Effects of a therapy revolving around a book of positive self-defining memories on elderly women with moderate to severe depressive disorder associated to ruminations. - Archive ouverte HAL Accéder directement au contenu
Poster De Conférence Année : 2019

Effects of a therapy revolving around a book of positive self-defining memories on elderly women with moderate to severe depressive disorder associated to ruminations.

Résumé

Objectives Key to successful aging, the treatment of rumination-related depression targeting elderly subjects meets two obstacles. Firstly, the depressive symptomatology of elder patients inflates the senescent decrease in cognitive abilities (Fiske and al., 2009). This pattern bearing executive malfunctions and loses of cognitive versatility stimulates a rumination emergence while limiting the subject’s grasp on this state of mind. (Davis and Nolen-Hoeksema, 2000). Furthermore, depression causes the appearance of mood-congruent bias and overgeneral memory bias that, combined with the complexity of recovering memories due to the disease, make positive recollection much tougher (Joorman and al., 2007). However, this is the positive recollection that allows healthy subjects to repair their mood against negative affects ( Josephson and al., 1996). This study comprises the validation of the relevance of a therapeutic procedure based on the adaptation of the mood-regulation strategy from healthy subjects to elderly women suffering from depression. This adaptation is made possible by substituting self-defining memories (Blagov and Singer, 2004) to classic memories, and their consignment as materialized stock. Materials and Methods The sample, made of 14 depressed women over 65 (x̄=78,57) with no pathological cognitive troubles and showing ruminative responses, was divided in two groups according to the depressive trouble severity. (moderate or severe). After an initial evaluation of their depression (based on the Geriatric Depression Scale, Yesavage and al., 1982) and their rumination frequency (based on the Rumination Response Scale, Nolen-Hoeksema and Morrow, 1991), their took part of a two-phase protocol. The first phase, comprising three sessions of individual weekly support, allowed the subjects to create a self-defining memory book. It ended on a revaluation of their depressive state and their rumination frequency. The second phase lasted three weeks, during which the subjects used the stock autonomously, with the instructions to recollect one memory on waking and whenever they felt like they needed it. This phase ended with a third and last control of the geriatric depression and ruminative response scales. Results Results show that this protocol comes with a significant decrease in ruminations, whatever the severity. Even though the improvement of the depressive state is significant and constant for elderly women moderately depressed, it stagnates after the support phase for the severely depressed group. Two theories are considered: the necessary support by the therapist or the limit of the improvement bind to the decrease in ruminations. Conclusions This data highlights the relevance of this therapeutic method for the care of moderately depressed subjects, while further studies are necessary to adapt it to the severely depressed and to validate it on a bigger scale.
Fichier non déposé

Dates et versions

hal-04012284 , version 1 (02-03-2023)

Identifiants

Citer

Emeline Spor, Carole Lefèvre. Effects of a therapy revolving around a book of positive self-defining memories on elderly women with moderate to severe depressive disorder associated to ruminations.. Vieillissement, Tours, Contours et Perspective 2019, Sep 2019, tours, France. ⟨10.13140/RG.2.2.24599.11681⟩. ⟨hal-04012284⟩
9 Consultations
0 Téléchargements

Altmetric

Partager

Gmail Facebook X LinkedIn More