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Cited by 86Psychotherapy Techniques and ApplicationsDigital Mental Health InterventionsTechnology Use by Older Adults

Life-review therapy with computer supplements for depression in the elderly: A randomized controlled trial

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Preschl, Barbara, Maercker, Andreas, Wagner, Birgit, Forstmeier, Simon, Baños, Rosa M., Alcañiz, Mariano, Castilla, Diana, Botella, Cristina·2012·Aging & Mental Health
DOI 10.1080/13607863.2012.702726
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Abstract

Life-review therapy has been recognized as an effective therapeutic approach for depression in older adults. Additionally, the use of new media is becoming increasingly common in psychological interventions. The aim of this study was to investigate a life-review therapy in a face-to-face setting with additional computer use. This study explored whether a six-week life-review therapy with computer supplements from the e-mental health Butler system constitutes an effective approach to treat depression in older adults aged 65 and over. A total of 36 participants with elevated levels of depressive symptoms were randomized to a treatment group or a waiting-list control group and completed the post-assessment. Fourteen individuals in the intervention group completed the follow-up assessment. Analyses revealed significant changes from pre- to post-treatment or follow-up for depression, well-being, self-esteem, and obsessive reminiscence, but not for integrative reminiscence and life satisfaction. Depressive symptoms decreased significantly over time until the three-month follow-up in the intervention group compared to the control group (pre to post: d = 1.13; pre to follow-up: d = 1.27; and group × time effect pre to post: d = 0.72). Furthermore, the therapy led to an increase in well-being and a decrease in obsessive reminiscence among the participants in the intervention group from pre-treatment to follow-up (well-being: d = 0.70; obsessive reminiscence: d = 0.93). Analyses further revealed a significant but small group × time effect regarding self-esteem (d = 0.19). By and large, the results indicate that the life-review therapy in this combined setting could be recommended for depressive older adults.

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  • The first ehcoBUTLER functional prototype was developed following all the usability characteristics of the BUTLER system, an emotional and social platform designed for elderly people with low digital literacy skills that has proven its usability and acceptability with elderly people without cognitive impairment.

    “The prototype was developed following all the usability characteristics of the BUTLER system, an emotional and social platform designed for elderly people with low digital literacy skills that has proven its usability and acceptability with elderly people without cognitive impairment [21,46,59,65].”

    From Designing ICTs for Users with Mild Cognitive Impairment: A Usability Study (2020) · cites this paper as [21]

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Authors
Preschl, B., Maercker, A., Wagner, B., Forstmeier, S., Baños, R. M., Alcañiz, M., Castilla, D., & Botella, C.
Affiliations
  • University of Zurich (CH)
  • a Department of Psychopathology and Clinical Intervention , University of Zurich , Zurich , Switzerland
  • University Hospital Leipzig (DE)
  • Universitat de València (ES)
  • e LabHuman , Universidad Politécnica de Valencia , Valencia , Spain
  • Universitat Jaume I (ES)
Corresponding author
Preschl, Barbara
ORCID
Venue
Aging & Mental Health
Publisher
Informa UK Limited
Published
2012-07-13
Volume
16
Issue
8
Pages
964-974
ISSN
  • 1360-7863 (ISSN-L)
  • 1364-6915
DOI
10.1080/13607863.2012.702726
OpenAlex
W2144575460
Cited by
86
References
34
Citations by year
2026: 3 · 2025: 4 · 2024: 6 · 2023: 10 · 2022: 4 · 2021: 7 · 2020: 8 · 2019: 8 · 2018: 6 · 2017: 6 · 2016: 10 · 2015: 4 · 2014: 5 · 2013: 4 · 2012: 1
FWCI
5.07
Type
journal article
Language
en
Open access
Licence
public-domain
Locations
  • Aging & Mental Health (publishedVersion)
  • PubMed (publishedVersion)
  • Repositori UJI (Universitat Jaume I) (publishedVersion)
  • LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (submittedVersion, public-domain)
  • Zurich Open Repository and Archive (University of Zurich) (submittedVersion)
Funders
International Max Planck Research School for Environmental, Cellular and Molecular Microbiology
Topics
  • Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
  • Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
  • Social Sciences › Demography › Technology Use by Older Adults
Keywords
life review therapy, geriatric depression, computer-assisted therapy, e-mental health, reminiscence, self-esteem, well-being, life satisfaction, face-to-face psychotherapy
MeSH terms
Aged, Aged, 80 and over, Behavior Therapy, Computers, Depression, Female, Follow-Up Studies, Germany, Humans, Life Change Events, Male, Memory, Personal Satisfaction, Quality of Life, Surveys and Questionnaires, Self Concept, Time Factors, Treatment Outcome, Self Report

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