Reducing depression among community-dwelling older adults using life-story review: A pilot study
Reducing depression among community-dwelling older adults using life-story review: A pilot study
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DOI：
10.1016/j.gerinurse.2013.10.011
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发表时间：
2014-03-01
影响因子：
2.7
通讯作者：
Taylor, Beverley Joan
中科院分区：
文献类型：
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作者：
Chan, Moon Fai;Leong, Katherine S. P.;Taylor, Beverley Joan
回顾人生故事可以作为一种有效的干预，表达一个人的内心感受，提供情感宣泄。研究的目的是检查生活故事回顾对新加坡社区老年人抑郁水平的影响。本研究于2012年7月至2013年2月进行。29名60岁及以上轻度至中度抑郁的马来人老年人被随机分配到生活故事回顾组（干预组）（n = 15）和非生活故事回顾组（对照组）（n = 14）。抑郁症状通过老年抑郁症量表-15进行测量，并在八周内收集五次。采用广义估计方程来检验干预对老年人抑郁水平的影响，控制年龄、性别、药物使用、慢性疾病的存在和日记写作经验。与对照组（第1周：5.0 +/- 1.3；第8周：3.5 +/- 1.5）相比，干预组从第1周（Mean +/- SD 5.9 +/- 2.3）到第1周（1.9 +/- 1.6）抑郁评分降低。第8周时，干预组抑郁水平明显低于对照组（chi(2) = 14.61, p < 0.001）。这项研究补充了先前的研究，支持使用生活故事回顾来改善认知完好的社区老年人的抑郁水平。(C) 2014 Mosby, Inc.版权所有。
A life-story review can serve as an effective intervention to express one's inner feelings and provide emotional catharsis. The research aim was to examine the effects of life-story review on depression levels in community-dwelling older adults in Singapore. This pilot experimental pre-post-follow-up study was conducted from July 2012 to February 2013. Twenty-nine older Malays aged 60 and above, with mild to moderate depression, were randomly allocated to the life-story review (intervention) group (n = 15) or the non life-story review (control) group (n = 14). Depressive symptoms were measured by the Geriatric Depression Scale-15 and collected five times over eight weeks. Generalized estimating equations were used to examine the effects of the intervention on the elders' depression levels, controlled for age, gender, medication use, existence of chronic disease, and diary writing experience. Reductions in depression scores were found in the intervention group from week 1 (Mean +/- SD 5.9 +/- 2.3) to week (1.9 +/- 1.6) compared with the control group (week 1: 5.0 +/- 1.3; week 8: 3.5 +/- 1.5). At week 8, the intervention group showed a significantly lower level of depression than the control group (chi(2) = 14.61, p < 0.001). This study adds to prior research supporting the use of life story review in improving depression levels in cognitively intact community dwelling older adults. (C) 2014 Mosby, Inc. All rights reserved.