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.
AnatürkM.SuriS.ZsoldosE.FilippiniN.MahmoodA.Singh-ManouxA.KivimäkiM., MackayC. E.EbmeierK. P.SextonC. E. (2020). Associations between longitudinal trajectories of cognitive and social activities and brain health in old age. JAMA Network Open, 3, e2013793. https://doi.org/10.1001/jamanetworkopen.2020.13793
2.
AndresenE. M.MalmgrenJ. A.CarterW. B.PatrickD. L. (1994). Screening for depression in well older adults: Evaluation of a short form of the CES-D. American Journal of Preventive Medicine, 10(2), 77–84. https://doi.org/10.1016/S0749-3797(18)30622-6
3.
Arevalo-RodriguezI.SmailagicN.Roqué i FigulsM.CiapponiA.Sanchez-PerezE.GiannakouA., PedrazaO. L.Bonfill CospX.CullumS. (2015). Mini-Mental State Examination (MMSE) for the detection of Alzheimer’s disease and other dementias in people with mild cognitive impairment (MCI). Cochrane Database of Systematic Reviews, 3, CD010783. https://doi.org/10.1002/14651858.CD010783.pub2
BlakeH.MoP.MalikS.ThomasS. (2009). How effective are physical activity interventions for alleviating depressive symptoms in older people? A systematic review. Clinical Rehabilitation, 23, 873–887. https://doi.org/10.1177/0269215509337449
7.
CabralD. F.RiceJ.MorrisT. P.RundekT.Pascual-LeoneA.Gomes-OsmanJ. (2019). Exercise for brain health: An investigation into the underlying mechanisms guided by dose. Neurotherapeutics, 16, 580–599. https://doi.org/10.1007/s13311-019-00749-w
8.
CarreraM.CaberoA.GonzálezS.RodríguezN.GarcíaC.HernándezL.ManjónJ. (2016). Solution-focused group therapy for common mental health problems: Outcome assessment in routine clinical practice. Psychology and Psychotherapy: Theory, Research and Practice, 89, 294–307. https://doi.org/10.1111/papt.12085
9.
CepukieneV.PakrosnisR. (2011). The outcome of solution-focused brief therapy among foster care adolescents: The changes of behavior and perceived somatic and cognitive difficulties. Children and Youth Services Review, 33, 791–797. https://doi.org/10.1016/j.childyouth.2010.11.027
10.
ChenR.XuP.SongP.WangM.HeJ. (2019). China has faster pace than Japan in population aging in next 25 years. Bioscience Trends, 13, 287–291. https://doi.org/10.5582/bst.2019.01213
11.
ChengY.WuW. Y.FengW.WangJ. Q.ChenY.ShenY., LiQ. W.ZhangX.LiC. B. (2012). The effects of multi-domain versus single-domain cognitive training in non-demented older people: A randomized controlled trial. BMC Medicine, 10, 30. https://doi.org/10.1186/1741-7015-10-30
12.
ChiaoC.WengL.-J.BotticelloA. L. (2011). Social participation reduces depressive symptoms among older adults: An 18-year longitudinal analysis in Taiwan. BMC Public Health, 11, 292. https://doi.org/10.1186/1471-2458-11-292
13.
ChoiY.-S.Wae-SunC.KimG. S. (2011). Effects of solution-focused group art therapy on the flow, self-efficacy, and problem-solving skills of female high school students. Korean Journal of Art Therapy, 18, 845–873. https://doi.org/10.35594/kata.2011.18.4.004
14.
CortiE. J.JohnsonA. R.RiddleH.GassonN.KaneR.LoftusA. M. (2017). The relationship between executive function and fine motor control in young and older adults. Human Movement Science, 51, 41–50. https://doi.org/10.1016/j.humov.2016.11.001
15.
CottonJ. (2010). Question utilization in solution-focused brief therapy: A recursive frame analysis of Insoo Kim Berg’s solution talk. Qualitative Report, 15(1), 18–36. Retrieved from http://www.nova.edu/ssss/QR/QR15-1/cotton.pdf
16.
DakiJ.SavageR. S. (2010). Solution-focused brief therapy: Impacts on academic and emotional difficulties. The Journal of Educational Research, 103, 309–326. https://doi.org/10.1080/00220670903383127
17.
FitchT.MarshallJ.McCarthyW. (2012). The effect of solution-focused groups on self-regulated learning. Journal of College Student Development, 53, 586–595. https://doi.org/10.1353/csd.2012.0049
18.
FolsteinM. F.FolsteinS. E.McHughP. R. (1975). “Mini-mental state”: A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189–198. https://doi.org/10.1016/0022-3956(75)90026-6
19.
ForsmanA. K.SchierenbeckI.WahlbeckK. (2011). Psychosocial interventions for the prevention of depression in older adults: Systematic review and meta-analysis. Journal of Aging and Health, 23, 387–416. https://doi.org/10.1177/0898264310378041
20.
FranklinC.MontgomeryK. L. (2013). Does solution-focused brief therapy work? In J.Kim (Ed.), Solution-focused brief therapy: A multicultural approach (pp. 32–54). Sage Publications. https://doi.org/10.4135/9781483352930.n3
21.
GingerichW. J.PetersonL. T. (2013). Effectiveness of solution-focused brief therapy: A systematic qualitative review of controlled outcome studies. Research on Social Work Practice, 23, 266–283. https://doi.org/10.1177/1049731512470859
22.
GloverC. M.YuL.StewartC. C.WilsonR. S.BennettD. A.BoyleP. A. (2021). The association of late life cognitive activity with healthcare and financial decision-making in community-dwelling, nondemented older adults. The American Journal of Geriatric Psychiatry, 29, 117–125. https://doi.org/10.1016/j.jagp.2020.06.010
23.
GongH.HsuW. (2017). The effectiveness of solution-focused group therapy in ethnic Chinese school settings: A meta-analysis. International Journal of Group Psychotherapy, 67, 383–409. https://doi.org/10.1080/00207284.2016.1240588
24.
GrayS. W.ZideM. R.WilkerH. (2000). Using the solution focused brief therapy model with bereavement groups in rural communities: Resiliency at its best. The Hospice Journal, 15(3), 13–30. https://doi.org/10.1080/0742-969X.2000.11882955
25.
GuD. (2008). General data quality assessment of the CLHLS. In Z.YiD. L.PostonD. A.VloskyD.Gu (Eds.), Healthy longevity in china: Demographic, socioeconomic, and psychological dimensions (pp. 39–60). Springer. https://doi.org/10.1007/978-1-4020-6752-5_3.
26.
HanY. Y.XieY. H.XiaN.SurgeryD. O. (2017). Efficacy of ‘solution-focused therapy group counseling’ in nursing patients of gastric cancer during the perioperative period. Health Research, 37, 189–191+194. https://doi.org/10.3969/j.issn.1674-6449.2017.02.022
27.
HongS.-I.HascheL.BowlandS. (2009). Structural relationships between social activities and longitudinal trajectories of depression among older adults. The Gerontologist, 49, 1–11. https://doi.org/10.1093/geront/gnp006
28.
HsuW.-S.WangC. D. C. (2011). Integrating Asian clients’ filial piety beliefs into solution-focused brief therapy. International Journal for the Advancement of Counselling, 33, 322–334. https://doi.org/10.1007/s10447-011-9133-5
29.
HuT.ZhaoX.WuM.LiZ.LuoL.YangC.YangF. (2022). Prevalence of depression in older adults: A systematic review and meta-analysis. Psychiatry Research, 311, 114511. https://doi.org/10.1016/j.psychres.2022.114511
30.
HuangD.YangL. H.PescosolidoB. A. (2019). Understanding the public’s profile of mental health literacy in China: A nationwide study. BMC Psychiatry, 19, 20. https://doi.org/10.1186/s12888-018-1980-8
31.
KellyM. E.DuffH.KellyS.McHugh PowerJ. E.BrennanS.LawlorB. A.LoughreyD. G. (2017). The impact of social activities, social networks, social support and social relationships on the cognitive functioning of healthy older adults: A systematic review. Systematic Reviews, 6, 259. https://doi.org/10.1186/s13643-017-0632-2
32.
KimH.-M.ChoiY.-H.JeonE.-Y. (2003). The effect of the solution-focused group counseling program on problem-solving capacity of the nursing students. The Korean Journal of Rehabilitation Nursing, 6, 183–191. Retrieved from https://koreascience.kr/article/JAKO200325952568876.page
33.
KimJ. S.FranklinC.ZhangY.LiuX.QuY.ChenH. (2015). Solution-focused brief therapy in China: A meta-analysis. Journal of Ethnic & Cultural Diversity in Social Work, 24, 187–201. https://doi.org/10.1080/15313204.2014.991983
KoorankotJ.MukherjeeT.AshrafZ. (2014). Solution-focused brief therapy for depression in an Indian tribal community: A pilot study. International Journal of Solution-Focused Practices, 2(1), 4–8. https://doi.org/10.14335/ijsfp.v2i1.16
36.
KvarmeL. G.HelsethS.SorumR.Luth-HansenV.HauglandS.NatvigG. K. (2010). The effect of a solution-focused approach to improve self-efficacy in socially withdrawn school children: A non-randomized controlled trial. International Journal of Nursing Studies, 47, 1389–1396. https://doi.org/10.1016/j.ijnurstu.2010.05.001
37.
LaFountainR. M.GarnerN. E. (1996). Solution-focused counseling groups: The results are in. The Journal for Specialists in Group Work, 21, 128–143. https://doi.org/10.1080/01933929608412241
38.
LeeH.UmM. (2014). Developing, and testing the effects of a group program for the low income depressed elderly women living alone, which integrated positive psychology and solution-focused therapy. Korean Journal of Social Welfare, 66(3), 101–131. https://doi.org/10.20970/kasw.2014.66.3.005
39.
LiJ.LiuY. C. (2021). Intervention effect of the video health education model based on solution-focused theory on adolescents’ mental health during the Covid-19 pandemic. Iranian Journal of Public Health, 50, 2202–2210. https://doi.org/10.18502/ijph.v50i11.7574
40.
LiL. W.LiuJ.XuH.ZhangZ. (2016). Understanding rural–urban differences in depressive symptoms among older adults in China. Journal of Aging and Health, 28, 341–362. https://doi.org/10.1177/0898264315591003
41.
ListaI.SorrentinoG. (2010). Biological mechanisms of physical activity in preventing cognitive decline. Cellular and Molecular Neurobiology, 30, 493–503. https://doi.org/10.1007/s10571-009-9488-x
42.
LiuX.ZhangY. P.FranklinC.QuY.ChenH.KimJ. S. (2015). The practice of solution-focused brief therapy in mainland China. Health & Social Work, 40, 84–90. https://doi.org/10.1093/hsw/hlv013
43.
LuoH.LiuY.KeX.YangH.YuY.ChenX. (2015). Group psychological counseling for patients with nasopharyngeal carcinoma. Journal of Nursing Science, 30(23), 15–16+25. https://doi.org/10.3870/j.issn.1001-4152.2015.23.015
MaZ.HuangH.ChenQ.ChenF.AbdullahA. S.NieG.FengQ.WeiB. (2015). Mental health services in rural China: A qualitative study of primary health care providers. BioMed Research International, 2015, 151053. https://doi.org/10.1155/2015/151053
46.
MaZ.HuangH.NieG.SilenzioV. M. B.WeiB. (2018). Attitude towards mental illness among primary healthcare providers: A community-based study in rural China. BioMed Research International, 2018, 8715272. https://doi.org/10.1155/2018/8715272
47.
MacheS.BernburgM.BaresiL.GronebergD. A. (2016). Evaluation of self-care skills training and solution-focused counselling for health professionals in psychiatric medicine: A pilot study. International Journal of Psychiatry in Clinical Practice, 20, 239–244. https://doi.org/10.1080/13651501.2016.1207085
48.
Montoro-RodriguezJ.HayslipB.RamseyJ.JoosteJ. L. (2021). The utility of solution-oriented strategies to support grandparents raising grandchildren. Journal of Aging and Health, 33, 647–660. https://doi.org/10.1177/08982643211004817
49.
MorrisJ.LoraA.McBainR.SaxenaS. (2012). Global mental health resources and services: A WHO survey of 184 countries. Public Health Reviews, 34(2), 1–19. https://doi.org/10.1007/BF03391671
50.
MortimerJ. A.DingD.BorensteinA. R.DeCarliC.GuoQ.WuY., ZhaoQ.ChuS. (2012). Changes in brain volume and cognition in a randomized trial of exercise and social interaction in a community-based sample of non-demented Chinese elders. Journal of Alzheimer’s Disease, 30, 757–766. https://doi.org/10.3233/JAD-2012-120079
51.
National Health Commission (2020). China health statistics yearbook 2020. Peking Union Medical College Press.
52.
NewsomeW. S. (2004). Solution-focused brief therapy group work with at-risk junior high school students: Enhancing the bottom line. Research on Social Work Practice, 14, 336–343. https://doi.org/10.1177/1049731503262134
53.
OhY. M.LeeK. M. (2020). Effects of solution-focused group art therapy programs on the level of school adaptation and problem solving ability of school maladapted adolescence. Journal of Emotional & Behavioral Disorders, 36, 169–189. https://doi.org/10.33770/jebd.36.2.8
54.
OswaldW. D.GunzelmannT.RupprechtR.HagenB. (2006). Differential effects of single versus combined cognitive and physical training with older adults: The SimA study in a 5-year perspective. European Journal of Ageing, 3, 179–192. https://doi.org/10.1007/s10433-006-0035-z
55.
PatelV.XiaoS.ChenH.HannaF.JotheeswaranA. T.LuoD.,ParikhR.SharmaE.UsmaniS.YuY.DrussB. G.SaxenaS. (2016). The magnitude of and health system responses to the mental health treatment gap in adults in India and China. The Lancet, 388, 3074–3084. https://doi.org/10.1016/S0140-6736(16)00160-4
PomeroyE. C.GreenD. L.Van LaninghamL. (2002). Couples who care: The effectiveness of a psychoeducational group intervention for HIV serodiscordant couples. Research on Social Work Practice, 12, 238–252. https://doi.org/10.1177/104973150201200203
SagarM. E. (2022). The effect of solution-focused group counseling on the resilience of university students. E-International Journal of Educational Research, 13(1), 103–117. https://doi.org/10.19160/e-ijer.1034931
60.
SariE.GunaydinN. (2016). Effectiveness of solution-focused coping with depression training on depression symptoms. Anadolu Psikiyatri Dergisi-Anatolian Journal of Psychiatry, 17, 369–375. https://doi.org/10.5455/apd.208951
61.
SeidelA.HedleyD. (2008). The use of solution-focused brief therapy with older adults in Mexico: A preliminary study. The American Journal of Family Therapy, 36(3), 242–252. https://doi.org/10.1080/01926180701291279
62.
SmithI. C. (2011). A qualitative investigation into the effects of brief training in solution-focused therapy in a social work team. Psychology and Psychotherapy: Theory, Research and Practice, 84, 335–348. https://doi.org/10.1111/j.2044-8341.2010.02000.x
63.
SofiF.ValecchiD.BacciD.AbbateR.GensiniG. F.CasiniA.MacchiC. (2011). Physical activity and risk of cognitive decline: A meta-analysis of prospective studies. Journal of Internal Medicine, 269, 107–117. https://doi.org/10.1111/j.1365-2796.2010.02281.x
64.
TangT.JiangJ.TangX. (2021). Prevalence of depressive symptoms among older adults in mainland China: A systematic review and meta-analysis. Journal of Affective Disorders, 293, 379–390. https://doi.org/10.1016/j.jad.2021.06.050
TreimanD. J. (2012). The “difference between heaven and earth”: Urban–rural disparities in well-being in China. Research in Social Stratification and Mobility, 30, 33–47. https://doi.org/10.1016/j.rssm.2011.10.001
67.
VaughanL.GiovanelloK. (2010). Executive function in daily life: Age-related influences of executive processes on instrumental activities of daily living. Psychology and Aging, 25, 343–355. https://doi.org/10.1037/a0017729
68.
WangY.LiZ.FuC. (2021). Urban-rural differences in the association between social activities and depressive symptoms among older adults in China: A cross-sectional study. BMC Geriatrics, 21, 569. https://doi.org/10.1186/s12877-021-02541-y
69.
XiangY.ZareH.GuanC.GaskinD. (2018). The impact of rural-urban community settings on cognitive decline: Results from a nationally-representative sample of seniors in China. BMC Geriatrics, 18, 323. https://doi.org/10.1186/s12877-018-1003-0
70.
XiongW.PhillipsM. R. (2016). Translated and annotated version of the 2015-2020 National Mental Health Work Plan of the People’s Republic of China. Shanghai Archives of Psychiatry, 28, 4–17. https://doi.org/10.11919/j.issn.1002-0829.216012
71.
XuH.DupreM. E.GuD.WuB. (2017). The impact of residential status on cognitive decline among older adults in China: Results from a longitudinal study. BMC Geriatrics, 17, 107. https://doi.org/10.1186/s12877-017-0501-9
72.
XuJ.WangJ.KingM.LiuR.YuF.XingJ.,SuL.LuM. (2018). Rural–urban disparities in the utilization of mental health inpatient services in China: The role of health insurance. International Journal of Health Economics and Management, 18, 377–393. https://doi.org/10.1007/s10754-018-9238-z
73.
XueJ.LiJ.LiangJ.ChenS. (2018). The prevalence of mild cognitive impairment in china: A systematic review. Aging and Disease, 9, 706–715. https://doi.org/10.14336/AD.2017.0928
ZhangL.XuY.NieH.ZhangY.WuY. (2012). The prevalence of depressive symptoms among the older in China: A meta-analysis. International Journal of Geriatric Psychiatry, 27, 900–906. http://doi.org/10.1002/gps.v27.9
76.
ZhangM.KatzmanR.SalmonD.JinH.CaiG.WangZ.QuG.GrantI.YuE.LevyP.KlauberM. R.LiuW. T. (1990). The prevalence of dementia and Alzheimer’s disease in Shanghai, China: Impact of age, gender, and education. Annals of Neurology: Official Journal of the American Neurological Association and the Child Neurology Society, 27, 428–437. https://doi.org/10.1002/ana.410270412
77.
ZhangS.XiangK.LiS.PanH.-F. (2021). Physical activity and depression in older adults: The knowns and unknowns. Psychiatry Research, 297, 113738. https://doi.org/10.1016/j.psychres.2021.113738
78.
ZhouX.XieM.TaoJ.FangY.ChenS.ChenL. (2016). Jian yi zhi neng jing shen zhuang tai jian cha liang biao de yan jiu he ying yong [The Mini-Mental State Examination: Research and application]. Chinese Journal of Rehabilitation Medicine, 31, 694–696+706. https://doi.org/10.3969/j.issn.1001-1242.2016.06.019
