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The effects of a life review intervention on depressive symptoms and mental health in a randomized controlled trial

Lange, M. de (2011) The effects of a life review intervention on depressive symptoms and mental health in a randomized controlled trial.

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Abstract:Purpose: The purpose of this study is to assess the impact of a life review intervention on mental health, growth motivation, ego integrity and narrative foreclosure on depressive symptoms, as the primary outcome of this form of indicated prevention. Design and Methods: A randomized controlled trial was conducted with one group following the experimental life-review intervention (n=58), one group following a minimal intervention (n=58) and a third group was put on a waiting list (n=58) and started the intervention three months later. Baseline- and effect measures were conducted. Results: The experimental life-review intervention is effective in reducing depressive symptoms, but it's not more effective than the minimal intervention. Also, neither intervention group is effective in enhancing mental health. Reduction in depressive symptoms is mediated through feelings of regret, insight in the ego and being narratively foreclosed to the past. Improvement in mental health is mediated through insight in the ego and being narratively foreclosed to the future. The effects of the intervention were not moderated through growth motivation. Implications: The findings from this study show that improvement of mental health can be achieved through raising ego-integrity in life review interventions. It also shows the adverse effects of narrative foreclosure and further supports the notion that mental health is more than merely the absence of psychosocial problems (such as depression).
Item Type:Essay (Master)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:77 psychology
Programme:Psychology MSc (66604)
Link to this item:http://purl.utwente.nl/essays/61222
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