نوع مقاله : مقاله پژوهشی
نویسندگان
1 کارشناسی ارشد مشاوره توانبخشی، دانشگاه پیام نور، قزوین، ایران
2 استادیار گروه روانشناسی، دانشگاه پیام نور، تهران، ایران
3 استادیار گروه روانشناسی، دانشگاه پیام نور، تهران، ایران.
چکیده
کلیدواژهها
عنوان مقاله [English]
نویسندگان [English]
Increased depression and feelings of loneliness as well as decreased social adjustment are among the most common psychological states in the elderly that may lead to several possible reactions. Therefore, this study aimed to investigate the effectiveness of life-reviewing techniques on social adjustment, coherence and integration, and loneliness in elders. The research included pre-test and post-test design with control group. The statistical population consisted all elderly women living in day care centers in Khorramabad in 2019. Purposeful sampling was performed on all statistical population individuals eligible to the study. After completing Bell's social adjustment questionnaire, Flensberg's coherence and integrity, and Dehshiri et al.'s sense of loneliness, 30 subjects with the lowest scores in each component were randomly divided into experimental and control groups (n=15). The experimental group received 6 sessions of 90-minute training with the review techniques of Haight and Webster. Finally, posttest was administered to both groups. A follow-up test was also performed on the experimental group after one month. Data were analyzed using one-way covariance analysis in SPSS software version 22. The results of data analysis showed that life review therapy was effective to reduce loneliness, social adjustment and coherence and integration in the elderly (P <0.001). Reminding the memories of past as a treatment reduced isolation and loneliness in elderly, improving their sense of independence and self-reliance increased coherence and integrity, and involved them in a process of improvement, reviewing and re-examining the hardships and shortcomings of their lives. Getting rid of rumors and resolving old conflicts leads to improved social adjustment. Since this treatment was more well-known and tangible for the elderly, it could be used as an alternative treatment or complementary therapy in elderly counseling.
References
Abazari, Z., Mirjani Aghdam, A., & Cheraghi Zanjani, A. (2015). Factors influencing the participation of students in the teaching–learning process from the perspective of faculty members. Journal of Rehabilitation, 16 (3), 262-269. [Persian]
Abdollahzadeh, H., & khabbazi, M. (2017). Effectiveness of integrative reminiscence on health anxiety, death depression and perceived stress in elderly. Quarterly Journal of Health Psychology, 6(22), 101-114. [Persian]
Abolghasemi, A., zahed, F., & narimani, M. (2009). The correlation of sense of coherence and type-D personality with health in coronary artery patients. Journal of Fundamentals of Mental Health, 11(43), 213-222. [Persian]
Alizadehfard, S. (2012). The Effect of life review group therapy on elderly with chronic pain. Salmand: Iranian Journal of Ageing, 7(2), 60-67. [Persian]
Asoodeh, M., mohsenzadeh, F., zahrakar, K. (1970). The Effectiveness of life review based group counseling on meaning in life in the elderly. Aging Psychology, 4(1), 13-26. [Persian]
Antonovsky, A. (1993). The Structure and properties of the sense of coherence scale. Social Science Medicine, 36(5), 725-733.
Ausin, B., Munoz, M., Castellanos, MA. (2017). Loneliness, sociodemographic and mental health variables in Spanish adults over 65 years old. The Spanish Journal of Psychology, 20: E46
Babaei, R., Mahdiun, H., & Nazari, A. (2015). The effect of Reminiscence on Elderly Hope. Iran Journal of Nursing, 28(93), 132-139. [Persian]
Beechem, M. H., Anthony, C., & Kurtz, J. (1998). A Life review interview guide: A structured systems approach to information gathering. The International Journal of Aging and Human Development, 46(1), 25-44.
Bell, H. M. (1962). The Adjustment inventory: Adult form. Palo Alto: Consulting Psychological Press.
Beyrami, M., Alizadeh Goradel, J., Ansarhosein, S., & Ghahraman Moharrampour, N. (2014). Comparing sleep quality and general health among the elderly living at home and at nursing home. Iranian Journal of Ageing, 8(4), 47-55. [Persian]
Barati, M., Fathi, Y., Soltanian, A.R., & Moeini, B. (2012). Mental health condition and health promoting behaviors among elders in Hamadan. Avicenna Journal of Nursing and Midwifery Care, 20 (3), 12-22. [Persian]
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.
Choobforoush, A., Mohammad Panah Ardakan, A., Behjati Ardakan, F., & Ahmadi ardakani, Z. (2018). Effectiveness of life review therapy on depression rate and life satisfaction of elderly. Aging Psychology, 4(2), 155-164. [Persian]
Chueh, K. H., & Chang, T. Y. (2014). Effectiveness of group reminiscence therapy for depressive symptoms in male enhance meaning in life for those with dementia. International Journal of Mental Health Nursing, 19(6), 394-401.
Davis, M. C. (2004). Life review therapy as an intervention to management depression and enhance life satisfaction in individuals with right hemisphere cerebral vascular accidents. Issues in Mental Health Nursing, 25(5), 503-515.
Dehghan, K., shariatmadar, A., kalantar hormozi, A. (2015). Effectiveness of life review therapy on death anxiety and life satisfaction of old women of Tehran. Counseling Culture and Psycotherapy, 6(22), 15-39. [Persian]
Dehshiri, G. R., Oorjali, A., Sheykhi, M., & Habibi Askarabad, M. (2008). Development and validation of the loneliness scale among the university students. The Journal of Psychology, 12(3), 282-296. [Persian]
Ebrahimpour, G. (2017). Comparison of satisfaction with life, social adjustment and optimism in the elderly at home and nursing homes. Aging Psychology, 3(3), 219-228. [Persian]
Elias, S. M. S., Neville, C., & Scott, T. (2015). The effectiveness of group reminiscence therapy for loneliness, anxiety and depression in older adults in long-term care: A systematic review. Geriatric Nursing, 36(5), 372-380.
Fathi – Ashtiani, A., & dastani, M. (2009). Psychological tests: personality and mental health, Tehran: besat. [Persian]
Fava, G. A., & Ruini, C. (2013). Development and characteristics of a well-being enhancing psychotherapeutic strategy: Well-being therapy. Journal of Behavior Therapy and Experimental Psychiatry, 34(1), 45–63.
Flensborg-Madsen, T., Ventegodt, S., & Merrick, J. (2006). Sense of Coherence and Physical Health. A Cross-Sectional study using a new scale (SOC II). The Scientific World Journal, 6, 2200-2211.
Ghazi Mohseni, M., Soleimanian, A. A., & Heidarnia, A. (2016). Examining the Effectiveness of Hope-Based Group Training on the Life Quality of the Elderly People. Salmand: Iranian Journal of Ageing, 11 (2), 300-309. [Persian]
Golmohammadian, M., Nazari, H., & Parvaneh, A. (2016). Effectiveness of group logo therapy on death anxiety and social adjustment of elderly men. Aging Psychology, 2(3), 175-167. [Persian]
Haber, D. (2006). Life review: Implementation, theory, research, and therapy. The International Journal of Aging and Human Development, 63(2), 153-171.
Haight, B., Michel, Y., & Hendrix, S. (2008). Life review: Preventing despair in newly relocated nursing home residents short-term and longterm effects. International Journal of Aging and Human Development. 47(2), 119–142.
Haight, B. K., & Webster, J. D. (1995). The Art and science of reminiscing: Theory, research, methods, and applications. Abingdon: Taylor & Francis.
Hemmati Alamdarlou, G., Dehshiri, G., Shojaie, S., & Hakimi Rad, E. (2008). Health and Loneliness Status of the Elderly Living in Nursing Homes versus Those Living with Their Families. Salmand: Iranian Journal of Ageing, 3(2), 557-564. [Persian]
Heravi Karimloo, M., Anoosheh, M., Foroughan, M., Sheykhi, M T., Hajizade, E., Seyed Bagher Maddah, M S., … Ahmadi, F. (2008). Loneliness from the Perspectives of Elderly People: A Phenomenological Study. Salmand: Iranian Journal of Ageing, 2(4), 410-420. [Persian]
Hirsch, C. R., & Mouratoglou, V. M. (1999). Life review of an adult with memory Difficulties. International Journal of Geriatric Psychiatry, 14(4), 261-265.
Hoseyni, M., Abdkhodai, M., & Aghamohammadian Sherbaf, H. (2017). Role of Mediating Sense of Coherence in Relationship between Duration and Number of Physical Complications of Diabetes with Mental Health in Patients with Type 2 Diabetes Mellitus. The Horizon of Medical Sciences, 23(4), 311-317. [Persian]
Hojjati, H., Koochaki, G., & Sanagoo, A. (2012). The Relationship between Loneliness and Life Satisfaction of the Elderly in Gorgan and Gonbad Cities. Journal of Research Development in Nursing and Midwifery, 9 (1), 61-68. [Persian]
Jafari, E., Hajloo, N., Faghani, R., & Khazan, K. (2012). The relationship between spiritual well-being, hardiness, and mental health in the elderly. Journal of Research in Behavioural Sciences, 10(6), 431-440. [Persian]
Karimi, M., Esmaeli, M., & Aryan, S K. (2010). The Effectiveness of Life Review Therapy on Decrease of Depression Symptoms in Elderly Women. Salmand: Iranian Journal of Ageing, 5(2), 41-45. [Persian]
kazamian, S. (2017). The effect of life review on the rate of anxiety in adolescent girls of the divorced families. Knowledge & Research in Applied Psychology, 13(47), 11-17. [Persian]
Khezri Moghadam, N., Vahidi, S., & Ashormahani, M. (2018). Efficiency of Cognitive-Existential Group Therapy on Life Expectancy and Depression of Elderly Residing in Nursing Home. Salmand: Iranian Journal of Ageing, 13(1), 62-73. [Persian]
Leibing, A., Guberman, N., & Wiles, J. (2016). Liminal homes: Older people, loss of capacities, and the present future of living spaces. Journal of Aging Studies, 37(2), 10-19.
Mackinlay, E., & Trevitt, C. (2010). Living in aged care: Using spiritual reminiscence to enhance meaning in life for those with dementia. International Journal of Mental Health Nursing, 19(6), 394‐401.
Majzoobi, M. R., Momeni, K., Amani, R., Hojjat Khah, M. (2012). The Effectiveness of structured group reminiscence on the enhancement of the elderly life quality and happiness. Developmental Psychology, 9(34), 182-202.
Mastel-Smith, B. A., McFarlane, J., Sierpina, M., Malecha, A., & Hail, B. (2007). Improving depression symptoms in community-dwelling older adults: A psychosocial intervention using life review and writing. Journal of Gerontological Nursing,33(5), 13-19.
Meléndez-Moral, J. C., Charco-Ruiz, L., Mayordomo-Rodríguez, T., & Sales-Galán, A. (2013). Effects of a reminiscence program among institutionalized elderly adults. Psicothema, 25(3), 319-323.
Mikaeili, N., Rajabi, S., & Abasi, M. (2012), A comparison of loneliness, mental health and self-efficacy of the elderly, journal of social psychology (new findings in psychology), 7(22), 73-81. [Persian]
Mikaeili, N., Einy, S., & Tagavy, R. (2017). Role of self-compassion and sense of coherence and thought action fusion in prediction of psychological well-being among post-traumatic stress disorder veterans. Iran Journal War Public Health, 9 (1), 33-39. [Persian]
Mirdrikvand, F., Panahi, H., & Hoseyni Ramaghani, N. (2016). Loneliness of the elderly: the role of communication skills, social support and functional disability. Aging Psychology, 2(2), 103-113. [Persian]
Miri, M., salehiniya, H., Tiyuri, A., bahlgerdi, M., taghizadeh, A. (2016). Prevalence of mental disorders and its related factors among elderly of Birjand. Journal of Gerontological Nursing, 2 (2), 94-103. [Persian]
Mirzaie, M., & Darabi, S. (2017). Population aging in Iran and rising health care costs. Salmand: Iranian Journal of Ageing, 12(2), 156-169. [Persian]
Moatamedy, A., Borjali, A., & Sadeqpur, M. (2018). Prediction of psychological well-being of the elderly based on the power of stress management and social support. Salmand: Iranian Journal of Ageing, 13(1), 98-109. [Persian]
Mohammadi, S., Kamali, H. (2018). The Effectiveness of Group Logo therapy on Social Adjustment, Loneliness and General Health in Elderly. Aging Psychology, 4(1), 61-72. [Persian]
Mohammadzadeh, A., Dolatshahy, B., & Mohammadkhani, P. (2011). The Effects of Integrative Reminiscence Therapy on Signs and Symptoms of Depression in the Elderly. Salmand: Iranian Journal of Ageing, 6 (1), 23-28. [Persian]
Mokhtari, F., & Ghasemi, N. (2011). Comparison of elderlys quality of life and mental health living in nursing homes and members of retiered club of Shiraz City. Iranian Journal of Ageing, 5(4), 53-63. [Persian]
Moran, P., Romaniuk, H., Coffey, C., Chanen, A., Degenhardt, L., Borschmann, R., & Patton, G. C. (2016). The influence of personality disorder on the future mental health and social adjustment of young adults: a population-based, longitudinal cohort study. The Lancet Psychiatry, 3(7), 636-645.
Neville, S., Adams, J., Montayre, J., Larmer, P., Garrett, N., Stephens, C., et al. (2018). Loneliness in men 60 years and over: The association with purpose in life. American Journal of Men's Health, 12(4), 730-739.
Ngai, F. W., & Ngu, S. F. (2013). Family sense of coherence and quality of life. Quality of Life Research, 22(8), 2031-2039.
Panayiotou, G., Panteli, M., & Theodorou, M. (2016). Predictors of Loneliness in Sample of College Men and Women in Cyprus: The Role of Anxiety and Social Skills. Psychology, Community & Health, 5(1), 16-30.
Pasha, G., Safarzadeh, S., & Meshak, R. (2007). Genaral Health and social support in two groups of elders living in nursing homes and with families. Journal of Family Research, 3(9), 503-517. [Persian]
Sabzichy, S., bahari, F., & hamidi pour, R. (2017). The effect of group forgiveness training on intimacy and feeling loneliness among the elderly in nursing homes. Positive Psychology, 3(1), 77-91. [Persian]
Sadeghiyan, F., Raei, M., Hashemi, M., Amiri, M., & Chaman, R. (2011). Elderly and health problems: A cross sectional study in the Shahroud township. Iranian Journal of Ageing, 6(2), 26-30. [Persian]
Sadri Demichi, E., Ramezani, S. (2016). Effectiveness of Existential Therapy on Loneliness and Death Anxiety in the Elderly. Aging Psychology, 2(1), 1-12. [Persian]
Sadri Damirchi, E., Ghomi, M., & Esmaeli Ghazi Valoii, F. (2017). Effectiveness of Life Review Group Therapy on Psychological Well-Being and the Life Expectancy of Elderly Women. Salmand: Iranian Journal of Ageing, 12 (3), 312-325. [Persian]
Safarinia, M., Sharifi Saki, S., & Ahmadi, H. (2017). Analyzing the effectiveness of treatment techniques of life Revision on cognitive status of retired men in Tehran. Quarterly Journal of Health Psychology, 5(20), 21-33. [Persian]
Salmabadi, M., Rajabi, M J., & Safara, M. (2018). Effectiveness of Training the Review of Life on Life Satisfaction and Sense of Coherence Middle-aged women and elderly nursing home residents in Qazvin. Salmand: Iranian Journal of Ageing, 13 (2), 198-209. [Persian]
Sarenmalm, E. K., Browall, M., Persson, L. O., Fall‐Dickson, J., & Gaston‐Johansson, F. (2013). Relationship of sense of coherence to stressful events, coping strategies, health status, and quality of life in women with breast cancer. Psycho‐ Oncology, 22(1), 20-27.
Scholes-Balog, K. E., Hemphill, S. A., EvansWhipp, T. J., Toumbourou, J. W., & Patton, G. C. (2016). Developmental trajectories of adolescent cannabis use and their relationship to young adult social and behavioral adjustment: A longitudinal study of Australian youth. AddictiveBehaviors, 53(2), 11-18.
Shamsaei, F., Cheraghi, F., Esmaeili, R., & Mohsenifard, J. (2014). Explanation of Loneliness in the Elderly and Comparison with Psychosocial Development Theory: A Quantitative Study. Journal of Education and Community Health, 1(2), 30-38. [Persian]
Shankar, A., McMunn, A., Demakakos, P., Hamer, M., & Steptoe, A. (2017). Social isolation and loneliness: Prospective associations with functional status in older adults. Health psychology, 36(2), 179-178.
Shearer, R., & Davidhizar, R. (1993). Loneliness and the spouse of the geriatric patient. Geriatric Nursing, 14(6), 307-310.
Sheibani Tazraji, F., Pakdaman, S., Dadkhah, A., Hasanzadeh Tavakoli, M R. (2010). The Effect of Music Therapy on Depression and Loneliness in Old People. Salmand: Iranian Journal of Ageing, 5 (2), 54-60. [Persian]
Sivis, R., & Demir, A. (2007). The efficacy of reminiscence therapy on the life satisfaction of Turkish older adults: A preliminary study. Turkish Journal of Geriatrics, 10(3), 131-137.
Taft, L., & Nehrke, M. (1990). Reminiscence, life review, and ego integrity in nursing home residents. International Journal of Aging and Human Development, 30(3), 189-196.
Taghadosi, M., & Fahimifar, A. (2014). Effect of life review therapy with spiritual approach on the life quality among cancer patients.Feyz Journal of Kashan University of Medical Sciences, 18 (2), 135-144. [Persian]
Taghinezhad, Z., Eghlima, M., Arshi, M., & Pourhossein Hendabad, P. (2017). Effectiveness of Social Skills Training on Social Adjustment of Elderly People. Journal of Rehabilitation, 18 (3), 230-241. [Persian]
Thorgrimsen, L., Schweitzer, P., & Orrell, M. (2002). Evaluating reminiscence for people with dementia: A pilot study. The Arts in Psychotherapy, 29(2), 93-97.
Vanderkift, G. K. (2001). Breaking bad news. American family physicin. 64, 197-198.
Van Bogaert, P., Van Grinsven, R., Tolson, D., Wouters, K., Engelborghs, S., & Van der Mussele, S. (2013). Effects of SolCos model-based individual reminiscence on older adults with mild to moderate dementia due to Alzheimer disease: A pilot study. Journal of the American Medical Directors Association, 14(7), 528.e9-13.
Watt, L., & Cappeliez, P. (2010). Integrative and instrumental reminiscence therapies for anxiety in adults: Intervention strategies and treatment effectiveness. Aging & Mental Health. 4(2), 166-183.
Weiss, J.C. (2010). A comparison of cognitive group therapy to life review group therapy with adults. [Doctoral Disertation]. Dissertation abstract, West Virginia University, Morgantown, West Virginia.
Wei, M., Russell, D. W., & Zakalik, R. A. (2005). Adult attachment, social selfefficacy, self-disclosure, loneliness, and subsequent depression for freshman college students: A longitudinal study. Journal of Counseling Psychology, 52(4), 602-614.
Wenger, G., & Burholt, V. (2004). Changes in Levels of social isolation and loneliness among older people in a rural area: a twenty-year longitudinal study. Canadian Journal of Aging, 23(2), 115-127.
Wong, N. M., Liu, H. L., Lin, C., Huang, C. M., Wai, Y. Y., Lee, S. H., & Lee, T. M. (2016). Loneliness in late-life depression: structural and functional connectivity during affective processing. Psycholgical Medicine, 46(12), 2485-2499.
Yamagami, T., Oosawa, M., Ito, S., & Yamaguchi, H. (2007). Effect of activity reminiscence therapy as brainactivating rehabilitation for elderly people with and without dementia. Psychogeriatric Journal, 7(2), 69-75.
Yazdanbakhsh, K. (2016). Effects of life review on social adjustment of retirees' elderly persons. Aging Psychology, 1(3), 179-185. [Persian]
Yazdanbakhsh, N., Younesi, S J., Aazimiyan, S., & Foroughan, M. (2016). Effects of Group Counseling Based on Logo Therapy to Decrease Loneliness in Elderly Men. Salmand: Iranian Journal of Ageing, 11 (3), 392-399. [Persian]
Yousefi, Z., Sharifi, K. H., Tagharrobi, Z., & Akbari, H. (2014). The effect of group reminiscence on happiness of the elderly, Evidence Based Care Journal, 4(3), 33-46.
Zanjiran, S., Keyani, L., Zare, M., shayeghian, Z. (2017). The Effectiveness of Group Logotherapy on the Sense of Loneliness of Elderly Women Resident in Nursing Home. Knowledge & Research in Applied Psychology, 16(3), 60-67. [Persian]
Zarghami, H., Mahmoudian, H. (2017). Children s Out-Migration and Loneliness Feeling in Rural Older Parents. Quarterly Journal of Health Psychology, 5(19), 99-116. [Persian]
Zauszniewski, J., Eggenschwiler, K., Preechawong, S., Roberts, B., & Morris, D. (2006). Effects of teaching resourcefulness skills to elders. Aging & mental health, 10(4), 404-412.
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