{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T16:37:46Z","timestamp":1792427866182,"version":"4.5.0"},"reference-count":72,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T00:00:00Z","timestamp":1772236800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["EJIHPE"],"abstract":"<jats:p>Psychological problems such as depression, anxiety, stress, loneliness, and reduced quality of life are prevalent in older adults, yet the effectiveness of psychological interventions remains heterogeneous. This systematic review with meta-analysis evaluated the impact of psychological and psychoeducational interventions on emotional symptoms and quality-of-life outcomes in adults aged 60 years and older. Following PRISMA 2020 guidelines, a comprehensive search was conducted in PubMed, Scopus, CINAHL, and Web of Science. Randomized controlled trials published in the last five years were included if they assessed interventions such as mindfulness, cognitive behavioral therapy, reminiscence therapy, or behavioral activation. Twenty-eight trials were included in the qualitative synthesis and twenty-two in the meta-analysis. Standardized mean differences (Hedges\u2019 g) were pooled under fixed- and random-effects models. Heterogeneity, subgroup analyses, and publication bias were examined using Q, I2, Begg\u2013Mazumdar, Egger, and Trim-and-Fill methods. The global meta-analysis showed a moderate and significant favorable effect of psychological interventions on emotional symptoms under the random-effects model (SMD = \u22120.623, 95% CI \u22120.888 to \u22120.359; p &lt; 0.001), where negative values indicate reductions in symptom severity. Subgroup analyses revealed a moderate effect on depressive symptoms, which remained significant after adjustment for publication bias, and a large effect on perceived stress (SMD = 0.581; p &lt; 0.001); for stress outcomes, positive SMDs indicate reductions in stress (i.e., improvement) after aligning scale directionality. Anxiety showed a significant effect only under the fixed-effects model, while loneliness showed a small but significant effect (SMD = \u22120.110; p = 0.018). Mindfulness-specific outcomes and quality of life did not show significant pooled effects. No substantial publication bias was detected. Psychological interventions significantly improve emotional well-being in older adults, particularly by reducing depression and stress. Effects on anxiety, loneliness, mindfulness, and quality of life are more variable, emphasizing the need for methodological consistency and longer follow-up in future studies.<\/jats:p>","DOI":"10.3390\/ejihpe16030034","type":"journal-article","created":{"date-parts":[[2026,3,2]],"date-time":"2026-03-02T14:55:01Z","timestamp":1772463301000},"page":"34","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The Role of Psychological Interventions in the Mental Health and Quality of Life of Older Adults: A Systematic Review with Meta-Analysis of Mindfulness, Cognitive Behavioral Therapy, and Reminiscence-Based Approaches"],"prefix":"10.3390","volume":"16","author":[{"given":"Paola","family":"Romera-Gasparico","sequence":"first","affiliation":[{"name":"Department of Health Sciences, Faculty of Health Sciences, University of Ja\u00e9n, 23071 Ja\u00e9n, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-9186-8865","authenticated-orcid":false,"given":"Mar\u00eda del Carmen","family":"Carcel\u00e9n-Fraile","sequence":"additional","affiliation":[{"name":"Department of Educational Sciences, Faculty of Social Sciences, University of Atl\u00e1ntico Medio, 35017 Las Palmas de Gran Canaria, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-6262-7839","authenticated-orcid":false,"given":"Javier","family":"Cano-S\u00e1nchez","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, Faculty of Health Sciences, University of Ja\u00e9n, 23071 Ja\u00e9n, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7370-9999","authenticated-orcid":false,"given":"Marcelina","family":"S\u00e1nchez-Alcal\u00e1","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, Faculty of Health Sciences, University of Ja\u00e9n, 23071 Ja\u00e9n, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8460-050X","authenticated-orcid":false,"given":"Juan Miguel","family":"Mu\u00f1oz-Perete","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, Faculty of Health Sciences, University of Ja\u00e9n, 23071 Ja\u00e9n, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9386-9199","authenticated-orcid":false,"given":"Agust\u00edn","family":"Aibar-Almaz\u00e1n","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, Faculty of Health Sciences, University of Ja\u00e9n, 23071 Ja\u00e9n, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7215-5456","authenticated-orcid":false,"given":"Fidel","family":"Hita-Contreras","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, Faculty of Health Sciences, University of Ja\u00e9n, 23071 Ja\u00e9n, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6233-6787","authenticated-orcid":false,"given":"Yolanda","family":"Castellote-Caballero","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, Faculty of Health Sciences, University of Ja\u00e9n, 23071 Ja\u00e9n, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,2,28]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"19711","DOI":"10.1038\/s41598-022-24256-9","article-title":"The effects of mindfulness meditation versus CBT for anxiety on emotional distress and attitudes toward seeking mental health treatment: A semi-randomized trial","volume":"12","author":"Shturm","year":"2022","journal-title":"Scientific Reports"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"5180","DOI":"10.1038\/s41380-020-0832-3","article-title":"Comparing the streamlined psychotherapy \u201cEngage\u201d with problem-solving therapy in late-life major depression: A randomized clinical trial","volume":"26","author":"Alexopoulos","year":"2021","journal-title":"Molecular Psychiatry"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"46029","DOI":"10.31083\/AP46029","article-title":"Mindful attention awareness and residual mood and anxiety symptoms in re-mitted patients with bipolar I disorder","volume":"26","author":"Alkan","year":"2025","journal-title":"Alpha Psychiatry"},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"Ara\u00fajo, O., Sousa, L., Sampaio, F., Rodrigues, C., Santos, N. 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