Effects of life review interventions on psychosocial outcomes among older adults: A systematic review and meta‐analysis

Lan, Xiuyan; Xiao, Huimin; Chen, Ying

doi:10.1111/ggi.12947

Cited by 31 publications

(45 citation statements)

References 49 publications

(254 reference statements)

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“…Without two outliers (Afonso & Bueno, ; Chan et al, ), a moderate effect size was found (Cohen's d = 0.57). This is similar to Pinquart and Forstmeier (; Hedges g = 0.57) and Lan et al (; Cohen's d = 0.57), who included more diverse interventions with a broader focus and target groups. Unlike the earlier meta‐analyses, the heterogeneity was low to moderate and nonsignificant when the two outliers were removed, suggesting that we focused on a more homogeneous subset of interventions.…”

Section: Discussionsupporting

confidence: 80%

In search of the best evidence for life review therapy to reduce depressive symptoms in older adults: A meta-analysis of randomized controlled trials.

Westerhof

Slatman

2019

Clinical Psychology: Science and Practice

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This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made. AbstractLife review builds on a naturally occurring process in later life and entails attributing meaning to positive and negative memories across the lifespan. The current metaanalysis focuses on the best evidence of life review as a therapeutic intervention to reduce depressive symptoms in older adults. A systematic literature search resulted in eleven randomized controlled trials. The meta-analysis showed a large effect.When two outliers were removed, the effect size was moderate and was maintained at three months follow-up. Heterogeneity was low with no clear publication bias in spite of differences in interventions and study designs. Hence, the best available evidence shows that life review therapy has moderate effects on depressive symptoms in older adults. K E Y W O R D Sdepression, life review, meta-analysis, older adults, therapy

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Section: Discussionsupporting

confidence: 80%

In search of the best evidence for life review therapy to reduce depressive symptoms in older adults: A meta-analysis of randomized controlled trials.

Westerhof

Slatman

2019

Clinical Psychology: Science and Practice

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“…The evidence for collaborative care is more conflicting and insufficient to make recommendations. Bibliotherapy and 'life review' (a therapy including the recall, evaluation and integration of life experiences to achieve a positive sense of self in the later stages of life) (Lan et al, 2017) lacked sufficient evidence to make recommendations for this group.…”

Section: Implications For Practicementioning

confidence: 99%

“…Evaluation of hospitalizations, social care use, and cost-effectiveness is also vital to assist commissioning decisions, as home-based services are potentially costly but may deliver long-term costsavings in health or social care use. Other nonpharmacological interventions for depression that have shown to be effective in the general older adult populations, such as CBT, behavioral activation, and life review (Gould et al, 2012a;2012b;Lan et al, 2017;Orgeta et al, 2017), may also offer promise, but could be optimized through working with frail older people to understand how these treatments could be better tailored to their needs and abilities. Book-based CBT had low adherence in this population and exercise interventions do not appear to be effective when people have a medical comorbidity (Schuch et al, 2016), so these may be less useful avenues for investigation.…”

Section: Implications For Practicementioning

confidence: 99%

Non-pharmacological interventions for depression/anxiety in older adults with physical comorbidities affecting functioning: systematic review and meta-analysis

Frost

Bauernfreund

Walters

2018

Int. Psychogeriatr.

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Objective:To review the effectiveness of non-pharmacological interventions in older adults with depression or anxiety and comorbidities affecting functioning.Design:Systematic review and meta-analysis of randomized controlled trials, including searches of 10 databases (inception-Jul 2017).Setting:Home/community.Participants:People aged 60 and over experiencing functional difficulties from physical or cognitive comorbidities and have symptoms or a diagnosis of depression and/or anxiety.Interventions:Non-pharmacological interventions targeted at depression/anxiety.Measurements:We extracted outcome data on depressive symptoms, quality of life, functioning, and service use. We used random effects meta-analysis to pool study data where possible. Two authors assessed the risk of bias using the Cochrane Risk of Bias tool.Results:We identified 14 eligible trials including 2099 randomized participants and two subgroup analyses. Problem-solving therapy (PST) reduced short-term clinician-rated depressive symptoms (n = 5 trials, mean difference in Hamilton Depression Rating Scale score −4.94 [95% CI −7.90 to −1.98]) but not remission, with limited evidence for effects on functioning and quality of life. There was limited high-quality evidence for other intervention types. Collaborative care did not appear to affect depressive symptoms, functioning, or quality of life; and had mixed evidence for effects upon remission. No intervention consistently affected service use, but trials were limited by small sample sizes and short follow-up periods. No anxiety interventions were identified.Conclusion:PST may reduce depressive symptoms post-intervention in older people with depression and functional impairments. Collaborative care appears to have few effects in this population. Future research needs to assess cost-effectiveness, long-term outcomes, and anxiety interventions for this population.

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“…Acceptance of death of oneself and close individuals might be a new type of separation-individuation (SI) compared with the primary SI between infants and mothers (Mahler 1974), secondary SI of independent adolescents from parents (Blos 1966;Moon and Bahn 2016), and tertiary SI of the elderly due to retirement, letting go of kids, or "intimacy at a distance" (Colarusso 1992). Life review is a worthwhile intervention for reducing depression and hopelessness, and improving quality of life, well-being and specific memory in older adults and also might be one of developmental tasks (Lan et al 2017).…”

Section: Developmental Milestones: Being Healthy For Centenariansmentioning

confidence: 99%

What Psychotherapy Do Centenarians Need?

Bahn

2018

Psychoanalysis

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The life expectancy of human beings exceeds 80 years in Korea. Due to the low birth-rate, the proportion of aged individuals, including centenarians (aged 100 years and above), is increasing rapidly. While the life span increases, the available socioeconomic and psychological support system for the elderly is not adequate. Developmental milestones for such aged individuals have yet to be established. The most formidable physical challenge of the elderly is cognitive deficit, such as dementia, due to deterioration of the brain. The elderly suffer from psychological ailments, especially depression and suicide. On the other hand, although centenarians comprise a very old age group, they live long without suffering from illness. Even a few late nonagenarians are healthier than early nonagenarians. Although physical and mental symptoms can be handled with medications, we need additional interventions to enhance mental health, such as psychotherapy and lessons from centenarians. Performance in developmental tasks during psychotherapy is an important criterion for mental health assessment. Therefore, the authors reviewed emotional, behavioral, and lifestyle patterns of centenarians to design appropriate developmental tasks. Common health tips for centenarians include "stay active, interact with relatives, and follow a balanced diet." The major difference in psychotherapy between the elderly and the younger population is the multigenerational transference. The most difficult concern in the psychotherapy of the elderly, compared with younger individuals, is coping with death. Sex imbalance-more women than men-is a unique phenomenon that should be addressed in psychotherapy.

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Effects of life review interventions on psychosocial outcomes among older adults: A systematic review and meta‐analysis

Cited by 31 publications

References 49 publications

In search of the best evidence for life review therapy to reduce depressive symptoms in older adults: A meta-analysis of randomized controlled trials.

In search of the best evidence for life review therapy to reduce depressive symptoms in older adults: A meta-analysis of randomized controlled trials.

Non-pharmacological interventions for depression/anxiety in older adults with physical comorbidities affecting functioning: systematic review and meta-analysis

What Psychotherapy Do Centenarians Need?

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