Aging, Depression, and Wisdom

A Pilot Study of Life-Review Intervention and PTSD Treatment With Two Groups of Vietnam Veterans

Lori R. Daniels, James Boehnlein, Phillip McCallion

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Vietnam War veterans are a sometimes overlooked subgroup of the aging baby boomer generation. Forty years after the war ended, war veterans still seek out VA or Vet Center counselors to assist with traumatic stress symptoms. However, there currently are no specific age-related protocols for treating older war veterans suffering from posttraumatic stress disorder (PTSD), nor have established PTSD interventions incorporated gerontology content for these older trauma survivors. This pilot study juxtaposed life review within regular PTSD group counseling for 12 Vietnam veterans at a community-based Vet Center using a partial crossover design. The Life Review and Experiencing Form (LREF) structured the delivery of the life review component. T-tests and repeated measures ANOVA were used to examine depression and self-assessed wisdom outcomes using measures previously tested with older adults. Findings suggest that life review prior to PTSD group therapy has clinical benefits for reducing symptoms of depression and increasing self-assessed wisdom. The study illuminates the possible relationship of traumatic stress symptom effects on the natural reminiscing process for older veterans and provides insights into methods for more age-appropriate treatment for trauma survivors participating in Vet Center and VA programs nationwide.

Original languageEnglish (US)
Pages (from-to)420-436
Number of pages17
JournalJournal of Gerontological Social Work
Volume58
Issue number4
DOIs
StatePublished - May 19 2015
Externally publishedYes

Fingerprint

Vietnam
posttraumatic stress disorder
Veterans
Post-Traumatic Stress Disorders
wisdom
Depression
trauma
Group
Survivors
group counseling
Vietnam War
group therapy
gerontology
Therapeutics
counselor
baby
Wounds and Injuries
Group Psychotherapy
Geriatrics
Cross-Over Studies

Keywords

  • aging
  • depression
  • life review
  • older veterans
  • PTSD
  • reminiscence
  • reminiscing
  • self-assessed wisdom
  • traumatic stress
  • veterans
  • Vietnam War

ASJC Scopus subject areas

  • Social Sciences (miscellaneous)
  • Nursing (miscellaneous)

Cite this

Aging, Depression, and Wisdom : A Pilot Study of Life-Review Intervention and PTSD Treatment With Two Groups of Vietnam Veterans. / Daniels, Lori R.; Boehnlein, James; McCallion, Phillip.

In: Journal of Gerontological Social Work, Vol. 58, No. 4, 19.05.2015, p. 420-436.

Research output: Contribution to journalArticle

@article{342b9c8a663c4c6b91b982d01651f7c0,
title = "Aging, Depression, and Wisdom: A Pilot Study of Life-Review Intervention and PTSD Treatment With Two Groups of Vietnam Veterans",
abstract = "Vietnam War veterans are a sometimes overlooked subgroup of the aging baby boomer generation. Forty years after the war ended, war veterans still seek out VA or Vet Center counselors to assist with traumatic stress symptoms. However, there currently are no specific age-related protocols for treating older war veterans suffering from posttraumatic stress disorder (PTSD), nor have established PTSD interventions incorporated gerontology content for these older trauma survivors. This pilot study juxtaposed life review within regular PTSD group counseling for 12 Vietnam veterans at a community-based Vet Center using a partial crossover design. The Life Review and Experiencing Form (LREF) structured the delivery of the life review component. T-tests and repeated measures ANOVA were used to examine depression and self-assessed wisdom outcomes using measures previously tested with older adults. Findings suggest that life review prior to PTSD group therapy has clinical benefits for reducing symptoms of depression and increasing self-assessed wisdom. The study illuminates the possible relationship of traumatic stress symptom effects on the natural reminiscing process for older veterans and provides insights into methods for more age-appropriate treatment for trauma survivors participating in Vet Center and VA programs nationwide.",
keywords = "aging, depression, life review, older veterans, PTSD, reminiscence, reminiscing, self-assessed wisdom, traumatic stress, veterans, Vietnam War",
author = "Daniels, {Lori R.} and James Boehnlein and Phillip McCallion",
year = "2015",
month = "5",
day = "19",
doi = "10.1080/01634372.2015.1013657",
language = "English (US)",
volume = "58",
pages = "420--436",
journal = "Journal of Gerontological Social Work",
issn = "0163-4372",
publisher = "Routledge",
number = "4",

}

TY - JOUR

T1 - Aging, Depression, and Wisdom

T2 - A Pilot Study of Life-Review Intervention and PTSD Treatment With Two Groups of Vietnam Veterans

AU - Daniels, Lori R.

AU - Boehnlein, James

AU - McCallion, Phillip

PY - 2015/5/19

Y1 - 2015/5/19

N2 - Vietnam War veterans are a sometimes overlooked subgroup of the aging baby boomer generation. Forty years after the war ended, war veterans still seek out VA or Vet Center counselors to assist with traumatic stress symptoms. However, there currently are no specific age-related protocols for treating older war veterans suffering from posttraumatic stress disorder (PTSD), nor have established PTSD interventions incorporated gerontology content for these older trauma survivors. This pilot study juxtaposed life review within regular PTSD group counseling for 12 Vietnam veterans at a community-based Vet Center using a partial crossover design. The Life Review and Experiencing Form (LREF) structured the delivery of the life review component. T-tests and repeated measures ANOVA were used to examine depression and self-assessed wisdom outcomes using measures previously tested with older adults. Findings suggest that life review prior to PTSD group therapy has clinical benefits for reducing symptoms of depression and increasing self-assessed wisdom. The study illuminates the possible relationship of traumatic stress symptom effects on the natural reminiscing process for older veterans and provides insights into methods for more age-appropriate treatment for trauma survivors participating in Vet Center and VA programs nationwide.

AB - Vietnam War veterans are a sometimes overlooked subgroup of the aging baby boomer generation. Forty years after the war ended, war veterans still seek out VA or Vet Center counselors to assist with traumatic stress symptoms. However, there currently are no specific age-related protocols for treating older war veterans suffering from posttraumatic stress disorder (PTSD), nor have established PTSD interventions incorporated gerontology content for these older trauma survivors. This pilot study juxtaposed life review within regular PTSD group counseling for 12 Vietnam veterans at a community-based Vet Center using a partial crossover design. The Life Review and Experiencing Form (LREF) structured the delivery of the life review component. T-tests and repeated measures ANOVA were used to examine depression and self-assessed wisdom outcomes using measures previously tested with older adults. Findings suggest that life review prior to PTSD group therapy has clinical benefits for reducing symptoms of depression and increasing self-assessed wisdom. The study illuminates the possible relationship of traumatic stress symptom effects on the natural reminiscing process for older veterans and provides insights into methods for more age-appropriate treatment for trauma survivors participating in Vet Center and VA programs nationwide.

KW - aging

KW - depression

KW - life review

KW - older veterans

KW - PTSD

KW - reminiscence

KW - reminiscing

KW - self-assessed wisdom

KW - traumatic stress

KW - veterans

KW - Vietnam War

UR - http://www.scopus.com/inward/record.url?scp=84929505240&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84929505240&partnerID=8YFLogxK

U2 - 10.1080/01634372.2015.1013657

DO - 10.1080/01634372.2015.1013657

M3 - Article

VL - 58

SP - 420

EP - 436

JO - Journal of Gerontological Social Work

JF - Journal of Gerontological Social Work

SN - 0163-4372

IS - 4

ER -