Filling in memory gaps through emotional communication; promising pathways in caring for persons with dementia

Dulmen, Sandra van; Smits, Lies; Eide, Hilde

doi:10.1016/j.pec.2017.06.014

Cited by 4 publications

(2 citation statements)

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“…Studies consistently reported emotional expression as having two dimensions (i.e., positive and negative) and its common nature was variable over a short period of time. Thus, emotional expression is a particularly promising approach to capturing needs or preferences of persons with moderate to severe dementia because healthcare providers could obtain the person with dementia's immediate responses to care and other events (Van Dulmen, Smits, & Eide, ). Informal and formal caregivers often offer divergent views on the preferences of the person living with dementia; thus, the direct, observed assessment of the person with living with dementia's preferences may be a more valid and reliable measure of preference congruence (Cohen‐Mansfield, Gavendo, & Blackburn, ).…”

Section: Discussionmentioning

confidence: 99%

Emotional Expression of Persons with Dementia: An Integrative Review with Implications for Evidence‐Based Practice

Lee

Boltz

et al. 2019

Worldviews Ev Based Nurs

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Background: The ability to express emotion typically is preserved longer than language and cognitive function in persons living with dementia. Emotional expression may be an important indicator of underlying individual needs and feelings and may therefore facilitate person-centered care.Aims: This review aimed to examine how emotional expression has been described, measured, and utilized in empirical studies. Methods:The design of this study was an integrative literature review.Results: Most of the articles used feeling-related terms without specific definitions. Less frequently, terms such as affect, emotion, and mood were defined. Although these terms were used interchangeably in the articles, affect, which was defined as expressed emotion in general, was a comprehensive term to encompass other terms. Measurement of emotional expression was performed using observational methods, with direct observation or video recording using a hand-held camera. In both cases, observed emotion was coded with diverse methods or tools. In studies, the emotional expression was utilized as (a) an outcome to demonstrate the effect of interventions, (b) a factor to show relationship with other variables, or (c) an observed value itself.Linking Evidence to Action: This review provides insights about measurement options for emotional expressions among persons with dementia in long-term care. Long-term care staff should pay attention to emotional expression of persons with dementia to understand underlying unmet needs. Development of adequate measurement of emotional expression could facilitate development of emotion-oriented intervention program to improve psychological well-being and the behavioral and functional health of persons living with dementia.

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Section: Discussionmentioning

confidence: 99%

Emotional Expression of Persons with Dementia: An Integrative Review with Implications for Evidence‐Based Practice

Lee

Boltz

et al. 2019

Worldviews Ev Based Nurs

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“…In addition to implicit memory being relatively preserved until later in the disease, the effect of emotion on memory in AD might hold potential in development of intervention and management strategies, particularly because some emotional processing skills also remain relatively intact in AD ( Labar et al, 2005 ; Blessing et al, 2006 ; Broster et al, 2012 ; Perrin et al, 2012 ; Baran et al, 2014 ; Guzmán-Vélez et al, 2014 ; Giffard et al, 2015 ; Gomez-Gallego and Gomez-Garcia, 2017 ; van Dulmen et al, 2017 ). For example, individuals with AD often exhibit feelings without memory, anecdotally reporting that they remember how they felt during a conversation, although they do not recall what was discussed, when it happened, or even with whom they spoke.…”

Section: Introductionmentioning

confidence: 99%

Emotional Valence Affects Word Retrieval During Verb Fluency Tasks in Alzheimer’s Dementia

Paek

2021

Front. Psychol.

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Individuals with amnestic Alzheimer’s disease (AD) often demonstrate preserved emotional processing skills despite the neurodegenerative disease that affects their limbic system. Emotional valence encompasses the encoding and retrieval of memory and it also affects word retrieval in healthy populations, but it remains unclear whether these effects are preserved in individuals with amnestic AD. Previous studies used a variety of encoding procedures and different retrieval methods that resulted in mixed findings. Therefore, the purpose of the current study is to investigate whether emotional enhancement of memory effects is observed in an experimental condition where the memory encoding process is not required, namely verb (action) fluency tasks. Seventeen participants who were cognitively healthy older adults (CHOA) and 15 participants with amnestic AD were asked to complete verb fluency tasks, and the relative degree of emotional valence observed in their responses was compared between the two groups. A neuropsychological test battery was administered to determine the participants’ cognitive and linguistic profiles, and correlational analyses were conducted to delineate relationships between emotional valence, verbal memory, and learning abilities. The results indicated that the participants with amnestic AD produced words with higher emotional valence (i.e., more pleasant words) compared to CHOA during action fluency testing. In addition, the degree of emotional valence in the words was negatively correlated with verbal memory and learning skills, showing that those with poorer memory skills tend to retrieve words with higher emotional valence. The findings are consistent with those previous studies that stressed that individuals with AD have preserved emotional enhancement of memory effects and may benefit from them for retrieval of information, which may offer some insight into the development of novel rehabilitative strategies for this population.

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2023

Principles of Cognitive Rehabilitation

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Filling in memory gaps through emotional communication; promising pathways in caring for persons with dementia

Cited by 4 publications

References 17 publications

Emotional Expression of Persons with Dementia: An Integrative Review with Implications for Evidence‐Based Practice

Emotional Expression of Persons with Dementia: An Integrative Review with Implications for Evidence‐Based Practice

Emotional Valence Affects Word Retrieval During Verb Fluency Tasks in Alzheimer’s Dementia

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