Understanding the reasons why Chinese older people do not wish to tell their life stories

Chan, Engle Angela; Lai, Claudia Kam Yuk

doi:10.1111/jan.12630

Cited by 4 publications

(2 citation statements)

References 45 publications

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“…In addition, older women have a higher risk of loneliness than older men, and women readily share their negative emotions compared with men (50). Women can easily release old resentment by communicating with their peers with similar symptoms or experiences, ultimately improving their social and emotional well-being (51). Studies with larger clinical sample sizes and subjects with diverse severity and symptom manifestations should be conducted to further validate the effectiveness of the TD-GCBT approach.…”

Section: Discussionmentioning

confidence: 99%

The efficacy of a transdiagnostic group cognitive behavioral intervention for Chinese elderly with emotional disorders: A one-year follow-up randomized clinical trial

Yan

Meng

et al. 2022

Front. Psychiatry

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BackgroundWith the global aging, geriatric emotional disorders have received more and more attention. Psychotherapy is an effective approach for alleviating the symptoms associated with emotional disorder, but the number of experienced therapists is low. Studies should be conducted to explore a low-cost and efficient treatment method. Previous findings indicate that transdiagnostic cognitive behavior therapy is an effective approach for treatment of emotional disorders. Group therapy is appropriate for the elderly as they are characterized by high levels of loneliness. In this study, we compared and explored the effects of a transdiagnostic group cognitive behavioral intervention (TD-GCBT), a transdiagnostic individual cognitive behavioral intervention (TD-CBT), and treatment as usual (TAU) on treatment of emotional disorders among the elderly.MethodA total of 120 elderly patients diagnosed with emotional disorders were randomly assigned to the TD-GCBT group (40), TD-CBT group (40), and TAU group (40). Changes in symptoms were assessed using HAMD, PHQ-9, HAMA, and GAD-7 scales at baseline, post-treatment (three months), six-month and twelve-months follow-up. The efficacies of the three intervention strategies were compared using linear mixed-effects models. Post-hoc and simple effect analyses were conducted to determine the differences among the three groups.ResultsThe HAMD, PHQ-9, HAMA, and GAD-7 scores revealed a significant effect from baseline to 12 months for time (p < 0.001), group (p < 0.001) and time × group interaction (p < 0.001) in TD-GCBT group compared with the TD-CBT group and TAU group. The effect of TD-GCBT (HAMD: Cohen’s d (3th month, 6th month, 12th month) = 2.69, 3.98, 4.51; HAMA: Cohen’s d = 2.84, 4.13, 5.20) and TD-CBT (HAMD: Cohen’s d = 2.55, 2.87, 2.63; HAMA: Cohen’s d = 2.43, 2.83, 2.78) group was better relative to that of the TAU group (HAMD: Cohen’s d = 0.41, 1.13, 1.46; HAMA: Cohen’s d = 0.64, 1.22, 1.57) (p < 0.001). The scores of the TD-GCBT group showed the most significant decrease compared with the other two groups.ConclusionThe findings indicate that TD-GCBT method is effective for treatment of emotional disorders among the elderly. TD-GCBT is effective for alleviating depression and anxiety symptoms up to at least nine months after treatment. The results indicate that TD-GCBT is a cost-effective and resource-effective strategy and can be used an alternative therapy for treatment of mental disorders.Clinical trial registration[https://www.chictr.org.cn], identifier [ChiCTR1900021806].

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Section: Discussionmentioning

confidence: 99%

The efficacy of a transdiagnostic group cognitive behavioral intervention for Chinese elderly with emotional disorders: A one-year follow-up randomized clinical trial

Yan

Meng

et al. 2022

Front. Psychiatry

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“…Although no statistically significant difference was observed over time between the groups, the qualitative part of this study revealed that our participants found the LSB to be meaningful to them. Some stated that they would be able to let their offspring and others know more about them from their life storybooks (Chan & Lai, ). Studies to explore the participants’ views of the benefits or adverse outcomes of LSW would shed light on the ways in which LSW can or cannot be useful.…”

Section: Discussionmentioning

confidence: 99%

Psychological outcomes of life story work for community‐dwelling seniors: A randomised controlled trial

Lai

Chin

Chan

2019

Int J Older People Nursing

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Background and objective Life story work has a long tradition in the caring sciences and has been found to serve a number of psychological functions. The effects of life story work on the psychological well‐being of community‐dwelling older people were examined in this study. Design and methods For this randomised controlled trial, 244 community‐dwelling participants in 17 social centres run by a non‐governmental organisation were recruited. The participants were randomly allocated to intervention (n = 124) and control (n = 120) groups. Each member of the intervention group worked with a volunteer to prepare his/her life storybook, while those in the control group participated in a social program. Data were collected at baseline, immediately postintervention, and at three and six months postintervention. The outcomes included measures of life satisfaction, self‐esteem, general mental well‐being and depressive symptoms. Results No significant interaction effect was observed between the groups over time, except for an improvement in the general mental well‐being of the control group at three months postintervention. Conclusions A comparison of the findings in the literature showed that some positive results were reported for LSW studies conducted in nursing homes, whereas in community studies, the results were not always positive. Life story work for seniors in the community did not have the same positive outcomes as previously observed among nursing home residents. It is possible that the intervention had a greater effect on more deprived individuals. Community‐dwelling seniors can be encouraged to participate in social activities, which apparently can lead to similar outcomes. Implications for practice Clinicians should not assume that similar interventions can have similar effects when delivered in a different setting. Community‐dwelling seniors can be encouraged to participate in social activities, which can also promote psychological wellbeing similar to to the effects of activities related to life story work.

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Engaging Experts: Expanding Participation and Enhancing Research in Chinese Eldercare Institutions

Keimig

2017

Journal of Aging & Social Policy

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Due to the myriad factors straining China's traditional family-based eldercare system, today unprecedented numbers of older adults are turning to institutions for caregiving needs. As researchers and policy makers organize conferences, analyze trends, and allocate resources, the subjective experiences of elders themselves are often forgotten or ignored. While providers recognize that institutionalized elders are at an increased risk for mental health issues, most cite personnel and resource shortages as insurmountable barriers to provision. Using examples from ethnographic research in Chinese eldercare institutions, this article examines the link between participation and mental health for contemporary Chinese elders and makes a case for expanding the role of elders in research in order to improve both the experience and understanding of institutional eldercare.

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Understanding the reasons why Chinese older people do not wish to tell their life stories

Cited by 4 publications

References 45 publications

The efficacy of a transdiagnostic group cognitive behavioral intervention for Chinese elderly with emotional disorders: A one-year follow-up randomized clinical trial

The efficacy of a transdiagnostic group cognitive behavioral intervention for Chinese elderly with emotional disorders: A one-year follow-up randomized clinical trial

Psychological outcomes of life story work for community‐dwelling seniors: A randomised controlled trial

Engaging Experts: Expanding Participation and Enhancing Research in Chinese Eldercare Institutions

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