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Self-reported quality of life ratings of people with dementia
 — the role of attitudes to aging
Author(s)Richard Trigg, Simon Watts, Roy Jones
Journal titleInternational Psychogeriatrics, vol 24, no 7, July 2012
Pagespp 1085-1093
Sourcewww.journals.cambridge.org/ipg
KeywordsDementia ; Attitude ; Quality of life ; Evaluation.
AnnotationAttitudes to ageing have not previously been assessed in people with dementia. The possession of positive life attitudes into older age has the potential to induce resilience to health changes and may explain the discrepancy between self-reported and proxy ratings of quality of life (QoL). 56 people with dementia from a memory clinic setting were recruited to this study which explored their attitudes to ageing, to determine the main factors that predict these attitudes and any relationship that exists with self-reported QoL. The Bath Assessment of Subjective Quality of Life in Dementia, Attitudes to Aging Questionnaire (AAQ), Memory Functioning Scale, Alzheimer's Disease Cooperative Study Activities of Daily Living Inventory, and Mini-Mental State Examination (MMSE) were administered. The AAQ was also completed by 86 community-dwelling older adults without dementia. Compared to those without dementia, the participants with dementia displayed a significantly stronger endorsement of the negative attitude that ageing is a time of psychosocial loss. Regression analyses suggest this negative attitude acts as a partial mediator in the relationship between the person's level of insight and self-reported QoL. Negative attitudes to ageing had a direct impact on the self-reported QoL ratings of people with dementia. In order to promote QoL, care should focus on abilities that the person retains rather than what has been lost. (RH).
Accession NumberCPA-121026093 A
ClassmarkEA: DP: F:59: 4C

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