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Life review for Chinese older adults in nursing homes: cultural acceptance and its effects

  • Xiuyan Lan (a1) (a2) (a3), Huimin Xiao (a1) and Ying Chen (a1)



To explore the acceptance and effects of life review on older adults.


A mixed-method study design was utilized in this study.


Four nursing homes located in Fuzhou, China.


Sixty-two older adults from four nursing homes were selected according to the criteria set for this study.


Sixty-two older adults were randomly assigned to either the life review group or the control group, and 55 of them completed the study. Twenty-four participants took part in qualitative interviews after the life review program concluded. The Geriatric Depression Scale–15, Rosenberg Self-Esteem Scale, and Purpose in Life Test were adopted to measure depression, self-esteem, and meaning in life, respectively.


The findings indicated that life review can reduce depressive symptoms and may be effective at improving self-esteem and meaning in life among Chinese elderly people. More importantly, it revealed that cultural factors such as values, beliefs, and attitudes could interfere with participation in a life review.


A culturally sensitive life review program could be an alternative approach to psychotherapy for promoting mental health in older adults.


Corresponding author

Correspondence should be addressed to: Huimin Xiao, No. 1 Xuefu North Road, University Town, Fuzhou, Fujian, China. Phone: (86) 591 2286 2015. Fax: (86) 591 2286 2526. Email:


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Bohlmeijer, E., Roemer, M., Cuijpers, P. and Smit, F. (2007). The effects of reminiscence on psychological well-being in older adults: a meta-analysis. Aging and Mental Health, 11, 291300. doi: 10.1080/13607860600963547.
Bohlmeijer, E., Smit, F. and Cuijpers, P. (2003). Effects of reminiscence and life review on late-life depression: a meta-analysis. International Journal of Geriatric Psychiatry, 18, 10881094. doi: 10.1002/gps.1018.
Butler, R. N. (1963). The life review: an interpretation of reminiscence in the aged. Psychiatry, 26, 6576. doi: 10.1080/00332747.1963.11023339.
Chan, M. F., Ng, S. E., Tien, A., Man Ho, R. C. and Thayala, J. (2013). A randomised controlled study to explore the effect of life story review on depression in older Chinese in Singapore. Health & Social Care in the Community, 21, 545553. doi: 10.1111/hsc.12043.
Chen, S. X. and Mak, W. W. (2008). Seeking professional help: etiology beliefs about mental illness across cultures. Journal of Counseling Psychology, 55, 442450. doi: 10.1037/a0012898.
Chen, J., Zhang, L. M. and Gao, L. (2007). Depressive symptom and its influence factor in urban old adults in Wuhan. Chinese Journal of Gerontology, 27(3), 275276.
Cheng, S. T. and Hamid, P. N. (1995). An error in the use of translated scales: the Rosenberg Self-Esteem Scale for Chinese. Perceptual and Motor Skills, 81, 431434. doi: 10.2466/pms.1995.81.2.431.
Chi, I. and Boey, K. W. (1993). Hong Kong validation of measuring instruments of mental health status of the elderly. Clinical Gerontologist, 13, 3551. doi: 10.1300/J018v13n04_04.
Chiang, K. J., Lu, R. B., Chu, H., Chang, Y. C. and Chou, K. R. (2008). Evaluation of the effect of a life review group program on self-esteem and life satisfaction in the elderly. International Journal of Geriatric Psychiatry, 23, 710. doi: 10.1002/gps.182.
Crumbaugh, J. C. and Maholick, L. T. (1969). Manual of Instructions for the PIL Test. Munster, IN: Psychometric Affiliate.
Dai, X. Y. (2010). Common Psychological Assessment Manual. Beijing: People’s Military Medical Press.
Department of Economic and Social Affairs Population Division World Population Prospects (2017). Revised version. Available at:; accessed 20 December 2017.
Fassino, S., Leombruni, P., Abbate Daga, G., Brustolin, A., Rovera, G. G. and Fabris, F. (2002). Quality of life in dependent older adults living at home. Archives of Gerontology and Geriatrics, 35, 920. doi: 10.1016/S0167-4943(01)00210-2.
Fiske, A., Wetherell, J. L. and Gatz, M. (2009). Depression in older adults. Annual Review of Clinical Psychology, 5, 363389. doi: 10.1146/annurev.clinpsy.032408.153621.
Gao, J., Raven, J. H. and Tang, S. (2007). Hospitalisation among the elderly in urban China. Health Policy, 84, 210219. doi: 10.1016/j.healthpol.2007.03.007.
Gao, W. J. and Li, Q. (2008). Primary research on the impact of mental illness stigma social representations. Chinese Journal of Applied Psychology, 14, 358364.
Gaydos, H. L. (2005). Understanding personal narratives: an approach to practice. Journal of Advanced Nursing, 49, 254259. doi: 10.1111/j.1365-2648.2004.03284.x.
Geerlings, S. W., Beekman, A. T., Deeg, D. J., Twisk, J. W. and Van Tilburg, W. (2001). The longitudinal effect of depression on functional limitations and disability in older adults: an eight-wave prospective community-based study. Psychological Medicine, 31, 13611371. doi: 10.1017/S0033291701004639.
Graneheim, U. and Lundman, B. (2004). Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Education Today, 24, 105112. doi: 10.1016/j.nedt.2003.10.001.
Haber, D. (2006). Life review: implementation, theory, research, and therapy. International Journal of Aging & Human Development, 63, 153171. doi: 10.2190/da9g-rhk5-n9jp-t6cc.
Haight, B. K. and Burnside, I. (1993). Reminiscence and life review: explaining the differences. Archives of Psychiatric Nursing, 7, 9198. doi: 10.1016/s0883-9417(09)90007-3.
Haight, B. K. and Haight, B. S. (2007). The Handbook of Structured Life Review. Baltimore: Health Profession Press.
Han, J. J., Leichtman, M. D. and Wang, Q. (1998). Autobiographical memory in Korean, Chinese, and American children. Developmental Psychology, 34, 701713. doi: 10.1037//0012-1649.34.4.701.
Hanaoka, H. and Okamura, H. (2004). Study on effects of life review activities on the quality of life of the elderly: a randomized controlled trial. Psychotherapy & Psychosomatics, 73, 302311. doi: 10.1159/000078847.
Henshaw, E. J. and Freedman-Doan, C. R. (2010). Conceptualizing mental health care utilization using the health belief model. Clinical Psychology Science & Practice, 16, 420439. doi: 10.1111/j.1468-2850.2009.01181.x.
Ho, Z. J., Radha Krishna, L. K. and Yee, C. P. (2010). Chinese familial tradition and western influence: a case study in Singapore on decision making at the end of life. Journal of Pain & Symptom Management, 40, 932937. doi: 10.1016/j.jpainsymman.2010.06.010.
Jia, L. N., Zhuang, H. L., Wang, X. Y., Liu, F. F., Chen, B. Y. and Lin, Y. J. (2011). Depression status of the elderly and its relationship with quality of life in community of Fuzhou city. Chinese Journal of Geriatrics, 30, 970973.
Jenko, M., Gonzalez, L. and Seymour, J. M. (2007). Life review with the terminally ill. Journal of Hospice & Palliative Nursing, 9, 159167. doi: 10.1097/01.NJH.0000269995.98377.
Kaneko, Y., Motohashi, Y., Sasaki, H. and Yamaji, M. (2007). Prevalence of depressive symptoms and related risk factors for depressive symptoms among elderly persons living in a rural Japanese community: a cross-sectional study. Community Mental Health Journal, 43, 583590. doi: 10.1007/s10597-007-9096-5.
Korte, J., Westerhof, G. J. and Bohlmeijer, E. T. (2012). Mediating processes in an effective life-review intervention. Psychology & Aging, 27, 11721181. doi: 10.1037/a0029273.
Lan, X. Y., Xiao, H. M. and Chen, Y. (2017). Effects of life review interventions on psychosocial outcomes among older adults: a systematic review and meta-analysis. Geriatrics & Gerontology International, 17, 13441357. doi: 10.1111/ggi.12947.
Merriam, S. B. (1993). The uses of reminiscence in older adulthood. Educational Gerontology, 19, 441450. doi: 10.1080/0360127930190507.
Mirucka, B., Bielecka, U. and Kisielewska, M. (2016). Positive orientation, self-esteem, and satisfaction with life in the context of subjective age in older adults. Personality and Individual Differences, 99, 206210. doi: 10.1016/j.paid.2016.05.010.
Nyunt, M. S. Z., Fones, C., Niti, M. and Ng, T. P. (2009). Criterion-based validity and reliability of the geriatric depression screening scale (GDS-15) in a large validation sample of community-living Asian older adults. Aging and Mental Health, 13, 376382. doi: 10.1080/13607860902861027.
Pfeiffer, E. (1975). A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. Journal of the American Geriatrics Society, 23, 433441. doi: 10.1111/j.1532-5415.1975.tb00927.x.
Pinquart, M. and Forstmeier, S. (2012). Effects of reminiscence interventions on psychosocial outcomes: a meta-analysis. Aging & Mental Health, 16, 541558. doi: 10.1080/13607863.2011.651434.
Preschl, B. et al. (2012). Life-review therapy with computer supplements for depression in the elderly: a randomized controlled trial. Aging & Mental Health, 16, 964974. doi: 10.1080/13607863.2012.702726.
Rosenberg, M. (1965). Society and the Adolescent Self-Image. Princeton, NJ: Princeton University Press.
Ryff, C. D. and Heidrich, S. M. (1997). Experience and well-being: explorations on domains of life and how they matter. International Journal of Behavioral Development, 20, 193206. doi: 10.1080/016502597385289.
Sheikh, J. I. and Yesavage, J. A. (1986). Geriatric Depression Scale (GDS): recent evidence and development of a shorter version. Clinical Gerontologist, 5, 165173. doi: 10.1300/J018v05n01_09.
Song, Q. R. (1992). A Study of Adolescent’s Meaning in Life. Master’s thesis. Taiwan: National Changhua University.
Steger, M. F., Kawabata, Y., Shimai, S. and Otake, K. (2008). The meaningful life in Japan and the United States: levels and correlates of meaning in life. Journal of Research in Personality, 42, 660678. doi: 10.1016/j.jrp.2007.09.003.
Sun, J. P., Zhou, X., Yang, Z. R. and Wang, X. H (2013). Nursing home in China. Chinese Journal of Gerontology, 1, 47234724.
Tang, D. (2013). Application of short form Geriatric Depression Scale (GDS-15) in Chinese elderly. Chinese Journal of Applied Psychology, 21, 402405.
Tsai, F. C. (2001). How should doctors approach patients? A Confucian reflection on personhood. Journal of Medical Ethics, 27, 44. doi: 10.1136/jme.27.1.44.
Unutzer, J. et al. (1997). Depressive symptoms and the cost of health services in HMO patients aged 65 years and older. A 4-year prospective study. JAMA, 277, 16181623. doi: 10.1001/jama.277.20.1618.
Volkert, J. et al. (2017). The role of meaning in life in community-dwelling older adults with depression and relationship to other risk factors. Aging & Mental Health, 4, 17. doi: 10.1080/13607863.2017.1396576.
Yu, J., Li, J., Cuijpers, P., Wu, S. and Wu, Z. (2012). Prevalence and correlates of depressive symptoms in Chinese older adults: a population-based study. International Journal of Geriatric Psychiatry, 27, 305312. doi: 10.1002/gps.2721.


Life review for Chinese older adults in nursing homes: cultural acceptance and its effects

  • Xiuyan Lan (a1) (a2) (a3), Huimin Xiao (a1) and Ying Chen (a1)


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