Background: Depression can occur in elderly, but it is not a part of normal aging. Untreated depression increases rates of completed suicide and mortality. Therefore, an effort to reduce depression level is needed. Reminiscence and psychoeducation therapy are assumed to be effective in reducing the level of depression in elderly.
Objective: To compare the effects of reminiscence therapy alone and in combination with psychoeducation therapy on depression level in elderly.
Methods: This study employed a quasi-experiment with comparison group design. Seventy-two respondents were selected in this study using a simple random sampling, which 36 were assigned in each group. Data were collected in 2018 using Geriatric Depression Scale (GDS). Dependent and Independent t-test were used for data analyses.
Results: The reminiscence therapy alone or in combination with the psychoeducation therapy were effective in reducing depression level in elderly (p<.05). The combination of reminiscence and psychoeducation therapy was much more effective than reminiscence therapy alone (p<.05).
Conclusion: These findings serve as an input for the Government of Indonesia to provide the combination of the reminiscence and psychoeducation therapy in the elderly program. This study provides a new knowledge for geriatric nurses to provide new interventions specifically to reduce depression level among elderly.
Andrén, S., & Elmståhl, S. (2007). Relationships between income, subjective health and caregiver burden in caregivers of people with dementia in group living care: A cross-sectional community-based study. International Journal of Nursing Studies, 44(3), 435-446. https://doi.org/10.1016/j.ijnurstu.2006.08.016
Atchley, R. C., & Barusch, A. S. (2004). Social forces and aging: An introduction to social gerontology. USA: Wadsworth/Thomson Learning.
Bryant, F. B., Smart, C. M., & King, S. P. (2005). Using the past to enhance the present: Boosting happiness through positive reminiscence. Journal of Happiness Studies, 6(3), 227-260. https://doi.org/10.1007/s10902-005-3889-4
Chiang, K. J., Chu, H., Chang, H. J., Chung, M. H., Chen, C. H., Chiou, H. Y., & Chou, K. R. (2010). The effects of reminiscence therapy on psychological well‐being, depression, and loneliness among the institutionalized aged. International Journal of Geriatric Psychiatry: A Journal of the Psychiatry of Late Life and Allied Sciences, 25(4), 380-388. https://doi.org/10.1002/gps.2350
Department of Health. (2019). Basic health research 2018. Jakarta: Department of Health of Indonesia.
Frazer, C. J., Christensen, H., & Griffiths, K. M. (2005). Effectiveness of treatments for depression in older people. Medical Journal of Australia, 182(12), 627-632. https://doi.org/10.5694/j.1326-5377.2005.tb06849.x
Frisch, N. C., & Frisch, L. E. (2006). Psychiatric mental health nursing. Canada: Thomson Delmar Learning.
Herr, K. A. (1998). Group work with elders: 50 therapeutic exercises for reminiscence, validation, and remotivation. The Clinical Journal of Pain, 14(2), 178. https://doi.org/10.1097/00002508-199806000-00015
Jones, E. D. (2003). Reminiscence therapy for older women with depression: Effects of nursing intervention classification in assisted-living long-term care. Journal of Gerontological Nursing, 29(7), 26-33. https://doi.org/10.3928/0098-9134-20030701-07
Kate, N., Grover, S., Kulhara, P., & Nehra, R. (2013). Relationship of caregiver burden with coping strategies, social support, psychological morbidity, and quality of life in the caregivers of schizophrenia. Asian Journal of Psychiatry, 6(5), 380-388. https://doi.org/10.1016/j.ajp.2013.03.014
Liu, M., Lambert, C. E., & Lambert, V. A. (2007). Caregiver burden and coping patterns of Chinese parents of a child with a mental illness. International Journal of Mental Health Nursing, 16(2), 86-95. https://doi.org/10.1111/j.1447-0349.2007.00451.x
McKee, K. J., Wilson, F., Chung, M. C., Hinchliff, S., Goudie, F., Elford, H., & Mitchell, C. (2005). Reminiscence, regrets and activity in older people in residential care: associations with psychological health. British Journal of Clinical Psychology, 44(4), 543-561. https://doi.org/10.1348/014466505x35290
Miller, C. A. (2004). Nursing for wellness in older adults: Theory and practice. USA: Lippincott Williams & Wilkins.
National Commission for the Protection of Older Persons. (2010). Protection for elderly in Indonesia. Paper presented at the National Congress - 4, Makassar Indonesia.
Perese, E. F., Simon, M. R., & Ryan, E. (2008). Promoting positive student clinical experiences with older adults through use of group reminiscence therapy. Journal of Gerontological Nursing, 34(12), 46-51. https://doi.org/10.3928/00989134-20081201-05
Rafiyah, I. (2011). burden on family caregivers caring for patients with schizophrenia and its related factors. Nurse Media Journal of Nursing, 1(1), 29-41. https://doi.org/10.14710/nmjn.v1i1.745
Schulenberg, S. E., & Melton, A. M. A. (2010). A confirmatory factor-analytic evaluation of the purpose in life test: Preliminary psychometric support for a replicable two-factor model. Journal of Happiness Studies, 11(1), 95-111. https://doi.org/10.1007/s10902-008-9124-3
Stinson, C. K. (2009). Structured group reminiscence: an intervention for older adults. The Journal of Continuing Education in Nursing, 40(11), 521-528. https://doi.org/10.3928/00220124-20091023-10
Syarniah, Keliat, B. A., & Hastono, S. P. (2010). Pengaruh terapi kelompok reminiscence terhadap depresi pada lansia di panti sosial tresna werdha budi sejahtera provinsi Kalimantan Selatan [The effect of reminiscence group therapy on depression in the elderly in the Tresna Werdha Budi Sejahtera Social Institution in the province of South Kalimantan]. Faculty of Nursing, Universitas Indonesia, Jakarta.
Touhy, T. A., & Jett, K. F. (2010). Ebersole and Hess' gerontological nursing & healthy aging. Philadelphia, USA: Mosby, Inc.
Wheeler, K. (2008). Psychotherapy for the advanced practice psychiatric nurse. St. Louis: Mosby, Inc.
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