Physical, affective, and behavioral effects of group reminiscence on depressed institutionalized elders in Taiwan.
BACKGROUND
Depression among institutionalized elders is a common problem associated with physical and functional limitations, and effective interventions are needed.


OBJECTIVE
The objective of this study was to determine the effect of group reminiscence on physical function, behavioral competence, and depression among clinically depressed, institutionalized elders.


METHODS
A two-group, random-assignment quasi-experimental study was conducted in four long-term care facilities in southern Taiwan. The experimental group (n = 21) received six to eight group reminiscence sessions over 2 months compared with a routine care control group (n = 24). Outcome measurements included the Behavioral Rating Scale, Barthel's Index, and the Geriatric Depression Scale-short form.


RESULTS
Reminiscence sessions resulted in a significant 2-point decrease in the Geriatric Depression Scale-short form (p = .002) and improved behavioral competence (p = .001). No change was identified in functional ability.


CONCLUSIONS
Group reminiscence is a therapeutic intervention for depressed, institutionalized elders that can be managed by trained nursing staff. It is a cost-effective approach to improve psychosocial well-being for institutionalized older people. Additional research is needed on a larger sample across different diseases and cultural groups.
Hsu
Ya-Chuan
YC
Department of Nursing, Chang Jung Christian University, Tainan County, Taiwan, Republic of China.
Wang
Jing-Jy
JJ
D000203:Activities of Daily Living; D000223:Adaptation, Psychological; D000368:Aged; D000369:Aged, 80 and over; D044466:Asian People / Q000523:psychology*; D003866:Depressive Disorder / Q000208:ethnology* / Q000534:rehabilitation*; D005260:Female; D006707:Homes for the Aged; D006801:Humans; D008134:Long-Term Care; D008297:Male; D009735:Nursing Homes; D011615:Psychotherapy, Group / Q000379:methods*; D013624:Taiwan; D016896:Treatment Outcome