| |
Centre for Policy on Ageing | |
 | |
|
The impact of life review on depression in older adults
— a randomized controlled trial | | Author(s) | Anne Margriet Pot, Ernst T Bohlmeijer, Simone Onrust |
| Journal title | International Psychogeriatrics, vol 22, no 4, June 2010 |
| Pages | pp 572-581 |
| Source | http://www.journals.cambridge.org/ipg doi:10.1017/S104161020999175X |
| Keywords | Memory and Reminiscence ; Life span ; Depression ; Well being ; Clinical surveys ; Netherlands. |
| Annotation | The authors developed an indicated preventive life-review course, "Looking for Meaning", based on the assumption that reminiscence styles influence coping with depressive symptoms. This study describes the impact of this course in a pragmatic randomised controlled trial (RCT) conducted at the Netherlands Institute of Mental Health and Addiction. Inclusion criteria were age over 50, a score of 5 or higher on the Center for Epidemiological Studies Depression Scale (CES-D), and no depressive disorder or psychotropic or psychological treatment. Participants were randomised and stratified by gender: the experimental group (N = 83) was offered the course and the comparison group (N = 88) a movie. There were three measurements: pre-treatment, post-treatment, and 6 months after post-treatment. Depressive symptoms constituted the primary outcome. Secondary outcomes were anxiety symptoms, satisfaction with life, mastery and reminiscence styles. All analyses were conducted according to the intention-to-treat principle. Missing values were replaced by regression imputation. The course reduced depressive symptoms, a decrease that was retained during follow-up. A significant between-group effect size was found (d = 0.58). There was also a reduction in symptoms of anxiety; however, the comparison group showed the same reduction, resulting in a small between-group effect size. Gender and level of depressive symptoms were found to be prognostic factors for the change in depressive symptoms; age was not. Post hoc analyses showed significant between-group effect sizes for females and those with a score above the cut-off of the CES-D. The course "Looking for Meaning" can be recommended for people aged over 50 years, females and older adults with a clinically relevant level of depressive symptoms (above cut-off) in particular. (KJ/RH). |
| Accession Number | CPA-100927202 A |
| Classmark | DB: BG6: ENR: D:F:5HH: 3G: 76H |
Data © Centre for Policy on Ageing |
|
| ...from the Ageinfo database published by Centre for Policy on Ageing. |
| |
|