回忆干预对无明显认知障碍的社区居住老年人抑郁及抑郁症状的有效性：一项系统评价。

The Effectiveness of Reminiscence Interventions on Depression and Depressive Symptoms in Community-dwelling Older Adults without Significant Cognitive Impairment: A Systematic Review.

作者信息

Yang Yuxuan, Li Hongfei, Cong Xiaomei, Shellman Juliette

机构信息

School of Nursing, University of Connecticut, Storrs, CT, USA.

Department of Statistics, University of Connecticut, Storrs, CT, USA.

出版信息

West J Nurs Res. 2025 Jun;47(6):510-523. doi: 10.1177/01939459251324833. Epub 2025 Mar 18.

DOI:10.1177/01939459251324833

PMID:40099342

Abstract

BACKGROUND

Along with the global rise in the population of older adults, addressing depression among this population has become a critical public health concern. Reminiscence therapy is one of the interventions shown to be effective in reducing depression and depressive symptoms.

OBJECTIVES

To systematically summarize the effectiveness of reminiscence interventions in reducing depression and depressive symptoms in community-dwelling older adults without significant cognitive impairment.

METHODS

The literature search was conducted through four electronic databases: PubMed, CINAHL, PsycINFO, and Scopus for studies published in English. Risks of bias were evaluated using the Cochrane Risk of Bias 2 tool and the Joanna Briggs Institute Quality Appraisal Instrument.

RESULTS

The systematic review included 11 studies involving 650 community-dwelling older adults, with mean ages ranging from 65.3 to 78.7. Nine articles found reminiscence therapy effective in alleviating depression and depressive symptoms in community-dwelling older adults without significant cognitive impairment. Structured reminiscence interventions were effective in reducing depression and depressive symptoms in six out of seven studies. Group reminiscence interventions demonstrated significant improvements in depression in 87.5% of studies. Memories triggers, suggested by four included studies, were practical tools to help initiate reminiscence sessions. All included studies were rated as having a low risk of bias.

CONCLUSION

Reminiscence has the potential as a valuable and effective treatment for depression and depressive symptoms in community-dwelling older adults without significant cognitive impairment. Future research should focus on exploring diverse modalities, incorporating active control groups, and having longer follow-up periods to assess sustained benefits.

摘要

背景

随着全球老年人口的增加，解决这一人群中的抑郁症问题已成为一项关键的公共卫生问题。怀旧疗法是被证明在减轻抑郁症和抑郁症状方面有效的干预措施之一。

目的

系统总结怀旧干预措施对无明显认知障碍的社区居住老年人减轻抑郁症和抑郁症状的有效性。

方法

通过四个电子数据库进行文献检索：PubMed、CINAHL、PsycINFO和Scopus，检索英文发表的研究。使用Cochrane偏倚风险2工具和乔安娜·布里格斯研究所质量评估工具评估偏倚风险。

结果

该系统评价纳入了11项研究，涉及650名社区居住的老年人，平均年龄在65.3岁至78.7岁之间。9篇文章发现怀旧疗法对减轻无明显认知障碍的社区居住老年人的抑郁症和抑郁症状有效。在七项研究中的六项中，结构化怀旧干预措施在减轻抑郁症和抑郁症状方面有效。在87.5%的研究中，团体怀旧干预措施显示出抑郁症有显著改善。纳入的四项研究提出的记忆触发因素是帮助启动怀旧疗程的实用工具。所有纳入研究的偏倚风险均被评为低。