The Effectiveness of Solution-Focused Approach on Increasing Social Adjustment and Reducing Clinical Depression in Elderly Women of Kermanshah

Document Type : Original Article

Authors

1 Dept. of counseling and guidance, Faculty of Educational Sciences and Psychology, Al-Zahra University, Tehran, Iran

2 Dept. of Family Counseling, Faculty of Educational Sciences and Psychology, Kharazmi University, Tehran, Iran

3 Dept. of Psychology, Faculty of Humanities, Arak University, Arak, Iran

10.22126/jap.2023.9083.1704

Abstract

Elderly is one of the most important periods of human life, which requires a lot of attention to avoid any mental and psychological disorders and challenges‌‌‌. Two important challenges in this period are the lack of social adjustment and the increase of depression‌‌‌. Therefore, the aim of this research was to investigate the effectiveness of solution-focused therapy (SFT) on increasing social adjustment and reducing clinical depression in elderly women living in Kermanshah, Iran in 2020-2021‌‌‌. It was a quasi-experimental study with a pretest-posttest design with a control group and follow-up (two months after the post-test). The statistical population included all elderly women‌‌‌‌ (60 years and older) in Kermanshah with clinical depression and social maladjustment in 2020-2021‌‌‌. The sampling method was convenience Sampling. Therefore, according to Kresji and Morgan’s table, 381 people were selected. Participants filled out Bell’s social adjustment and Yesavage et al.’s elderly depression questionnaires. The final sample consisted of 30 people selected based on the inclusion criteria of the study and randomly assigned into experimental and control groups in the same ratio‌‌‌. The experimental group underwent 8 sessions of SFT twice a week, and the control group did not receive any intervention in the same time‌‌‌. Finally, the data were analyzed at two levels of descriptive statistics (mean and standard deviation) and inferential statistics (univariate covariance analysis) using SPSS-26 software‌‌‌. The results illustrated that the SFT in the post-test and follow-up phase compared to the pre-test‌‌‌‌ was effective in increasing the social adjustment and reducing the clinical depression of the elderly (P<0‌‌‌.01)‌‌‌. The results indicate that the use of SFT seems to be an efficient and practical method to improve social adjustment and reduce clinical depression in the elderly women, and the use of this method is recommended in other mental disorders of the elderly women‌‌‌.
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Keywords

Main Subjects


Abbasi, A‌‌‌., Mohammadi, M‌‌‌., Zahrakar, K‌‌‌., Davarniya, R‌‌‌., & Babaeigarmkhani, M‌‌‌. (2017)‌‌‌. Effectiveness of Solution- Focused Brief Therapy (SFBT) on Reducing Depression and Increasing Marital Satisfaction in Married Women‌‌‌. Iran Journal of Nursing, 30‌‌‌‌ (105), 34-46‌‌‌. https://ijn‌‌‌. iums‌‌‌. ac‌‌‌. ir/article-1-2420-fa‌‌‌. html sian]
Afshari, A‌‌‌., Rezai, R‌‌‌., & Dadras, F‌‌‌. (2019)‌‌‌. The Effectiveness of Structured Reminiscence on Anxiety and Depression in the Elderly‌‌‌. Aging Psychology5‌‌‌‌ (3), 201-215‌‌‌. https://doi: 10‌‌‌. 22126/jap‌‌‌. 2019‌‌‌. 4704‌‌‌. 1368 [Persian]
Ahmadpour, R‌‌‌., & torkan, H‌‌‌. (2022)‌‌‌. The prediction of rumination and worry based on the ability to control thought and cognitive behavioral avoidance in students’ university with clinical depression‌‌‌. Knowledge & Research in Applied Psychology23‌‌‌‌ (2), 158-168‌‌‌. https://doi: 10‌‌‌. 30486/jsrp‌‌‌. 2020‌‌‌. 564023‌‌‌. 1259 [Persian]
Archuleta, KL‌‌‌., Burr, EA‌‌‌., Carlson, MB‌‌‌., Ingram, J‌‌‌., Kruger, L‌‌‌. I‌‌‌., Grable, J‌‌‌., & Ford, M‌‌‌. (2015)‌‌‌. Solution – Focused Financial Therapy: A Brief Report of a pilot study‌‌‌. Journal of Financial Therap, 6 (1), 1-16‌‌‌. https://doi‌‌‌. org/10‌‌‌. 4148/1944-9771‌‌‌. 1081
Asano, K‌‌‌., & Shimizu, E‌‌‌. (2018)‌‌‌. A case report of Compassion Focused Therapy for a Japanese patient with recurrent depressive disorder: the importance of layered processes in‌‌‌. Case Reports in Psychiatry, 10 (1), 9-19‌‌‌. https://doi‌‌‌. org/10‌‌‌. 1155/2018/4165434
Asiachi, N‌‌‌., Sanatkaran, A‌‌‌., & Bahari, S‌‌‌. M‌‌‌. (2017)‌‌‌. The Effectiveness of Yoga on the Adjustment of Elderly Men and Women‌‌‌. Aging Psychology2‌‌‌‌ (4), 261-270‌‌‌. https://jap‌‌‌. razi‌‌‌. ac‌‌‌. ir/article_647_en‌‌‌. html?lang=fa [Persian]
Ayar, D‌‌‌., & Sabanciogullari, S‌‌‌. (2021)‌‌‌. The effect of a solution‐oriented approach in depressive patients on social functioning levels and suicide probability, Perspectives in Psychiatric Care, 57‌‌‌‌ (1), 235–245‌‌‌. https://doi‌‌‌. org/10‌‌‌. 1111/ppc‌‌‌. 12554
Bell, H‌‌‌. M‌‌‌. (1962)‌‌‌. Adjustment Inventory Manual‌‌‌. Palo Alto, Calif: Consulting Psychologists 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. Salmand: Iranian Journal of Ageing, 8‌‌‌‌ (4) :47-55‌‌‌. https://salmandj‌‌‌. uswr‌‌‌. ac‌‌‌. ir/article-1-525-fa‌‌‌. html [Persian]
Bliss, E‌‌‌. V‌‌‌., & Bray, D‌‌‌. (2009)‌‌‌. The smallest solution focused particles: Towards a minimalist definition of when therapy is solution focused‌‌‌. Journal of Systemic Therapies, 28‌‌‌‌ (2), 62-74‌‌‌. https://doi‌‌‌. org/10‌‌‌. 1521/jsyt‌‌‌. 2009‌‌‌. 28‌‌‌. 2‌‌‌. 62
Cheraghi, F‌‌‌., & NematTavousi, M‌‌‌. (2020)‌‌‌. The Effectiveness of Psychodrama on Social Adjustment and Subjective Well-being in the Elderly‌‌‌. Aging Psychology6‌‌‌‌ (2), 149-163‌‌‌. https://doi‌‌‌. org/10‌‌‌. 22126/jap‌‌‌. 2020‌‌‌. 5448‌‌‌. 1432 [Persian]
Connie, E‌‌‌., & Metcalf, L‌‌‌. (2018)‌‌‌. The Art of Solution Focused Therapy‌‌‌. (Translated by Fatemeh Seifallahi Nasrabadi; Mirsaeed Jafari; & Ahmadreza Salamati)‌‌‌. Tehran: Akademic‌‌‌. (Original publication year, 2009)
DeJong, P‌‌‌., & Berg, I‌‌‌. K‌‌‌. (2012)‌‌‌. Interviewing for solutions, Nelson Education‌‌‌.
Ebrahimpour, G‌‌‌. (2017)‌‌‌. Comparison of satisfaction with life, Social Adjustment and Optimism in the Elderly at Home and Nursing Homes‌‌‌. Aging Psychology3‌‌‌‌ (3), 219-228‌‌‌. https://jap‌‌‌. razi‌‌‌. ac‌‌‌. ir/article_830‌‌‌. html[Persian]
Esmaeilpour Dilmaghani, R‌‌‌., Panahali, A‌‌‌., Aghdasi, A‌‌‌. N‌‌‌., & Khademi, A‌‌‌. (2022)‌‌‌. The Comparison of the Effectiveness of Group-Based Logotherapy and Solution-Oriented Therapy on Death Anxiety and Feeling of Loneliness in Elderly women with Fear of Coronavirus‌‌‌. Aging Psychology8‌‌‌‌ (3), 249-235‌‌‌. https://doi‌‌‌. org/10‌‌‌. 22126/jap‌‌‌. 2022‌‌‌. 8172‌‌‌. 1645 [Persian]
Farokhzadian, A‌‌‌. A‌‌‌., & Mirderekvand, F‌‌‌. (2018)‌‌‌. The Effectiveness of Self-Compassion Focused Therapy on Increase of Psychological Well-Being and Reduction of Depression in the Elderly‌‌‌. Aging Psychology3‌‌‌‌ (4), 293-302‌‌‌. https://jap‌‌‌. razi‌‌‌. ac‌‌‌. ir/article_903_en‌‌‌. html[Persian]
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