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Daytime observed emotional expressions of people with dementia.

Publication ,  Journal Article
Lee, KH; Algase, DL; McConnell, ES
Published in: Nursing research
July 2013

Emotional expression among people with dementia (PWD) may inform person-centered approaches to care and improvements in dementia-related quality of life.The aim of this study was to examine frequency and variability of positive and negative emotional expressions, personal factors influencing positive and negative emotional expressions, and trajectories of emotional expression among PWD during daytime hours.We conducted a secondary analysis of daytime positive and negative emotional expressions of 30 PWD living in residential long-term care who completed twelve 20-minute observation periods occurring hourly as part of a multi-site study of wandering behavior. Hierarchical linear modeling was used to examine relationships between influencing factors and frequency of emotional expressions; group-based trajectory analysis was applied to identify clusters of individuals with similar daytime patterns of emotional expression.Time of day (rate ratio [RR] = 1.05) and impaired mobility (RR = 1.37) significantly influenced positive emotional expression; gender (RR = 1.85), age (RR = 1.03), and education (RR = 0.54) were significantly related to negative emotional expression. Three distinct trajectory groups were identified for positive emotional expression: a low stable group, a fluctuating group displaying afternoon peaking, and a fluctuating group displaying morning peaking. Two trajectory groups were identified for negative emotional expression: a consistent pattern and an inconsistent pattern.PWD showed a broad range of emotional expression and significant within-person variation in daytime positive and negative emotional expressions. Observed emotional display is a promising measure of psychological well-being among PWD that, if more fully understood, could guide care approaches to improve quality of life.

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Published In

Nursing research

DOI

EISSN

1538-9847

ISSN

0029-6562

Publication Date

July 2013

Volume

62

Issue

4

Start / End Page

218 / 225

Related Subject Headings

  • Wandering Behavior
  • Time Factors
  • Pennsylvania
  • Nursing
  • Michigan
  • Male
  • Long-Term Care
  • Humans
  • Homes for the Aged
  • Female
 

Citation

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Lee, K. H., Algase, D. L., & McConnell, E. S. (2013). Daytime observed emotional expressions of people with dementia. Nursing Research, 62(4), 218–225. https://doi.org/10.1097/nnr.0b013e31829999d7
Lee, Kyung Hee, Donna L. Algase, and Eleanor S. McConnell. “Daytime observed emotional expressions of people with dementia.Nursing Research 62, no. 4 (July 2013): 218–25. https://doi.org/10.1097/nnr.0b013e31829999d7.
Lee KH, Algase DL, McConnell ES. Daytime observed emotional expressions of people with dementia. Nursing research. 2013 Jul;62(4):218–25.
Lee, Kyung Hee, et al. “Daytime observed emotional expressions of people with dementia.Nursing Research, vol. 62, no. 4, July 2013, pp. 218–25. Epmc, doi:10.1097/nnr.0b013e31829999d7.
Lee KH, Algase DL, McConnell ES. Daytime observed emotional expressions of people with dementia. Nursing research. 2013 Jul;62(4):218–225.

Published In

Nursing research

DOI

EISSN

1538-9847

ISSN

0029-6562

Publication Date

July 2013

Volume

62

Issue

4

Start / End Page

218 / 225

Related Subject Headings

  • Wandering Behavior
  • Time Factors
  • Pennsylvania
  • Nursing
  • Michigan
  • Male
  • Long-Term Care
  • Humans
  • Homes for the Aged
  • Female