Zeleníková Renáta, Hosáková Jiřina, Kozáková Radka, Bobčíková Katka, Bužgová Radka
Department of Nursing and Midwifery, Faculty of Medicine, University of Ostrava, Ostrava, Czech Republic.
Int J Older People Nurs. 2025 Jan;20(1):e70004. doi: 10.1111/opn.70004.
Reminiscence therapy (RT) is a widely used approach to promote well-being among older adults and is an effective intervention method for older adults with diverse health conditions, including community-dwelling older adults.
The aim of the study was to determine the impact of group RT on assessments of depression, anxiety and self-esteem in older adults living in the community.
We implemented sessions of group simple RT. The sample consisted of 24 older adults living in the community who attended a 12-week RT course. The duration of each reminiscence session was 60 min. The average age of the sample was 74.7 years. We used the Geriatric Depression Scale, the Geriatric Anxiety Inventory, the Rosenberg self-esteem scale, the Older adults' Quality of Life-Brief version and the Sense of Coherence scale to assess mental health outcomes before and after intervention.
After intervention, we observed statistically significant improvements in assessments of depression (p < 0.001), anxiety (p = 0.011), self-esteem (p = 0.007) and the comprehensibility dimension of the sense of coherence scale (p = 0.039). Depression showed the largest effect size (Cohen's d = 0.870; 95% CI: 0.392 to 1.335), indicating a large effect, followed by self-esteem (Cohen's d = 0.612; 95% CI: -1.044 to -0.170) and anxiety (Cohen's d = 0.543; 95% CI: 0.108 to 0.967), both of which demonstrated a moderate effect.
We found group RT to be effective for several outcomes among older adults. Reminiscence is a good non-invasive treatment for the promotion of mental health in community-dwelling older adults.
As research has now established RT to be an essential component of activities for older adults in senior care facilities, we should also offer it to those living in the community as an effective activity for the promotion of healthy aging among older adults.
回忆疗法（RT）是一种在老年人中广泛使用的促进幸福感的方法，对于患有多种健康状况的老年人，包括社区居住的老年人来说，是一种有效的干预方法。
本研究的目的是确定团体回忆疗法对社区居住老年人抑郁、焦虑和自尊评估的影响。
我们实施了团体简易回忆疗法课程。样本包括24名居住在社区的老年人，他们参加了为期12周的回忆疗法课程。每次回忆疗法课程时长为60分钟。样本的平均年龄为74.7岁。我们使用老年抑郁量表、老年焦虑量表、罗森伯格自尊量表、老年人生活质量简版量表和连贯感量表在干预前后评估心理健康结果。
干预后，我们观察到抑郁（p < 0.001）、焦虑（p = 0.011）、自尊（p = 0.007）和连贯感量表的可理解性维度（p = 0.039）评估有统计学意义的改善。抑郁的效应量最大（科恩d值 = 0.870；95%置信区间：0.392至1.335），表明有较大影响，其次是自尊（科恩d值 = 0.612；95%置信区间：-1.044至-0.170）和焦虑（科恩d值 = 0.543；95%置信区间：0.108至0.967），两者均显示有中等影响。
我们发现团体回忆疗法对老年人的多种结果有效。回忆是促进社区居住老年人心理健康的一种良好的非侵入性治疗方法。
由于研究现已确定回忆疗法是老年护理机构中老年人活动的重要组成部分，我们也应将其提供给社区居住的老年人，作为促进老年人健康老龄化的有效活动。
