Nostalgia as a psychological resource for people with dementia: A systematic review and meta-analysis of evidence of effectiveness from experimental studies

Ismail, Sanda U; Cheston, Richard; Christopher, Gary; Meyrick, Jane

Abstract

Objective: This review systematically examines evidence relating to the effect of nostalgia on psychological well-being through a meta-analysis of measures of social connectedness, self-esteem, meaning in life, self-continuity, optimism and positive and negative affect.

Rationale: If nostalgia is to be used as a clinical intervention to boost well-being in dementia by reducing threat, then it is important to assess its therapeutic potential.

Results: Searches carried out in July 2014 and updated in February 2018 identified 47 eligible experimental studies comparing nostalgic reminiscence and non-nostalgic reminiscence to be included in the meta-analysis. Nostalgic reminiscence had moderate effects on positive affect (0.51 (0.37, 0.65), p= 0.001), social connectedness (0.72 (0.57, 0.87), p= 0.001), self-esteem (0.50 (0.30, 0.70), p= 0.001), meaning in life (0.77 (0.47, 1.08), p= 0.001) and optimism (0.38 (0.28, 0.47), p= 0.001) and a large effect on self-continuity (0.81 (0.55, 1.07), p= 0.001). There was, however, no difference between the effect of nostalgic reminiscence and non-nostalgic reminiscence for negative affect (−0.06 (−0.20, 0.09), p= 0.443).

Conclusion: This systematic review and meta-analysis provides an overview of the evidence base for nostalgia. This is an important stage in developing nostalgia as a clinical intervention for people with dementia which might be achieved, for instance, by adapting current reminiscence and life review techniques. This meta-analysis will therefore also serve as a valuable reference point for the continued exploration of nostalgia as an intervention.

• Journal Article Type: Article
• Acceptance Date: Apr 5, 2018
• Online Publication Date: May 10, 2018
• Publication Date: Feb 1, 2020
• Deposit Date: May 14, 2018
• Publicly Available Date: May 14, 2018
• Journal: Dementia
• Print ISSN: 1471-3012
• Electronic ISSN: 1741-2684
• Publisher: SAGE Publications
• Peer Reviewed: Peer Reviewed
• Volume: 19
• Issue: 2
• Pages: 330-351
• DOI: https://doi.org/10.1177/1471301218774909
• Keywords: nostalgia, dementia, reminiscence, systematic review
• Public URL: https://uwe-repository.worktribe.com/output/868195
• Publisher URL: https://doi.org/10.1177/1471301218774909
• Related Public URLs: http://journals.sagepub.com/eprint/SvMF4DQEAiVINQpwakh3/full#articleCitationDownloadContainer
• Additional Information: Additional Information : © 2018. Reprinted by permission of SAGE Publications
• Contract Date: May 14, 2018