Effectiveness of Solution-Focused Group Counseling on Depression and Cognition Among Chinese Older Adults: A Cluster Randomized Controlled Trial

Chenxi Wang (Co-first Author), Chunyan Wang (Co-first Author), Jinfeng Wang, Nancy Xiaonan Yu, Yi Tang, Zhengkui Liu* (Co-last Author), Tianyong Chen* (Co-last Author)

*Corresponding author for this work

Research output: Journal Publications and ReviewsRGC 21 - Publication in refereed journalpeer-review

8 Citations (Scopus)
303 Downloads (CityUHK Scholars)

Abstract

Purpose: This study aimed to investigate the effectiveness of solution-focused group counseling (SFGC) to reduce depressive symptoms and improve cognitive functions among Chinese rural older adults. Method: In a cluster randomized controlled trial, 290 participants were randomly assigned to a 12-session SFGC intervention or a control group. the Center for Epidemiological Studies Depression Scale and Mini-Mental State Examination was adopted to measure depressive symptoms and cognitive functions, respectively, at pretest and posttest. Results: Repeated measure ANOVAs showed a significant group by time effect for both measures. Paired sample t-tests showed that depressive symptoms significantly decreased in the intervention group, but not in the control group. Cognitive functions did not change in the intervention group, but significantly declined in the control group. Conclusions: Our findings support the feasibility and effectiveness of a culturally adapted SFGC for reducing depressive symptoms and protecting cognitive functions among the disadvantaged older adults in a developing country. © The Author(s) 2022
Original languageEnglish
Pages (from-to)530–543
JournalResearch on Social Work Practice
Volume33
Issue number5
Online published22 Aug 2022
DOIs
Publication statusPublished - Jul 2023

Research Keywords

  • solution-focused group counseling
  • randomized controlled trial
  • depressive symptoms
  • cognitive functions
  • older adults
  • BRIEF THERAPY
  • PHYSICAL-ACTIVITY
  • MENTAL-HEALTH
  • PREVALENCE
  • SYMPTOMS
  • CARE
  • INTERVENTIONS
  • RISK

Publisher's Copyright Statement

  • COPYRIGHT TERMS OF DEPOSITED POSTPRINT FILE: The article is protected by copyright and reuse is restricted to non-commercial and no derivative uses. Users may also download and save a local copy of an article accessed in an institutional repository for the user's personal reference. For permission to reuse an article, please follow our Process for Requesting Permission. Wang, C., Wang, C., Wang, J., Yu, N. X., Tang, Y., Liu, Z., & Chen, T., Effectiveness of Solution-Focused Group Counseling on Depression and Cognition Among Chinese Older Adults: A Cluster Randomized Controlled Trial, Research on Social Work Practice (33,5) pp. 530-543. Copyright © 2022 The Author(s). DOI: 10.1177/10497315221119991.

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