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The effectiveness of Looking for meaning, a life-review course for elderly with depressive symptoms. A randomized controlled trial.


- candidate number1865
- NTR NumberNTR541
- ISRCTNISRCTN66645855
- Date ISRCTN created14-feb-2006
- date ISRCTN requested13-jan-2006
- Date Registered NTR28-nov-2005
- Secondary IDsN/A 
- Public TitleThe effectiveness of Looking for meaning, a life-review course for elderly with depressive symptoms. A randomized controlled trial.
- Scientific TitleThe effectiveness of Looking for meaning, a life-review course for elderly with depressive symptoms. A randomized controlled trial.
- ACRONYMN/A
- hypothesisLooking for meaning lead to a significant reducement of depressive symptoms and a significant enhancement of wellbeing, meaning in life and quality of life with elderly with depressive symtoms in comparison to a no treatment control group.
- Healt Condition(s) or Problem(s) studiedDepressive symptoms
- Inclusion criteriaElderly people above the age of 55 with slight to moderate depressive symptoms.
- Exclusion criteria1. People with severe depressive symptoms and a CES-D score higher than 24;
2. The absence of depressive symptoms, a score lower than 5 on the CES-D;
3. People being treated elsewhere (with medication) when they register;
4. People unable to function in a group.
- mec approval receivedyes
- multicenter trialyes
- randomisedyes
- masking/blindingSingle
- controlActive
- groupParallel
- Type2 or more arms, randomized
- Studytypeintervention
- planned startdate 1-nov-2005
- planned closingdate1-nov-2007
- Target number of participants360
- InterventionsThe course Looking for meaning is the intervention. It is a group-oriented intervention of twelve sessions of two hours, conducted in groups of about ten participants. Based on certain themes, in this intervention participants are invited to take memories from their own lives. The special thing about the course is that reminiscence is linked to creative assignments. Imagination and creativity are viewed as important keys to perceived meaning, competencies and well-being. Via targeted questions, participants evaluate and re-evaluate their own lives.
- Primary outcome1. Depressive symptoms (Centre of Epidemiological Studies-Depression scale, CES-D, Bouma, Ranchor, Sanderman and van Sonderen 1995);
2. Well-being (Well-being Scale, Ryff and Keyes, 1995);
3. Perceived meaning (SELE Scale, Dittmann-Kohli and Westerhof 1997);
4. Quality of life (EuroQol Group 1990).
- Secondary outcome1. Mastery (Pearlin Mastery Scale, Pearlin and Schooler 1978);
2. Social support (van Sonderen et al. 1989);
3. Personality structure (NEO-FFI);
4. Demographic variables and important life events.
- TimepointsN/A
- Trial web sitehttp://www.trimbos.nl
- statusinclusion stopped: follow-up
- CONTACT FOR PUBLIC QUERIESDr. A.M. Pot
- CONTACT for SCIENTIFIC QUERIESDrs. W.M. Vries, de
- Sponsor/Initiator Trimbos-institute - Netherlands Institute of Mental Health and Addiction
- Funding
(Source(s) of Monetary or Material Support)
ZON-MW, The Netherlands Organization for Health Research and Development
- PublicationsN/A
- Brief summaryDepression among the elderly is a major health problem. Prevention can make an important contribution towards reducing the number of new cases. The main risk factor for depression is the presence of slight and moderate depressive symptoms. Integrative reminiscence is a low threshold method specifically developed for the elderly that involves their telling about and evaluating their lives. A reminiscence course called Looking for Meaning has been developed by the Trimbos Institute for elderly people with depressive symptoms. This course is already being given at numerous Mental Health Care Institutes. The assessment of the course's effectiveness in general and its cost effectiveness in particular is a central part of the project.
- Main changes (audit trail)
- RECORD28-nov-2005 - 13-jan-2010


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