Effectiveness of reminiscence therapy to improve sleep quality among older adults with hypertension
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Abstract
Background: Sleep disturbances are highly prevalent among older adults with hypertension, further exacerbating cardiovascular risks and impairing quality of life. Reminiscence therapy, a psychosocial intervention, has shown promise in promoting psychological well-being and reducing stress, thereby improving sleep outcomes.
Objectives: To evaluate the effectiveness of reminiscence therapy In improving sleep quality among older adults with hypertension.
Materials and methods: The experimental study was conducted among 30 hypertensive older adults aged 60 years and above. Participants were allocated to the intervention (reminiscence therapy) and control groups, which received conventional occupational therapy focused on improving sleep quality. This included cognitive behavioural therapy for insomnia, sleep hygiene education, sensory modulation strategies, environmental adaptations, and activity scheduling. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI).
Results: Post-intervention analysis revealed a significant improvement in PSQI scores in the reminiscence therapy group compared to the control group (p<0.05). Subdomains, including sleep latency, sleep duration, and overall sleep efficiency, showed marked improvements.
Conclusion: Reminiscence therapy is effective in enhancing sleep quality among older adults with hypertension and can be integrated as a complementary non-pharmacological intervention in geriatric care.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Personal views expressed by the contributors in their articles are not necessarily those of the Journal of Associated Medical Sciences, Faculty of Associated Medical Sciences, Chiang Mai University.
References
Whelton PK, Carey RM, Aronow WS, Casey DE Jr, Collins KJ, Dennison Himmelfarb C, et al. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA guideline for the prevention, detection, evaluation, and management of high blood pressure in adults: Executive summary. Hypertension. 2018; 71(6): 1269-324. doi: 10.1161/HYP.0000000000000066.
Chaitoff A, Zheutlin AR. Epidemiology of hypertension in older adults. Clin Geriatr Med. 2024; 40(4): 515-28. doi.org/10.1016/j.cger.2024.04.007.
Mohammad R, Bansod DW. Hypertension in India: A gender-based study of prevalence and associated risk factors. BMC Public Health [Internet]. 2024; 24(1). Article number 2681. doi.org/10.1186/s12889-024-20097-5.
Liu D, Yu C, Huang K, Thomas S, Yang W, Liu S, et al. The association between hypertension and insomnia: A bidirectional meta-analysis of prospective cohort studies. Int J Hypertens. 2022; 2022: 1-11. doi.org/10.1155/2022/4476905.
Budhiraja R, Roth T, Hudgel DW, Budhiraja P, Drake CL. Prevalence and polysomnographic correlates of insomnia comorbid with medical disorders. Sleep [Internet]. 2011; 34(7): 859-67. doi.org/10.5665/sleep.1114.
Taylor DJ, Mallory LJ, Lichstein KL, Durrence HH, Riedel BW, Bush AJ. Comorbidity of chronic insomnia with medical problems. Sleep. 2007; 30(2): 213-8. doi.org/10.1093/sleep/30.2.213.
Li L, Gan Y, Zhou X, Jiang H, Zhao Y, Tian Q, et al. Insomnia and the risk of hypertension: A metaanalysis of prospective cohort studies. Sleep Med Rev. 2020; 56: 101403. doi.org/10.1016/j.smrv.2020.101403.
Kavousi P, Mali E, Seifhashemi N, Souri M, Pakravan L, Khalili F. Worldwide prevalence of poor sleep quality in older adults: A systematic review and meta-analysis. Iran J Psychiatry. 2025. doi.org/10.18502/ijps.v20i2.18207.
Elias SMS, Neville C, Scott T. The effectiveness of group reminiscence therapy for loneliness, anxiety and depression in older adults in long-term care: A systematic review. Geriatr Nurs. 2015; 36(5): 372-80. doi.org/10.1016/j.gerinurse.2015.05.004.
Latha KS, Bhandary PV, Tejaswini S, Sahana M. Reminiscence therapy: An overview. Middle East J Age Ageing. 2014; 11(1): 18-22. doi.org/10.5742/meaa.2014.92393.
Camino M, Satorres E, Delhom I, Real E, Abella M, Meléndez JC. Mindfulness-based cognitive therapy to improve sleep quality in older adults with insomnia. Psychosoc Interv. 2022; 31(3): 159-67. doi.org/10.5093/pi2022a12.
Hedayat S, Arefi M. The effect of cognitive-behavioral therapy on improving sleep quality in the elderly. Knowl Res Appl Psychol. 2015; 16(2): 60-8. http://journals.khuisf.ac.ir/jsr-p/article-1-1807-fa.pdf.
Ong JC, Xia Y, Smith-Mason CE, Manber R. A randomized controlled trial of mindfulness meditation for chronic insomnia. Mindfulness. 2018; 9(6): 1702-12. doi.org/10.1007/s12671-018-0911-6.
Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh sleep quality index: A new instrument for psychiatric practice and research. Psychiatry Res. 1989; 28(2): 193-213. doi.org/10.1016/0165-1781(89)90047-4.
Liu Z, Yang F, Lou Y, Zhou W, Tong F. The effectiveness of reminiscence therapy on alleviating depressive symptoms in older adults: A systematic review. Front Psychol. 2021; 12. doi. org/10.3389/fpsyg.2021.709853.
Chiang K, Chu H, Chang H, Chung M, Chen C, Chiou H, et al. The effects of reminiscence therapy on psychological well-being, depression, and loneliness among the institutionalized aged. Int J Geriatr Psychiatry. 2009; 25(4): 380-8. doi.org/10.1002/gps.2350.
Huang HC, Chen YT, Chen PY, Hu SHL, Liu F, Kuo YL, et al. Reminiscence therapy improves cognitive functions and reduces depressive symptoms in elderly people with dementia: A meta-analysis of randomized controlled trials. J Am Med Dir Assoc. 2015; 16(12): 1087-94. doi.org/10.1016/j.jamda.2015.07.010.
Ho ECM, Siu AMH. Occupational therapy practice in sleep management: A review of conceptual models and research evidence. Occup Ther Int. 2018; 2018: 1-12. doi.org/10.1155/2018/8637498.
Yoo I. A scoping review of sleep management as an occupational therapy intervention. Ir J Occup Ther. 2023; 51(2): 22-34. doi.org/10.1108/ijot-01-2023-0001.
Gutman SA, Gregory KA, Sadlier-Brown MM, Schlissel MA, Schubert AM, Westover LA, et al. Comparative effectiveness of three occupational therapy sleep interventions. OTJR (Thorofare N J). 2017; 37(1): 5-13. doi.org/10.1177/1539449216673045.
Aşiret GD. Effect of reminiscence therapy on the sleep quality of the elderly living in nursing homes: A randomized clinical trial. Eur J Integr Med. 2018; 20: 1-5. doi.org/10.1016/j.eujim.2018.03.007.
Sahragard F, Rezaei M, Izadi-Avanji FS, Atoof F, Ahmadishad M. The effect of group reminiscence therapy on insomnia in older adults: A randomized controlled clinical trial. J Res Dev Nurs Midwifery. 2020; 17(1): 94-110. doi.org/10.29252/jgbfnm.17.1.94.
Lök N, Bademli K, Selçuk-Tosun A. The effect of reminiscence therapy on cognitive functions, depression, and quality of life in Alzheimer patients: Randomized controlled trial. Int J Geriatr Psychiatry. 2019; 34(1): 47-53. doi.org/10.1002/gps.4980.
Aşiret GD, Dutkun M. The effect of reminiscence therapy on the adaptation of elderly women to old age: A randomized clinical trial. Complement Ther Med. 2018; 41: 124-9. doi.org/10.1016/j.ctim.2018.09.018.
