اولین همایش بین المللی تحول خدمات سلامت: تلفیق مراقبت، درمان، بازتوانی و امیدبخشی

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کد مقاله 1322

عنوان The Effectiveness of Meaning-Centered Therapy on Metaworry and Death Distress Severity Among Older Adults

نویسندگان Ali Ghasemi - Salehe Abasian - Gholamreza Talebi

چکیده Aims: The present study aimed to investigate the effectiveness of meaning-centered psychotherapy on metaworry and death distress severity among older adults. Methods: This quasi-experimental study employed a pretest-posttest design with a wait-list control group and a three-month follow-up assessment. The study population consisted of older adults experiencing death-related distress who were referred to the Rangin Kaman Sepid Center in Isfahan during 2024-2025. Initially, 40 participants were recruited through purposive sampling based on the inclusion criteria and randomly assigned to the experimental and wait-list control groups using a lottery method. After participant attrition, the final sample consisted of 36 participants (18 participants in each group). The experimental group received eight 90-minute sessions of Breitbart’s meaning-centered psychotherapy, whereas the wait-list control group received no intervention during the study period. Data were collected using the Anxious Thoughts Inventory and the Death Distress Scale and were analyzed using repeated-measures analysis of variance. Findings: The findings indicated that meaning-centered psychotherapy significantly reduced metaworry and death distress severity in the experimental group compared with the control group (P<0.001). Moreover, the results of the three-month follow-up demonstrated that the effects of the intervention remained stable over time. Conclusion: Meaning-centered psychotherapy can be considered an effective psychological intervention for older adults by enhancing meaning in life, increasing purposefulness, and promoting adaptive perspectives toward difficult experiences and end-of-life concerns.

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