Dimensions of Decreased Psychological Well-Being in Advanced Dementia

Volicer, L; Camberg, Lois; Hurley, Ann C.; Ashley, Jane; Woods, Patricia; Ooi, Wee Lock; McIntyre, Kevin M.

doi:10.1097/00002093-199910000-00004

Cited by 33 publications

(31 citation statements)

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“…Assessment of QOL with this instrument is limited to dementia patients with sufficient ability to communicate their mood, symptoms and satisfactions (promising psychometric properties were reported in a sample of 50 outpatients (mean MMSE 22.1) (Ready et al, 2002). Volicer et al (1999a; provided a six-factor model of psychological well-being in advanced dementia. They recognized three continua with opposite poles of emotional state: happy-sad, engaged-withdrawn, calm-agitated.…”

Section: Qol In Dementiamentioning

confidence: 99%

“…Their subject is psychological well-being and not QOL, and as a result they limit their model to the affective domain. They focus on advanced dementia and state that with the progression of dementia, the range of emotions becomes more restricted (Volicer et al, 1999b), differentiating psychological well-being in late dementia from well-being in earlier stages.…”

Section: Qol In Dementiamentioning

confidence: 99%

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The concept of quality of life in dementia in the different stages of the disease

Ettema

Dröes

Lange

et al. 2005

Int. Psychogeriatr.

139

149

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In order to conceptually define quality of life (QOL) in dementia, the literature on QOL in the elderly population, in chronic disease and in dementia was studied. Dementia is a progressive, age-related, chronic condition and to avoid omissions within the dementia-specific concept of QOL, a broad orientation was the preferred approach in this literature study. Adaptation is a major outcome in studies investigating interventions aimed at improving QOL in chronic conditions, but to date, it has not been used in the definition of QOL. It is argued that adaptation is an important indication of QOL in people with chronic diseases and therefore also in dementia. Some crucial issues in assessing dementia-related QOL that are relevant to clarify the continuing debate on whether QOL, particularly in dementia, can be measured at all, are discussed. Then the following conceptual definition is offered: dementia-specific QOL is the multidimensional evaluation of the person-environment system of the individual, in terms of adaptation to the perceived consequences of the dementia.

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Section: Qol In Dementiamentioning

confidence: 99%

Section: Qol In Dementiamentioning

confidence: 99%

The concept of quality of life in dementia in the different stages of the disease

Ettema

Dröes

Lange

et al. 2005

Int. Psychogeriatr.

139

149

View full text Add to dashboard Cite

show abstract

“…Flere studier viser at personer med demens kan ha god livskvalitet uavhengig av grad av demens (10,16,27,40,45 (46,47). Det kan føre til feilvurderinger.…”

Section: Metodeunclassified

Livskvalitet, depressive symptomer og funksjonssvikt hos personer med demens

Mjørud¹,

Engedal²,

Barca³

et al. 2011

Sykepleien

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English summary sammEndrag Quality of life, depressive symptoms and impairment in people with dementiaBackground: It is uncertain whether the association between quality of life, the symptoms of depression and impairment of daily living activities is as strong in people with dementia, as in those without dementia.Objective: To investigate the association between quality of life, the symptoms of depression, impairment of daily living activities and dementia.Methods: Information about 223 nursing home patients with dementia was collected through interviews with the primary caregivers. Quality of life was examined using the Quality of Life in Late Stage Dementia (QUA-LID) scale; symptoms of depression were examined using the Cornell scale; impairment of daily living activities was examined using Lawton's Physical Self-Maintenance Scale (PSMS); and the degree of dementia was examined using the Clinical Dementia Rating scale. Results: Correlation analysisshowed that reduce quality of life was significantly associated with depressive symptoms, functional impairment and dementia. A stepwise linear regression analysis showed that four of Cornell's five sub scales: the mood, behavioural, retardation and cyclic subscales were significantly associated with QUALID. The physical sub scale was not associated with quality of life in the regression analysis because retardation and physical sub scales correlated highly. Impairment of activities of daily living and degree of dementia are significantly associated to reduced quality of life. Conclusion:Quality of life in people with dementia is associated with symptoms of depression, especially the core symptoms of depression and level of impairment of activities of daily living.Key words: quality of life, symptoms of depression, impairment of activities in daily living, dementia.Bakgrunn: Det er usikkert om sammenhengen mellom livskvalitet, depressive symptomer og funksjonssvikt er like sterk hos personer med demens som hos dem uten demens.Hensikt: Å undersøke sammenhengen mellom livskvalitet, depressive symptomer, funksjonssvikt og grad av demens. Metode:Opplysninger om 223 pasienter med demens i sykehjem ble innhentet gjennom intervju av pasientenes primaerpleiere. Livskvalitet ble kartlagt med Quality of life in late stage dementia scale (QUALID), symptomer på depresjon med Cornell skala, funksjonsevne med Lawtons ADL skala og grad av demens med Klinisk demensvurdering.Resultater: Korrelasjonsanalyser viste at livskvalitet var signifikant assosiert til depressive symptomer, grad av demens og tap av funksjonsevne. Spearman's korrelasjon varierte mellom 0,37 og 0,53. En trinnvis lineaer regresjonsanalyse viste at fire av fem subskalaer i Cornell skalaen, affekt-, adferds-, retardasjon -og syklisk subskala var signifikant assosiert med QUALID-skåren. Den fysiske sub skalaen var det ikke fordi sub skalaene retardasjon og fysisk korrelerte sterkt. Tap av funksjonsevne og grad av demens var også signifikant relatert til redusert livskvalitet.Konklusjon: Livskvalitet hos personer med ...

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“…As secondary outcome to the severity of depression, the variable ''mood'' is assessed. Observed mood concerns the emotional consequences of depression (see part F of Lewinsohn's Integrative Theory of Depression), and is assessed with the instrument FACE that was proved to be reliable in a severely demented and institutionalized population (Volicer et al, 1999). FACE consists of three face diagrams with different mouth shapes.…”

Section: (2) Promotion Groupmentioning

confidence: 99%

The effects of a nursing guideline on depression in psychogeriatric nursing home residents with dementia

Verkaik

Francké

Meijel

et al. 2010

Int J Geriat Psychiatry

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This study shows significant reductions in depression severity by introducing a nursing guideline on psychogeriatric nursing home wards. Better compliance with the guideline could probably enlarge the effects. Some ways to achieve enhanced compliance are: (1) additionally train non-certified nurse assistants, and (2) emphasize necessary conditions for successful introduction of the guideline to nursing team managers.

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Dimensions of Decreased Psychological Well-Being in Advanced Dementia

Cited by 33 publications

References 0 publications

The concept of quality of life in dementia in the different stages of the disease

The concept of quality of life in dementia in the different stages of the disease

Livskvalitet, depressive symptomer og funksjonssvikt hos personer med demens

The effects of a nursing guideline on depression in psychogeriatric nursing home residents with dementia

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