Choy Jacky C P, Lou Vivian W Q
Department of Social Work & Social Administration, The University of Hong Kong, Pokfulam, Hong Kong.
Department of Social Work & Social Administration, The University of Hong Kong, Pokfulam, Hong Kong; Sau Po Centre on Aging, The University of Hong Kong, Pokfulam, Hong Kong.
Am J Geriatr Psychiatry. 2016 Jan;24(1):60-69. doi: 10.1016/j.jagp.2015.05.008. Epub 2015 May 19.
The current study aimed to examine the effectiveness of the Instrumental Reminiscence Intervention-Hong Kong (IRI-HK) on alleviating depressive symptoms and improving life satisfaction in Chinese older adults living in empty nests (i.e., living alone or with a spouse only) in the community.
A longitudinal, randomized, controlled design was adopted. Experimental and wait-list control groups were provided with the IRI-HK immediately and 12 weeks after the baseline assessment, respectively. Participants were 114 older adults living in empty nests and recruited via local elderly community centers. This high-risk population with detectable depressive symptoms were randomized into experimental (N = 46) and control (N = 68) groups. The IRI-HK is a group reminiscence intervention modified with cultural adaptations for Chinese older adults. It emphasizes the use of problem-focused coping strategies and comprises six intervention sessions and two follow-up sessions. Participants' depressive symptoms and life satisfaction were measured by the Chinese version of the Geriatric Depression Scale-Short Form and the Life Satisfaction Scale-Chinese, respectively.
Findings from this study showed a significant difference in depressive symptoms between groups after the intervention, F(1,77) = 35.62, p <0.001. Life satisfaction of the experimental group after the second follow-up was found to be significantly higher than that of the control group, F(1,68) = 5.67, p <0.05.
The IRI-HK was a successful cultural adaption suitable for use in the Chinese context. It was found to be an effective intervention for alleviating depressive symptoms in older adults living in empty nests in the community.
本研究旨在探讨香港工具性回忆干预（IRI-HK）对缓解社区中空巢（即独自生活或仅与配偶生活）的中国老年人抑郁症状及提高生活满意度的有效性。
采用纵向、随机、对照设计。实验组和等待名单对照组分别在基线评估后立即和12周后接受IRI-HK干预。参与者为114名居住在空巢中的老年人，通过当地老年社区中心招募。这些有可检测到抑郁症状的高危人群被随机分为实验组（N = 46）和对照组（N = 68）。IRI-HK是一种针对中国老年人进行文化调适的团体回忆干预。它强调使用以问题为中心的应对策略，包括六个干预环节和两个随访环节。参与者的抑郁症状和生活满意度分别通过中文版老年抑郁量表简表和生活满意度量表-中文版进行测量。
本研究结果显示，干预后两组在抑郁症状方面存在显著差异，F(1,77) = 35.62，p <0.001。发现实验组在第二次随访后的生活满意度显著高于对照组，F(1,68) = 5.67，p <0.05。
IRI-HK是一种成功的文化调适，适用于中国背景。它被发现是缓解社区中空巢老年人抑郁症状的有效干预措施。
