Brain Gymnastics-Based Group Therapy On Reducing Depression In Elderly
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Keywords

elderly
depression
group activity therapy
brain gymnastics

How to Cite

Mursyida, N. I., Surachmi, F., Suheri, T., & Verheul, N. (2025). Brain Gymnastics-Based Group Therapy On Reducing Depression In Elderly . Jendela Nursing Journal (JNJ), 9(2), 139–148. https://doi.org/10.31983/jnj.v9i2.13437

Abstract

Background: depression is a prevalent psychological condition among the elderly, often arising from physiological decline and psychosocial stressors associated with aging. The risk is notably higher among older adults residing in social care institutions due to limited social engagement and reduced cognitive stimulation. Non-pharmacological interventions, such as brain gymnastics simple coordinated movements designed to enhance cognitive activity have shown potential benefits but remain underexplored in institutionalized settings.

Purpose: this study aimed to evaluate the effectiveness of group activity therapy (GAT) using brain gymnastics in reducing depression levels among institutionalized elderly individuals.

Methods: a pre-experimental one-group pretest–posttest design was employed. A total of 37 elderly participants experiencing mild to moderate depression were recruited through total sampling. The intervention consisted of brain gymnastics performed three times per week for two weeks, with each session lasting 15–20 minutes. Depression levels were assessed using the short-form Geriatric Depression Scale (GDS). Data were analyzed using the Wilcoxon signed-rank test.

Results: the findings demonstrated a statistically significant reduction in depression scores following the intervention (p < 0.05), indicating that brain gymnastics had a meaningful positive effect on participants’ psychological well-being.

Conclusion: brain gymnastics implemented within group activity therapy is an effective, low-cost, and enjoyable non-pharmacological approach to reducing depression among the elderly. The intervention supports improved cognitive stimulation, emotional engagement, and social interaction in institutional care environments.

https://doi.org/10.31983/jnj.v9i2.13437
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References

Alhawari, V. A., & Ayu Pratiwi. (2021). Terapi Aktivitas Kelompok pada Lansia dengan Gangguan Jiwa. Jakarta: EGC

Anindya, D. N. (2019). Psikologi Lanjut Usia. Yogyakarta: Pustaka Baru Press.

Badan Pusat Statistik Provinsi Jawa Tengah, B. (2023). Profil Lansia Provinsi Jawa Tengah (B. Badan Pusat statistik Provinsi Jawa Tengah (ed.)). Badan Pusat Statistik Provinsi Jawa Tengah.

Blazer, D. G. (1982). Depression in late life. St. Louis: Mosby

Dahlan, A. K. (2016). Kesehatan lansia: Kajian teori gerontologi dan pendekatan asuhan pada lansia. Intimedia.

Dinkes, J. (2022). Profil Kesehatan Jawa Tengah. Dinkes Jawa Tengah

Fadilah, U. (2020). Psikologi Sosial Lansia. Bandung: Refika Aditama.

Febriani, R. D., & Ismahmudi, R. (2020). Hubungan Penghasilan dan Status Perkawinan dengan Tingkat Depresi pada Lansia di Posyandu Lansia Wilayah Kerja Puskesmas Wonorejo Samarinda. Borneo Student Research, 1(2), 767–771.

Fernandes, F. (2024). Stres pada lansia. Mitra Edukasi Negeri.

Hidayati, S., Baequny, A., & Fauziyah, A. (2021). Intervensi Taks (Terapi Aktivitas Kelompok Sosialisasi) Sebagai Upaya Menurunkan Tingkat Depresi Lansia. JABI: Jurnal Abdimas Bhakti Indonesia, 2(2), 64–76. https://doi.org/10.36308/jabi.v2i2.353

Indari, A., Yuliani, E., & Rahayu, A. (2023). Ilmu dasar keperawatan gerontik. Yogyakarta: Deepublish.

Irawan, D., Zein, A. E., Kevin, G., Silitonga, D., Firyal, A., & Candra, S. M. (2025). Pemberdayaan Lansia Melalui Aktivitas Bermain Angklung. 1(January), 54–64.

Junardi. (2024). Kesehatan Mental Lansia dalam Perspektif Keperawatan. Jakarta: Penerbit Salemba Medika

Junardi, H. (2024). Hubungan peran sosial terhadap kejadian Depresi pada lansia di desa bintang rinjani. 5(8), 467–476.

Kaplan H.I, Sadock V.A, Grebb J.A. (2010). Kaplan dan Sadock Sinopsis Psikiatri: ilmu pengetahuan psikiatri klinis. Tanggerang: Bina Rupa Aksara;2010

Keliat, B. A. (2019). Keperawatan jiwa terapi aktivitas . Jakarta Egc.

Kurniasih, Y., & Supriyanto, W. (2020). Asuhan Keperawatan Kesehatan Jiwa pada Lansia. Jakarta: Salemba Medika.

Manurung, S. S., Ritonga, I. L., & Damanik, M. H. (2020). Buku ajar keperawatan gerontik. Deepublish.

McCrae, R. R., & Costa, P. T. (2010). Personality in adulthood: A Five-Factor Theory perspective (2nd ed.). Guilford Press.

Mulyani, S. (2019). Asuhan Keperawatan pada Lansia dengan Penyakit Kronis. Yogyakarta: Graha Ilmu.

Ningsih, R. Y., & Iqomh, M. K. B. (2025). Efektivitas Penerapan Senam Otak Terhadap Fungsi Kognitif Pada Lansia Dengan Demensia di Rumah Sakit. 1, 9–14.

Nolen Hoeksema, S., & Aldao, A. (2011). Gender and age differences in emotion regulation strategies and their relationship to depressive symptoms. Personality and Individual Differences, 51(6), 704–708. https://doi.org/10.1016/j.paid.2011.06.012

Paul, E. D., & Gaul, E. D. (2008). Brain Gym and Me. Grasindo.

Pragholapati, A., Oktapiani, R. S., & Efri Widianti. (2019). Pengaruh Brain Gym Terhadap Tingkat Depresi Pada Lansia Di Balai Perlindungan Sosial Tresna Werdha Ciparay Bandung. Skolastik Keperawatan, 5(2), 128–146.

Pramitasari, D., & Cahyati, I. (2022). Kesehatan Mental Lansia: Tantangan dan Penanganannya. Bandung: Refika Aditama

Putri, S. F., & Kamilah, S. M. (2022). Pengaruh Senam Otak Terhadap Tingkat Depresi Pada Lansia Di Pantitresna Werdha Budi Mulia 2 Cengkareng Jakarta Barat. Jurnal Kesehatan STIKes IMC Bintaro, 5(1), 26–30.

Ratnawati, R. (2017). Dalam Anindya, D. N. Psikologi Lanjut Usia. Yogyakarta: Pustaka Baru Press.

Susanti, S., & Kurniasari, I. (2018). Kesehatan Jiwa Komunitas dan Keperawatan Jiwa. Jakarta: Salemba Medika.

Susanti, S., Kurniasari, I., & Putri, M. R. (2024). Asuhan Keperawatan Gerontik. Bandung: Refika Aditama.

Syaifudin, M. (2017). Keperawatan Jiwa untuk Lansia. Yogyakarta: Graha Ilmu.

Yanuarita, F. A. (2012). Memaksimalkan Otak Melalui Senam Otak (Brain Gym). Yogyakarta: Teranova Books.

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