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European Journal of Ageing

Erschienen in:

01.12.2012 | Original Investigation

Meaning in life and mastery mediate the relationship of negative reminiscence with psychological distress among older adults with mild to moderate depressive symptoms

verfasst von: Jojanneke Korte, Philippe Cappeliez, Ernst T. Bohlmeijer, Gerben J. Westerhof

Erschienen in: European Journal of Ageing | Ausgabe 4/2012

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Abstract

To understand the adaptive value of reminiscence, a mediational model of reminiscence was tested in a sample of older adults with mild to moderate depressive symptoms. Using structural equation modeling, we investigated if psychological resources (mastery and meaning in life) mediate the relation between reminiscence (positive: identity construction and problem solving; and negative: bitterness revival and boredom reduction) and psychological distress (depressive symptoms and anxiety symptoms). A total of 202 older Dutch adults living in the community participated in this study. The present study consisted of baseline measurements of a randomized controlled trial that evaluated the effectiveness of a life-review therapy intervention on depression. Results showed that psychological resources fully mediated the relation between negative reminiscence and psychological distress. Specifically, negative reminiscing is related to decreased psychological distress through meaning in life and sense of mastery. The study contributes to current knowledge on the relation between reminiscence and mental health, both empirically and clinically. It helps to increase understanding of how reminiscence is related to psychological distress, especially in depressed older adults, and the relative importance of psychological resources, i.e., mastery and meaning in life. From a clinical perspective, these findings suggest the usefulness of focusing on strengthening psychological resources in therapeutic reminiscence-based strategies for older adults with depressive symptoms.

Antonovsky A (1993) The structure and properties of the sense of coherence scale. Soc Sci Med 36(6):725–733CrossRef

Bluck S, Levine LJ (1998) Reminiscence as autobiographical memory: a catalyst for reminiscence theory development. Ageing Soc 18(2):185–208CrossRef

Bohlmeijer ET, Smit F, Cuijpers P (2003) Effects of reminiscence and life review on late-life depression: a meta-analysis. Int J Geriatr Psychiatry 18(12):1088–1094CrossRef

Bohlmeijer ET, Valenkamp M, Westerhof G, Smit F, Cuijpers P (2005) Creative reminiscence as an early intervention for depression: results of a pilot project. Aging Ment Health 9(4):302–304CrossRef

Bohlmeijer ET, Roemer M, Cuijpers P, Smit F (2007) The effects of life-review on psychological well-being in older adults: a meta-analysis. Aging Ment Health 11(3):291–300CrossRef

Bohlmeijer ET, Westerhof GJ, Emmerik-de Jong M (2008) The effects of integrative reminiscence on meaning in life: results of a quasi-experimental study. Aging Ment Health 12(5):639–646CrossRef

Bohlmeijer ET, Kramer J, Smit F, Onrust S, Van Marwijk H (2009) The effects of integrative reminiscence on depressive symptomatology and mastery of older adults. Community Ment Health J 45(6):476–484CrossRef

Butler RN (1963) The life-review: an interpretation of reminiscence in the aged. Psychiatry 26(1):65–76

Byrne BM (2001) Structural equation modeling with AMOS. Erlbaum, Mahwah

Cappeliez P, O’Rourke N (2006) Empirical validation of a model of reminiscence and health in later life. J Gerontol B 61(4):237–244CrossRef

Cappeliez P, Robitaille A (2010) Coping mediates the relationships between reminiscence and psychological well-being among older adults. Aging Ment Health 14(7):807–818CrossRef

Cappeliez P, O’Rourke N, Chaudhury H (2005) Functions of reminiscence and mental health in later life. Aging Ment Health 9(4):295–301CrossRef

Cuijpers P, Van Straten A, Smit F (2006) Psychological treatment of late-life depression: a meta-analysis of randomized controlled trials. Int J Geriatr Psychiatry 21:1139–1149CrossRef

Cully JA, LaVoie D, Gfeller JD (2001) Reminiscence, personality, and psychological functioning in older adults. Gerontologist 41:89–95CrossRef

Dempster AP, Laird NM, Rubin DB (1977) Maximum Likelihood from incomplete data via the EM algorithm. J R Stat Soc 39(1):1–38

Forbes DA (2010) Enhancing mastery and sense of coherence: important determinants of health in older adults. Geriatr Nurs 22(1):29–32CrossRef

Frazier P, Tix A, Barron K (2004) Testing moderator and mediator effects in counseling psychology research. J Couns Psychol 51(1):115–134CrossRef

Gadella TM (2010) The role of mastery and social support in the association between life stressors and psychological distress in older Canadians. J Gerontol Soc Work 53:512–530CrossRef

Haringsma R, Engels GI, Beekman ATF, Spinhoven P (2004) The criterion validity of the Center for Epidemiological Studies Depression Scale (CES-D) in a sample of self-referred elders with depressive symptomatology. Int J Geriatr Psychiatry 19:558–563CrossRef

Hu LT, Bentler PM (1999) Cut-off criteria for fit indices in covariance structure analysis: conventional criteria versus new alternatives. Struct Equ Model 6:1–55CrossRef

Jang Y, Haley WE, Small BJ, Mortimer JA (2002) The role of mastery and social resources in the associations between disability and depression in later life. Gerontologist 6:807–813CrossRef

Kempen GIJM, Jelicic M, Ormel J (1997) Personality, chronic medical morbidity, and health-related quality of life among older persons. Health Psychol 16:539–549CrossRef

Kempen GIJM, Van Heuvelen MJ, Van Sonderen E, Van den Brink RH, Kooijman AC, Ormel J (1999) The relationship of functional limitations to disability and the moderating effects of psychological attributes in community-dwelling older adults. Soc Sci Med 48(9):1161–1172CrossRef

Korte J, Bohlmeijer ET, Smit F (2009) Prevention of depression and anxiety in later life: design of a randomized controlled trial for the clinical and economic evaluation of a life-review intervention. BMC Public Health 9:250CrossRef

Korte J, Bohlmeijer ET, Westerhof GJ, Pot AM (2011) Reminiscence and adaptation to critical life events in older adults with mild to moderate depressive symptoms. Aging Ment Health 15(5):638–646CrossRef

Korte J, Bohlmeijer ET, Westerhof GJ, Cappeliez P, Smit F (2012) Life-review therapy for older adults with moderate depressive symptomatology: a pragmatic randomized controlled trial. Psychol Med 42:1163–1173

Krause N (2004) Stressors arising in highly valued roles and the physical health status of older adults. J Gerontol 59B:S287–S291

Krause N (2007) Evaluating the stress-buffering function of meaning in life among older people. J Aging Health 19:792–812CrossRef

Nygren B, Alex L, Jonsen E, Gustafson Y, Norberg A, Lundman B (2005) Resilience, sense of coherence, purpose in life and self-transcendence in relation to perceived physical and mental health among the oldest old. Aging Ment Health 9(4):354–362CrossRef

O’Rourke N, Cappeliez P, Claxton A (2010) Functions of reminiscence and the psychological well-being of young–old and older adults over time. Aging Ment Health 15(2):272–281

Pearlin LI, Schooler C (1978) The structure of coping. J Health Soc Behav 19:2–21CrossRef

Pinquart M (2002) Creating and maintaining purpose in life in old age: a meta-analysis. Ageing Int 27(2):90–114CrossRef

Pinquart M, Duberstein PR, Lyness JM (2007) Effects of psychotherapy and other behavioural interventions on clinically depressed older adults: a meta-analysis. Aging Ment Health 11:645–657CrossRef

Pot AM, Bohlmeijer ET, Onrust S, Melenhorst AS, Veerbeek M, De Vries W (2010) The impact of life review on depression in older adults: a randomized controlled trial. Int Psychogeriatr 22(4):572–581CrossRef

Radloff LS (1977) The CES-D scale: a self-report depression scale for research in the general population. Appl Psychol Meas 1:385–401CrossRef

Reker GT (1997) Personal meaning, optimism, and choice: existential predictors of depression in community and institutional elderly. Gerontologist 37:709–716CrossRef

Roberts BL, Dunkle R, Haug M (1994) Physical, psychological, and social resources as moderators of the relationship of stress to mental health in the very old. J Gerontol Soc Work 49:535–543

Robitaille A, Cappeliez P, Coulombe D, Webster JD (2010) Factorial structure and psychometric properties of the reminiscence functions scale. Aging Ment Health 14(2):184–192CrossRef

Ryff CD (1989) Happiness is everything, or is it? Explorations on the meaning of psychological well-being. J Pers Soc Psychol 57:1069–1081CrossRef

Schieman S, Turner HA (1998) Age, disability and the sense of mastery. J Health Soc Behav 39:169–187CrossRef

Seligman MEP (1998) Learned optimism: how to change your mind and your life. Pocket Books, New York

Serrano JP, Latorre JM, Gatz M, Montanes J (2004) Life review therapy using autobiographical retrieval practice for older adults with depressive symptomatology. Psychol Aging 19:272–277CrossRef

Sheehan DV, Lecrubier Y, Sheehan KH, Amorim P, Janavs J, 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. J Clin Psychiat 59:22–33

Spinhoven PH, Ormel J, Sloekers PPA, Kempen GIJM, Speckens AEM, Van Hemert AM (1997) A validation study of the hospital anxiety and depression scale (HADS) in different groups of Dutch subjects. Psychol Med 27:363–370CrossRef

Steger M, Frazier P, Oishi S, Kaler M (2006) The meaning in life questionnaire, assessing the presence of and search for meaning in life. J Couns Psychol 53:80–93CrossRef

Steunenberg B, Beekman AT, Deeg DJ, Bremmer MA, Kerkhof AJ (2007) Mastery and neuroticism predict recovery of depression in later life. Am J Geriatr Psychiatry 15(3):234–242CrossRef

Taylor SE (1989) Positive illusions: creative self-deception and the healthy mind. Basic Books, New York

Taylor SE, Kemeny ME, Reed GM, Bower JE, Gruenewald TL (2000) Psychological resources, positive illusions, and health. Am Psychol 55(1):99–109CrossRef

Watt LM (1996) Integrative and instrumental reminiscence therapies for the treatment of depression in older adults. Unpublished Doctoral Dissertation, University of Ottawa

Webster JD (1993) Construction and validation of the reminiscence functions scale. J Gerontol B 48:256–262

Webster JD, Bohlmeijer ET, Westerhof GJ (2010) Mapping the future of reminiscence: a conceptual guide for research and practice. Res Aging 32(4):527–564CrossRef

West SG, Finch JF, Curran PJ (1995) Structural equation models with non-normal variables. SAGE, Thousand Oaks

Westerhof GJ, Bohlmeijer ET (2004) In search of meaning: a reminiscence program for older adults. Educ Gerontol 30:751–766CrossRef

Westerhof GJ, Bohlmeijer ET, Webster JD (2010a) Reminiscence and mental health: a review of recent progress in theory, research, and intervention. Ageing Soc 30:697–721CrossRef

Westerhof GJ, Bohlmeijer ET, Van Beljouw IMJ, Pot AM (2010b) Improvement in personal meaning mediates the effects of a life review intervention on depressive symptoms in a randomized controlled trial. Gerontologist 50(4):541–549CrossRef

Williams JM, Barnhofer T, Crane C, Herman D, Raes F, Watkins E, Dalgleish T (2007) Autobiographical memory specificity and emotional disorder. Psychol Bull 133:122–148CrossRef

Wink P, Schiff B (2002) To review or not to review? The role of personality and life events in life review and adaptation to older age. In: Webster JD, Haight BK (eds) Critical advances in reminiscence work: from theory to application. Springer, New York, pp 44–60

Wong PT (1989) Personal meaning and successful aging. Can Psychol 30(3):516–525CrossRef

Wong PT (1995) The processes of adaptive reminiscence. In: Haight BK, Webster JD (eds) The art and science of reminiscing: theory, research, methods, and applications. Taylor and Francis, Washington, DC, pp 23–35

Wong PT, Watt LM (1991) What types of reminiscence are associated with successful aging? Psychol Aging 6(2):272–279CrossRef

Zarit SH, Femia EE, Gatz M, Johansson B (1999) Prevalence, incidence and correlates of depression in the oldest old: the OCTO study. Aging Ment Health 3(2):119–128CrossRef

Zigmond AS, Snaith RP (1983) The hospital anxiety and depression scale. Acta Psychiatr Scand 67:361–370CrossRef

Titel: Meaning in life and mastery mediate the relationship of negative reminiscence with psychological distress among older adults with mild to moderate depressive symptoms
verfasst von: Jojanneke Korte
Philippe Cappeliez
Ernst T. Bohlmeijer
Gerben J. Westerhof
Publikationsdatum: 01.12.2012
Verlag: Springer Netherlands
Erschienen in: European Journal of Ageing / Ausgabe 4/2012
Print ISSN: 1613-9372
Elektronische ISSN: 1613-9380
DOI: https://doi.org/10.1007/s10433-012-0239-3

Springer Medizin

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