Premorbid personality and its relationship to dementia behaviors
by Reitmaier, Amy B., Ph.D., THE UNIVERSITY OF WISCONSIN - MILWAUKEE, 2010, 182 pages; 3416636

Abstract:

Four to five million Americans are affected currently by dementia and it is the leading cause of institutionalization among the elderly. Approximately 90% of individuals with dementia demonstrate problematic behaviors, such as abrupt vocalizations, aggression, and wandering, in addition to cognitive and functional losses. These individuals also may demonstrate more passive behaviors, such as decreased activity, loss of interest, withdrawal, or apathy which often go unnoticed in long term care settings. There have been claims that individuals with dementia lose themselves; however, theoretical and empirical evidence suggests that individuals with dementia can maintain their sense of self or personhood throughout the dementia process. It is possible that while some changes in personality occur during the progression of dementia, the link between premorbid personality and behavior is retained to a degree that allows some prediction of dementia behaviors from knowledge of premorbid personality traits. This descriptive, correlational study utilized convenience quota sampling from five long-term care facilities in southeastern Minnesota. Demographic data, cognitive status (MMSE), functional ability (FBP), agitation (CMAI), passivity (PDS), and premorbid personality (NEO-PI-R) were gathered from a total of 64 residents. There were statistically significant differences in verbal agitation (F (2, 61) = 3.225, p <.05, η 2= .096), physical aggression (F (2, 61) = 6.141, p < .01, η2 = .168), and physical nonaggression (F (2, 61) = 5.242, p < .01, η 2 = .147) between people with mild to moderate, moderate to severe, and severe dementia. There were also statistically significant differences in physical aggression (F (1, 62) = 17.074, p < .01, η2 = .216), physical nonaggression ( F (1, 62) = 4.496, p < .05, η2 = .068), and passivity (F (1, 62) = 4.072, p < .05, η2 = .062), between people with high and low functional ability. Results indicate that 3% of the variance in verbal agitation, 38% of the variance in physical aggression, 11% of the variance in physical nonaggression, and 20% of the variance in passivity is accounted for by cognition, functional ability, and personality traits. This study posits that premorbid agreeableness is the one personality trait that may be able to predict physically aggressive and passive behaviors in those with dementia.

 
AdviserChristine R. Kovach
SchoolTHE UNIVERSITY OF WISCONSIN - MILWAUKEE
SourceDAI/B 71-08, p. , Aug 2010
Source TypeDissertation
SubjectsAging; Nursing; Personality psychology
Publication Number3416636
Adobe PDF Access the complete dissertation:
 

» Find an electronic copy at your library.
  Use the link below to access a full citation record of this graduate work:
  http://gateway.proquest.com/openurl%3furl_ver=Z39.88-2004%26res_dat=xri:pqdiss%26rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation%26rft_dat=xri:pqdiss:3416636
  If your library subscribes to the ProQuest Dissertations & Theses (PQDT) database, you may be entitled to a free electronic version of this graduate work. If not, you will have the option to purchase one, and access a 24 page preview for free (if available).

About ProQuest Dissertations & Theses
With over 2.3 million records, the ProQuest Dissertations & Theses (PQDT) database is the most comprehensive collection of dissertations and theses in the world. It is the database of record for graduate research.

The database includes citations of graduate works ranging from the first U.S. dissertation, accepted in 1861, to those accepted as recently as last semester. Of the 2.3 million graduate works included in the database, ProQuest offers more than 1.9 million in full text formats. Of those, over 860,000 are available in PDF format. More than 60,000 dissertations and theses are added to the database each year.

If you have questions, please feel free to visit the ProQuest Web site - http://www.proquest.com - or call ProQuest Hotline Customer Support at 1-800-521-3042.