Yuxuan Yang, Hongfei Li, Abdallah Abu Khait, Juliette Shellman
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引用次数: 0
Abstract
Objectives: The review aimed to evaluate the efficacy of integrative reminiscence interventions in mitigating depressive symptoms among older adults.
Methods: A comprehensive literature search was conducted across four electronic databases: PubMed, CINAHL, PsycINFO, and Scopus. The risk of bias in randomized control and quasi-experimental studies was critically evaluated by the Cochrane ROB 2 tool and the Cochrane ROBINS-I tool, respectively.
Results: The meta-analysis showed a large and statistically significant effect of integrative reminiscence in reducing depression from post-baseline to baseline (Cohen's d = 0.9608; p < .0001). The effects at 3-month follow-up or longer showed a similarly large effect size (Cohen's d = 1.3159; p < .0001), indicating the effect of integrative reminiscence could be sustained over time for older adults with depressive symptoms.
Conclusions: This review provides robust empirical evidence supporting the use of integrative reminiscence to reduce depressive symptoms in older adults.
Clinical implications: The current review supports the incorporation of integrative reminiscence into the practice of nursing and other healthcare providers in community, geriatric, and long-term care facilities. It provides guidance for developing standardized protocols for integrative reminiscence and training programs to promote consistency and reproducibility and measure the long-term effects of the intervention.
目的:本综述旨在评价综合回忆干预在减轻老年人抑郁症状中的疗效。方法:在PubMed、CINAHL、PsycINFO和Scopus四个电子数据库中进行全面的文献检索。随机对照和准实验研究的偏倚风险分别由Cochrane ROB 2工具和Cochrane ROBINS-I工具进行严格评估。结果:荟萃分析显示,综合记忆在从基线后到基线后减少抑郁方面具有显著的统计学意义(Cohen’s d = 0.9608; p d = 1.3159; p)。结论:本综述提供了强有力的经验证据,支持使用综合记忆减轻老年人抑郁症状。临床意义:本综述支持将综合记忆纳入社区、老年和长期护理机构的护理和其他医疗保健提供者的实践中。它为制定综合记忆和训练计划的标准化方案提供指导,以促进一致性和可重复性,并衡量干预措施的长期效果。
期刊介绍:
Clinical Gerontologist presents original research, reviews, and clinical comments relevant to the needs of behavioral health professionals and all practitioners who work with older adults. Published in cooperation with Psychologists in Long Term Care, the journal is designed for psychologists, physicians, nurses, social workers, counselors (family, pastoral, and vocational), and other health professionals who address behavioral health concerns found in later life, including:
-adjustments to changing roles-
issues related to diversity and aging-
family caregiving-
spirituality-
cognitive and psychosocial assessment-
depression, anxiety, and PTSD-
Alzheimer’s disease and other neurocognitive disorders-
long term care-
behavioral medicine in aging-
rehabilitation and education for older adults.
Each issue provides insightful articles on current topics. Submissions are peer reviewed by content experts and selected for both scholarship and relevance to the practitioner to ensure that the articles are among the best in the field. Authors report original research and conceptual reviews. A unique column in Clinical Gerontologist is “Clinical Comments." This section features brief observations and specific suggestions from practitioners which avoid elaborate research designs or long reference lists. This section is a unique opportunity for you to learn about the valuable clinical work of your peers in a short, concise format.