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Examining the Utility of the Saskatchewan Mood Inventory for Individuals with Memory Loss

Published online by Cambridge University Press:  31 March 2010

Catherine Burton  and
Margaret Crossley
Catherine Burton
Affiliation:
University of Victoria
Margaret Crossley*
Affiliation:
University of Saskatchewan
*
Requests for offprints should be sent to: / Les demandes de tirés-à-part doivent être adressées à : Margaret Crossley, Department of Psychology, University of Saskatchewan, 9 Campus Drive, Saskatoon, SK S7N 5A5. ([email protected])
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Abstract

The Saskatchewan Mood Inventory (SMI) is a caregiver-focused assessment and research tool that was designed to enhance understanding of the emotional experiences of individuals with dementia and to identify relationships between level of cognitive impairment and family member ratings of pleasant and unpleasant emotional responses during daily activities. Family members were instructed to use the semi-structured written log to document prospectively the type and intensity of emotion expressed by the individual with dementia, to describe the associated emotion-evoking events or activities, and to monitor and record their own emotional reactions. Twenty-seven family caregivers recruited from Alzheimer support groups used the log consistently during a 2-week monitoring period to document an average of three emotion-evoking events per day. Average emotion ratings were more positive for individuals with moderate levels of dementia than for those with severe cognitive impairment, and caregivers' ratings of their family members' and their own emotional states were positively correlated. The event-reporting procedures produced narrative descriptions of emotion-evoking activities that were subsequently coded for content. Inter-rater reliability estimates were high. Event-category summaries are reported in association with positive, negative, and neutral emotional responses for individuals with moderate and severe levels of dementia. Level of impairment was related both to the relative frequency of positive and negative emotions and to the type of event category reported by caregivers.

Résumé

L'inventaire des humeurs de la Saskatchewan (Saskatchewan Mood Inventory – SMI) est une évaluation ciblant les soignants et est un outil de recherche conçu pour mettre en évidence les connaissances des expériences émotives de personnes souffrant de démence. De plus, l'inventaire identifie les relations entre les niveaux de déficience cognitive et les notations des réponses émotives agréables et désagréables des membres de la famille pendant des activités quotidiennes. Les membres de la famille sont chargés de tenir un registre écrit semi-structuré afin de documenter le genre et l'intensité des émotions exprimées par la personne souffrant de démence, de décrire les évènements ou activités provoquant des émotions affectives et de surveiller et enregistrer leurs réactions émotives personnelles. Vingt-sept soignants familiaux provenant de groupes de soutien Alzheimer utilisaient régulièrement les registres pendant une période d'essai de deux semaines ; ils devaient documenter en moyenne, trois évènements par jour. En comparaison aux personnes souffrant d'une déficience cognitive majeure, en moyenne les notations émotives étaient davantage positives pour les personnes ayant un niveau modéré de démence. Les notations face à leurs proches et face à leurs propres conditions émotives ont été intégrées positivement. La déclaration des évènements a produit des descriptions techniques d'activités provoquant des émotions ; ces dernières ont postérieurement été codées pour leur contenu. Les estimations de la fidélité inter juges étaient considérables. Les résumés des catégories d'évènements sont présentés en relation aux réponses émotives positives, négatives et neutres pour les personnes souffrant de niveaux modérés et élevés de démence. Le niveau de déficience est lié et à la fréquence relative d'émotions positives et négatives et au genre de catégorie d'événement dont ont déclaré les soignants.

Keywords

agingemotionsdementiafamily caregiversinformant ratingsvieillissementémotionsdémencesoignants familialsévaluation des répondants
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 22 , Issue 3 , Fall/Automne 2003 , pp. 297 - 310
Copyright
Copyright © Canadian Association on Gerontology 2003

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Footnotes

*The authors would like to express their gratitude to those individuals and their family members who volunteered to participate in this study. We were moved by their descriptions of the daily challenges inherent in coping with the effects of Alzheimer's Disease and related dementias. As well, the authors are indebted to the Alzheimer Society of Saskatchewan and to the many support-group facilitators throughout the province who supported our work with their members.

References

Albert, M.S., Cohen, C., & Koff, E. (1991). Perception of affect in patients with dementia of the Alzheimer type. Archives of Neurology, 48, 791–795.CrossRefGoogle ScholarPubMed
Blessed, G., Tomlinson, B.E., & Roth, M. (1968). The association between quantitative measures of dementia and of senile changes in the cerebral gray matter of elderly subjects. British Journal of Psychiatry, 12, 189–198.Google Scholar
Clyburn, L.D., Stones, M.J., Hadjistavropoulos, T., & Tuokko, H. (2000). Predicting caregiver burden and depression in Alzheimer's disease. Journal of Gerontology, Vol, 55B(1), S2–S13.Google Scholar
Ekman, P., & Friesen, W.V. (1976). Measuring facial movement. Environmental Psychology and Nonverbal Behavior, 1, 56–73.CrossRefGoogle Scholar
Erkinjuntti, T., Hokkanen, L., Sulkava, R., & Palo, J. (1988). The Blessed Dementia Scale as a screening test for dementia. International Journal of Geriatric Psychiatry, 3, 267–273.CrossRefGoogle Scholar
Gold, D.P., Cohen, C., Shulman, K., Zucchero, C., Andres, D., & Etezadi, J. (1995). Caregiving and dementia: Predicting negative and positive outcomes for caregivers. International Journal of Aging and Human Development, 41(3), 183–201.CrossRefGoogle ScholarPubMed
Jorm, A.F. (1996). Assessment of cognitive impairment and dementia using informant reports. Clinical Psychology Review, 16, 51–78.CrossRefGoogle Scholar
Kaszniak, A. W. (1999, February). Emotion in normal aging, Alzheimer's disease, and Parkinson's disease. A short course presented as part of The International Neuropsy-chological Society Continuing Education Program, Boston, MA.Google Scholar
Keltner, D., & Ekman, P. (2000). Facial expression of emotion. In Lewis, M. & Haviland-Jones, J.M. (Eds.), Handbook of emotions (2nd ed.). New York: Guilford Press.Google Scholar
Koff, E., Zaitchik, D., Montepare, J., & Albert, M.S. (1999). Emotion processing in the visual and auditory domains by patients with Alzheimer's disease. Journal of the International Neuropsychological Society, 5, 32–40.CrossRefGoogle ScholarPubMed
Lawton, M.P., De Voe, M.R., & Parmelee, P. (1995). Relationship of events and affect in the daily life of an elderly population. Psychology and Aging, 10(3), 469–477.CrossRefGoogle ScholarPubMed
Lawton, M.P., Kleban, M.H., Dean, J., Rajagopal, D., & Parmelee, P. (1992). The factorial generality of brief positive and negative affect measures. Journal of Gerontology: Psychological Sciences, 47, P228–P237.CrossRefGoogle ScholarPubMed
Lawton, M.P., Van Haitsma, K., & Klapper, J. (1996). Observed affect in nursing home residents with Alzheimer's disease. Journal of Gerontology: Psychological Sciences, 51B, P3–P14.CrossRefGoogle Scholar
Levenson, R.W., Carstensen, L.L., Friesen, W.V., & Ekman, P. (1991). Emotion, physiology, and expression in old age. Psychology and Aging, 6, 28–35.CrossRefGoogle ScholarPubMed
Lewis, M. (2000). The emergence of human emotions. In Lewis, M., & Haviland-Jones, J.M. (Eds.), Handbook of emotions (2nd ed.). New York: Guilford Press.Google Scholar
Logsdon, R.G., & Teri, L. (1997). The Pleasant Events Schedule-AD: Psychometric properties and relationship to depression and cognition in Alzheimer's disease patients. The Gerontologist, 37, 40–45.CrossRefGoogle ScholarPubMed
Magai, C., Cohen, C., Gomberg, D., Malatesta, C., & Culver, C. (1996). Emotional expression during mid- to late-stage dementia. International Psychogeriatrics, 8, 383–395.CrossRefGoogle ScholarPubMed
Nebes, R.D. (1992). Cognitive dysfunction in Alzheimer's Disease. In Craik, F.I.M. & Salthouse, T.A. (Eds.), The handbook of aging and cognition (pp. 373–446). Hillsdale, NJ: L. Erlbaum Associates.Google Scholar
Neri, M., Roth, M., De Vreese, L.P., Rubichi, S., Finelli, C., Bolzani, R., & Cipolli, C. (1998). The validity of informant reports in assessing the severity of dementia: Evidence from the CAMDEX interview. Dementia and Geriatric Cognitive Disorders, 9, 56–62.CrossRefGoogle ScholarPubMed
O'Leary, P.A., Haley, W.E., & Paul, P.B. (1993). Behavioral assessment in Alzheimer's disease: Use of a 24-hr log. Psychology and Aging, 8, 139–143.CrossRefGoogle ScholarPubMed
Polit, D.F., & Hungler, B.P. (1999). Self-reports. Nursing research: Principles and methods (6th ed., pp. 331–362). Philadelphia, PA: Lippincott.Google Scholar
Robinson, K.M. (1990). Predictors of burden among wife caregivers. Scholarly Inquiry for Nursing Practice: An International Journal, 4(3), 189–203.Google ScholarPubMed
Roth, M., Tym, E., Mountjoy, C.Q., Huppert, F.A., Hendrie, H., Verma, S., et al. (1986). CAMDEX: A standardised instrument for the diagnosis of mental disorder in the elderly with special reference to the early detection of dementia. British Journal of Psychiatry, 149, 698–709.CrossRefGoogle Scholar
Tappen, R.M., & Williams, C. (1998). Attribution of emotion in advanced Alzheimer's disease: Family and caregiver perspectives. American Journal of Alzheimer's Disease, 13, 257–264.CrossRefGoogle Scholar
Tennen, H., Suls, J., & Affleck, G. (Eds.). (1991). Personality and daily experience [Special issue]. Journal of Personality, 59(3).CrossRefGoogle Scholar
Teri, L., & Gallagher-Thompson, D. (1991). Cognitive-behavioral interventions for treatment of depression in Alzheimer's patients. The Gerontologist, 31, 413–416.CrossRefGoogle ScholarPubMed
Teri, L., & Logsdon, R.G. (1991). Identifying pleasant activities for Alzheimer's disease patients: The Pleasant Events Schedule-AD. The Gerontologist, 31, 124–127.CrossRefGoogle Scholar
Teri, L., Logsdon, R.G., Uomoto, J., & McCurry, S.M. (1997). Behavioral treatment of depression in dementia patients: A controlled clinical trial. Journal of Gerontology: Psychological Sciences, 52B, P159–P166.CrossRefGoogle Scholar
Williamson, G., & Schulz, R. (1990). Relationship orientation, quality of prior relationship and distress among caregivers of Azheimer's patients. Psychology and Aging, 5, 502–509.CrossRefGoogle Scholar
Yates, M.E., Tennstedt, S., & Chang, B.H. (1999). Contributors to and mediators of psychological well-being for informal caregivers. Journal of Gerontology, 54B(1), P12–P22.CrossRefGoogle Scholar
Zautra, A.J., Affleck, G., & Tennen, H. (1994). Assessing life events among older adults. In Lawton, M.P. & Teresi, J. (Eds.), Annual review of gerontology and geriatrics (Vol. 14, pp. 324–352). New York: Springer.Google Scholar
Zec, R.F. (1993). Neuropsychological functioning in Alzheimer's disease. In Parks, R.W., Zec, R.F., & Wilson, R.S. (Eds.), Neuropsychology of Alzheimer's disease and other dementias (pp. 3–80). New York: Oxford University Press.Google Scholar