The Effectiveness of Group Reminiscence on Psychological Hardiness and Life Expectancy of The Elderly

Document Type : Original Article

Authors

1 Department of psychology and Education, faculty of human science, Khatam University, Tehran, Iran

2 Department of counseling, faculty of human science, Islamic Azad University E-Campus, Tehran, Iran

10.22126/jap.2022.6913.1560

Abstract

The growing trend of aging phenomenon poses the need to pay attention to the issues of the elderly as a social necessity. The decrease of the life expectancy and psychological hardiness can cause difficulties in the elderly. Therefore, the aim of this study was to determine the effectiveness of group reminiscence on psychological hardiness and life expectancy of the elderly in Tehran, Iran. This was a quasi-experimental study with pretest-posttest design with a control group. The statistical papulation included all the elderly residing in nursing homes in Tehran among which Kahrizak nursing home was selected using convenience sampling method. Thirty elderly were selected according to the inclusion criteria of the study and assigned randomly into experimental (n=15) and control (n=15) groups. The experimental group received eight 2-hour weekly sessions of reminiscence intervention and the control group remained on the waiting list. Cliff’s Mental Strength and Miller's life expectancy Questionnaires were applied to collect data. The results of Univariate Covariance Analysis (ANCOVA) indicated that the reminiscence has a significant effect on psychological Hardiness and its components including challenge, life control, self-confidence, interpersonal trust (P<0.05) and has no significant effect on commitment and emotional control components (P<0.05). Moreover, the significant effect of the intervention on life expectancy was confirmed (P<0.05). The findings of this study illustrate the effectiveness of group reminiscence intervention in the elderly. Therefore, it is recommended that psychologists and therapists take advantages of this method in order to improve the psychological problems of the elderly.
References
Abdolazimi, M., & Niknam, M. (2019). The effectiveness of acceptance and commitment therapy on social support perception and body dissatisfaction in the elderly. Aging Psychology, 5(1), 13-25. [Persian]
Abdollahzadeh, H., & Khabbazi, M. (2017). Effectiveness of integrative reminiscence on health anxiety, death depression and perceived stress in elderly. Health Psychology, 6 (22), 101-114. [Persian]
Abolghasemi, Sh., Saedi, S., & Moori Najafabadi, N. (2010). Evaluation of the effectiveness of guided visualization and meaning therapy on depression, anxiety and hope in women with cancer in Ahvaz Shafa Hospital. Woman and Culture, 2(5), 31-47. [Persian]
Afshari, A., Rezai. R., & Dadras, F. (2019). The Effectiveness of structured reminiscence on anxiety and depression in the elderly. Aging Psychology, 5(3), 201-215. [Persian]
Ahsan, M., & Mohammad, A. (2017). Mental toughness as a determinant factor of performance of in table tennis. European Journal of Physical Education and Sport Science, 3(12), 194- 205.
Amani, R. (2015). The Effectiveness of structured group reminiscence on the enhancement of elderly's positive self-concept. Aging Psychology, 1(1), 1-9. [Persian]
Amani, R., Majzoobi, M., & Hadian Hamedani, K. (2019). The Construction and validation of the elderly reminiscence questionnaire. Aging Psychology, 5(4), 333-345. [Persian]
Aşiret, G. D., & Dutkun, M. (2018). The effect of reminiscence therapy on the adaptation of elderly women to old age: A randomized clinical trial. Complementary Therapies in Medicine41, 124-129.
Ataie Moghanloo, R., Ataie Mohanlal, R., Pishaei, M., & Goudarzian, M. (2016). Treatment efficacy of reminders of life with emphasis on integrative reminiscence on self-esteem and anxiety of old widowers. Journal of Sabzevar University of Medical Sciences, 23(3), 422-429. [Persian].
Ching-Teng, Y., Ya-Ping, Y., Chia-Ju, L., & Hsiu-Yueh, L. (2020). Effect of group reminiscence therapy on depression and perceived meaning of life of veterans diagnosed with dementia at veteran homes. Social Work in Health Care59(2), 75-90.
Clough, P., Earle, K., & Sewell, D. (2002). Mental toughness: The concept and its measurement. In I. Cockerill, (Ed.), Solutions in Sport Psychology (pp. 32-45). Thomson.
Cotelli, M., Manenti, R., & Zanetti, O. (2012). Reminiscence therapy in dementia: A Review. Maturitas, 72(3), 203-205.
Eskandarnejhad, M., & Ghorban Tabar Omran, H. (2012). Effect of mental toughness levels on state anxiety under stress. Journal of Applied Health Studies in Sport Physiology, 2(1), 79-87. [Persian]
Farnam, A. (2016). The Effect of positive thinking training in enhancement of quality and hope of life among the elderly. Positive Psychology Research, 2(1), 75-88. [Persian]
Florian, V., Mikulincer M., & Taubman, O. (1995). Does hardiness contribute to mental health during a stressful real-life situation? The roles of appraisal and coping. Journal of Personality and Social Psychology, 68(4), 687-695.
Ghadampour E., Roshannia S, & rezaei N. (2018). Measuring the effectiveness of group spirituality therapy on sleep quality and mental toughness in elderly subjects in khorramabad. Journal of Gerontology, 3(3), 31-39. [Persian]
Ghasemi, z., & Kajbaf, M.B. (2019). The Relationship of mindfulness, psychological hardiness and spirituality with depression in mothers. Journal of Social Behavior and Community Health, 3(1), 287-297.
Gil, I.M., dos Santos Costa, P. J., Cardoso, D. F. B., de Oliveira Parola, V. S., Bobrowicz-Campos, E. M., de Almeida, M. D. L. F., & Apóstolo, J. L. A. (2018).The effectiveness of reminiscence in cognition, depressive symptoms, and quality of life in elderly people in the community: A Systematic review. Revista de Enfermagem Referência4(19), 147-157.
Hallford, D. J., Mellor, D., & Burgat, M. E. (2018). A Qualitative study of young adult’s experience with a reminiscence-based therapy for depressive symptoms. Emerging Adulthood, 7(4), 279-290.
Hojati, H., Sharif-Nia, S., Hossein-ali Pur, S, Nik-Khah, F., & Asayesh, H. (2011). The Effect of reminiscence groups on loneliness and the need for belonging in elders. Journal of Health Care, 13 (1), 46-52. [Persian]
Hsiao, C. Y., Yeh, S. H., Wang, J. J., Fu, L. Y., Lin, I. F., & Li, I. C. (2018). The Effect of reminiscence therapy among institutionalized elders: A Randomized controlled trial. Neuropsychiatry (London), 8(3), 881-892.
Jamal,Y. (2017). Coping strategies as a mediator of mardiness and stress among rescue worker. Studies on Ethno-Medicine, 11(3), 201-208.
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]
King, K. D. (2018). Bringing creative writing instruction into reminiscence group treatment. Clinical Gerontologist, 41(5), 438-444.
Leppin A.L., Bora, P.R, Tilburt, J.C., Gionfriddo, M.R., Zeballospalacios, C., Dulohery, M.M., Sood, A., Erwin, P. Brito, J., Boehmer, K., & Montori, V. (2014). The efficacy of resiliency training programs: A Systematic review and meta-analysis of randomized trials. PLoS One, 9,1-15.
Long, K. N.G., Kim, E. S., Chen Y., Wilson, M. F., Worthington, E. L., & VanderWeele, T. J. (2020). The role of hope in subsequent health and well-being for older adults: An outcome-wide. longitudinal Approach, 2, 1-8.
Majzoobi, M. R., Momeni, KH., Amani, R., & Hojjati Khah, M. (2012). The effectivnessof structured group reminiscence on the enhancement of the elderly’s life quality and happiness. Journal of Developmental Psychology, 3(34), 189-202. [Persian]
Mardi, N., Arefi, M., Momeni, KH., & Amiri, H. (2020). The Comparison of the effectiveness of psychodrama, reminiscence and rational-emotional and behavioral treatment on death anxiety in the elderly, Aging Psychology, 6(29), 131-148. [Persian]
Miller, J. F., & Powers, M. J. (1988). Development of an instrument to measure hop. Nursing Research, 37(1), 6-10
 Musavi, M., Mohammadian, S., & Mohammadinezhad, B. (2017). The effect of group integrative reminiscence therapy on mental health among older women living in Iranian Nursing Homes. Nursing Open, 4(4), 303-309.
Naji Esfahani, F., Seirafi, M., & Kraskian, Mujembari, A. (2020). The Effectiveness of behavioral activation intervention on increasing self-care behaviors and life expectancy in the elderly. Aging Psychology, 6(2), 93-105. [Persian]
Ng, S. M., & Lee, T. M. (2020). The mediating role of hardiness in the relationship between perceived loneliness and depressive symptoms among older. Aging & mental health24(5), 805-810.
Nicholls, A. R., Perry, J. L., Jones, L., Sanctuary, C., Carson, F., & Clough, P. J. (2015). The mediating role of mental toughness in sport. The Journal of Sports Medicine and Physical Fitness, 55(7-8), 824-834.
Nooripour, R., Alikhani, M., Hosseinan, S., Sohelizadeh, S., & Mohammadyfar, M. (2016). The Effect of group reminiscence on happiness and life expectancy of elderly. Aging Psychology, 1(3), 147-156. [Persian]
Oliver, A., Tomás, J. M., & Montoro-Rodriguez, J. (2017). Dispositional hope and life satisfaction among older adults attending lifelong learning programs. Archives of Gerontology and Geriatrics, 72, 80-85.
Petersen, S. M., Zoffmann, V., Kjærgaard, J., Stensballe, L. G., & Greisen, G. (2015). Erratum to: Disappointment and adherence among parents of newborns allocated to the control group: A Qualitative study of a randomized clinical trial. Trials, 16(1), 93.
Pourabdol, S., Absasi, M., Pirani, Z., & Abbasim M. (2015). The Relationship between life expectancy and psychological well-being with quality of life in the elderly. Aging Psychology, 1(1), 57-65. [Persian]
Rahmati, F., & Naeimikia, M. (2015). The relationship between emotional intelligence and psychological hardiness in athlete and non-athlete students. Journal of Sport Management and Motor Behavior, 11(22), 141-148. [Persian]
Rita Chang, H., & Chien, H.W. (2018). Effectiveness of group reminiscence therapy for people living with dementia in a day care centers in Taiwan. Dementia, 17(7), 924-935.
Rubin, A., Parrish, D. E., & Miyawaki, C. E. (2018). Benchmarks for Evaluating Life Review and Reminiscence Therapy in Alleviating Depression among Older Adults. Social Work, 64(1), 61-72.
Safarzadeh, S. (2019). The Effectiveness of Group Reminiscence on Defeat, Gratitude and Optimism Feelings in the Elderly Women in Nursing Homes. Aging Psychology, 5(1), 27-40. [Persian]
Snyder C.R. (2002). Hope Theory: Rainbows in the Mind. Psychological Inquiry, 13(4), 249-275.
Sohrabi, M., Abedanzade, R., Shetab Boushehri, N., Parsaei S., & Jahanbakhsh, H. (2017). The Relationship between Psychological Well-being and Mental Toughness Among Elders: Mediator Role of Physical Activity. Salmand: Iranian Journal of Ageing, 11 (4), 538-549. [Persian]
Stinson, C. (2009). Structured group reminiscence: An intervention to decrease depression in older adults. Journal of Continuing Nurse Education, 40(11), 521- 528.
Tarugu, J., Pavithra, R., Vinothchandar, S., Basu, A., Chaudhuri, S., & John, K. R. (2019). Effectiveness of structured group reminiscence therapy in decreasing the feelings of loneliness, depressive symptoms and anxiety among inmates of a residential home for the elderly in Chittoor district. International Journal Of Community Medicine And Public Health, 6(2), 847-854.

Keywords


References
Abdolazimi, M., & Niknam, M. (2019). The effectiveness of acceptance and commitment therapy on social support perception and body dissatisfaction in the elderly. Aging Psychology, 5(1), 13-25. [Persian]
Abdollahzadeh, H., & Khabbazi, M. (2017). Effectiveness of integrative reminiscence on health anxiety, death depression and perceived stress in elderly. Health Psychology, 6 (22), 101-114. [Persian]
Abolghasemi, Sh., Saedi, S., & Moori Najafabadi, N. (2010). Evaluation of the effectiveness of guided visualization and meaning therapy on depression, anxiety and hope in women with cancer in Ahvaz Shafa Hospital. Woman and Culture, 2(5), 31-47. [Persian]
Afshari, A., Rezai. R., & Dadras, F. (2019). The Effectiveness of structured reminiscence on anxiety and depression in the elderly. Aging Psychology, 5(3), 201-215. [Persian]
Ahsan, M., & Mohammad, A. (2017). Mental toughness as a determinant factor of performance of in table tennis. European Journal of Physical Education and Sport Science, 3(12), 194- 205.
Amani, R. (2015). The Effectiveness of structured group reminiscence on the enhancement of elderly's positive self-concept. Aging Psychology, 1(1), 1-9. [Persian]
Amani, R., Majzoobi, M., & Hadian Hamedani, K. (2019). The Construction and validation of the elderly reminiscence questionnaire. Aging Psychology, 5(4), 333-345. [Persian]
Aşiret, G. D., & Dutkun, M. (2018). The effect of reminiscence therapy on the adaptation of elderly women to old age: A randomized clinical trial. Complementary Therapies in Medicine41, 124-129.
Ataie Moghanloo, R., Ataie Mohanlal, R., Pishaei, M., & Goudarzian, M. (2016). Treatment efficacy of reminders of life with emphasis on integrative reminiscence on self-esteem and anxiety of old widowers. Journal of Sabzevar University of Medical Sciences, 23(3), 422-429. [Persian].
Ching-Teng, Y., Ya-Ping, Y., Chia-Ju, L., & Hsiu-Yueh, L. (2020). Effect of group reminiscence therapy on depression and perceived meaning of life of veterans diagnosed with dementia at veteran homes. Social Work in Health Care59(2), 75-90.
Clough, P., Earle, K., & Sewell, D. (2002). Mental toughness: The concept and its measurement. In I. Cockerill, (Ed.), Solutions in Sport Psychology (pp. 32-45). Thomson.
Cotelli, M., Manenti, R., & Zanetti, O. (2012). Reminiscence therapy in dementia: A Review. Maturitas, 72(3), 203-205.
Eskandarnejhad, M., & Ghorban Tabar Omran, H. (2012). Effect of mental toughness levels on state anxiety under stress. Journal of Applied Health Studies in Sport Physiology, 2(1), 79-87. [Persian]
Farnam, A. (2016). The Effect of positive thinking training in enhancement of quality and hope of life among the elderly. Positive Psychology Research, 2(1), 75-88. [Persian]
Florian, V., Mikulincer M., & Taubman, O. (1995). Does hardiness contribute to mental health during a stressful real-life situation? The roles of appraisal and coping. Journal of Personality and Social Psychology, 68(4), 687-695.
Ghadampour E., Roshannia S, & rezaei N. (2018). Measuring the effectiveness of group spirituality therapy on sleep quality and mental toughness in elderly subjects in khorramabad. Journal of Gerontology, 3(3), 31-39. [Persian]
Ghasemi, z., & Kajbaf, M.B. (2019). The Relationship of mindfulness, psychological hardiness and spirituality with depression in mothers. Journal of Social Behavior and Community Health, 3(1), 287-297.
Gil, I.M., dos Santos Costa, P. J., Cardoso, D. F. B., de Oliveira Parola, V. S., Bobrowicz-Campos, E. M., de Almeida, M. D. L. F., & Apóstolo, J. L. A. (2018).The effectiveness of reminiscence in cognition, depressive symptoms, and quality of life in elderly people in the community: A Systematic review. Revista de Enfermagem Referência4(19), 147-157.
Hallford, D. J., Mellor, D., & Burgat, M. E. (2018). A Qualitative study of young adult’s experience with a reminiscence-based therapy for depressive symptoms. Emerging Adulthood, 7(4), 279-290.
Hojati, H., Sharif-Nia, S., Hossein-ali Pur, S, Nik-Khah, F., & Asayesh, H. (2011). The Effect of reminiscence groups on loneliness and the need for belonging in elders. Journal of Health Care, 13 (1), 46-52. [Persian]
Hsiao, C. Y., Yeh, S. H., Wang, J. J., Fu, L. Y., Lin, I. F., & Li, I. C. (2018). The Effect of reminiscence therapy among institutionalized elders: A Randomized controlled trial. Neuropsychiatry (London), 8(3), 881-892.
Jamal,Y. (2017). Coping strategies as a mediator of mardiness and stress among rescue worker. Studies on Ethno-Medicine, 11(3), 201-208.
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]
King, K. D. (2018). Bringing creative writing instruction into reminiscence group treatment. Clinical Gerontologist, 41(5), 438-444.
Leppin A.L., Bora, P.R, Tilburt, J.C., Gionfriddo, M.R., Zeballospalacios, C., Dulohery, M.M., Sood, A., Erwin, P. Brito, J., Boehmer, K., & Montori, V. (2014). The efficacy of resiliency training programs: A Systematic review and meta-analysis of randomized trials. PLoS One, 9,1-15.
Long, K. N.G., Kim, E. S., Chen Y., Wilson, M. F., Worthington, E. L., & VanderWeele, T. J. (2020). The role of hope in subsequent health and well-being for older adults: An outcome-wide. longitudinal Approach, 2, 1-8.
Majzoobi, M. R., Momeni, KH., Amani, R., & Hojjati Khah, M. (2012). The effectivnessof structured group reminiscence on the enhancement of the elderly’s life quality and happiness. Journal of Developmental Psychology, 3(34), 189-202. [Persian]
Mardi, N., Arefi, M., Momeni, KH., & Amiri, H. (2020). The Comparison of the effectiveness of psychodrama, reminiscence and rational-emotional and behavioral treatment on death anxiety in the elderly, Aging Psychology, 6(29), 131-148. [Persian]
Miller, J. F., & Powers, M. J. (1988). Development of an instrument to measure hop. Nursing Research, 37(1), 6-10
 Musavi, M., Mohammadian, S., & Mohammadinezhad, B. (2017). The effect of group integrative reminiscence therapy on mental health among older women living in Iranian Nursing Homes. Nursing Open, 4(4), 303-309.
Naji Esfahani, F., Seirafi, M., & Kraskian, Mujembari, A. (2020). The Effectiveness of behavioral activation intervention on increasing self-care behaviors and life expectancy in the elderly. Aging Psychology, 6(2), 93-105. [Persian]
Ng, S. M., & Lee, T. M. (2020). The mediating role of hardiness in the relationship between perceived loneliness and depressive symptoms among older. Aging & mental health24(5), 805-810.
Nicholls, A. R., Perry, J. L., Jones, L., Sanctuary, C., Carson, F., & Clough, P. J. (2015). The mediating role of mental toughness in sport. The Journal of Sports Medicine and Physical Fitness, 55(7-8), 824-834.
Nooripour, R., Alikhani, M., Hosseinan, S., Sohelizadeh, S., & Mohammadyfar, M. (2016). The Effect of group reminiscence on happiness and life expectancy of elderly. Aging Psychology, 1(3), 147-156. [Persian]
Oliver, A., Tomás, J. M., & Montoro-Rodriguez, J. (2017). Dispositional hope and life satisfaction among older adults attending lifelong learning programs. Archives of Gerontology and Geriatrics, 72, 80-85.
Petersen, S. M., Zoffmann, V., Kjærgaard, J., Stensballe, L. G., & Greisen, G. (2015). Erratum to: Disappointment and adherence among parents of newborns allocated to the control group: A Qualitative study of a randomized clinical trial. Trials, 16(1), 93.
Pourabdol, S., Absasi, M., Pirani, Z., & Abbasim M. (2015). The Relationship between life expectancy and psychological well-being with quality of life in the elderly. Aging Psychology, 1(1), 57-65. [Persian]
Rahmati, F., & Naeimikia, M. (2015). The relationship between emotional intelligence and psychological hardiness in athlete and non-athlete students. Journal of Sport Management and Motor Behavior, 11(22), 141-148. [Persian]
Rita Chang, H., & Chien, H.W. (2018). Effectiveness of group reminiscence therapy for people living with dementia in a day care centers in Taiwan. Dementia, 17(7), 924-935.
Rubin, A., Parrish, D. E., & Miyawaki, C. E. (2018). Benchmarks for Evaluating Life Review and Reminiscence Therapy in Alleviating Depression among Older Adults. Social Work, 64(1), 61-72.
Safarzadeh, S. (2019). The Effectiveness of Group Reminiscence on Defeat, Gratitude and Optimism Feelings in the Elderly Women in Nursing Homes. Aging Psychology, 5(1), 27-40. [Persian]
Snyder C.R. (2002). Hope Theory: Rainbows in the Mind. Psychological Inquiry, 13(4), 249-275.
Sohrabi, M., Abedanzade, R., Shetab Boushehri, N., Parsaei S., & Jahanbakhsh, H. (2017). The Relationship between Psychological Well-being and Mental Toughness Among Elders: Mediator Role of Physical Activity. Salmand: Iranian Journal of Ageing, 11 (4), 538-549. [Persian]
Stinson, C. (2009). Structured group reminiscence: An intervention to decrease depression in older adults. Journal of Continuing Nurse Education, 40(11), 521- 528.
Tarugu, J., Pavithra, R., Vinothchandar, S., Basu, A., Chaudhuri, S., & John, K. R. (2019). Effectiveness of structured group reminiscence therapy in decreasing the feelings of loneliness, depressive symptoms and anxiety among inmates of a residential home for the elderly in Chittoor district. International Journal Of Community Medicine And Public Health, 6(2), 847-854.