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The association of perceived conflict with sadness for long-term care residents with moderate and severe dementia

H. M. O'Rourke, K. D. Fraser, W. Duggleby, N. Keating, Norah Keating Orcid Logo

Dementia

Swansea University Author: Norah Keating Orcid Logo

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DOI (Published version): 10.1177/1471301216654336

Abstract

Objectives: Research into the lived experiences of long-term care residents with dementia hasidentified perceived conflict, and its impact on sadness, as priorities for quality of life from theperspectives of people with dementia. However, whether and to what extent perceived conflictand sadness are...

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Published in: Dementia
ISSN: 1741-2684
Published: 2016
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URI: https://cronfa.swan.ac.uk/Record/cronfa30079
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first_indexed 2016-09-20T07:03:50Z
last_indexed 2018-02-09T05:15:45Z
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fullrecord <?xml version="1.0"?><rfc1807><datestamp>2016-11-18T09:53:41.0056720</datestamp><bib-version>v2</bib-version><id>30079</id><entry>2016-09-15</entry><title>The association of perceived conflict with sadness for long-term care residents with moderate and severe dementia</title><swanseaauthors><author><sid>79aa9c79c6c3f3fa498a1d429844c45e</sid><ORCID>0000-0002-2535-4564</ORCID><firstname>Norah</firstname><surname>Keating</surname><name>Norah Keating</name><active>true</active><ethesisStudent>false</ethesisStudent></author></swanseaauthors><date>2016-09-15</date><deptcode>PHAC</deptcode><abstract>Objectives: Research into the lived experiences of long-term care residents with dementia hasidentified perceived conflict, and its impact on sadness, as priorities for quality of life from theperspectives of people with dementia. However, whether and to what extent perceived conflictand sadness are associated has not been previously tested in this population. This study tested theassociations between perceived conflicts with staff, family or friends and co-residents and theirexperience of sadness, and whether cognitive impairment or functional dependence modifiedthese associations.Methods: The study design was cross-sectional, correlational retrospective. Participants were5001 residents of 613 long-term care facilities in Ontario, Canada with moderate and severedementia. Clinical administrative data collected from 2012 to 2013 using the Resident AssessmentInstrument 2.0 were used to measure the person&#x2019;s perception of conflicts with family/friends,staff, or co-residents, as well as verbal and non-verbal indicators of sadness. Hypotheses weretested using logistic regression, with cluster correction.Results: Sadness (adjusting for age, sex, family/friend contact, pain, cognitive impairment, andfunctional dependence) was positively associated with perceived conflicts with family or friends(OR 1.91; 95% CI 1.26&#x2013;2.88; p&#xBC;0.002) and staff (OR 1.51; 95% CI 1.07&#x2013;2.13; p&#xBC;0.020). Theseassociations did not differ depending on the level of cognitive impairment or functionaldependence. The association between co-resident conflict and sadness was statisticallysignificant for people with moderate (OR 2.02; 95% CI 1.45&#x2013;2.82; p&lt;0.001) but not for thosewith severe dementia (OR 1.18; 95% CI 0.72&#x2013;1.91; p&#xBC;0.511).Conclusion: Long-term care residents with dementia who perceive conflict with others requiresupport to maintain high quality relationships, particularly with family and friends. Future researchshould rigorously assess the modifiability of perceived conflict for people with moderate andsevere dementia, and whether interventions to ameliorate perceived conflict result in decreasedsadness and improved quality of life.</abstract><type>Journal Article</type><journal>Dementia</journal><publisher/><issnElectronic>1741-2684</issnElectronic><keywords>relationships, mood, dementia, quality of life, Resident Assessment Instrument</keywords><publishedDay>15</publishedDay><publishedMonth>6</publishedMonth><publishedYear>2016</publishedYear><publishedDate>2016-06-15</publishedDate><doi>10.1177/1471301216654336</doi><url/><notes/><college>COLLEGE NANME</college><department>Public Health</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>PHAC</DepartmentCode><institution>Swansea University</institution><apcterm/><lastEdited>2016-11-18T09:53:41.0056720</lastEdited><Created>2016-09-15T23:27:16.6336869</Created><path><level id="1">Faculty of Medicine, Health and Life Sciences</level><level id="2">The Centre for Innovative Ageing</level></path><authors><author><firstname>H. M.</firstname><surname>O'Rourke</surname><order>1</order></author><author><firstname>K. D.</firstname><surname>Fraser</surname><order>2</order></author><author><firstname>W.</firstname><surname>Duggleby</surname><order>3</order></author><author><firstname>N.</firstname><surname>Keating</surname><order>4</order></author><author><firstname>Norah</firstname><surname>Keating</surname><orcid>0000-0002-2535-4564</orcid><order>5</order></author></authors><documents/><OutputDurs/></rfc1807>
spelling 2016-11-18T09:53:41.0056720 v2 30079 2016-09-15 The association of perceived conflict with sadness for long-term care residents with moderate and severe dementia 79aa9c79c6c3f3fa498a1d429844c45e 0000-0002-2535-4564 Norah Keating Norah Keating true false 2016-09-15 PHAC Objectives: Research into the lived experiences of long-term care residents with dementia hasidentified perceived conflict, and its impact on sadness, as priorities for quality of life from theperspectives of people with dementia. However, whether and to what extent perceived conflictand sadness are associated has not been previously tested in this population. This study tested theassociations between perceived conflicts with staff, family or friends and co-residents and theirexperience of sadness, and whether cognitive impairment or functional dependence modifiedthese associations.Methods: The study design was cross-sectional, correlational retrospective. Participants were5001 residents of 613 long-term care facilities in Ontario, Canada with moderate and severedementia. Clinical administrative data collected from 2012 to 2013 using the Resident AssessmentInstrument 2.0 were used to measure the person’s perception of conflicts with family/friends,staff, or co-residents, as well as verbal and non-verbal indicators of sadness. Hypotheses weretested using logistic regression, with cluster correction.Results: Sadness (adjusting for age, sex, family/friend contact, pain, cognitive impairment, andfunctional dependence) was positively associated with perceived conflicts with family or friends(OR 1.91; 95% CI 1.26–2.88; p¼0.002) and staff (OR 1.51; 95% CI 1.07–2.13; p¼0.020). Theseassociations did not differ depending on the level of cognitive impairment or functionaldependence. The association between co-resident conflict and sadness was statisticallysignificant for people with moderate (OR 2.02; 95% CI 1.45–2.82; p<0.001) but not for thosewith severe dementia (OR 1.18; 95% CI 0.72–1.91; p¼0.511).Conclusion: Long-term care residents with dementia who perceive conflict with others requiresupport to maintain high quality relationships, particularly with family and friends. Future researchshould rigorously assess the modifiability of perceived conflict for people with moderate andsevere dementia, and whether interventions to ameliorate perceived conflict result in decreasedsadness and improved quality of life. Journal Article Dementia 1741-2684 relationships, mood, dementia, quality of life, Resident Assessment Instrument 15 6 2016 2016-06-15 10.1177/1471301216654336 COLLEGE NANME Public Health COLLEGE CODE PHAC Swansea University 2016-11-18T09:53:41.0056720 2016-09-15T23:27:16.6336869 Faculty of Medicine, Health and Life Sciences The Centre for Innovative Ageing H. M. O'Rourke 1 K. D. Fraser 2 W. Duggleby 3 N. Keating 4 Norah Keating 0000-0002-2535-4564 5
title The association of perceived conflict with sadness for long-term care residents with moderate and severe dementia
spellingShingle The association of perceived conflict with sadness for long-term care residents with moderate and severe dementia
Norah Keating
title_short The association of perceived conflict with sadness for long-term care residents with moderate and severe dementia
title_full The association of perceived conflict with sadness for long-term care residents with moderate and severe dementia
title_fullStr The association of perceived conflict with sadness for long-term care residents with moderate and severe dementia
title_full_unstemmed The association of perceived conflict with sadness for long-term care residents with moderate and severe dementia
title_sort The association of perceived conflict with sadness for long-term care residents with moderate and severe dementia
author_id_str_mv 79aa9c79c6c3f3fa498a1d429844c45e
author_id_fullname_str_mv 79aa9c79c6c3f3fa498a1d429844c45e_***_Norah Keating
author Norah Keating
author2 H. M. O'Rourke
K. D. Fraser
W. Duggleby
N. Keating
Norah Keating
format Journal article
container_title Dementia
publishDate 2016
institution Swansea University
issn 1741-2684
doi_str_mv 10.1177/1471301216654336
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str The Centre for Innovative Ageing{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}The Centre for Innovative Ageing
document_store_str 0
active_str 0
description Objectives: Research into the lived experiences of long-term care residents with dementia hasidentified perceived conflict, and its impact on sadness, as priorities for quality of life from theperspectives of people with dementia. However, whether and to what extent perceived conflictand sadness are associated has not been previously tested in this population. This study tested theassociations between perceived conflicts with staff, family or friends and co-residents and theirexperience of sadness, and whether cognitive impairment or functional dependence modifiedthese associations.Methods: The study design was cross-sectional, correlational retrospective. Participants were5001 residents of 613 long-term care facilities in Ontario, Canada with moderate and severedementia. Clinical administrative data collected from 2012 to 2013 using the Resident AssessmentInstrument 2.0 were used to measure the person’s perception of conflicts with family/friends,staff, or co-residents, as well as verbal and non-verbal indicators of sadness. Hypotheses weretested using logistic regression, with cluster correction.Results: Sadness (adjusting for age, sex, family/friend contact, pain, cognitive impairment, andfunctional dependence) was positively associated with perceived conflicts with family or friends(OR 1.91; 95% CI 1.26–2.88; p¼0.002) and staff (OR 1.51; 95% CI 1.07–2.13; p¼0.020). Theseassociations did not differ depending on the level of cognitive impairment or functionaldependence. The association between co-resident conflict and sadness was statisticallysignificant for people with moderate (OR 2.02; 95% CI 1.45–2.82; p<0.001) but not for thosewith severe dementia (OR 1.18; 95% CI 0.72–1.91; p¼0.511).Conclusion: Long-term care residents with dementia who perceive conflict with others requiresupport to maintain high quality relationships, particularly with family and friends. Future researchshould rigorously assess the modifiability of perceived conflict for people with moderate andsevere dementia, and whether interventions to ameliorate perceived conflict result in decreasedsadness and improved quality of life.
published_date 2016-06-15T03:36:42Z
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score 11.033112

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