Meléndez Juan C, Fortuna Flor B, Sales Alicia, Mayordomo Teresa
Department of Developmental Psychology, Faculty of Psychology, University of Valencia, Spain.
Autonomous University of Santo Domingo, Dominican Republic.
Arch Gerontol Geriatr. 2015 Mar-Apr;60(2):294-8. doi: 10.1016/j.archger.2014.12.001. Epub 2014 Dec 25.
Aging, as a stage of development is marked by major changes to which the subject must adapt. Instrumental reminiscence is based on recalling times one coped with stressful circumstances, and analyzing what it took to adapt in those situations. The purpose of the present study was to analyze the effectiveness of an instrumental reminiscent program to enhance adaptive capacity (problem-focused coping and emotion-focused) and resilience in older adults.
Thirty participants noninstitutionalized conducted a pre and post assessment on a treatment consisting of the Mini-Mental State Examination (MMSE), Brief Resilient Coping Scale and Stress Coping Questionnaire (CAE). The program was developed over 8 sessions of 60 min.
Repeated measures analysis of variance showed significant differences in time-group interaction for treatment effectiveness of resilience measures, problem-solving coping, positive reappraisal and avoidance coping that it increased, and on emotion-focused coping and overt emotional expression that gets decreased after treatment.
The instrumental reminiscence has proven to be a highly useful tool and is a potentially efficient way to improve adaptive capacity and resilience in the elderly to cope with adverse situations. Through non-pharmacological therapies, the quality of life has been improved, and subjects are provided with tools, strategies and skills that allow to achieve a satisfactory adaptation.
衰老作为一个发展阶段，其特征是主体必须适应的重大变化。工具性回忆基于回忆应对压力情境的时光，并分析在这些情境中适应所需的因素。本研究的目的是分析一项工具性回忆计划对提高老年人适应能力（以问题为中心的应对和以情绪为中心的应对）和恢复力的有效性。
30名非机构化参与者对一项治疗进行了前后评估，该治疗包括简易精神状态检查表（MMSE）、简易恢复力应对量表和压力应对问卷（CAE）。该计划分8节进行，每节60分钟。
重复测量方差分析显示，在恢复力测量、解决问题的应对、积极重新评价和回避应对的治疗效果方面，时间-组交互作用存在显著差异，治疗后这些方面有所增加；而在以情绪为中心的应对和明显的情绪表达方面，治疗后有所下降。
工具性回忆已被证明是一种非常有用的工具，是提高老年人适应能力和恢复力以应对不利情况的一种潜在有效方法。通过非药物疗法，生活质量得到了改善，为受试者提供了实现满意适应所需的工具、策略和技能。
