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Effects of reminiscence and life review on late-life depression: a meta-analysis

✍ Scribed by Ernst Bohlmeijer; Filip Smit; Pim Cuijpers


Publisher
John Wiley and Sons
Year
2003
Tongue
English
Weight
76 KB
Volume
18
Category
Article
ISSN
0885-6230

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✦ Synopsis


Abstract

Aim

To assess the effectiveness of reminiscence and life review on late‐life depression across different target groups and treatment modalities.

Method

Twenty controlled outcome studies were retrieved from Psychlit, Medline and Dissertation Abstracts. For each study a standardised effect size, d, was calculated and a random‐effects meta‐analysis was conducted.

Results

An overall effect size of 0.84 (95% Confidence Intervals (CI)=0.31–1.37) was found, indicating a statistically and clinically significant effect of reminiscence and life review on depressive symptomatology in elderly people. This effect is comparable to the effects commonly found for pharmacotherapy and psychological treatments. The effect was larger in subjects with elevated depressive symptomatology (d=1.23) as compared to other subjects (d=0.37). Other characteristics of the subjects or interventions were not found to be related to increased or decreased effect sizes.

Discussion

Reminiscence and life review are potentially effective treatments for depressive symptoms in the elderly and may thus offer a valuable alternative to psychotherapy or pharmacotherapy. Especially in non‐institutionalised elderly people—who often have untreated depression—it may prove to be an effective, safe and acceptable form of treatment. Randomized trials with sufficient statistical power are necessary to confirm the results of this study. Copyright © 2003 John Wiley & Sons, Ltd.


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