School of Nursing of Central South University, No. 172 Tong Zi Po Road, Changsha, Hunan 410013, China.
Arch Gerontol Geriatr. 2012 May-Jun;54(3):e440-7. doi: 10.1016/j.archger.2011.12.003. Epub 2011 Dec 28.
To study the effects of group reminiscence therapy on depressive symptoms, self-esteem, and affect balance among community dwelling elderly.
Eight communities were randomly selected from 372 eligible communities in Changsha city. They were randomly divided into four experimental groups and four control group. Geriatric Depression Scale (GDS) was used to screen entire 478 older adults living in these 8 communities. One hundred and sixty five of them had a GDS score between 11 and 25; among them, 125 participated in the study finally. The elderly group who were in the control group received health education, while the intervention group received both health education and group reminiscence therapy for 6 weeks. Both groups were assessed with the GDS, Self-Esteem Scale (SES), and Affect Balance Scale (ABS) before and after the 6-week-intervention. The results were analyzed using a mixed effect model with fixed effect of the intervention and random effect of the community, incorporating the structured randomness at the community level.
After 6 weeks' therapy, the GDS scores in the intervention group decreased significantly compared to those in the control group (p<0.001). Scores on the positive affect subscale and affect balance in the intervention group increased significantly higher than control group, and scores on the negative affect subscale decreased significantly lower than control group (p<0.01). After the intervention, there were no statistically significant differences in self-esteem scores between intervention and control groups.
Group reminiscence therapy was effective in reducing symptoms of depression, improving affect balance, and promoting mental health of community-dwelling elderly.
研究团体怀旧疗法对社区老年人抑郁症状、自尊和情感平衡的影响。
从长沙市 372 个符合条件的社区中随机抽取 8 个社区，将其随机分为 4 个实验组和 4 个对照组。采用老年抑郁量表（GDS）对居住在这 8 个社区的 478 名老年人进行筛查。其中，165 名老年人的 GDS 评分在 11-25 分之间；最终，有 125 名老年人参与了研究。对照组接受健康教育，干预组在接受健康教育的同时接受团体怀旧疗法，共 6 周。两组在干预前和干预 6 周后分别用 GDS、自尊量表（SES）和情感平衡量表（ABS）进行评估。采用混合效应模型，以干预为固定效应，社区为随机效应，纳入社区层面的结构性随机效应进行分析。
经过 6 周的治疗，干预组的 GDS 评分明显低于对照组（p<0.001）。干预组的积极情感分量表和情感平衡评分显著升高，而消极情感分量表评分显著降低，均明显高于对照组（p<0.01）。干预后，干预组和对照组的自尊评分无统计学差异。
团体怀旧疗法可有效减轻社区老年人的抑郁症状，改善情感平衡，促进其心理健康。
