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The Efficacy of Life-Review as Online-Guided Self-help for Adults: A Randomized Trial.
- Source :
-
Journals of Gerontology Series B: Psychological Sciences & Social Sciences . Jan2015, Vol. 70 Issue 1, p24-34. 11p. - Publication Year :
- 2015
-
Abstract
- Objectives. The study used a randomized controlled trial to investigate the short-term and long-term effects of life-review as online-guided self-help in adults (40+) with moderate depressive symptomatology. We evaluated ego-integrity and rumination as mediators and assessed whether the effects of the intervention did not differ across middle-aged and older adults. Method. Effects of life-review (n = 58) were compared with a waiting list group (n = 58) and an expressive writing intervention (n = 58) on depressive symptoms (primary outcome), anxiety, and well-being (secondary outcomes). Mediator and moderator analyses were also applied. Results. Compared with the waiting list, life-review reduced depressive symptoms (d = 0.35) and enhanced emotional (d = 0.16) and psychological well-being (d = 0.27). Life-review was not more effective than expressive writing. The effects on depressive symptoms were partly related with increases in ego-integrity and decreases in rumination. The intervention is applicable for middle-aged and older adults. Conclusion. Life-review is effective as self-help for middle-aged and older adults with moderate depressive symptomatology compared with a waiting list group. Future research should investigate whether stimulating ego-integrity and reducing rumination enhance the effects of the intervention. [ABSTRACT FROM PUBLISHER]
- Subjects :
- *MENTAL depression
*THERAPEUTICS
*PATIENT satisfaction
*ANALYSIS of variance
*CHI-squared test
*INTERVIEWING
*PATIENT compliance
*PROBABILITY theory
*PSYCHOLOGICAL tests
*QUESTIONNAIRES
*REMINISCENCE
*HEALTH self-care
*STATISTICAL hypothesis testing
*STATISTICS
*DATA analysis
*RANDOMIZED controlled trials
*TREATMENT effectiveness
*HUMAN research subjects
*DATA analysis software
*DESCRIPTIVE statistics
*EVALUATION
Subjects
Details
- Language :
- English
- ISSN :
- 10795014
- Volume :
- 70
- Issue :
- 1
- Database :
- Academic Search Index
- Journal :
- Journals of Gerontology Series B: Psychological Sciences & Social Sciences
- Publication Type :
- Academic Journal
- Accession number :
- 101035059
- Full Text :
- https://doi.org/10.1093/geronb/gbu030