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怀旧干预对心理社会结局的影响:荟萃分析。

Effects of reminiscence interventions on psychosocial outcomes: a meta-analysis.

机构信息

Department of Psychology, Philipps University, Marburg, Germany.

出版信息

Aging Ment Health. 2012;16(5):541-58. doi: 10.1080/13607863.2011.651434. Epub 2012 Feb 3.

DOI:10.1080/13607863.2011.651434
PMID:22304736
Abstract

OBJECTIVES

This study integrated results from controlled trials of reminiscence interventions.

METHODS

Meta-analysis was used to aggregate results from 128 studies on 9 outcome VARIABLES.

RESULTS

Compared to non-specific changes in control-group members, moderate improvements were observed at posttest with regard to ego-integrity (g=0.64) and depression (g=0.57 standard deviation units). Small effects were found on purpose in life (g=0.48), death preparation (g=0.40), mastery (g=0.40), mental health symptoms (g=0.33), positive well-being (g=0.33), social integration (g=0.31), and cognitive performance (g=0.24). Most effects were maintained at follow-up. We observed larger improvements of depressive symptoms in depressed individuals (g=1.09) and persons with chronic physical disease (g=0.94) than in other individuals, and in those receiving life-review therapy (g=1.28) rather than life-review or simple reminiscence. Moderating effects of the control condition were also detected.

CONCLUSIONS

Reminiscence interventions affect a broad range of outcomes, and therapeutic as well as preventive effects are similar to those observed in other frequently used interventions.

摘要

目的

本研究整合了回忆干预对照试验的结果。

方法

采用荟萃分析方法汇总了 128 项研究中关于 9 项结果变量的结果。

结果

与对照组成员的非特异性变化相比,在后测时观察到自我完整性(g=0.64)和抑郁(g=0.57 标准差单位)方面有适度改善。在生活目标(g=0.48)、死亡准备(g=0.40)、掌握(g=0.40)、心理健康症状(g=0.33)、积极幸福感(g=0.33)、社会融合(g=0.31)和认知表现(g=0.24)方面也发现了较小的影响。大多数效果在随访时仍然存在。我们观察到,在抑郁个体(g=1.09)和患有慢性躯体疾病的个体(g=0.94)中,抑郁症状的改善幅度大于其他个体,在接受生活回顾治疗的个体(g=1.28)中,抑郁症状的改善幅度大于生活回顾或简单回忆。还检测到对照条件的调节作用。

结论

回忆干预影响广泛的结果,治疗和预防效果与其他常用干预措施相似。

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