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Adjustment to residential placement in Alzheimer disease patients: does premorbid personality matter?
Author(s)Jason Brandt, Jeffrey R Campodonico, Jill B Rich
Journal titleInternational Journal of Geriatric Psychiatry, vol 13, no 8, August 1998
Pagespp 509-515
KeywordsDementia ; Admission [nursing homes] ; Adjustment ; Personality ; United States of America.
AnnotationAlthough particular symptoms of Alzheimer's disease (AD) play a large part in determining a patient's response to residential placement, little is known about the influence of life-long characteristics such as temperament and habits. This study aimed to evaluate the influence of pre-morbid personality on adaptation to placement in a long-term care facility. Twenty-eight persons with probable AD in a nursing home were the subjects of the study. Premorbid personality was described retrospectively by two informants for each residents using the revised NEO Personality Inventory (NEO-PI-R). Standardised tests and rating scales were used on admission to the facility to assess cognition, mood state, physical dependency and general health. Nurses rated each resident's social behaviour, participation in activities, and quality of sleep. Results showed that poorer adjustment was associated with more severe dementia but better physical health. None of the NEO-PI-R domain scores predicted adjustment. The study concluded that, contrary to popular belief, pre-morbid personality is relatively inconsequential for an AD patient's adaptation to a long-term care facility. (AKM).
Accession NumberCPA-981013401 A
ClassmarkEA: LHB:QKH: DR: DK: 7T

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