a Department of Psychiatry, Harvard Medical School, VA Boston Healthcare System , Brockton , Massachusetts, USA.
Clin Gerontol. 2018 Oct-Dec;41(5):438-444. doi: 10.1080/07317115.2017.1405858. Epub 2017 Dec 19.
This article describes the program evaluation of a group intervention combining reminiscence with literary creative writing instruction.
This 10-week, 1-hour group was completed seven times in an outpatient geriatric mental health clinic. Each session introduced a different reminiscence theme and creative writing practice. Feasibility and acceptability were assessed through group monitoring and qualitative feedback. Effectiveness was assessed with pre- and post-test depression screening (PHQ-9) and qualitative feedback.
A total of 34 veterans participated in the groups, with a mean group size of 4.86 (SD = .69). Participants were 85% male (n = 29) and 15% female (n = 5) with a mean age of 70.89 (SD = 8.30). To increase accessibility, several adaptations were made. There were statistically significant reductions in PHQ-9 depression scores (p = .005). Veterans reported qualitative improvements including increased motivation and self-expression.
This intervention was feasible and acceptable to the veterans being served. Randomized controlled research is needed to better understand efficacy.
Clinicians may consider ways to augment or adapt reminiscence interventions to meet the needs of their patient population. Clinicians may find it useful to integrate creative writing instruction into reminiscence interventions.
本文描述了一种将回忆与文学创作相结合的团体干预计划的方案评估。
本研究为 10 周、1 小时的团体干预，在一家老年精神心理健康门诊中进行了七次。每次会议介绍不同的回忆主题和创意写作实践。通过团体监测和定性反馈评估可行性和可接受性。通过前后测抑郁筛查（PHQ-9）和定性反馈评估有效性。
共有 34 名退伍军人参加了小组，平均每组 4.86 人（标准差=.69）。参与者中 85%为男性（n=29），15%为女性（n=5），平均年龄为 70.89 岁（标准差=8.30）。为了提高可及性，进行了一些调整。PHQ-9 抑郁评分有统计学意义的降低（p=.005）。退伍军人报告了定性改善，包括增加动力和自我表达。
该干预措施对所服务的退伍军人来说是可行和可接受的。需要进行随机对照研究以更好地了解疗效。
临床医生可能会考虑采取一些方法来增强或调整回忆干预措施，以满足患者群体的需求。临床医生可能会发现将创意写作教学融入回忆干预中是有用的。
