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积极心理评估与早期痴呆症

Positive Psychological Assessment and Early-Stage Dementia.

作者信息

McGee Jocelyn Shealy, Zhao Holly Carlson, Myers Dennis R, Kim Steffi Marotzke

机构信息

a Baylor University , Waco , Texas , USA.

b UT Health Consortium on Aging , Houston , Texas , USA.

出版信息

Clin Gerontol. 2017 Jul-Sep;40(4):307-319. doi: 10.1080/07317115.2017.1305032. Epub 2017 Mar 9.

Abstract

OBJECTIVES

There are no known positive psychological (PP) measures adapted/validated for use with people in the early stages of dementia. Objectives were to: (1) develop/pilot an accessible protocol for administering PP measures in this population; (2) examine their psychometric properties; and (3) provide preliminary observations about how people with early-stage dementia perceive various aspects of PP as it pertains to living with dementia.

METHODS

Five PP measures were adapted/administered to 36 people with early-stage dementia. Constructs of interests were gratitude, life satisfaction, meaning in life, optimism, and resilience. Psychometric data were calculated and response patterns analyzed.

RESULTS

Participants easily completed the adapted measures using the accessible protocol. Preliminary evidence of reliability and validity were yielded. Response patterns suggested a range of PP perceptions and experiences among participants.

CONCLUSIONS

This study represents a step towards validating the psychometric properties of several PP measures adapted for use with people in the early stages of dementia and provides insight into how PP works in this population.

CLINICAL IMPLICATIONS

PP assessment may assist clinicians and researchers to better understand PP functioning in this population potentially contributing to effective strengths based psychosocial interventions. Recommendations for clinical practice and future research are provided.

摘要

目的

目前尚无已知适用于痴呆症早期患者且经过验证的积极心理(PP)测量方法。本研究的目的是:(1)开发/试行一种适用于该人群的PP测量方法的可及方案;(2)检验其心理测量特性;(3)初步观察痴呆症早期患者如何看待与痴呆症生活相关的PP的各个方面。

方法

对36名痴呆症早期患者采用了5种PP测量方法。感兴趣的构念包括感恩、生活满意度、生活意义、乐观主义和心理韧性。计算心理测量数据并分析反应模式。

结果

参与者使用可及方案轻松完成了调整后的测量。得出了可靠性和有效性的初步证据。反应模式表明参与者对PP有一系列的认知和体验。

结论

本研究朝着验证几种适用于痴呆症早期患者的PP测量方法的心理测量特性迈出了一步,并深入了解了PP在该人群中的作用方式。

临床意义

PP评估可能有助于临床医生和研究人员更好地理解该人群中的PP功能,这可能有助于基于优势的有效心理社会干预。提供了临床实践和未来研究的建议。

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