Comparing the Effectiveness of Reality Therapy and Structured Reminiscing on Attitude to Life and Spiritual Well-being of the older people

Document Type : Original Article

Authors

1 PhD Student, Counseling Department, Roudehen Branch, Islamic Azad University, Roudehen, Iran

2 Associate Professor, Counseling Department, Roudehen Branch, Islamic Azad University, Roudehen, Iran

10.22126/jap.2026.13464.1901

Abstract

Background: This study compared the effectiveness of reality therapy and structured reminiscence therapy on the attitude toward life and spiritual well-being of the elderly.

Method: This quasi-experimental study included a pretest-posttest control group design. Thirty-six elderly women (aged 65–70) were randomly assigned to three groups: reality therapy, structured reminiscence therapy, and a control group. Interventions were conducted in eight 45-minute weekly sessions. Data were collected using the Life Attitude Profile and Spiritual Well-Being Scale at pretest, posttest, and a three-month follow-up. Data were analyzed using repeated measures ANCOVA.

Results: Results indicated that structured reminiscence therapy was more effective than reality therapy in enhancing spiritual well-being. However, no significant difference was observed between the two interventions regarding their impact on the elderly's attitude toward life.

Conclusion: Both reality therapy and structured reminiscence therapy are valuable interventions for effectively addressing the psychological and spiritual concerns of the elderly.

Keywords Reality Therapy, Structured Reminiscing, Attitude to Life, Spiritual Well-being, Elderly

Main Subjects