J Korean Acad Nurs.  2019 Jun;49(3):225-240. 10.4040/jkan.2019.49.3.225.

Effects of Reminiscence Therapy on Depressive Symptoms in Older Adults with Dementia: A Systematic Review and Meta-Analysis

• Kim K
• Lee J

• KMID: 2451291
• DOI: http://doi.org/10.4040/jkan.2019.49.3.225

Abstract

PURPOSE
The purpose of this study was to evaluate the effects of reminiscence therapy on depressive symptoms in older adults with dementia using a systematic review and meta-analysis.
METHODS
Randomized controlled trials (RCTs) published from January 2000 to January 2018 were searched through Research Information Sharing Service (RISS), Korean Studies Information Service System (KISS), Korean Medical Database (KMbase), KoreaMed, PubMed, Cochrane Library, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Ovid MEDLINE. Two researchers independently performed the search, selection, and coding. Comprehensive Meta-Analysis 3.0 was used for meta-analysis, and Review Manager program 5.3 was used for quality assessment.
RESULTS
Out of the 1,250 retrieved articles, 22 RCTs were selected for analysis. The overall effect size of reminiscence therapy for mitigating depressive symptoms in older adults with dementia was −0.62 (95% Cl: −0.92 to −0.31). The effect size was greater in older adults under 80, those with less disease severity, and those for whom the therapy session lasted less than 40 minutes.
CONCLUSION
Reminiscence therapy is an effective non-pharmacological therapy to improve depressive symptoms in older adults with dementia. Because its effectiveness is also influenced by age, disease severity, and application method, it is necessary to consider treatment designs based on individual characteristics as well as methodological approaches.

Keyword

Mental Recall; Depression; Dementia; Meta-Analysis

MeSH Terms

Adult*
Clinical Coding
Dementia*
Depression*
Humans
Information Dissemination
Information Services
Mental Recall
Methods
Nursing

Figure

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  Figure 1. Flow diagram of study selection.

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  Figure 2. Risk of bias and forest plot.

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  Figure 3. Funnel plot.

Reference

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