Effectiveness of life review on depression among elderly: a systematic review and meta-analysis.
Effectiveness of life review on depression among elderly: a systematic review and meta-analysis.
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DOI：
10.11604/pamj.2021.40.168.30040
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发表时间：
2021
期刊：
影响因子：
--
通讯作者：
Chan MF
中科院分区：
文献类型：
--
作者：
Al-Ghafri BR;Al-Mahrezi A;Chan MF
抑郁症被认为是老年人日常生活活动和生活质量最常见的障碍之一。关于回忆和生活回顾干预在减少老年人抑郁和提高幸福感方面的有效性的证据越来越多。本综述的目的是确定生活回顾干预对老年人抑郁结局的影响。研究人员对11个电子数据库进行了文献检索，以确定所有研究生活回顾对老年人抑郁症影响的随机对照试验。对于每项研究，计算干预后和随访干预后各组（生活回顾与对照组）抑郁评分差异的效应量（Cohen’s d）。总共有15项研究符合纳入标准，并通过荟萃分析进行评估。干预后随访结果显示，生活回顾组在降低抑郁水平方面的效果明显优于对照组。经敏感性分析，干预后和随访分别为中等效应（效应量=-0.54,95% CI=-0.71 ~ -0.36, p<0.05）和小效应（效应量=-0.20,95% CI=-0.41 ~ -0.01, p<0.05）。通过本系统综述和荟萃分析，总体结果显示，干预后测量显示，生活回顾组对老年人抑郁水平的降低有中等效果，而在随访中效果较小。这篇综述表明，生活回顾干预是可能对初级保健机构中老年人有益的选择之一，但进一步的研究可以集中在干预和随访持续时间上，以获得长期效果。
depression is considered one of the most common obstacles to daily life activities and quality of life in the elderly. Evidence is accumulating regarding the effectiveness of reminiscence and life review interventions in reducing depression and raising well-being in the elderly. The aim of this review was to determine the effects of life review interventions on depression outcomes among the elderly. a search of the literature was performed through 11 electronic databases to identify all randomized controlled trials studies that examine life review effects on depression among the elderly. For each study, the effect size (Cohen's d) between groups (life review vs. control) differences in depression scores for post-intervention and follow-up intervention were computed. in total, 15 studies were met the inclusion criteria and was evaluated by meta-analysis. Results showed that the life review group has a large effect on reducing depression level than the control group on post-intervention and follow-up. After conducted sensitivity analysis, a moderate effect (effect size=-0.54; 95% CI=-0.71 to -0.36; p<0.05) and small effect (effect size=-0.20; 95% CI=-0.41 to -0.01; p<0.05) were found on post-intervention and follow-up, respectively. through this systematic review and meta-analysis, the overall results showed a moderate effect to reducing depression levels among the elderly in the life review group after carrying out post-intervention measurements, while in the follow-up the effect was small. This review indicates that life review intervention is one of the options likely to be of benefit for elderly in primary care settings, but further research can be focused on intervention and follow-up durations to obtain long-term effects.
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影响因子：
22.8
作者：
Hanaoka, H;Okamura, H
通讯作者：
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影响因子：
2.7
作者：
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通讯作者：
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DOI：
10.1093/gerona/gln023
发表时间：
2009-02-01
影响因子：
5.1
作者：
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通讯作者：
Conwell, Yeates
影响因子：
2.8
作者：
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通讯作者：
Sitges, Esther
DOI：
10.1016/0197-2456(86)90046-2
发表时间：
1986-09-01
期刊：
CONTROLLED CLINICAL TRIALS
影响因子：
--
作者：
DERSIMONIAN, R;LAIRD, N
通讯作者：
LAIRD, N