Scholarlink

Objective <p>To investigate the effectiveness of group reminiscence therapy combined with cognitive restructuring in the nursing care of middle-aged and elderly people with schizophrenia.</p> Methods <p>Using a convenience sampling approach, 70 hospitalized middle-aged and elderly participants with schizophrenia were selected from a tertiary psychiatric hospital in Hefei, Anhui Province, during the period from March 2023 to March 2024. A random assignment placed 35 participants in the control group and 35 in the intervention group. All participants maintained their stable, pre-existing antipsychotic medication regimens throughout the study period, with no changes initiated for research purposes. While the control group received conventional rehabilitation nursing, the intervention group received an additional intervention of group reminiscence therapy combined with cognitive restructuring on top of routine care. The intervention lasted for 8 weeks. The Positive and Negative Syndrome Scale (PANSS) was used to assess psychiatric symptom severity before and after the intervention. The Montreal Cognitive Assessment (MoCA) was used to assess cognitive function, and the Schizophrenia Quality of Life Scale (SQLS) was employed to evaluate quality of life.</p> Results <p>Repeated-measures ANOVA revealed significant Group × Time interaction effects for PANSS total score (F(1,68) = 23.96, <i>p</i> &lt; 0.001), MoCA (F(1,68) = 9.01, <i>p</i> = 0.004), and SQLS (F(1,68) = 15.07, <i>p</i> &lt; 0.001). Simple effects analyses showed that after the 8-week intervention, the intervention group achieved significantly greater reductions in PANSS total score and SQLS score, as well as a significantly greater increase in MoCA score, compared to the control group (all <i>p</i> &lt; 0.05).</p> Conclusion <p>Group reminiscence therapy combined with cognitive restructuring can effectively alleviate psychiatric symptoms, enhance cognitive function, and improve the quality of life in middle-aged and elderly people with schizophrenia. This combined intervention also contributes to psychological activation and facilitates psychiatric rehabilitation.</p> Clinical trial number <p>Not applicable.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Effect of group reminiscence therapy combined with cognitive restructuring on middle-aged and elderly participants with schizophrenia

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年3月11日

查看全文
  • Guiyun Gan,
  • Chenxia Song,
  • Li Zhang,
  • Jin Liu,
  • Juan Chen,
  • Feifei Ye

摘要

Objective

To investigate the effectiveness of group reminiscence therapy combined with cognitive restructuring in the nursing care of middle-aged and elderly people with schizophrenia.

Methods

Using a convenience sampling approach, 70 hospitalized middle-aged and elderly participants with schizophrenia were selected from a tertiary psychiatric hospital in Hefei, Anhui Province, during the period from March 2023 to March 2024. A random assignment placed 35 participants in the control group and 35 in the intervention group. All participants maintained their stable, pre-existing antipsychotic medication regimens throughout the study period, with no changes initiated for research purposes. While the control group received conventional rehabilitation nursing, the intervention group received an additional intervention of group reminiscence therapy combined with cognitive restructuring on top of routine care. The intervention lasted for 8 weeks. The Positive and Negative Syndrome Scale (PANSS) was used to assess psychiatric symptom severity before and after the intervention. The Montreal Cognitive Assessment (MoCA) was used to assess cognitive function, and the Schizophrenia Quality of Life Scale (SQLS) was employed to evaluate quality of life.

Results

Repeated-measures ANOVA revealed significant Group × Time interaction effects for PANSS total score (F(1,68) = 23.96, p < 0.001), MoCA (F(1,68) = 9.01, p = 0.004), and SQLS (F(1,68) = 15.07, p < 0.001). Simple effects analyses showed that after the 8-week intervention, the intervention group achieved significantly greater reductions in PANSS total score and SQLS score, as well as a significantly greater increase in MoCA score, compared to the control group (all p < 0.05).

Conclusion

Group reminiscence therapy combined with cognitive restructuring can effectively alleviate psychiatric symptoms, enhance cognitive function, and improve the quality of life in middle-aged and elderly people with schizophrenia. This combined intervention also contributes to psychological activation and facilitates psychiatric rehabilitation.

Clinical trial number

Not applicable.