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The impact of life review on depression in older adults: a randomized controlled trial

Published online by Cambridge University Press:  04 February 2010

Anne Margriet Pot ,
Ernst T. Bohlmeijer ,
Simone Onrust ,
Anne-Sophie Melenhorst ,
Marjolein Veerbeek  and
Wilma De Vries
Anne Margriet Pot*
Affiliation:
Netherlands Institute of Mental Health and Addiction, Utrecht, The Netherlands Department of Clinical Psychology, VU University, Amsterdam, The Netherlands
Ernst T. Bohlmeijer
Affiliation:
Netherlands Institute of Mental Health and Addiction, Utrecht, The Netherlands Department of Behavioral Sciences, University of Twente, The Netherlands
Simone Onrust
Affiliation:
Netherlands Institute of Mental Health and Addiction, Utrecht, The Netherlands
Anne-Sophie Melenhorst
Affiliation:
Netherlands Institute of Mental Health and Addiction, Utrecht, The Netherlands Melenhorst Teksten, Heino, The Netherlands
Marjolein Veerbeek
Affiliation:
Netherlands Institute of Mental Health and Addiction, Utrecht, The Netherlands
Wilma De Vries
Affiliation:
Partoer, Center for Public Development, Leeuwarden, The Netherlands
*
Correspondence should be addressed to: Professor Anne Margriet Pot, The Netherlands Institute of Mental Health and Addiction, PO 725, 3500 AS Utrecht, The Netherlands. Phone: +31 30 2971152; Fax: +31 30 2971111. Email: APot@trimbos.nl.
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Abstract

Background: We 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 randomized controlled trial.

Methods: Inclusion criteria were >50 years, 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 randomized 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.

Results: 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.

Conclusion: 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.

Keywords

depressionpsychological well-beingolder adultslife reviewreminiscence therapypsychotherapypreventionintervention
Type
Research Article
Information
International Psychogeriatrics , Volume 22 , Issue 4 , June 2010 , pp. 572 - 581
Copyright
Copyright © International Psychogeriatric Association 2010

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References

Beekman, A. T. F., Copeland, J. R. and Prince, M. J. (1999). Review of community prevalence of depression in later life. British Journal of Psychiatry, 174, 307–311.CrossRefGoogle ScholarPubMed
Bohlmeijer, E., Smit, F. and Cuijpers, P. (2003). Effects of reminiscence and life review on late-life depression: A meta-analysis. International Journal of Geriatric Psychiatry, 18, 1088–1094.CrossRefGoogle ScholarPubMed
Bohlmeijer, E., Valenkamp, M., Westerhof, G., Smit, F. and Cuijpers, P. (2005). Creative reminiscence as an early intervention for depression: Results of a pilot project. Aging and Mental Health, 9, 302–304.CrossRefGoogle ScholarPubMed
Bohlmeijer, E. T., Roemer, M., Cuijpers, P. and Smit, F. (2007). The effects of life-review on psychological well-being in older adults: a meta-analysis. Aging and Mental Health, 11, 291–300.CrossRefGoogle ScholarPubMed
Butler, R. N. (1963). The life-review: an interpretation of reminiscence in the aged. Psychiatry, 26, 65–76.CrossRefGoogle ScholarPubMed
Cappeliez, P. and O'Rourke, N. (2002). Personality traits and existential concerns as predictors of the functions of reminiscence in older adults. Journals of Gerontology, 57, P116–P123.CrossRefGoogle ScholarPubMed
Cappeliez, P., O'Rourke, N. and Chaudhury, H. (2005). Functions of reminiscence and mental health in later life. Aging & Mental Health, 9, 295–301.CrossRefGoogle ScholarPubMed
Cohen, J. (2005). Statistical Power Analysis for the Behavioral Sciences (2nd edn). Hillsdale, NJ: Lawrence Erlbaum Associates.Google Scholar
Cuijpers, P., van Straten, A. and Smit, F. (2006). Psychological treatment of late-life depression: a meta-analysis of randomized controlled trials. International Journal of Geriatric Psychiatry, 21, 1139–1149.CrossRefGoogle ScholarPubMed
Cuijpers, P., Smit, F. and van Straaten, A. (2007) Psychological treatments of subthreshold depression: a meta-analytic review. Acta Psychiatrica Scandinavica, 115, 434–441.CrossRefGoogle ScholarPubMed
Cully, J. A., LaVoie, D. and Gfeller, J. D. (2001). Reminiscence, personality, and psychological functioning in older adults. Gerontologist, 41, 89–95.CrossRefGoogle ScholarPubMed
Franssen, J. and Bohlmeijer, E. (2003). Op zoek naar zin, een cursus rond het eigen levensverhaal voor ouderen met depressieve klachten. [Looking for Meaning: a course on the own life-story for older adults with depressive symptoms.] Utrecht: Trimbos-instituut.Google Scholar
Fry, P. S. (1983). Structured and unstructured reminiscence training and depression in the elderly. Clinical Gerontologist, 1, 15–37.CrossRefGoogle Scholar
Gatz, M. (2007). Commentary on evidence-based psychological treatments for older adults. Psychology and Aging, 22, 52–55.CrossRefGoogle ScholarPubMed
Haight, B. K., Coleman, P., and Lord, K. (1995). The linchpins of a successful life review: structure, evaluation and individuality. In Haight, B. K. and Webster, J. D. (eds.), The Art and Science of Reminiscing: Theory, Research, Methods and Applications (pp. 179–192). Washington, DC: Taylor & Francis.Google Scholar
Licht-Strunk, E., Van Der Windt, D. A., van Marwijk, H. W., de Haan, M. and Beekman, A. T. (2007). The prognosis of depression in older patients in general practice and the community: a systematic review. Family Practice, 24, 168–180.CrossRefGoogle ScholarPubMed
Lipsey, M. W. and Wilson, D. B. (1993). The efficacy of psychological, educational, and behavioral treatment. American Psychologist, 48, 1181–1209.CrossRefGoogle ScholarPubMed
Mrazek, P. J. and Haggerty, R. J. (1994). Reducing Risks forMental Disorders: Frontiers for Preventive Intervention Research. Washington, DC: National Academy Press.Google Scholar
Parnassia (2003) De kunst van het ouder worden. Videofilm en handleiding [“The Art of Growing Older”, video and manual]. Den Haag: Parnassia psycho-medisch centrum.Google Scholar
Pearlin, L. I. and Schooler, C. (1978). The structure of coping. Journal of Health and Social Behavior, 19, 2–21.CrossRefGoogle ScholarPubMed
Pot, A. M. (2009). Geropsychology: beyond greyness. Psychologie & Gezondheid, 37, 65–73.CrossRefGoogle Scholar
Priebe, S., Huxley, P., Knight, S. and Evans, S. (1999). Application and results of the Manchester Short Assessment of quality of life (MANSA). International Journal of Social Psychiatry, 45, 7–12.CrossRefGoogle ScholarPubMed
Radloff, L. S. (1977). The CES-D scale: a self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401.CrossRefGoogle Scholar
Radloff, L. S. and Teri, L. (1986). Use of the CES-D with older adults. Clinical Gerontology, 5, 119–136.Google Scholar
Sheehan, D. V., Lecrubier, Y., Sheehan, K. H., Amorim, P., Janavs, J. and Weiller, E. (1998). The Mini-International Neuropsychiatric Interview (M.I.N.I): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. Journal of Clinical Psychiatry, 59, 22–33.Google ScholarPubMed
Smit, F., Ederveen, A., Cuijpers, P., Deeg, D. and Beekman, A. T. F. (2006). Opportunities for cost-effective prevention of late-life depression: an epidemiological approach. Archives of General Psychiatry, 63, 290–296.CrossRefGoogle ScholarPubMed
StataCorp (2005). Stata Statistical Software: Release 9.1. College Station, TX: Stata Corporation.Google Scholar
Watt, L. M. and Cappeliez, P. (2000). Integrative and instrumental reminiscence therapies for depression in older adults: intervention strategies and treatment effectiveness. Aging and Mental Health, 4, 166–177.CrossRefGoogle Scholar
Webster, J. D. (1993). Construction and validation of the Reminiscence Functions Scale. Journal of Gerontology, 48, 256–262.CrossRefGoogle ScholarPubMed
Westerhof, G. J., Bohlmeijer, E. T., van Beljouw, I. M. and Pot, A. M. (2010). Improvement on personal meaning mediates the effects of a life review intervention on depressive symptoms in a randomized controlled trial. Gerontologist. E-published ahead of print. doi:10.1093/gerant/gnp168.CrossRefGoogle Scholar
Westerhof, G. J., Bohlmeijer, E. T. and Webster, J. (in press). Reminiscence and mental health: a review of recent progress in theory, research, and intervention. Ageing and Society.Google Scholar
Wilson, K. C., Mottram, P. G. and Vassilas, C. A. (2008). Psychotherapeutic treatments for older depressed people. Cochrane Database Systematic Review, 1, CD004853.CrossRefGoogle Scholar
Wong, P. T., and Watt, L. M. (1991). What types of reminiscence are associated with successful aging? Psychology and Aging, 6, 272–279.CrossRefGoogle ScholarPubMed
Zigmond, A. S. and Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 6, 361–370.CrossRefGoogle Scholar