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Chapter 12 - Individual versus Group Psychotherapy

from Part 3 - Special Topics in Psychotherapy in Later Life

Published online by Cambridge University Press:  09 January 2020

By
Paroma Mitra
Edited by
Rajesh R. Tampi ,
Brandon Yarns ,
Kristina F. Zdanys  and
Deena J. Tampi
Rajesh R. Tampi
Affiliation:
Case Western Reserve University, Ohio
Brandon Yarns
Affiliation:
VA Greater Los Angeles Healthcare System
Kristina F. Zdanys
Affiliation:
University of Connecticut
Deena J. Tampi
Affiliation:
Diamond Healthcare Corporation
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Summary

Most forms of psychotherapy in older adults involve individual therapy. A few randomized controlled trials (RCTs) have examined the role of group therapy in older adults, mainly outside the United States. The most studied forms of group therapy in older adults include group cognitive behavioral therapy (CBT) and group reminiscence therapy (RT) for treatment of depressive and anxiety symptoms. Fewer studies have focused on group therapy in the context of cognitive decline. This chapter will describe group therapy in older adults, including indications and evidence from RCTs supporting different approaches.

Keywords

group therapyolder adultscognitive behavioralreminiscence
Type
Chapter
Information
Psychotherapy in Later Life , pp. 167 - 173
Publisher: Cambridge University Press
Print publication year: 2020

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References

U.S. Census Bureau. National population projections: summary tables. US Census Website; 2014. Retrieved from: www.census.gov/population/projections/data/national/2014/summarytables.htmlGoogle Scholar
Copeland, JR, Beekman, AT, Braam, AW, et al. Depression among older people in Europe: the EURODEP studies. World Psychiatry. 2004;3:45–49.Google Scholar
Alexopoulos, GS. Depression in the elderly. Lancet. 2005;365 (9475):1961–1970.Google Scholar
Reynold, K, Pietrzak, RH, El-Gabalawy, R, et al. Prevalence of psychiatric disorders in U.S. older adults: findings from a nationally representative survey. World Psychiatry. 2015;14(1):74–81.Google Scholar
Hurd, MD, Martorell, P, Delavande, A, et al. Monetary costs of dementia in the United States. N Engl J Med. 2013;368:1326–1334.Google Scholar
Huang, AX, Delucchi, K, Dunn, LB, et al. A systematic review and meta-analysis of psychotherapy for late-life depression. Am J Geriatric Psychiatry. 2015;23(3):261–273.Google Scholar
Tavares, LR, Barbosa, MR. Efficacy of group psychotherapy for geriatric depression: a systemic review. Arch Gerontol Geriatric. 2018;78 :71–80.Google Scholar
Arean, PA, Smoski, MJ. Individual and group therapy. In: Steffens, DC, Blazer, DG, Thakur, ME, editors. The American psychiatric publishing textbook of geriatric psychiatry. Fifth ed. Washington, DC: American Psychiatric Publishing; 2015.Google Scholar
Brabender, V, Fallon, AE, Smolar, AI. Essentials of group therapy. Hoboken, NY: John Wiley & Sons; 1998. Chapter 1: Introduction to group therapy.Google Scholar
Brown, JS, Sellwood, K, Beecham, JK, et al. Outcome, costs and patient engagement for group and individual CBT for depression: a naturalistic clinical study. Behav Cogn Psychotherapy. 2011;39(3):355–358.CrossRefGoogle Scholar
Bland, P. Group CBT is a cost-effective option for persistent back pain. Practitioner. 2010;254(1728):7.Google Scholar
Thompson, L, Powers, D, Coon, D, et al. Psychotherapy with older people. In: Older adults. Cognitive behavioral group therapy: for specific problems and populations; 2000.Google Scholar
McLaughlin, DP, McFarland, K. A randomized trial of a group based cognitive behavior therapy program for older adults with epilepsy: the impact on seizure frequency, depression and psychosocial well-being. J Behav Med. 2011;34(3):201–207.CrossRefGoogle ScholarPubMed
Dick, LP, Gallagher-Thompson, D, Coon, DW, et al. Cognitive-behavioral therapy for late-life depression: a client manual. Palo Alto, CA: Veterans Affairs Palo Alto Health Care System; 1996.Google Scholar
Areán, PA. Cognitive behavioral therapy with older adults. The Behavior Therapist. 1993;16(9):236–239.Google Scholar
Chen, H, Yang, Z. Group cognitive behavioral therapy targeting intolerance of uncertainty: a randomized trial for older Chinese adults with generalized anxiety disorder. Aging Ment Health. 2017;21(12):1294–1302.Google Scholar
Wuthrich, VM, Rapee, R, Kangas, M, et al. Randomized controlled trial of group cognitive behavioral therapy compared to a discussion group for co- morbid anxiety and depression in older adults. Psychol Med. 2016;46:785–795.Google Scholar
Jonsson, U, Bertilsson, G, Allerd, P, et al. Psychological treatment of depression in people aged 65 years and over: a systematic review of efficacy, safety, and cost-effectiveness. PLoS ONE. 2016;11(8).Google Scholar
Simon, SS, Cordas, TA, Bottino, CM. Cognitive behavioral therapies in older adults with depression and cognitive deficits: a systematic review. Int J Geriatr Psychiatry. 2015;30:223–233.CrossRefGoogle ScholarPubMed
García-Peña, C, Vázquez-Estupiñan, F, Avalos-Pérez, F,et al. Clinical effectiveness of group cognitive behavioral therapy for depressed older people in primary care: a randomized controlled trial. Salud Mental. 2015;38(1):33–39.CrossRefGoogle Scholar
Beck, AT, Ward, CH, Mendelson, M., et al. An inventory for measuring depression. Arch Gen Psychiatry. 1961;4:561–571.Google Scholar
Brink, TL, Yesavage, JA, Lum, O, et al. Screening tests for geriatric depression. Clin Gerontol. 1982;1:7–43.Google Scholar
Rider, KL, Thompson, L, Gallagher-Thompson, D. California older persons pleasant events scale: a tool to help older adults increase positive experiences. COPPES – Clin Gerontol. 2016;39(1):64–83.Google Scholar
Kronke, K, Williams, J, Spitzer, RL. The PHQ-9 validity of a brief depression severity measure. J Gen Intern Med. 2001;16(9):606–613.Google Scholar
Nahum, M, Van Vleet, TM, Sohal, VS. Immediate mood scaler: tracking symptoms of depression and anxiety using a novel mobile mood scale. JMIR Mhealth & Uhealth. 2017;5 (4):e44.Google Scholar
Beck, JS. Cognitive behavior therapy: Basics and beyond. 2nd ed. New York: Guilford Press; 2011.Google Scholar
Bender, M, Bauckham, P, Norris, A. The therapeutic purposes of reminiscence. London: Sage; 1998.Google Scholar
Cotelli, M, Manenti, R, Zanetti, O. Reminiscence therapy in dementia: a review. Maturitas. 2012;72(3):203–205.Google Scholar
Pinquart, M, Forstmeier, S. Effects of reminiscence interventions on psychosocial outcomes: a meta‐analysis. Aging Ment Health. 2012;16(5):541–558.Google Scholar
Westerhof, GJ, Bohlmeijer, E, Webster, JD. Reminiscence and mental health: a review of recent progress in theory, research and interventions. Ageing Soc. 2010;30(4):697.Google Scholar
Kim, KB, Yun, JH, Sok, SR. Effects of individual reminiscence therapy on older adults’ depression, morale and quality of life. Taehan Kanho Hakhoe Chi 2006;36(5):813–820.Google Scholar
Lok, N, Bademli, K, Selcuk-Tosun, A. The effect of reminiscence therapy on cognitive functions, depression, and quality of life in Alzheimer patients: randomized controlled trial. Int J Geriatr Psychiatry. 2019;34:47–53.Google Scholar
Tadaka, E, Kanagawa, K. Effects of reminiscence group in elderly people with Alzheimer disease and vascular dementia in a community setting. Geriatric Gerontology Int. 2007;7(2):167–173.Google Scholar
Serrano, Selva JP, Latorre, Postigo JM, Ros, Segura L, et al. Life review therapy using autobiographical retrieval practice for older adults with clinical depression. Psicothema. 2012;24(2):224–229.Google Scholar
Kuyken, W, Brewin, CR. Autobiographical memory functioning in depression and reports of early abuse. J Abnorm Psychol. 1995;104:585–591.CrossRefGoogle ScholarPubMed
Elisa, SM, Neville, C, Scott, T. The effectiveness of group reminiscence therapy for loneliness, anxiety and depression in older adults in long-term care: a systematic review. Geriatr Nurs. 2015;36:372–380.Google Scholar
Huang, HC, Chen, YT, Chen, PY, et al. Reminiscence therapy improves cognitive functions and reduces depressive symptoms in elderly people with dementia: a meta‐analysis of randomized controlled trials. J Am Med Dir Assoc. 2015;16(12):1087–1094.Google Scholar
Chiang, KJ, Chu, H, Chang, HJ, et al. The effects of reminiscence therapy on psychological well-being, depression, and loneliness among the institutionalized aged. Int J Geriatr Psychiatry. 2010;25:380–388.CrossRefGoogle Scholar
Karimi, H, Dolatshahee, B, Momeni, K, et al. Effectiveness of integrative and instrumental reminiscence therapies on depression symptoms reduction in institutionalized older adults: an empirical study. Aging Ment Health. 2010;14 :881–887.Google Scholar
Haslam, C, Haslam, SA, Jetten, J, et al. The social treatment: the benefits of group interventions in residential care settings. Psychol Aging. 2010;25 : 157–167.Google Scholar
Gibson, F. Reminiscence and life story work: a practice guide. London: Jessica Kingsley Publishers; 2011.Google Scholar
Brody, C, Samel, V. Working with staff, families and residents in an institution: review of the literature. In: Relevant issues and approaches for therapy. Strategies for therapy with the elderly. Living with hope and meaning. New York: Springer; 2005. p. 41–56.Google Scholar
Cohen-Mansfield, J, Marx, M, Dakheel-Ali, M, et al. Can agitated behavior of nursing home residents with dementia be prevented with the use of standardized stimuli? J Am Geriatr Soc. (2010);58(8):1459–1464.Google Scholar
Vink, AC, Zuidersma, M, Boersma, F, et al. The effect of music therapy compared with general recreational activities in reducing agitation in people with dementia: a randomized controlled trial. Int Geriatr Psychiatry. (2013);28(10):1031–1038.Google Scholar
Cohen-Mansfield, J, Dakheel-Ali, M, Marx, MS. Engagement in persons with dementia: the concept and its measurement. Am J Geriatr Psychiatry. 2009;17(4):299–307.Google Scholar
Cohen-Mansfield, J, Marx, MS, Thein, K, et al. The impact of stimuli on affect in persons with dementia. J Clin Psychiatry. 2011;72(4):480–490.Google Scholar
Ballard, C, Brown, R, Fossey, J, et al. Brief psychosocial therapy for the treatment of agitation in Alzheimer disease (the CALM-AD trial). Am J Geriatr Psychiatry. 2009;17(9):726–733.Google Scholar
Zhang, HH, Liu, PC, Ying, J., et al. Evaluation of MESSAGE communication strategy combined with group reminiscence therapy on elders with mild cognitive impairment in long-term care facilities. Int J Geriatr Psychiatry. 2018;33(4):613–622.Google Scholar
Joosten-Weyn, LW, Kessels, RP, Olde Rikkert, MG, et al. A cognitive behavioral group therapy for patients diagnosed with mild cognitive impairment and their significant others: feasibility and preliminary results. Clin Rehabil. 2008;22(8):731–740.Google Scholar
Cohen-Mansfield, J, Hai, T, Comishen, M. Group engagement in persons with dementia: the concept and its measurement. Psychiatry Research. 2017; 251:237–243.Google Scholar
Cohen-Mansfield, J, Hirshfeld, K, Gavendo, R, et al. Activity-in-a-box for engaging persons with dementia in groups: implications for therapeutic recreation practice. Am J Recreat Ther. 2016;15(3):8–18.Google Scholar
Roos, V, Malan, L. The role of context and the interpersonal experience of loneliness among older people in a residential care facility. Glob Health Action. 2012;5 :1–10.Google Scholar
Cheng, ST. Dementia caregiver burden: a research update and critical analysis. Curr Psychiatry Rep. 2017;19(9):64.Google Scholar
Schulz, R, Sherwood, PR. Physical and mental health effects of family caregiving. Am J Nurs. 2008;108(9):23–27.Google Scholar
Greene, VL, Monahan, DJ. The effect of professionally guided care-giver support and education groups on institutionalized care receivers. The Gerontologist. 1987;27:716–72I.CrossRefGoogle Scholar
Greene, VL, Monahan, DJ.The effect of a support and education program on stress and burden among family caregivers to frail elderly persons. The Gerontologist. 1989;29:472–480.Google Scholar
Haley, WE.Group intervention for dementia family caregivers: a longitudinal perspective. The Gerontologist. 1989;29:481–483.Google Scholar

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