Volume 5, Issue 2 (December 2019)                   Elderly Health Journal 2019, 5(2): 117-123 | Back to browse issues page

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Nozari Z, Mo'tamedi A, Eskandari H, Ahmadivand Z. Narrative Group Therapy to Improve Aging Perceptions and Reduce Thanatophobia (Death Anxiety) in Older Adults. Elderly Health Journal. 2019; 5 (2) :117-123
URL: http://ehj.ssu.ac.ir/article-1-178-en.html
Department of General and Clinical Psychology, Faculty of Psychology and Educational Sciences, Allameh Tabataba’i University, Tehran, Iran , a_moatamedy@yahoo.com
Abstract:   (696 Views)
Introduction: Narrative therapy is a psychological intervention focusing on remembering and reconstruction of the people's life events in ways that are of benefit to them, and reduce the impact of challenges in their lives. This study was performed to examine the effect of narrative group therapy (NGT) on aging perceptions and death anxiety among older adults.
Methods: Forty-seven subjects, elderly nursing home residents (Tehran, Iran) with the mean age of 69.2 ± 2.55 were selected and assigned to intervention (n = 24), and control groups (n = 23). The intervention group received eight 90 min weekly sessions of NGT, and data were collected at the baseline, post-test and one month follow-up.
Results: Compared to the control and baseline, NGT intervention was positively influenced the aging perceptions of participants, especially their emotional representations, as well as their beliefs about aging consequences and control over experiences relating to aging. NGT was also found to be effective in the reduction of death anxiety, which were also sustained over the time with significant interaction effect between group and test times (p < 0.05).
Conclusion: To our knowledge, this is the first study investigating the psychological interventions for aging perceptions, as well as NGT for death anxiety in older adults. The intervention was effective to improve the aging perceptions and reduce death anxiety and could be recommended for elderly nursing home residents
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Type of Study: Applicable | Subject: Special
Received: 2019/10/11 | Accepted: 2019/12/21 | Published: 2019/12/29

1. Kobylarek, A, editor. Aging: Social, biological and psychological dimensions. Wroclaw: Agenca Wydawnicza; 2012.
2. Warmoth K, Tarrant M, Abraham C, Lang I. Older adults' perceptions of aging and their health and functioning: a systematic review of observational studies. Psychology. Health & Medicine. 2016; 21: 531-50.
3. Barker M, O'Hanlon A, McGee H, Hickey A, Conroy R. Cross-sectional validation of the aging perceptions questionnaire: a multidimensional instrument for assessing self-perceptions of aging. BMC Geriatrics. 2007; 7: 1-13.
4. Levy B. Stereotype embodiment: a psychosocial approach to aging. Current Directions in Psychological Science. 2009; 18: 332–336.
5. Robertson DA, Kenny RA. Negative perceptions of aging modify the association between frailty and cognitive function in older adults. Personality and Individual Differences. 2016; 100: 120–125.
6. Sindi S, Juster RP, Wan N, Nair NP, Ying Kin N, Lupien SJ. Depressive symptoms, cortisol, and cognition during human aging: the role of negative aging perceptions. Stress. 2012; 15(2): 130-137.
7. Freeman AT, Santini ZI, Tyrovolas S, Rummel-Kluge C, Haro JM, Koyanagi A. Negative perceptions of aging predict the onset and persistence of depression and anxiety: findings from a prospective analysis of the Irish Longitudinal Study on Aging (TILDA). Journal of Affective Disorders. 2016; 199: 132-8.
8. Mohammadpour A, Sadeghmoghadam L, Shareinia H, Jahani S, Amiri F. Investigating the role of perception of aging and associated factors in death anxiety among the elderly. Clinical Interventions in Aging. 2018; 13: 405-10.
9. Kotter-Grühn D. Changing negative views of aging: implications for intervention and translational research. Annual Review of Gerontology & Geriatrics. 2015; 35(1): 167–86.
10. Iverach L, Menzies RG, Menzies RE. Death anxiety and its role in psychopathology: reviewing the status of a transdiagnostic construct. Clinical Psychology Review. 2014; 34(7): 580–93.
11. Randall E. Existential therapy of panic disorder: A single system study. Clinical Social Work Journal. 2001; 29: 259–267.
12. Furer P, Walker J. Death anxiety: A cognitive–behavioral approach. Journal of Cognitive Psychotherapy. 2008; 22(2): 167–182.
13. Lo C, Hales S, Jung J, Chiu A, Panday T, Rydall A, et al. Managing Cancer and living meaningfully (calm): phase 2 trial of a brief individual psychotherapy for patients with advanced cancer. Palliative Medicine. 2014; 28(3): 234-42.
14. Richman J. The role of psychotherapy and humor for death anxiety, death wishes, and aging. Omega: Journal of Death and Dying. 2006-2007; 54(1): 41–51.
15. Heidari F, Amiri A, Amiri Z. The effect of person-centered narrative therapy on happiness and death anxiety of elderly people. Abnormal and Behavioural Psychology. 2016; 2(3): 1-5.
16. White M. Maps of narrative practice. New York: WW Norton & Company; 2007.
17. Stokes LD, Poulsen SS. Narrative therapy for adoption issues in families, couples, and individuals: rationale and approach. Journal of Family Psychotherapy. 2014; 25(4): 330-47,
18. Lopes RT, Gonçalves MM, Fassnacht DB, Machado PP, Sousa I. Long-term effects of psychotherapy on moderate depression: a comparative study of narrative therapy and cognitive-behavioral therapy. Journal of Affective Disorders. 2014; 167: 64-73.
19. Rodríguez Vega B, Bayón Pérez C, PalaoTarrero A, Fernández Liria A. Mindfulness-based narrative therapy for depression in cancer patients. Clinical Psychology &. Psychotherapy. 2014; 21(5): 411-9.
20. Garte-Wolf S. Narrative therapy group work for chemically dependent clients with HIV/AIDS. Social Work with Groups. 2011; 34(3-4): 330-8.
21. Morgan ML, Brosi WA, Brost, MW. Restoring older adults’ narratives about self and substance abuse. The American Journal of Family Therapy. 2011; 39(5): 444–55.
22. Young E. Narrative therapy and elders with memory loss. Clinical Social Work Journal. 2010; 38: 193-202.
23. Dastbaaz A; Yeganehfarzand SH; Azkhosh M, Shoaee F. The effect of group counseling "Narrative Therapy" to reduce depression and loneliness among older women. Iranian Rehabilitation Journal. 2014; 12(20): 11-15.
24. Poole J, Gardner P, Flower M, Cooper C. Narrative therapy, older adults, and group work?: practice, research, and recommendations. Social Work with Groups. 2009; 32(4): 288–302.
25. Ibrahim AA, Ai-Lami F, Al-Rudainy R, Khader YS. Mental disorders among elderly people in Baghdad, Iraq, 2017. Inquiry. 2019; 56: 1-8.
26. Koller SH. Ethics in research with human beings: some issues about Psychology. Ciência & Saúde Coletiva. 2008; 13(2): 399-406.
27. Kraskian-Mujembari A, Haghi-Asgarabadi F, Jomehri F. Determination of the psychometric properties of the aging perception questionnaire. Journal Of Research In Behavioural ScienceS. 2017; 15: 142-50. [Persian]
28. Miremadi M, Heravi-Karimooi M, Reje N, Sharifnia H, Montazeri A. Validation of the Persian version of Aging Perceptions Questionnaire (APQ). Payesh. 2018; 17(2): 199-207. [Persian]
29. Templer, D I. The construction and validation of a death anxiety scale. The Journal of General psychology. 1970; 82(2): 165-77.
30. Tomas J, Gomez J. Psychometric properties of the Spanish form of Templers death anxiety scale. Psychological Reports. 2002; 91(3): 116-20.
31. Tavakoli MA, Ahmadzadeh B. Investigation of validity and reliability of Templer death anxiety scale. Journal of Clinical Psychology Andishe va Raftar. 2011; 6(21): 72–80. [Persian]
32. Corey G. Student manual for theory and practice of group counseling. Pacific Grove, CA: Brooks/Cole; 2012.
33. White M, Epston D. Narrative means to therapeutic ends. New York :WW Norton & Company;1990.
34. Cohen J, Cohen P, West SG, Aiken LS. Applied multiple regression / correlation analysis for the behavioral sciences. (3rd ed.), Mahwah: Routledge; 2003.
35. Slotman A, Cramm JM, Nieboer AP. Validation of the Dutch Aging Perceptions Questionnaire and development of a short version. Health and Quality of life outcomes. 2015; 13: 1-13.
36. Sexton E, King-Kallimanis BL, Morgan K, McGee H. Development of the Brief Aging Perceptions Questionnaire (B-APQ): a confirmatory factor analysis approach to item reduction. BMC Geriatrics. 2014; 14: 1-11.
37. Sridevi G, Swathi P. Swathi GS. Death anxiety, death depression, geriatric depression and suicidal ideation among institutionalized and non-institutionalized elders. International Journal of Scientific and Research Publications. 2014; 4: 1-8.
38. Moreno P, De La Fuente Solana E, Rico M, Fernández L. Death anxiety in institutionalized and non-institutionalized elderly persons in Spain. Omega. 2008; 58(1):61–76.
39. Assari S, Moghani Lankarani M. Race and gender differences in correlates of death anxiety among elderly in the United States. Iranian Journal of Psychiatry and Behavioral Sciences. 2016; 10(2): 1-7.
40. Lillevoll KR, Kroger J, Martinussen M. Identity status and anxiety. A Meta-Analysis. Identity. 2013; 13(3): 214-27

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