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Western Journal of Nursing Research, Vol. 24, No. 1, 28-48 (2002)
DOI: 10.1177/01939450222045699

Emotional Well-Being in a Person with Dementia

Ann M. Kolanowski

School of Nursing, Pennsylvania State University, University Park

Mark S. Litaker

Office of Biostatistics and Bioinformatics, Medical College of Georgia, Augusta

Patricia A. Catalano

Intensive Care Services, St. Joseph Hospital, Augusta, Georgia

Patricia A. Higgins, R.N., Ph.D.

Frances Payne Bolton School of Nursing Case Western Reserve University Cleveland, Ohio

Jan Heineken, Ph.D., R.N.

School of Nursing San Diego State University San Diego, California

Self-reported mood and observations of affect are often used as indicators of emotional well-being. The purpose of this case study was to (a) describe the self-reported mood and affective pattern of an older man with severe cognitive impairments, (b) assess consistency in his responses to mood state, (c) compare mood pattern to premorbid personality, and (d) determine the concordance between self-reported mood and observed affect. Observations of mood and affect were taken three times per day for 35 days. There was concordance between self-reported mood and observed affect. The participant was consistent in his responses to mood 75% of the time. The pattern of self-reported mood reflected the participant’s long-standing personality traits of extraversion and neuroticism. Results, although not generalizable, demonstrate the need to consider the perspective of the person with dementia when addressing quality-of-life issues in research and practice.


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A. M. Kolanowski, M. S. Litaker, P. A. Catalano, P. A. Higgins, and J. Heineken
Emotional Well-Being in a Person with Dementia
West J Nurs Res, February 1, 2002; 24(1): 28 - 48.
[Abstract] [PDF]