A Follow-Up Study of a Reminiscence Intervention and Its Effects on Depressed Mood,Life Satisfaction,and Well-Being in the Elderly

The purpose of this study was to investigate the extent to which a reminiscence intervention reduces depressed mood and improves life satisfaction and psychological well-being. 160 healthy elderly people participated in a 10-session intervention. An experimental design with pretest and posttest evaluations was applied, comparing a control group to an intervention group to evaluate the effects of the program. Follow-up measures were also taken to find out whether the intervention's positive effects lasted over time. Mixed Model ANOVAs showed significant increases in the time-group interaction, life satisfaction, and psychological well-being measures, and decreases in depressed mood, after treatment. The effects remained after three months in the case of life satisfaction and some dimensions of psychological well-being, but they were lower on depressed mood. This study provides additional support for the effectiveness of a reminiscence program as a useful intervention to improve the quality of life of older adults.     

Development and evaluation of the positive psychology intervention for older adults

Although research suggests that positive psychology intervention can enhance subjective well-being and reduce depression, its effectiveness on older adults remains largely unknown. Therefore the present study aimed to develop and evaluate a custom-tailored positive psychology intervention program for older adults. The program offered nine-week group sessions to 74 older people recruited from district community centers and nursing homes in Hong Kong. The intervention program covers eight themes, including optimism, gratitude, savoring, happiness, curiosity, courage, altruism, and meaning of life. The participants consisted mostly of females aged between 63 and 105?years. One-group pre-test/post-test design was adopted to evaluate the effectiveness of the intervention on depression, life satisfaction, gratitude, and happiness. Results revealed that the intervention reduced the number of depressive symptoms and increased the levels of life satisfaction, gratitude, and happiness. Effectiveness of the intervention is discussed in relation to self-awareness, education, self-reinforcement, and sensitivity to age and culture.     

When Reminiscence is Harmful: The Relationship Between Self-Negative Reminiscence Functions,Need Satisfaction,and Depressive Symptoms Among Elderly People from Cameroon,the Czech Republic,and Germany

Reminiscence has various functions, not all of which are beneficial for well-being. In particular, self-negative reminiscence functions—boredom reduction, bitterness revival, and intimacy maintenance—have been shown to be associated with reduced well-being. The present paper examines the link between self-negative reminiscence functions and depression in three cultural contexts. We hypothesize that both variables are indirectly linked via satisfaction of basic psychological needs: Self-negative reminiscing is associated with an impairment of need satisfaction which in turn relates to enhanced depressive symptoms. This hypothesis is tested in elderlies from Cameroon, the Czech Republic, and Germany. A total of 637 elderly participants reported on self-negative reminiscing, need satisfaction, and depressive symptoms. Analyses indicate that for boredom reduction and bitterness revival an indirect effect on depression via decreased need satisfaction can be established in all cultural contexts. For intimacy maintenance, a different picture emerges in that in the Czech and the German sample, there was a direct effect on depression but not an indirect one via need satisfaction. Yet, among Cameroonian participants an indirect effect was found, demonstrating that intimacy maintenance was related to decreased depression via enhanced need satisfaction. These results suggest that reminiscence functions may have partly universal, partly culture-specific effects on well-being.     

Implementation of a mindfulness-based stress reduction (MBSR) program to reduce stress,anxiety, and depression and to improve psychological well-being among retired Iranian football players

ObjectivesTo test whether a mindfulness-based stress reduction (MBSR) program could reduce symptoms of anxiety, stress, and depression, and increase psychological well-being among retired Iranian football players compared to an active control group.DesignRandomized controlled trial, with an 8-week MBSR intervention (16 group sessions, 90 min each) and an active control group. Three data assessments were performed at baseline, eight weeks later after completion of the intervention, and again twelve weeks later at follow-up.MethodsForty male retired football players (M_age = 34.05, SD = 1.72) were randomly assigned either to the MBSR intervention or the active control condition. All participants completed questionnaires on perceived stress, anxiety, depression, and psychological well-being. Repeated measures analyses of variance were used to assess time by group interactions.ResultsSignificant time by group interaction effects were found for all outcomes. In the MBSR group, psychological well-being improved and symptoms of stress, anxiety, and depression decreased over time from baseline to intervention completion and to follow-up. In the active control group, the outcomes remained relatively stable across time.ConclusionsThe present findings suggest that among male retired Iranian football players, a MBSR intervention has the potential to reduce symptoms of stress, anxiety, and depression, and to increase their psychological well-being. Potential (underlying) mechanisms were not assessed in the present study. In future investigations, researchers should try to gain a deeper understanding of the mechanisms which may explain the observed effects.     

Why recall our highs and lows: relations between memory functions, age, and well-being

This study examined whether positive and negative memories (life story high and low points) were differentially used for reminiscence functions concerning self and social aspects of reminiscing, and relations between function use and well-being in two age groups. Life story high and low points were collected from a sample of emerging (n =56) and older (n =55) adults, as well as a measure of the use of these memories for the self-functions of death preparation, identity, and problem solving, and the social functions of conversation and teach/inform, and a measure of psychological well-being. Memories were also coded for whether or not they contained a redemptive narrative structure (from emotionally negative to emotionally positive). Results showed that the endorsement of reminiscence functions did differ by memory type, with high points more often endorsed for the functions of identity, teach/inform, and conversation than low points. These main effects were qualified by memory type x age interactions. The use of these functions for each kind of memory was also related to well-being, but differentially for older and younger people, and redemptive sequencing was especially important to the well-being of the younger group. Findings are discussed in terms of the importance of different emotional memories for self and well-being at different points in the lifespan.     

Why recall our highs and lows: Relations between memory functions,age, and well-being

This study examined whether positive and negative memories (life story high and low points) were differentially used for reminiscence functions concerning self and social aspects of reminiscing, and relations between function use and well-being in two age groups. Life story high and low points were collected from a sample of emerging (n =56) and older (n =55) adults, as well as a measure of the use of these memories for the self-functions of death preparation, identity, and problem solving, and the social functions of conversation and teach/inform, and a measure of psychological well-being. Memories were also coded for whether or not they contained a redemptive narrative structure (from emotionally negative to emotionally positive). Results showed that the endorsement of reminiscence functions did differ by memory type, with high points more often endorsed for the functions of identity, teach/inform, and conversation than low points. These main effects were qualified by memory type × age interactions. The use of these functions for each kind of memory was also related to well-being, but differentially for older and younger people, and redemptive sequencing was especially important to the well-being of the younger group. Findings are discussed in terms of the importance of different emotional memories for self and well-being at different points in the lifespan.     

Impact of Psychoeducational Interventions on Distressed Family Caregivers

This study compared the effectiveness of two active interventions to a waiting-list control condition to reduce depression and burden and increase use of adaptive coping strategies in family caregivers (N = 161) of physically and/or cognitively impaired older adults. Chi-square analysis of change in depression status from pre- to postintervention showed a higher percentage of improvement among participants in the increasing life satisfaction psychoeducational condition compared to the improvement rate in either the problem-solving psychoeducational class or the wait-list condition. Change in coping strategies and subjective level of burden also differed by group, with participants in the class conditions reporting more frequent use of cognitive or behavioral coping strategies, and less subjective burden, from pre- to postintervention. There was no change in either avoidant coping or perceived stress over time. Results show that intervention programs targeted to improve specific coping skills and psychological symptoms can have a significant impact on caregivers' distress.     

The Content of Older Adults’ Autobiographical Memories Predicts the Beneficial Outcomes of Reminiscence Group Participation

Much research has investigated the beneficial outcomes of reminiscence groups, like guided autobiography groups. Few have assessed whether the content of the autobiographical memories shared during these groups, however, predicts beneficial outcomes. This is the main goal of the current study. Sixteen participants responded to questionnaires about depression, death attitudes, and psychological well-being before and after an 8-week reminiscence group. Results indicated that group participation decreased depression, lowered fear and avoidance of death, and improved death acceptance. The 41 memory narratives collected from group participants were content analyzed for affective, cognitive, and sensory processes. Analyses revealed that memory content predicted levels of depression after group participation. Specifically, memories with more positive affective words (e.g., happy) predicted less depressive symptoms, and memories with negative cognitive process words (e.g., perhaps) predicted more depressive symptoms. The implications for remembering life events in old age are discussed.     

基于微信平台的研究生积极心理干预

积极心理学提出三件好事(three good things,TGT)练习可有效减轻抑郁症状,提升幸福感和心理健康。为检验基于微信社交平台的“三件好事”练习(TGT-SN)能否提升幸福感,本研究招募北京某高校研究生232名,自愿加入三个被试组(TGT-SN组133人,TGT组53人,对照组46人),体验、评估40天TGT前后及干预后一个月幸福感、抑郁水平、人际关系以及干预效果。研究发现抑郁得分持续改善,其他问卷得分无显著差异,但被试自评干预效果评估确认练习有积极作用。TGT练习效果有限,涉及方法有效性、样本量、参与者动机以及外部影响因素等,未来可基于优秀传统文化开展进一步研究以提高被试依从性及主动健康行为。     

Positive living: A pilot study of group positive psychotherapy for people with schizophrenia

Positive psychology interventions target positive emotions in order to increase happiness, engagement in life, and well being while also ameliorating the impact of symptoms on a person's life. We examined an adapted version of group positive psychotherapy for people with schizophrenia (Positive Living (PL)) in a pilot study. Sixteen participants were recruited to participate in two separate PL groups and were assessed at baseline, post-intervention and at 3-month follow-up. We examined feasibility of this intervention in addition to a preliminary exploration of well-being outcomes including psychological well-being, hope, savoring, and self-esteem as well as clinically related outcomes including symptoms, psychological recovery, and social functioning. Findings indicate that the PL group was feasible and associated with possible improvements in psychological well-being, hope, savoring, psychological recovery, self-esteem, and psychiatric symptoms.     

Autobiographical Memory and Depression: Identity‐continuity and Problem‐solving Functions Indirectly Predict Symptoms over Time through Psychological Well‐being

The aim of this study was to assess the longitudinal associations between adaptive autobiographical memory functions and depressive symptoms. Consistent with the proposed mechanisms of change underpinning cognitive‐reminiscence therapy (CRT), it was hypothesised that more frequent adaptive reminiscence would lead to increases in psychological resources over time and indirectly affect depressive symptoms through this pathway. A sample of 171 young adults (mean age = 25.9 years, SD = 3.5) completed measures of how frequently they utilised autobiographical memory for identity‐continuity and problem‐solving purposes, depressive symptoms and personal resources (self‐esteem, self‐efficacy, meaning in life and optimism) at two time‐points. The results of structural equation modelling supported the model of indirect influence between reminiscence functions and depression through these psychological resources. These findings clarify the effects of adaptive autobiographical memory on depressive symptoms in young adults and indicate potential benefits of interventions such as CRT. Copyright © 2015 John Wiley & Sons, Ltd.     

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.     

Randomised controlled trial of group cognitive behavioural therapy for comorbid anxiety and depression in older adults

Anxiety and depression are commonly comorbid in older adults and are associated with worse physical and mental health outcomes and poorer response to psychological and pharmacological treatments. However, little research has examined the effectiveness of psychological programs to treat comorbid anxiety and depression in older adults. Sixty-two community dwelling adults aged over 60 years with comorbid anxiety and depression were randomly allocated to group cognitive behavioural therapy or a waitlist condition and were assessed immediately following and three months after treatment. After controlling for cognitive ability at pre-treatment, cognitive behaviour therapy resulted in significantly greater reductions, than waitlist, on symptoms of anxiety and depression based on a semi-structured diagnostic interview rated by clinicians unaware of treatment condition. Significant time by treatment interactions were also found for self-report measures of anxiety and depression and these gains were maintained at the three month follow up period. In contrast no significant differences were found between groups on measures of worry and well-being. In conclusion, group cognitive behavioural therapy is efficacious in reducing comorbid anxiety and depression in geriatric populations and gains maintain for at least three months.     

The Impact of Positive Psychological Interventions on Well-Being in Healthy Elderly People

This systematic review aims to evaluate the impact of positive psychological interventions (PPIs) on well-being in healthy older adults. Systematic review of PPIs obtained from three electronic databases (PsycINFO, Scopus, and Web of Science) was undertaken. Inclusion criteria were: that they were positive psychology intervention, included measurement of well-being, participants were aged over 60 years, and the studies were in English. The cochrane collaboration Guidelines dimensions of quality control, randomization, comparability, follow-up rate, dropout, blinding assessors are used to rate the quality of studies by two reviewers independently. The reach, efficacy, adoption, implementation, and maintenance (RE-AIM) for evaluation of PPIs effectiveness was also applied. The final review included eight articles, each describing a positive psychological intervention study. The reminiscence interventions were the most prevalent type of PPIs to promote and maintain well-being in later life. Only two studies were rated as high quality, four were of moderate-quality and two were of low-quality. Overall results indicated that efficacy criteria (89 %), reach criteria (85 %), adoption criteria (73 %), implementation criteria (67 %), and maintenance criteria (4 %) across a variety of RE-AIM dimensions. Directions for future positive psychological research related to RE-AIM, and implications for decision-making, are described.     

Longitudinal Study of Life Events,Well-Being,Emotional Regulation and Depressive Symptomatology

Etiological research regarding adolescent depression is relatively recent and longitudinal studies are needed to explicate the mechanisms by which risk and protective factors impact the development of depression. This investigation evaluated the effects of time 1 predictors (e.g., depressive symptoms, life events, subjective well-being, and emotion regulation strategies) on depressive symptoms assessed at time 2 (1 year later). The sample comprised 182 Portuguese adolescents, aged 12–16. Time 1 depressive symptoms and psychological well-being were significant predictors of time 2 depressive symptoms. Time 1 rumination predicted time 2 depressive symptoms, but time 2 brooding mediated this effect. Time 1 life events did not predict time 2 depressive symptomatology. This study identified several factors that seem to play an important role in the development of depressive symptomatology. Previous depressive symptomatology and well-being had a significant effect in this process and the relationship between rumination in time 1 and depressive symptoms at time 2 (1 year later) was fully mediated by brooding at time 2. Given these results, implications for prevention and treatment of depression include addressing risk factors like early depressive symptoms, rumination and brooding, and increasing the protective effect of psychological well-being.     

A perceived control intervention for at-risk older adults

Models of event causation and affective processes were used to design an experimental intervention for older adults. Ss were 2 at-risk populations, recently disabled and recently bereaved, each with matched nonrisk controls. Ss were randomly assigned to a placebo-contact group, a no-contact control group, or a 4-session, 10-week intervention focused on enhancing perceived control. Dependent variables assessed were personal mastery, psychological well-being and distress, positive and negative affect, and measures of daily events and activities. The intervention was nested within a 16-month longitudinal assessment of stress and adaptation processes in a large sample of community residents. The intervention had mixed effects on reports of personal mastery, but it significantly increased engagement in desirable activities and significantly decreased psychological distress and negative affect. Effects tended to be short-lived, however. Effects of the intervention tended to be particularly significant for the disabled group.     

Effectiveness of therapy group in women with localized breast cancer

Background/ObjectiveBreast cancer causes high levels of anxiety and depression, deteriorating quality of life of patients. Several studies have found that group therapy reduces depression and anxiety also improves the quality of life. The aim of this study is to analyze group therapy effectiveness in emotional state and quality of life in women with breast cancer after finalized medical treatments.MethodParticipants in this study were 100 adult women diagnosed of breast cancer non-mestastasic and were divided into two types of intervention groups (Self-esteem-Social Skills and Cognitive-Behavioral Therapy). Evaluation instruments were questionnaire Functional Assessment of Breast-cancer Therapy (FACT-B) and Hospital Anxiety and Depression Scale (HADS).ResultsA statistically significant effect of group therapy in reducing anxiety and depression were observed. Quality of life and emotional well-being significantly improved. These effects remain three months after intervention.ConclusionsThe results show that the psychological intervention group is efficient to improve emotional state and quality of life of women with breast cancer.     

老年人的智慧

智慧是个体在其人生经历中习得的一种德才一体的综合心理素质, 是成功老龄化的重要标志和毕生发展的理想终点。研究发现, 三维智慧量表、自我评估智慧量表、成人自我超越问卷等自陈式测量和柏林智慧范式、智慧推理等表现式测量对老年人智慧评估具有良好性能; 老年人智慧发展受到开放性、自我反思、情绪调节、人格成长等内在因素以及受教育程度、关键生活经历、社会环境等外在因素的交互影响; 毕生发展的智慧为老年人带来更高主观幸福感、生活满意度以及更少社会疏离感、孤独感和抑郁。未来应该开发多测度、整合的老年人智慧测评工具; 深入揭示老年人智慧的预测因素、影响后效及其内部作用机制; 进一步探索社区养老服务中老年人智慧的干预与培育策略。     

The Effectiveness of a Spiritually-Based Intervention to Alleviate Subsyndromal Anxiety and Minor Depression Among Older Adults

The purpose of this study was to test the effectiveness of a spiritually-based intervention in the alleviation of subsyndromal anxiety and minor depression in an elderly population. Twenty-two residents of six continuing care communities diagnosed with minor depression participated in this study. There was a significant decrease in anxiety and a trend toward decreased depression. In addition, participants who continued to use the Prayer Wheel had a decrease in depression scores, while those who did not had an increase in depression scores. These findings suggest that use of the Prayer Wheel may promote psychological well-being among older adults.     

Mindfulness-Based Stress Reduction (MBSR) for Primary School Teachers

Stress within the teaching profession has a negative impact on the health and well-being of individual teachers and on retention and recruitment for the profession as a whole. There is increasing literature to suggest that Mindfulness is a useful intervention to address a variety of psychological problems, and that Mindfulness-Based Stress Reduction (MBSR) is a particularly helpful intervention for stress. We investigated the effects of teaching a MBSR course to primary school teachers to reduce stress. The MBSR course was taught to a group of primary school teachers and evaluated to establish its effects on levels of anxiety, depression, and stress, as well as movement towards a stated goal and changes in awareness. The results showed improvement for most participants for anxiety, depression, and stress, some of which were statistically significant. There were also significant improvements on two of the four dimensions of a mindfulness skills inventory. These results suggest that this approach could be a potentially cost-effective method to combat teacher stress and burnout.