Cognitive Reminiscence Therapy Research Articles

Guided recall of positive autobiographical memories increases anticipated pleasure and psychological resources, and reduces depressive symptoms: a replication and extension of a randomised controlled trial of brief positive cognitive-reminiscence therapy

ABSTRACT Reminiscence-based interventions focus on recalling autobiographical memories and reflective reasoning to develop a healthy and adaptive view of oneself and one’s life. This study aimed to replicate the effects of a three-session, group-based, positive-memory version of cognitive-reminiscence therapy (CRT) on psychological resources and mental well-being and extend the findings to anticipated pleasure. The participants (N = 75, M age = 43.7 (SD = 16.7), 60% females) were randomised to CRT or control group. Anticipated pleasure, psychological resources (schemas of positive self-esteem, self-efficacy, meaning in life, optimism), mental well-being (depression, anxiety, and stress symptoms) and theorised change processes (automatic negative thoughts, awareness of narrative identity) were assessed. Relative to the control group, the CRT group reported significantly higher anticipated pleasure (d = 0.76–0.93) and psychological resources of self-esteem, self-efficacy, and optimism (d’s = 0.58–0.99) at post-CRT and follow-up, and lower depressive symptoms post-CRT and at follow-up (d = 0.56–0.67). Findings on meaning in life and negative automatic thinking were partially replicated. This study replicates findings of the effectiveness of this intervention for improving psychological resources such as self-worth, confidence and optimism and depressive symptoms, and indicates additional effects on anticipated pleasure. CRT may serve as a standalone intervention, or as an adjunct “memory booster” for interventions focused on future thinking and related anticipated reward.

Feasibility, Acceptability, and Preliminary Effectiveness of Cognitive-Reminiscence Therapy among Jordanian People with Major Depressive Disorders: A Mixed Methods Study

Depression is a major public health problem around the world. Negative automatic thoughts are cognitive errors that build in the mind, leading to depression. Cognitive-reminiscence therapy is one of the most effective psychosocial methods for managing cognitive errors. This study aimed to evaluate cognitive reminiscence therapy’s feasibility, acceptability, and preliminary effectiveness among Jordanian patients with major depressive disorder. A convergent-parallel design was employed. A convenience sampling method was used to recruit 36 participants (Site 1: n = 16, Site 2: n = 20). A total of 31 participants were included in the analysis, divided into six groups, with 5–6 participants in each group. Cognitive-reminiscence therapy included eight supported sessions of up to 2 h each, delivered over 4 wk. Recruitment, adherence, retention, and attrition rates of 80%, 86.1%, and 13.9%, respectively, indicated the feasibility of the therapy. The acceptability of therapy was reflected in the following four themes: Positive Cognitive Reminiscence Therapy Perspectives and Outcomes; Cognitive Reminiscence Therapy Sessions Challenge; Suggestions for Improving Cognitive Reminiscence Therapy Sessions; and Motivational Home Activities. A significant reduction in the mean of depressive symptoms and negative automatic thoughts and a significant increase in the self-transcendence mean demonstrated the effectiveness of the intervention. The study’s results suggest that cognitive reminiscence therapy is feasible and acceptable among patients with major depressive disorder. This therapy is a promising nursing intervention to reduce depressive symptoms and negative automatic thoughts and increase self-transcendence for those patients.

Remembering for Relationships: Brief Cognitive-Reminiscence Therapy Improves Young Adults’ Perceptions About Self and Others in Social Relationships

Reminiscence-based interventions involve the guided recall and interpretation of autobiographical memories to promote adaptive thinking. This study involved secondary analyses of a recent trial of a positively focused, group-based, three-session version of cognitive-reminiscence therapy (CRT) on perceptions of general relationship quality and interpersonally related psychological resources in young adults. A community sample ( N = 62, Mage = 24.6 ( SD = 3.1), 71% identified as cisgender women and 29% identified as cisgender men) of young adults were randomised into a CRT and wait-list condition. Participants completed assessments measuring perceived general relationship quality (relationship satisfaction, emotional intimacy, commitment, and trust) and perceptions of self and others within relationships (relationship self-esteem, relationship self-efficacy, relationship optimism and meaning in relationships). The CRT group, relative to the control group, scored significantly higher on perceived relationship quality ( d = .62), and higher on generalized relationship self-efficacy ( d = .70), relationship self-esteem ( d = .59), and relationship optimism ( d = .57) at the follow-up. Group differences for relationship meaning were not statistically significant (small to moderate). A brief, positive-focused intervention of guided recall of autobiographical memories led to more adaptive perceptions about self and others within the context of relationships in young adults. Replication studies with larger samples are needed, and outside of a pandemic lockdown context. Future research may expand CRT to target other relationship variables, assess the impacts of different doses, explore relationships in specific populations, and better understand the mechanisms for change.

Remembering for resilience: Brief cognitive-reminiscence therapy improves psychological resources and mental well-being in young adults.

Reminiscence‐based interventions focus on the recall of autobiographical memories and reflective reasoning about these remembered experiences. This study assessed the effect of a three‐session, positive‐memory version of cognitive‐reminiscence therapy (CRT) on the psychological resources and mental well‐being of young adults. The participants (N = 62, M age = 24.6 [SD = 3.1], 71% females) were randomised to CRT or wait‐list. Psychological resources (self‐esteem, self‐efficacy, meaning in life and optimism), mental well‐being (depression, anxiety and stress symptoms) and theorised change processes (automatic negative thoughts, awareness of narrative identity and cognitive reappraisal) were assessed. The results showed the CRT group was significantly higher on psychological resources at post‐CRT (d = 0.75–0.80) and follow‐up (d = 0.52–0.87) and mental well‐being at post‐intervention (d = 0.71–1.30) and follow‐up (d = 0.64–0.98). The hypotheses regarding change processes were supported. Future research may use an active comparator and include a longer follow‐up, given only short‐term effects were assessed. Brief, positive‐focused CRT is effective in increasing psychological resources and mental well‐being in young adults.

A Qualitative Study of Young Adults Experience With a Reminiscence-Based Therapy for Depressive Symptoms

Reminiscence therapy is a novel psychosocial approach to treating depressive symptoms in young adults. We present the first qualitative inquiry into young adults’ experience of reminiscence-based therapy, aimed at exploring attitudes toward this approach and their view of processes underpinning positive change. Help-seeking young adults (mean age = 20.8, SD = 1.6) with at least moderate depressive symptoms were interviewed following a course of cognitive-reminiscence therapy. The data were analyzed using thematic analysis. The intervention was reported to be a positive experience that led to positive outcomes. Change was attributed to common therapy factors and specific factors of cognitive reframing, increasing awareness of a broader life story, learning from the past to feel more confident and able to cope, and strengthened self-worth and self-acceptance. These findings provide unique insight into young adults’ experience with reminiscence-based treatment for depressive symptoms and indicate it is generally acceptable, useful, and age-appropriate for them.

Autobiographical Memory and Depression: Identity‐continuity and Problem‐solving Functions Indirectly Predict Symptoms over Time through Psychological Well‐being

SummaryThe aim of this study was to assess the longitudinal associations between adaptive autobiographical memory functions and depressive symptoms. Consistent with the proposed mechanisms of change underpinning cognitive‐reminiscence therapy (CRT), it was hypothesised that more frequent adaptive reminiscence would lead to increases in psychological resources over time and indirectly affect depressive symptoms through this pathway. A sample of 171 young adults (mean age = 25.9 years, SD = 3.5) completed measures of how frequently they utilised autobiographical memory for identity‐continuity and problem‐solving purposes, depressive symptoms and personal resources (self‐esteem, self‐efficacy, meaning in life and optimism) at two time‐points. The results of structural equation modelling supported the model of indirect influence between reminiscence functions and depression through these psychological resources. These findings clarify the effects of adaptive autobiographical memory on depressive symptoms in young adults and indicate potential benefits of interventions such as CRT. Copyright © 2015 John Wiley & Sons, Ltd.

Cognitive-reminiscence therapy and usual care for depression in young adults: study protocol for a randomized controlled trial.

BackgroundDepression is a common affliction for young adults, and is associated with a range of adverse outcomes. Cognitive-reminiscence therapy is a brief, structured intervention that has been shown to be highly effective for reducing depressive symptoms, yet to date has not been evaluated in young adult populations. Given its basis in theory-guided reminiscence-based therapy, and incorporation of effective therapeutic techniques drawn from cognitive therapy and problem-solving frameworks, it is hypothesized to be effective in treating depression in this age group.Methods and designThis article presents the design of a randomized controlled trial implemented in a community-based youth mental health service to compare cognitive-reminiscence therapy with usual care for the treatment of depressive symptoms in young adults. Participants in the cognitive-reminiscence group will receive six sessions of weekly, individual psychotherapy, whilst participants in the usual-care group will receive support from the youth mental health service according to usual procedures. A between-within repeated-measures design will be used to evaluate changes in self-reported outcome measures of depressive symptoms, psychological wellbeing and anxiety across baseline, three weeks into the intervention, post-intervention, one month post-intervention and three months post-intervention. Interviews will also be conducted with participants from the cognitive-reminiscence group to collect information about their experience receiving the intervention, and the process underlying any changes that occur.DiscussionThis study will determine whether a therapeutic approach to depression that has been shown to be effective in older adult populations is also effective for young adults. The expected outcome of this study is the validation of a brief, evidence-based, manualized treatment for young adults with depressive symptoms.Trial registrationAustralian New Zealand Clinical Trials Registry ACTRN12613000084785.

Adaptive autobiographical memory in younger and older adults: The indirect association of integrative and instrumental reminiscence with depressive symptoms

Despite the established effectiveness of reminiscence-based interventions for depression, little research exists into the pathways through which specific reminiscence functions are related to depressive symptoms. Drawing on theory of the mechanisms of change in cognitive-reminiscence therapy, the current study tests the hypothesised indirect associations of adaptive integrative and instrumental reminiscence functions with depressive symptoms and whether these relationships might differ among younger and older adults. Questionnaires were completed by a large community sample of the Australian population. Multiple mediation models were tested in two groups: younger adults (n = 730, M age = 52.24, SD=9.84) and older adults (n = 725, M age= 73.59, SD=6.29). Results were consistent across age groups, indicating that there was direct relationship between these reminiscence functions and depressive symptoms, but that integrative reminiscence is indirectly associated with depressive symptoms through meaning in life, self-esteem, and optimism, and that instrumental reminiscence is indirectly associated with depressive symptoms through primary control and self-efficacy. This study provides support for the relationships between constructs underlying the proposed mechanisms of change in cognitive-reminiscence therapy for the treatment of depression, and suggests these relationships are similar for younger and older adults.