Does cognitive-behavioural therapy promote meaning making? A preliminary test in the context of geriatric depression.
OBJECTIVE
This study examined the extent to which cognitive-behavioural therapy (CBT) for geriatric depression promoted meaning made of stress.


METHODS
Fifty-one participants received CBT and were assessed at pre- and post-treatment.


METHODS
The primary outcome was the Integration of Stressful Life Experiences Scale (ISLES) and demographic factors were examined as moderators of changes over time.


RESULTS
Those with more education showed improvement in their ability to regain positive values, worldviews, and purpose in life after a stressor.


CONCLUSIONS
It appears that CBT promotes some forms of meaning made of stress for those with higher education.


CONCLUSIONS
Cognitive-behavioural therapy as it is routinely practiced may help highly educated older adults regain their Footing in the World (e.g., maintain positive values, worldviews, and purpose in life) in the aftermath of a stressful life event. Cognitive-behavioural therapy appears to offer fewer gains for less educated older adults (in terms of Footing in the World) as well as for other aspects of meaning-making, such as the ability to 'make sense' of a significant stressor. Although more empirical work is necessary, meaning-oriented interventions (e.g., 're-authoring' a fragmented self-narrative; Neimeyer, 2009, p. 97) hold promise as useful adjuncts to routine therapy that could augment outcomes.
Department of Psychology, University of Nevada, Las Vegas, Nevada, USA.
Jason M
JM
Holland
Gabriella
G
Chong
Joseph M
JM
Currier
Ruth
R
O'Hara
Dolores
D
Gallagher-Thompson
D000368:Aged; D015928:Cognitive Behavioral Therapy / Q000592:standards*; D003865:Major Depressive Disorder / Q000628:therapy*; D004522:Educational Status; D005260:Female; D006801:Humans; D008016:Life Change Events; D008297:Male; D008875:Middle Aged; D010865:Pilot Projects; D016896:Treatment Outcome
cognitive-behavioural therapy; geriatric depression; meaning making; positive psychology; treatment outcome