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RESUMEN Objetivo Determinar el efecto del programa de intervención cognitivo - comunicativo basado en la reminiscencia (PECC-R) sobre el procesamiento cognitivo global y la autopercepción de bienestar subjetivo. Método En una muestra intencional de 100 adultos mayores autovalentes, 65 conformaron el grupo estudio y 35 el grupo control. El programa se administró en el grupo de estudio. Mediante la prueba de Wilcoxon, se compararon las medidas de resultado de eficacia cognitiva global (MMSE) y bienestar subjetivo (SWLS) antes y después del programa, Asimismo, se compararon las diferencias del pre y postest de ambos grupos mediante U de Mann Whitney. Resultados Se observó una diferencia estadísticamente significativa entre el pre y post test del SWLS en el grupo estudio, no así en el grupo control. Este resultado se replicó en la variable eficacia cognitiva global. Se observó una diferencia entre los grupos en ambas medidas, con mayor beneficio en el grupo que recibió la intervención. Conclusión El PECC-R constituye una alternativa viable para la estimulación cognitivo-comunicativa de orden funcional. La evidencia de las diferencias en las actuaciones respalda su utilidad y validez para la intervención en Atención Primaria u otros contextos similares
ABSTRACT Purpose To determine the effect of the reminiscence-based cognitive-communicative intervention program (CCSP-R) on global cognitive processing and self-perception of subjective well-being. Methods A purposive sample of 100 self-care elderly adults, with 65 composing the study group and 35 in the control group. The study group was subjected to the proposed program. The Wilcoxon test compared the outcome measures of global cognitive efficacy (MMSE) and subjective well-being (SWLS) before and after the program, whereas the Mann-Whitney U test compared the pre- and post-test differences between the two groups. Results A statistically significant difference was found between the pre- and post-test of the SWLS in the study group, but not in the control group. This result was replicated in the global cognitive efficacy variable. A difference between the groups occurred in both measures, with greater benefit for the group that received the intervention. Conclusion The CCSP-R is a viable alternative for cognitive-communicative stimulation of functional order. The evidence of differences in performance supports its usefulness and validity for intervention in primary care or other similar contexts.
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Background: The population of the elderly has been on the rise in recent years and this demographic trend is likely to continue. Depression tends to be common in the elderly. Further it is possible that cognitive abilities start deteriorating as a result of depression and even more so due to several changes that are already occurring. This may impact an individual’s cognition, functionality, and autonomy, may progress from a subclinical level to a pathological level if not intervened early. Medications work to reduce symptom severity but sometimes patients become resistant to it and other interventions have to be used. CBT techniques have been found to be effective to treat depression and further efficacy of reminiscence therapy for older adults with mild to moderate depression has been established. Method: The present study was undertaken with the objective of establishing the efficacy of a comprehensive psychotherapy program for an elderly woman, aged 66 years, who presented with a diagnosis of chronic depression, along with chronic pain and sub clinical cognitive limitations. Techniques of CBT, reminiscence therapy and cognitive training was carried out for 8 weekly sessions. Results: The outcome of the intervention showed improvements in overall functioning along with generalization of the training, thereby implicating the effectiveness of the intervention. Conclusion: Thus, it is important to promote active aging, fostering healthy mental functioning and training the cognitive capabilities, to avoid pathological aging or reducing its impact
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The objective of this study was to document the autobiographical memory intervention process for elderly individuals developed by Serrano, Latorre, and Montañes (2005) and to verify the impact on cognition, depressive symptoms, anxiety, and quality of life. The study design was a quasi-experimental research approach with pre- and post-intervention evaluations, where ten individuals of both sexes, divided into a control group (CG = 5) and an experimental group (EG = 5) were investigated. There were no gains in cognition, depression, anxiety, and quality of life scores. However, the application of the designed protocol for each group allowed elderly individuals to interact and socialize in an environment capable of favoring autobiographical recall. It is suggested, however, that professionals, when applying the script, have the necessary flexibility for a possible extension in the number of elderly individuals, time and sessions.
O objetivo deste estudo foi documentar o processo de implantação de uma intervenção de memória autobiográfica para idosos desenvolvida por Serrano, Latorre e Montañes (2005) e verificar o impacto na cognição, nos sintomas depressivos, na ansiedade e na qualidade de vida. O delineamento do estudo foi quase experimental, com avaliações pré e pós-intervenção, sendo investigadas dez pessoas idosas de ambos os sexos, divididas em grupo controle (GC = 5) e grupo experimental (GE = 5). Não houve ganhos em escores cognitivos, depressão, ansiedade e qualidade de vida. Contudo, a aplicação do protocolo proporcionou a interação e socialização dos idosos em um ambiente capaz de favorecer a rememoração autobiográfica. Sugere-se, porém, que os profissionais, ao aplicarem o roteiro, tenham flexibilidade necessária para possível ampliação de número de idosos, tempo e número de sessões.
El objetivo de este estudio fue documentar el proceso de implantación de una intervención de memoria autobiográfica para ancianos desarrollada por Serrano, Latorre y Montañes (2005) y verificar el impacto en los síntomas depresivos, cognición, ansiedad y calidad de vida. El diseño del estudio fue casi experimental con evaluaciones pre y post-intervención, siendo investigaron diez ancianos de ambos sexos, divididos en grupo control (GC = 5) y grupo experimental (GE = 5). No hubo, ganancias en los escores de cognición, depresión, ansiedad y calidad de vida. Sin embargo la aplicación del protocolo ortogarda la interacción y la socialización de los ancianos en un ambiente capaz de favorecer la rememoración autobiográfica. Se sugiere, sin embargo, que los profesionales, al aplicar el guión, tengan flexibilidad necesaria para posible ampliación del número de ancianos, tiempo y sesiones.
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Humans , Male , Female , Aged , Aged, 80 and over , AgedABSTRACT
Background: The proportion of the elderly population is increasing in low and middle-income countries. Apart from systemic illnesses, elderly people face mental illnesses. Effect of group reminiscence therapy in reducing some of the mental health aspects showing a promising effect but the evidence is lacking in Indian settings. The present study aimed to determine the effect of reminiscence therapy in decreasing the level of loneliness, depressive symptoms, and anxiety among the elderly population at an institutional level.Methods: In this quasi-experimental study, residents of an old age home were evaluated for loneliness, depressive symptoms and anxiety through revised UCLA, geriatric depression scale, and Geriatric Anxiety Scale respectively. Group reminiscence therapy was applied to them and post-intervention assessment was done by the same scales.Results: Significant reduction of anxiety score [1.33 (0.03, 2.64)] was noticed in anxiety. Depressive symptoms showed a mean reduction in score [0.59 (-0.41, 1.6)] but statistically not significant. When graded into severity, all three outcomes showed improvement from higher severity grade to lower grade in post-intervention assessment. The intervention resulted in an improvement of 66.7% in depressive symptoms, 33.3% in anxiety and 30.8% in loneliness.Conclusions: The study found reminiscence therapy could be encouraging in resource-poor Indian settings. We recommend for further exploration of the long-term effects of this program, its feasibility, cost-effectiveness, and validation of the content for large-scale implementation.
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Background and Objectives: The well being of oneself, happiness with one’s situation in life and ability to perform and control the different situation of life is HRQoL. Reminiscence therapy is a way for residents of assistant living facilities to become better acquainted with one another and strengthen the personal value and self esteem. The objective of this study was to assess the HRQoL while application of Reminiscence Therapy among the old age people who are residing at a selected old age home in Bengaluru, India. Materials and Methods: For this study quasi experimental research design was selected and convenient sampling technique was used to collect data from 60 samples staying at old age home by using the SF-36 scale. The samples in experimental group receive 10 sessions of reminiscence therapy each session last for 45 minutes to 1 hour. The experimental group was divided into 6 groups each group having five members for group discussion related to the topics like childhood memories, education pattern, first job and first salary, marriage, first child etc. Post test data was collected after a week of implementation of Reminiscence Therapy. Then the data was analyzed and interpreted. Results: The findings of the study with regard to pretest HRQoL reveals that 86.7% has poor HRQoL, 13.3 % moderate HRQoL and no one was having good HRQoL in experimental group. In control group 56.7% has poor HRQoL, 43.3% moderate HRQoL and no one was having good HRQoL. But in posttest, only in experimental group there was significant improvement in HRQoL as 83.3% has good HRQoL, 13.3% moderate HRQoL and 3% poor HRQoL. Conclusion: This study concluded that with significant improvement in the SF-36 Scale score after administration of the reminiscence therapy and seen improvement in HRQoL.
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Objective To evaluate the effect of reminiscence therapy on quality of life and happiness degree of spouses of patients with Parkinson′s disease. Methods A total of 60 spouses of patients with Parkinson′s disease were divided into experimental group and control group according to the hospital number with 30 cases each. Both groups received routine health education. In addition, reminiscence therapy was implemented in experimental group for 8 weeks. The spouses were investigated with The World Health Organization Quality Of Life- BREF (WHOQOL- BREF) and Memorial University of Newfoundland Scale of Happiness (MUNSH) before and after intervention. Results Before intervention, the scores of WHOQOL-BREF was (59.47±13.52) points in control group and (59.42±13.45) points in experimental group,and there was no significant difference(t=1.00, P > 0.05). After intervention, the scores of WHOQOL- BREF was (60.12±13.48) points in control group and (72.65±11.32) points in experimental group,and there was significant difference (t=3.45, P 0.05). After intervention, the scores of MUNSH was (22.75±6.24) points in control group and (34.56±5.78) points in experimental group,and there was significant difference(t=13.65, P < 0.01). Conclusions Reminiscence therapy could effectively improve the quality of life and happiness degree of spouses of patients with Parkinson′s disease.
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group was also higher than that in the control group, Z=2.39, P0.05. Conclusions Reminiscence therapy improves cognitive function, the ability of self-care and social communicate of patients with mild to moderate dementia patients,so that it can improve further patients′quality of life.
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Actualmente, a depressão é a problemática em termos de saúde mental com maior prevalênciaentre as pessoas idosas. Considerando a evolução verificada nas últimas décadas, as intervençõesfarmacológicas e psicoterapêuticas, como a cognitivo-comportamental, mostraram ser instrumentoseficazes de tratamento. Não obstante, outras estratégias, consideradas como não-tradicionais, devemtambém ser consideradas como estratégias válidas de intervenção na depressão das pessoas idosas.Assim, têm despertado um assinalado interesse, em parte por não terem as limitações das intervençõesfarmacológicas, como os efeitos secundários, e cognitivo-comportamentais, como o elevado graude exigência cognitiva. A mais conhecida deste conjunto de estratégias é a terapia da reminiscência.O propósito deste artigo é analisar a reminiscência enquanto estratégia de intervenção junto deidosos com sintomatologia depressiva por meio duma revisão da literatura acerca deste tópicotanto em termos de estudos de sínteses, nomeadamente a meta-análise, e estudos empíricosdesenvolvidos nos últimos dez anos. A terapia da reminiscência é apresentada enquanto instrumentoterapêutico e avaliada a sua eficácia enquanto estratégia de intervenção precoce na sintomatologiadepressiva de idosos, assim como a sua função na capacidade que tem de atribuição de significadode vida e preparação para a morte. Como conclusão, são destacadas algumas linhas de investigaçãoa realizar neste âmbito.
Depression is the most prevalent mental illness amongst the elderly. Considering the amount of work produced on the last decades, the pharmacological interventions and cognitive-behavioural psychotherapies have shown to be effective treatments. Nevertheless, other strategies considered non-traditional should also be measured as valid strategies of intervention for depressive older people because of the fact of these therapies not having the limitations of the pharmacological and cognitivebehavioural interventions, such as side effects and cognitive demands. From this group of strategies the reminiscence therapy is the most used. The purpose of this article is to analyse the reminiscence therapy as a strategy of intervention amongst elders that have symptoms of depression, by using a literature review about this topic, namely meta-analysis and empirical studies developed over the past ten years. The reminiscence therapy is a therapeutic instrument and as such its effectiveness is evaluated in different ways. It is evaluated as an early intervention strategy in the elderly that suffer from depressive symptoms, as well as its capacity to bring meaning to life and preparation for death. In conclusion, we propose some additional research variables in this domain