Cognitive, Affective, and Behavioral Effects of Reminiscence Group Therapy on Demented Elderly

1987 ◽  
Vol 25 (3) ◽  
pp. 209-222 ◽  
Author(s):  
A. Norman Goldwasser ◽  
Stephen M. Auerbach ◽  
Stephen W. Harkins

Twenty-seven demented elderly nursing home residents were given either reminiscence group therapy or supportive group therapy or were assigned to a no-treatment control group. The self-reported level of depression in participants given reminiscence therapy was positively affected compared to participants in the supportive therapy and control groups, but no significant effects were found for cognitive or behavioral functioning. Results are discussed in terms of the issue of the applicability of reminiscence therapy for cognitively impaired persons, the appropriateness of the measures used in this study to assess depression, cognitive ability and behavioral functioning, and in conjunction with clinical observations made during the process of therapy.


Author(s):  
Jalal K. Damrah

The aim of this study was to explore the efficacy of a Cognitive Behavioral Group Therapy (CBT) and Music Therapy (MT) on reducing Posttraumatic Stress (PTS) symptoms among a sample of refugee children. The sample consisted of 48 Syrian refugee children 10 to 12 years of age. They were distributed into 4 different groups (MT group, CBT group, MT/CBT group and control group). The children PTS Inventory was used to assess the children's PTS symptoms which contains 30 items, located into 4 different dimensions (re-experiencing the traumatic event, avoidance, hyper arousal and other psychological symptoms). The findings revealed that the MT/CBT group was more effective in reducing the PTS symptoms than the other treatment groups and control group. CBT and MT treatments were found effective in reducing the re-experience, avoidance and other psychological symptoms compared with the control group. In addition the results indicated that implementing MT alone was not effective to reduce the hyper arousal symptoms. 



Blood ◽  
1974 ◽  
Vol 44 (4) ◽  
pp. 571-581 ◽  
Author(s):  
John Milton Mishler ◽  
Daniel C. Hadlock ◽  
Ignacio E. Fortuny ◽  
Robert W. Nicora ◽  
Jeffrey J. McCullough

Abstract A total of 67 leukaphereses were performed with the continuous-flow centrifuge (CFC) on 27 healthy donors for the purpose of obtaining increased yields of granulocytes for infusion into septic patients with acute leukemia accompanied by severe granulocytopenia. The addition of hydroxyethyl starch (HES) to the input line of the CFC significantly (p < 0.005) increased the total number of leukocytes and/or granulocytes collected per donation. A mean yield of 9.72 x 109 and 4.65 x 109 total granulocytes were collected by the HES-treated and control-group donors, respectively. The efficiency of cell collection as evidenced by the total number of leukocytes and/or granulocytes harvested per liter of processed blood was also significantly (p < 0.005) improved by the addition of HES to the continuous-flow centrifuge. Significant alterations in hematologic parameters were not experienced by HES-treated donors undergoing initial and multiple procedures. Pre- and postdonation leukocyte and platelet counts, hemoglobin, prothrombin time, partial thromboplastin time, and leukocyte differential counts were no different whether or not HES was employed for granulocyte collection. The results of the present study demonstrate that increased yields of granulocytes can be harvested by the addition of HES to the continuous-flow centrifuge and made available for supportive therapy to patients experiencing granulocytopenia induced by malignant disease or its treatment.



2020 ◽  
Author(s):  
Sayumi Tsuchiya ◽  
Aya Sato ◽  
Terumi Ueda ◽  
Misako Dai ◽  
Mayumi Okuwa ◽  
...  

Abstract BackgroundElderly individuals can easily develop leg edema that can become chronic, which may result in various problems. Therefore, appropriate care for the edema should be provided. In some cases, chronic leg edema among elderly individuals cannot be controlled by the standard care such as leg elevation or compression. A previous study reported that vibration benefited upper limb lymphedema; however, its effects on chronic leg edema are not yet clarified. Therefore, this study aimed to clarify the effects of vibration for reducing chronic leg edema among chair-bound elderly individuals.MethodsFor participant allocation, a computer-generated list of random numbers was used. Nursing home residents aged ≥65 years with chronic leg edema who spent more time sitting than standing or lying during the day were randomly assigned to the intervention (n = 7) or control group (n = 7). The intervention group underwent vibration therapy three times a day for 2 weeks at 47 Hz and 1.78 m/s2 frequency and horizontal vibration acceleration, respectively. The pitting test was performed at 22 sites, and participants’ pitting scores were calculated based on the pitting depth. Pitting score changes at pre- and post-intervention were compared between the intervention and control groups. Both participants and investigators were not blinded to group assignment.ResultsThe median age of the intervention and control groups was 86 and 84 years, respectively. Participants’ characteristics and edema severity at baseline were not significantly different. The median total pitting score change in the intervention group was −0.4 (interquartile range: −5.3–1.8), which was significantly lower than that of the control group (2.0 [interquartile range: 1.0-5.3], P = 0.01). The intervention group was more likely to have controlled edema (64.3%) than the control group (21.4%) (χ2 (1) = 5.25, P = 0.02).ConclusionsThe intervention group was more likely to have controlled edema than the control group, suggesting that vibration could prevent the worsening of chronic leg edema in chair-bound elderly individuals.Trial registration: UMIN Clinical Trials Registry, UMIN000017716. Registered 1 July 2015, https://upload.umin.ac.jp/cgi-open-bin/ctr/ctr_view.cgi?recptno=R000020522



Author(s):  
Zahra Valinezhad ◽  
Seyed Mojtaba Aghili ◽  
Zahra Karami Baghteyfouni

The purpose of the present research was to study the effectiveness of choice theory group therapy by William Glasser (1998) on divorced women self-efficacy between 18 to 23 years old. The research was semi experimental type along with pretest-past test. Using self-efficacy questionnaire (SGSES), 30 women who was of low self-efficacy were chosen on simple random and were randomly divided into experimental and control groups. Experiment group received 8 sessions treatment of Choice Theory group therapy for two months while the control group did not receive any training. After receiving training, self-efficacy was measured for next time. The collected data was analyzed by SPSS v.21 and by applying multivariate analysis covariance. The results revealed self-efficacy (P<0.05) significant effect. The present investigation clarified choice theory group therapy increased divorced women self-efficacy.



2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Abbasali Sheykhi ◽  
Farshid Saeedinezhad ◽  
Zahra Raiesi ◽  
Nasrin Rezaee

Background: Death anxiety is one of the concerns of the elderly population in the late stages of life. In this context, recalling memories is one of the favorite characteristics of these people that can affect different aspects of their mental and social health. Objectives: This study aimed to determine the effect of reminiscence therapy on the death anxiety of men retried from the Islamic Republic of Iran Army living in Zahedan. Methods: A quasi-experimental study was performed on 90 retired men over 60 years of age. The subjects were recruited through convenience sampling at the Army Retirement Center in Zahedan in winter 2019. The participants were randomly divided into the intervention (n = 45) and control (n = 45) groups. In the intervention group, reminiscence therapy was carried out based on major life events twice a week for six sessions. Data were gathered again two months after the intervention. The control group did not take part in any program. Data collection tools included a demographic form and the Death Anxiety scale (Templer, 1970). The results were analyzed by SPSS-21 using descriptive and inferential statistics. The P values < 0.05 were considered statistically significant. Results: The mean scores of death anxiety were 25.37 ± 1.89 and 25.17 ± 1.61 in the intervention and control groups, respectively. After the experiment, this score was 9.09 ± 1.79 in the intervention group and 25.04 ± 1.62 in the control group. Thus, while reminiscence therapy significantly relieved death anxiety in the intervention group (P < 0.0001), the control group showed no significant difference in this respect at the end of the study (P = 0.63). Conclusions: Group reminiscence therapy can reduce the death anxiety of older adults. Since the elderly are fond of expressing their memories, and such storytelling is an attractive, simple, and inexpensive intervention, it could be used to help these people mitigate their death anxiety.



2018 ◽  
Vol 2 (2) ◽  
pp. 125
Author(s):  
Yudi Kurniawan ◽  
N. Noviza

<p><strong>Abstract: </strong>This study aims to increase resilience among survivors of violence against women through support group therapy. As resilience increases, survivors of violence against women form a powerless community of women as a vehicle for victims of violence to share experiences. This research is important because the number of violence against women shows an increasing trend from year to year. The hypothesis in this study is that there are differences in resilience of survivors of violence against women in experimental group and control group after group therapy. Subjects in this study were 10 women victims of violence aged between 35-40 years at Seruni Kota Semarang Integrated Service Center and divided into experimental groups and control groups. The measuring tool used is Modified Connor-Davidson Resilience Scale. Modules were taken from the therapy groups of Brabender, Smolar, and Fallon supporters (2004). The study used quasi experiment with non-randomized pretest-posttest control group design. Data were analyzed using different test of independent sample t-test. The result of the research shows that there is difference of resilience scores of survivors against women in experimental group and control group with p = 0,001 (p &lt;0,05). In conclusion, support group therapy is effective to increase resilience to survivors of violence against women.</p><p><strong>Abstrak:</strong> Penelitian ini bertujuan meningkatkan resiliensi pada penyintas kekerasan terhadap perempuan melalui terapi kelompok pendukung. Setelah resiliensi meningkat, penyintas kekerasan terhadap perempuan membentuk komunitas perempuan berdaya sebagai wadah korban kekerasan untuk berbagi pengalaman. Penelitian ini penting karena jumlah kekerasan terhadap perempuan menunjukkan tren peningkatan dari tahun ke tahun. Hipotesis dalam penelitian ini adalah ada perbedaan resiliensi penyintas kekerasan terhadap perempuan pada kelompok eksperimen dan kelompok kontrol setelah diberikan terapi kelompok pendukung.Subjek dalam penelitian ini adalah 10 perempuan korban kekerasan berusia antara 35-40 tahun di Pusat Pelayanan Terpadu Seruni Kota Semarang dan dibagi ke dalam kelompok eksperimen dan kelompok kontrol. Alat ukur yang digunakan adalah <em>Modified Connor-Davidson Resilience Scale</em>. Modul diambil dari terapi kelompok pendukung (Brabender, Smolar, &amp; Fallon, 2004). Penelitian menggunakan <em>quasi experiment </em>dengan <em>non randomized pretest-posttest control group design. </em>Data dianalisis menggunakan uji beda<em>independent sample t-test. </em>Hasil penelitian menunjukkan bahwa ada perbedaan skor resiliensi penyintas kekerasan terhadap perempuan kelompok eksperimen dan kelompok kontrol dengan p=0,001 (p&lt;0,05). Kesimpulannya, terapi kelompok pendukung efektif untuk meningkatkan resiliensi pada penyintas kekerasan terhadap perempuan.</p>



2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Galuh Kumalasari

PLWHA (People Living with HIV / AIDS) have a feeling of being afraid of being stigmatized and discriminatory treatment related to their illness so that they tend to hide their status from others (non self disclosure), and trigger mental emotional disorders. Factors that are very influential on Self Disclosure of PLWHA are social support, then Group Supportive Therapy can be applied as a solution to this problem. The purpose of this study was to analyze the effect of Supportive Group Therapy on PLWHA self disclosure in area of Turen Health Center in Malang Regency. The design of this study was Quasi experimental a pretest-posttest approach with control group. Involving 24 PLWHA in Turen District Malang Regency as a treatment group and PLWHA in Kepanjen District as a control group. The treatment group was given supportive therapy covering 4 sessions. Measurement of self-disclosure PLWHA by using the instrument Revised Self Disclosure Scale (RSDS). The results of this study showed that in both groups treatment and control groups there were significant differences in the value of self-disclosure before and after the treatments were analyzed using the Wilcoxon test. In the treatment group, p value = 0.001 (<0.05) and in the control group p value = 0.014 (<0.05). The results of the analysis of differences in self disclosure before and after treatment between the treatment group and the control group used Mann Whitney test showed that the results were p = 0.001 (<0.05). This can be interpreted that there were a significant effect of the application of supportive group therapy on Self Disclosure. Supportive group therapy was an effective for increasing self-disclosure of PLWHA so that the risk of mental emotional disorders can be minimized. Keywords : Self Disclosure, Group Supportive Therapy, PLWHA Abstrak : ODHA(Orang dengan penyakit HIV/AIDS) memiliki perasaan takut mendapat stigma dan perlakuan diskriminatif terkait penyakitnya sehingga cenderung menyembunyikan statusnya dari orang lain,sehingga dapat memicu munculnya gangguan mental emosional. Faktor yang sangat berpengaruh terhadap keterbukaan diri ODHA yaitu dukungan sosial, maka Terapi Supportif Kelompok dapat diaplikasikan sebagai solusi dari permasalahan ini.Tujuan penelitian ini untuk menganalisis pengaruh Terapi Supportif Kelompok terhadap keterbukaan diri ODHA di wilayah kerja Puskesmas Turen Kabupaten Malang. Desain penelitian ini adalah Quasi eksperimental dengan pendekatan pretest–posttest with control group. Melibatkan 24 ODHA di Kecamatan Turen Kabupaten Malang sebagai kelompok perlakuan dan 20 ODHA di Kecamatan Kepanjen sebagai kelompok kontrol. Kelompok perlakuan diberi terapi supportif meliputi 4 sesi. Pengukuran keterbukaan diri ODHAdengan menggunakan instrument Revised Self Disclosre Scale (RSDS). Hasil penelitian ini menunjukkan baik di kelompok perlakuan maupun kontrol terdapat perbedaan yang bermakna dari nilai keterbukaan diri sebelum dan setelah diberikan perlakuan yang dianalisis menggunakan uji Wilcoxon. Pada kelompok perlakuan didapatkan nilai p=0,001 (<0,05) dan pada kelompok kontrol didapatkan nilai p=0,014 (<0,05). Meskipun keduanya sama-sama mengalami kenaikan, namun selisih pada nilai kelompok perlakuan menunjukkan nilai yang lebih besar dari kelompok kontrol. Dibuktikan dengan uji analisis uji Mann Whitney didapatkan hasil yaitu p=0,001 (<0,05). Kesimpulan pada penelitian ini membuktikan bahwa penerapan terapi supportif kelompok efektif dalam meningkatkan keterbukaan diri ODHA sehingga risiko gangguan mental emosional dapat diminimalkan. Kata kunci : Keterbukaan diri, Terapi Supportif Kelompok, ODHA



2015 ◽  
Vol 8 (3) ◽  
pp. 230 ◽  
Author(s):  
Najmeh Abedi Shargh ◽  
Nour Mohammad Bakhshani ◽  
Mohammad Davoud Mohebbi ◽  
Khadije Mahmudian ◽  
Masood Ahovan ◽  
...  

<p>Infertility affects around 80 million people around the world and it has been estimated that psychological problems in infertile couples is within the range of 25-60%. The purpose of this study was to determine the effectiveness of Mindfulness-based cognitive group therapy on consciousness regarding marital satisfaction and general health in woman with infertility. Recent work is a clinical trial with a pre/posttest plan for control group. Covering 60 women who were selected by in access method and arranged randomly in interference (30) and control (30) groups. Before and after implementation of independent variable, all subjects were measured in both groups using Enrich questionnaire and marital satisfaction questionnaire. Results of covariance analysis of posttest, after controlling the scores of pretest illustrated the meaningful difference of marital satisfaction and mental health scores in interference and control groups after treatment and the fact that MBCT treatment in infertile women revealed that this method has an appropriate contribution to improvement of marital satisfaction and mental health. Necessary trainings for infertile people through consultation services can improve their mental health and marital satisfaction and significantly help reducing infertile couples’ problems.</p>



2021 ◽  
Vol 13 (1) ◽  
Author(s):  
Etienne Bourdon ◽  
Joël Belmin

Abstract Background Dementia is a major issue worldwide, and considerable efforts were made to design therapeutic mediation tools and evaluate their benefits on the health of patients. Methods Design: Multi-center cluster-controlled pilot trial. Settings and participants: Four nursing homes that offered separated access to one conventional sensory garden (CSG) and one enriched garden (EG). The participants were residents with dementia, independent for walking and with no severe dementia or behavioural troubles. Eligible residents were divided into three groups according to the proximity of their room: close to the CSG or EG gardens for the first two groups and further from the gardens for the third (control) group. Interventions: We asked staff members to frequently invite residents to visit the EG or the CSG depending on their group allocation. No invitation to gardens was made to the control group. We installed 12 enrichment modules in the EG that stimulated cognitive, independence and walking/balance functions. Measures: Cognitive function (MMSE), independence for activities of daily living (ADL) and risk of falls (unipodal stance and timed up and go – (TUG)) were assessed at baseline and after 6 months. Results The 120 participants were 81·0 ± 3·5 years old and comprised of 83 women. Their MMSE score was 17·5 ± 2·9. Patients’ characteristics were not significantly different between the three groups. Among the participants invited to visit the EG group, 6-month changes in MMSE showed improvement compared to other groups (+ 0·93 ± 0·65 vs −0·25 ± 0·71 and −0·24 ± 0·73 in the EG vs CSG and control groups, respectively, P < 0·0001). Changes in ADL, TUG and unipodal stance were significantly improved in the group visiting the EG as compared to other groups, which indicates better functioning. Conclusions EGs offer a new approach to therapeutic mediation for residents of nursing homes with dementia.



2018 ◽  
Vol 19 (2) ◽  
pp. 329
Author(s):  
Yudi Kurniawan ◽  
Anna Dian Savitri

This study aims to measure the decline in depressive symptoms experienced by refugee immigrants through group therapy. Group therapy is used as an intervention to reduce symptoms of depression. The hypothesis was that there was a difference in depressive symptoms score between the experimental and the control group of the immigrant refugee after being given group therapy. This research uses non randomized pretest-posttest control group design. The subjects of the study were 10 immigrants of 30-40-year-old female refugees, divided into experimental and control groups. Non-parametric statistical analysis Mann-Whitney U showed no difference in depressive symptoms score between refugee immigrants experimental group and control group, p = 0,009 (p &lt;0,05). Qualitative analysis shows there is a change of emotional expression on immigrant refugees in the experimental group. The results of this study are important as a study to understand the dynamics of urban clinical psychological problems, particularly those associated with refugee immigrants



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