Objectives: This study integrated results from controlled trials of reminiscence interventions. Methods: Meta-analysis was used to aggregate results from 128 studies on nine outcome variables. Results: Compared to non-specific changes in control-group members, moderate improvements were observed at posttest with regard to ego-integrity (g = 0.64) and depression (g = 0.57 standard deviation units). Small effects were found on purpose in life (g = 0.48), death preparation (g = 0.40), mastery (g = 0.40), mental health symptoms (g = 0.33), positive well-being (g = 0.33), social integration (g = 0.31), and cognitive performance (g = 0.24). Most effects were maintained at follow-up. We observed larger improvements of depressive symptoms in depressed individuals (g = 1.09) and persons with chronic physical disease (g = 0.94) than in other individuals, and in those receiving life-review therapy (g = 1.28) rather than life-review or simple reminiscence. Moderating effects of the control condition were also detected. Conclusions: Reminiscence interventions affect a broad range of outcomes, and therapeutic as well as preventive effects are similar to those observed in other frequently used interventions. Accepted by Aging & Mental Health Vol. 16, No. 5, July 2012, 541-558 2
Effects of Reminiscence Interventions on Psychosocial Outcomes: A Meta-Analysis
Aging and Mental Health AbstractObjectives: This study integrated results from controlled trials of reminiscence interventions.Methods: Meta-analysis was used to aggregate results from 128 studies on 9 outcome variables. Results: Compared to non-specific changes in control-group members, moderate improvements were observed at posttest with regard to ego-integrity (g=.64) and depression (g=.57 standard deviation units). Small effects were found on purpose in life (g=.48), death preparation (g=.40), mastery (g=.40), mental health symptoms (g=.33), positive well-being (g=.33), social integration (g=.31), and cognitive performance (g=.24). Most effects were maintained at follow-up. We observed larger improvements of depressive symptoms in depressed individuals (g=1.09) and persons with chronic physical disease (g=.94) than in other individuals, and in those receiving life-review therapy (g=1.28) rather than life-review or simple reminiscence. Moderating effects of the control condition were also detected.Conclusions: Reminiscence interventions affect a broad range of outcomes, and therapeutic as well as preventive effects are similar to those observed in other frequently used interventions.