

A Study of Gender Differences in Autobiographical Memory: Broken Down by Age and Sex

Data from 40 older adults who produced autobiographical memories to word cues and to the request to list five important memories, and data from 60 older adults who answered factual multiple-choice questions for events spread across their lives, were analyzed for gender differences. In spite of considerable statistical power, there were no gender differences in the distribution of autobiographical memories over the lifespan, in the distribution of important memories, in various ratings provided to these memories, or in the distribution of knowledge for events. The only gender difference found was that men performed better on factual questions about current events and baseball. Thus, counter to what might be expected from Darwinian theory and some behavioral data, gender differences were minimal.     

Reduced goal specificity is associated with reduced memory specificity in depressed adults

Models of autobiographical memory suggest a close association between memories, future imagination and setting specific personal goals. However this association has yet to be tested with depressed individuals. The aim of this study was to examine whether the specificity of remembering past and imagining future personal events is associated with the specificity of approach and avoidance goals in depressed individuals. Two samples comprising adults who met criteria for major depressive disorder (MDD; N=30) and adults who had no prior history or current depression (N=30) completed autobiographical memory and future event tests, and a personal goal task. In the depressed sample, the specificity with which participants remembered the past was significantly associated with the specificity with which they generated future goals. The depressed sample also elicited fewer specific approach and avoidance goals compared to the non-depressed sample. These findings suggest that an overgeneral memory deficit extends to impairments in goal specificity.     

Is pessimism a risk factor for depressive mood among community-dwelling older adults?

This study examined two senses in which pessimism might be a risk factor for depressive mood among older adults. The first was that a pessimistic explanatory style would predict changes toward depressive mood when combined with stressful life events. The second was that predictive pessimism, or thinking that bad events will happen in the future, would predict changes in depressive symptoms. We found an interaction between explanatory style and life stressors, but it was the optimists who were at higher risk for depressive symptoms after negative life events. We also found support for predictive pessimism, however, as a predictor of depressive symptoms over time.