Intervenciones en Psicología Positiva para la disminución de la depresión y el fomento del bienestar en personas mayores de 60 años: Una revisión sistemática de la última década (2012-2022)

  1. Sergio López-Linares 1
  2. Ana García-León 1
  3. Nicolás Sánchez-Álvarez 2
  1. 1 Universidad de Jaén,Jaén España
  2. 2 Universidad de Málaga, Málaga, España
Journal:
Terapia psicológica

ISSN: 0716-6184,  0718-4808

Year of publication: 2023

Volume: 41

Issue: 1

Pages: 111-136

Type: Article

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More publications in: Terapia psicológica

Abstract

Recently, different studies have shown the efficacy of interventions in Positive Psychology to im-prove both depressive symptoms and well-being in adults. However, there are only a few studies that review the efficacy of these interventions in people aged 60 years and older. Objective: synthe-size the evidence from the last decade about these interventions in these people. Method: A sys-tematic review was conducted. Publications between 2012 and 2022 –from SCOPUS, WOS/Medline and PROQUEST/PsycInfo- were included. After analyzing 944 empirical works, 18 studies have met the inclusion criteria. Results:the results show the efficacy of interventions in Positive Psychology, both to reduce depressive symptoms, and to increase subjective and psychological well-being in people of these ages, compared to other control groups. These effects are found with interventions on well-being, with interventions on personal strengths –gratitude or forgiveness in combination with sense of humor, empathy, meaning of life or emotional regulation- or through training on mind-fulness. Conclusions:The preliminary results point out the importance of interventions in Positive Psychology as complementary therapies to improve the metal health and quality of life in people over 60 years.

Bibliographic References

  • Acosta-Quiroz, C.O., Tánori-Quintana, J., García-Flores, R., Echeverría-Castro, S.B., ValesGarcía, J.J. y Rubio-Rubio, L. (2017). Soledad, depresión y calidad de vida en adultos mayores mexicanos. Psicología y salud, 27(2), 179-188. https://tinyurl.com/3zcjf2u9
  • Avia, M. D., Martínez-Martí, M. L., Rey-Abad, M., Ruiz, M. Á. y Carrasco, I. (2012). Evaluación de un programa de revisión de vida positivo en dos muestras de personas mayores. Revista de psicología social, 27(2), 141-156. https://doi.org/gqwtvw
  • Azeem, F. y Naz, M. A. (2015). Resilience, death anxiety, and depression among institutionalized and noninstitutionalized elderly. Pakistan journal of psychological research, 30(1), 111–130
  • Beck, A. T., Steer, R. A. y Brown, G. K. (1996). Beck Depression Inventory II (2a ed.). Pearson.
  • Botto, A., Acuña, J. y Jiménez, J. P. (2014). La depresión como un diagnóstico complejo. Implicancias para el desarrollo de recomendaciones clínicas. Revista médica de Chile, 142(10), 1297-1305. http://dx.doi.org/10.4067/S0034-98872014001000010
  • Bartholomaeus, J. D., Van Agteren, J.E.M., Iasiello, M. P., Jarden, A. y Kelly, D. (2019). Positive aging: The impact of a community Wellbeing and resilience program. Clinical gerontologist, 42(4), 377-386. https://doi.org/gq32hs
  • Bolier, L., Haverman, M., Westerhof, G. J., Riper, H., Smit, F. y Bohlmeijer, E. (2013). Positive psychology interventions: A meta-analysis of randomized controlled studies. BMC Public Health, 13: 119. https://doi.org/10.1186/1471-2458-13-119
  • Bray, I. y Gunnell, D. (2006). Suicides rates, life satisfaction and happiness as markers for population mental health. Social psychiatry & psychiatric epidemiology, 41(5), 333- 337. https://doi.org/10.1007/s00127-006-0049-z
  • Cantarella, A., Borella, E., Marigo, C. y De Beni, R. (2017). Benefits of well-being training in healthy older adults. Applied psychology: Health and well-being, 9(3), 261-284. https://doi.org/10.1111/aphw.12091
  • Carr, A., Cullen, K., Keeney, C., Canning, C., Mooney, O., Chinseallaigh, E. y O'Dowd, A. (2021). Effectiveness of positive psychology intervention: A systematic review and meta-analysis. The journal of positive psychology, 16(6), 749-769. https://doi.org/10.1080/17439760.2020.1818807
  • Chachamovich, E., Fleck, M., Laidlaw, K. y Power, M. (2008). Impact of major depression and subsyndromal symptoms on quality of life and attitudes toward aging in an international sample of older adults. The Gerontologist, 48(5), 593-602. https://doi.org/10.1093/geront/48.5.593
  • Chakhssi, F., Kraiss, J. T., Sommers-Spijkerman, M. y Bohlmeijer, E. T. (2018). The effect of positive psychology interventions on well-being and distress in clinical samples with psychiatric or somatic disorders: a systematic review and meta-analysis. BMC Psychiatry, 18: 211. https://doi.org/10.1186/s12888-018-1739-2
  • Chamorro-Garrido, A. (2017). Memoria autobiográfica, gratitud, perdón y sentido del humor: una intervención en personas mayores [Tesis de Doctorado, Universidad de Jaén]. Repositorio Institucional de Producción Científica de la Universidad de Jaén. https://tinyurl.com/mt7aa72x
  • Chamorro-Garrido, A., Ramírez-Fernández, E. y Ortega-Martínez, A. R. (2021). Autobiographical memory, gratitude, forgiveness and sense of humor: An intervention in older adults. Frontiers in Psychology, 12:731319. https://doi.org/10.3389/fpsyg.2021.731319
  • Chida, Y. y Steptoe, A. (2008). Positive psychological well-being and mortality: A quantitative review of prospective observational studies. Psychosomatic Medicine, 70(7), 741–756. https://doi.org/10.1097/PSY.0b013e31818105ba
  • Cisneros, G. E. y Ausín, B. (2019). Prevalencia de los trastornos de ansiedad en las personas mayores de 65 años: una revisión sistemática. Revista española de geriatría y gerontología, 54(1), 34–48. https://doi.org/10.1016/j.regg.2018.05.009
  • Corcoran, J., Brown, E., Davis, M., Pineda, M., Kadolph, J. y Bell, H. (2013). Depression in older adults: A meta-synthesis. Journal of gerontological social work, 56(6), 509-534. https://doi.org/10.1080/01634372.2013.81114
  • Coto-Lesmes, R., Fernández-Rodríguez, C. y González-Fernández, S. (2020). Activación Conductual en formato grupal para ansiedad y depresión. Una revisión sistemática. Terapia psicológica, 38(1), 63–84. https://doi.org/10.1080/17439760.2020.1818807
  • Cuadra-Peralta, A., Veloso-Besio, C., Puddu-Gallardo, G., Salgado-García, P. y PeraltaMontecinos, J. (2012). Impacto de un programa de psicología positiva en sintomatología depresiva y satisfacción vital en adultos mayores. Psicologia: Reflexao e critica, 25(4), 644–652. https://doi.org/ghcm7g
  • Cuijpers, P., Miguel, C., Harrer, M., Plessen, C. Y., Ciharova, M., Ebert, D. y Karyotaki, E. (2023). Cognitive behavior therapy vs. control conditions, otherpsychotherapies, pharmacotherapies and combined treatment for depression: A comprehensive meta-analysis including 409 trials with 52,702 patients. World Psychiatry, 22, 105–115. https://doi.org/10.1002/wps.2106
  • Diener, E. y Suh, E. M. (1998). Subjective well-being and age: An international analysis. Annual review of gerontology and geriatrics, 17(1), 304-328. https://tinyurl.com/3r5kmtaj
  • Durgante, H. B., Bedin-Tomasi, L. M., Pedroso de Lima, M. M. y Dalbosco Dell’Aglio, D. (2022). Long-Term Effects and Impact of a positive psychology intervention for brazilian retirees. Current Psychology, 41, 1504-1515. https://doi.org/kftz
  • Freitas, E. R., Barbosa, A. J. G. y Neufeld, C. B. (2021). Strengths based character education for the Elderly: A quasi-experimental study. School and developmental psychology, 37: 372120. https://doi.org/10.1590/0102.3772e372120
  • Friedman, E. M. y Ryff, C. D. (2012). Living well with medical comorbidities: A biopsychosocial perspective. The journals of gerontology. Series B, Psychological sciences and social sciences, 67(5), 535-544. https://doi.org/10.1093/geronb/gbr152
  • Giapraki, M., Moraitou, D., Pezirkianidis, C. y Stalikas, A. (2020). Humor in aging: is it able to enhance wellbeing in community dwelling older adults? Psychologia: to periodiko tīs Ellīnikīs Psychologikīs Etaireias, 25(1), 128-150. https://doi.org/kft4
  • Greenawalt, K. E., Orsega-Smith, E., Turner, J. L., Goodwin, S. y Rathie, E. J. (2019). The impact of “The Art of Happiness” class on community dwelling older adults: A positive psychology intervention. Activities, adaptation & aging, 43(2), 118-132. https://doi.org/10.1080/01924788.2018.1493898
  • Hendriks, T., Schotanus-Dijkstra, M., Hassankhan, A., de Jong, J. y Bohlmeijer, E. (2020). The efficacy of multi-component positive psychology interventions: A systematic review and meta-analysis of randomized controlled trials. Journal of happiness studies, 21(1), 357-390. https://doi.org/10.1007/s10902-019-00082-1
  • Ho, H. C., Yeung, D. Y. y Kwok, S. Y. (2014). Development and evaluation of the positive psychology intervention for older adults. The journal of positive psychology, 9(3), 187-197. https://doi.org/10.1080/17439760. 2014.88857
  • Hoppen, T. H. y Morina, N. (2021). Efficacy of positive psychotherapy in reducing negative and enhancing positive psychological outcomes: A meta-analysis of randomised controlled trials. BMJ Open, 11(99): e046017. https://doi.org/10.1136/bmjopen2020-046017
  • Iwano, S., Kambara, K. y Aoki, S. (2022). Psychological Interventions for well-being in healthy older adults: Systematic review and meta-analysis. Journal of happiness studies, 23, 2389-2403. https://doi.org/10.1007/s10902-022-00497-3
  • Jackson, H. y MacLeod, A. K. (2016). Well‐being in chronic fatigue syndrome: relationship to symptoms and psychological distress. Clinical Psychology & Psychotherapy, 24(4), 859-869. https://doi.org/10.1002/cpp.2051
  • Jiménez, M. G., Izal, M. y Montorio, I. (2016). Programa para la mejora del bienestar de las personas mayores. Estudio piloto basado en la psicología positiva. Suma Psicológica, 23(1), 51–59. https://doi.org/10.1016/j.sumpsi.2016.03.001
  • Jivraj, S., Nazroo, J., Vanhoutte, B. y Chandola, T. (2014). Aging and subjective well-being in later life. The journals of gerontology. Series B, Psychological sciences and social sciences, 69(6), 930–941. https://doi.org/10.1093/geronb/gbu006
  • Keyes, C. L., Shmotkin, D. y Ryff, C. D. (2002). Optimizing Well-Being: The empirical encounter of two traditions. Journal of personality and social psychology, 82(6), 1007- 1022. https://doi.org/10.1037/0022-3514.82.6.1007
  • Killen, A. y Macaskil, A. (2014). Using a gratitude intervention to enhance well-being in older adults. Journal of happiness studies, 16, 947-964. https://doi.org/ghcbg4 Klerman, G. L., Weissman, M. M., Rounsaville, B. J. y Chevron, E. S. (1984). Interpersonal psychotherapy of depression. Basic Book.
  • Lelkes, O. (2008). Happiness across the life cycle: Exploring age-specific preferences. European Centre for Social Policy and Research. Lewinsohn, P. M. (1975). Engagement in pleasant activities and depression level. Journal of abnormal psychology, 84(6), 729–731. https://doi.org/dj7vft
  • Luciano, C. y Valdivia, M. S. (2006). La Terapia de Aceptación y Compromiso (ACT). Fundamentos, características y evidencia. Papeles del psicólogo, 27(2), 79–91. https://tinyurl.com/casbn8uu
  • Luppino, F. S., De Wit, L. M., Bouvy, P. F., Stijnen, T., Cuijpers, P., Penninx, B. W. J. H. y Zitman, F. G. (2010). Overweight, obesity, and depression: A systematic review and meta-analysis of longitudinal studies. Archives of general psychiatry, 67(3), 220–229. https://doi.org/10.1001/archgenpsychiatry.2010.2
  • McTiernan, K., Gullon-Scott, F. y Dudley, R. (2022). Do positive psychology interventions impact on the subjective wellbeing and depression of clients? A systematic methodological review. Journal of contemporary psychotherapy, 52, 1-13. https://doi.org/10.1007/s10879-021-09522-7
  • Moher, D., Shamseer, L., Clarke, M., Ghersi, D., Liberati, A., Petticrew, M. y Stewart, L. A. (2015). Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Systematic reviews, 4(1): 1. https://doi.org/gcsk56
  • Nicholson, A., Kuper, H. y Hemingway, H. (2006). Depression as an aetiologic and prognostic factor in coronary heart disease: a meta-analysis of 6362 events among 146 538 participants in 54 observational studies. European heart journal, 27(23), 2763– 2774. https://doi.org/10.1093/eurheartj/ehl338
  • Oken, B. S., Wahbeh, H., Goodrich, E., Klee, D., Memmott, T., Miller, M. y Fu, R. (2017). Meditation in stressed older adults: Improvements in self-rated mental health not paralleled by improvements in cognitive function or physiological measures. Mindfulness, 8, 627-638. https://doi.org/10.1007/s12671-016-0640-7
  • Palma-Ayllón, E. y Escarabajal-Arrieta, M.D. (2021). Efectos de la soledad en la salud de las personas mayores. Gerokomos, 32(1), 22-25. https://doi.org/kft5
  • Perez-Blasco, J., Sales, A., Meléndez, J. C. y Mayordomo, T. (2016). The effects of mindfulness and self-compassion on improving the capacity to adapt to stress situations in elderly people living in the community. Clinical gerontologist, 39(2), 90-103. http://dx.doi.org/10.1080/07317115.2015.1120253
  • Pérez-Padilla, E. A., Cervantes-Ramírez, V. M., Hijuelos-García, N. A., Pineda-Cortés, J. C. y Salgado-Burgos, H. (2017). Prevalencia, causas y tratamiento de la depresión mayor. Revista biomédica, 28(2), 89–115. https://doi.org/10.32776/revbiomed.v28i2.557
  • Preschl, B., Maercker, A., Wagner, B., Forstmeier, S., Baños, R. M., Alcañiz, M., Castilla, D. y Botella, C. (2012). Life-review therapy with computer supplements for depression in the elderly: A randomized controlled trial. Aging & mental health, 16(8), 964-974. https://doi.org/10.1080/13607863.2012.702726
  • Proyer, R. T., Gander, F., Wellenzohn, S. y Ruch, W. (2014). Positive psychology interventions in people aged 50–79 years: Long-term effects of placebo-controlled online interventions on well-being and depression. Aging & mental health, 18(8), 997-1005. http://dx.doi.org/10.1080/13607863.2014.899978
  • Ramírez, E., Ortega, A. R., Chamorro, A., y Colmenero, J. M. (2014). A program of positive intervention in the elderly: Memories, gratitude and forgiveness. Aging & nental health, 18(4), 463-470. http://dx.doi.org/10.1080/13607863.2013.856858
  • Ramsey, M. y Gentzler, A. (2014). Age differences in subjective well-being across adulthood: The roles of savoring and future time perspective. International journal of aging and human development, 78(1), 3-22. https://doi.org/10.2190/AG.78.1.b
  • Rey, L. y Extremera, N. (2016). Agreeableness and interpersonal forgiveness in young adults: the moderating role of gender. Terapia psicológica, 34(2), 103–110. https://doi.org/10.4067/s0718-48082016000200003
  • Rey, L., Valverde, M. y Extremera, N. (3 y 4 de octubre de 2013). Tendencia hacia el perdón y calidad de vida en personas mayores: el papel mediador de las estrategias de regulación cognitiva-emocional [Poster]. IV Jornadas “Emociones y Bienestar” Sociedad Española para el Estudio de la Ansiedad y el Estrés. Madrid, España. https://tinyurl.com/yc6smcv6
  • Rivas, M., Nuevo, R. y Ayuso-Mateos, J. L. (2011). Subclinical depression in Spain: prevalence and health impact. Revista de psiquiatría y salud mental, 4(3), 144–149. https://doi.org/10.1016/j.rpsm.2011.05.005
  • Ryan, R. M. y Deci, E. L. (2000). Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. The american psychological association, 55(1), 68-78. https://doi.org/10.1037/0003-066X.55.1.68
  • Ryan, R. M y Deci, E. L. (2001). On happiness and human potentials: a review of research on hedonic and eudaimonic well-being. Annual review of psychology, 52(1), 141- 166. https://doi.org/10.1146/annurev. psych.52.1.141
  • Sadler, M. E., Miller, C. J., Christensen, K. y McGue, M. (2011). Subjective wellbeing and longevity: A co-twin control study. Twin research and human genetics, 14(3), 249- 256. https://doi.org/10.1375/twin. 14.3.249
  • Salces-Cubero, I. M., Ramírez-Fernández, E. y Ortega-Martínez, A. R. (2018). Strengths in older adults: Differential effect of savoring, gratitude and optimism on well-being. Aging & mental health, 23(8). 1017-1024. https://doi.org/gf36mn
  • Schueller, S. M. y Parks, A. C. (2014). The science of self-help: Translating positive psychology research into increased individual happiness. European psychologist, 19(2), 145-155. https://doi.org/10.1027/1016-9040/a000181
  • Schutte, N. S. y Malouff, J. M. (2019). The impact of signature character strengths interventions : A Meta analysis. Journal of happiness studies, 20(4), 1179–1196. https://doi.org/10.1007/s10902-018-9990-2
  • Sutipan, P., Intarakamhang, U. y Macaskill, A. (2017). The impact of positive psychological interventions on well-being in healthy elderly people. Journal of happiness studies, 18, 269-291. https://doi.org/10.1007/s10902-015-9711-z
  • Steptoe, A., Deaton, A. y Stone, A. A. (2014). Subjective wellbeing, health, and ageing. The Lancet, 385(9968), 640-648. https://doi.org/10.1016/S0140-6736(13)61489-0
  • Sturm,V. E., Datta, S., Roy, A. R. K., Sible, I. J., Kosik, E. L., Veziris, C. R., Chow, T. E., Morris, N. A., Neuhaus, J., Kramer, J. H., Miller, B. L., Holley, S. R. y Keltner, D. (2022). Big smile, small self: Awe walks promote prosocial positive emotions in older adults. Emotion, 22(5), 1044-1058. https://doi.org/10.1037/emo0000876
  • Valko, M., Leibfritz, D., Moncol, J., Cronin, M. T., Mazur, M., y Telser, J. (2007). Free radicals and antioxidants in normal physiological functions and human disease. The International Journal of Biochemistry & Cell Biology, 39(1), 44–84. https://doi.org/10.1016/j.biocel.2006.07.001
  • Von Humboldt, S. y Leal, I. (2013). The promotion of older adults` sense of coherence through person-centered therapy: A randomized controlled pilot study. Interdisciplinaria, 30(2), 235-251. https://doi.org/10.16888/interd.2013.30.2.4
  • Von Humboldt, S., Leal, I. y Pimenta, F. (2014). Sense of coherence, sociodemographic, lifestyle and health-related factors in older adults subjective wellbeing. International journal of gerontology, 9(1), 15-19. https://doi.org/10.1016/j.ijge.2014.01.007
  • World Health Organization. (2017). Depression and other common mental disorders: global health estimates. WHO. https://tinyurl.com/mv277ccy
Data source: Dialnet