摘要
Abstract
Background The prevalence of depression is elevated in elderly patients with diabetes,underscoring the critical importance of implementing early psychological intervention to improve their clinical outcomes.However,the cognitive function level of patients may limit the implementation of these intervention methods.While prior research has predominantly focused on interventions such as cognitive behavioral therapy and interpersonal psychotherapy to mitigate the depressive symptoms in this demographic,the exploration of group reminiscence therapy as a therapeutic approach remains underrepresented in the existing literature.Objective To investigate the effect of group reminiscence therapy on depressive symptoms,cognitive function,and quality of life in elderly patients with diabetes and mild to moderate depression,so as to provide valuable insights for psychological intervention of elderly diabetic patients.Methods A randomized controlled trial was conducted to recruit 80 elderly diabetic patients with mild to moderate depression attending the endocrine clinic of Northeast International Hospital from June 2022 to December 2023.Subjects were randomly allocated to either the study group or the control group using the random number table method,with 40 cases in each group.Both groups received standard diabetes care and mental health education.Additionally,the study group participated in an 8-week group reminiscence therapy intervention,convening once weekly for 1.5 hours per session.Hamilton Depression Scale-24 item(HAMD-24),Wisconsin Card Sorting Test(WCST),Verbal Fluency Test(VFT),Stroop Color Word Test(SCWT)and Generic Quality of Life Inventory-74(GQOLI-74)were administered before and after intervention.Results After intervention,the study group exhibited a significantly lower HAMD-24 score compared with the control group(F=13.908,P<0.01).The study group also demonstrated better performance in cognitive assessments,as evidenced by increased percentages of correct responses and conceptual-level responses on the WCST,a greater number of correct words on the VFT,and a higher number of accurate responses on the SCWT,all in contrast to the control group(F=14.672,17.000,13.309,21.672,P<0.01).The study group reported superior quality of life outcomes,with higher total GQOLI-74 scores and significant improvements in the domains of physical function,social function,psychological function,and material life status compared with the control group(F=33.098,41.224,16.320,19.432,P<0.01).Conclusion Group reminiscence therapy has the potential to alleviate depressive symptoms,enhance cognitive function and improve quality of life in elderly diabetic patients with mild to moderate depression.关键词
团体回忆疗法/糖尿病/抑郁/认知功能/生活质量Key words
Group reminiscence therapy/Diabetes/Depression/Cognitive function/Quality of life分类
临床医学
