Observed affect in nursing home residents with Alzheimer's disease

M. Powell Lawton, Kimberly Van Haitsma, Jennifer Klapper

Research output: Contribution to journalArticle

270 Citations (Scopus)

Abstract

A method for assessing affect states among older people with Alzheimer's disease was developed for use in a study designed to evaluate a special care unit for such residents of a nursing home. The 6-item Philadelphia Geriatric Center Affect Rating Scale was designed for the use of research and other staff in assessing positive affect (pleasure, interest, contentment) and negative affect (sadness, worry/anxiety, and anger) by direct observation of facial expression, body movement, and other cues that do not depend on self- report, among 253 demented and 43 nondemented residents. Each affect scale was highly reliable, expressed in estimated portions of a 10-minute observation period when the affect expression occurred. Validity estimates were affirmative in showing discriminant correlations between the positive states and various independent measures of social and other outwardly engaged behavior and between negative states and other measures of depression, anger, anxiety, and withdrawal Limited support for the two-factor dimensionality of the affect ratings was obtained, although positive and negative affect were correlated, rather than independent. Some hope is offered that the preferences and aversions of Alzheimer patients may be better understood by observations of their emotional behaviors and that such methods may lead to a better ability to judge institutional quality.

Original languageEnglish (US)
JournalJournals of Gerontology - Series B Psychological Sciences and Social Sciences
Volume51
Issue number1
DOIs
StatePublished - Jan 1 1996

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nursing home
Nursing Homes
dementia
Alzheimer Disease
Anger
resident
anger
Hope
Anxiety
Observation
anxiety
Facial Expression
Aptitude
Pleasure
facial expression
geriatrics
rating scale
Geriatrics
withdrawal
Self Report

All Science Journal Classification (ASJC) codes

  • Health(social science)
  • Social Psychology
  • Clinical Psychology
  • Sociology and Political Science
  • Gerontology
  • Geriatrics and Gerontology
  • Life-span and Life-course Studies

Cite this

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Observed affect in nursing home residents with Alzheimer's disease. / Lawton, M. Powell; Van Haitsma, Kimberly; Klapper, Jennifer.

In: Journals of Gerontology - Series B Psychological Sciences and Social Sciences, Vol. 51, No. 1, 01.01.1996.

Research output: Contribution to journalArticle

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