title: Affect Balance and Relationship With Well-Being in Nursing Home Residents With Dementia.
abstract: The purpose of this exploratory study was to determine whether the balance of positive to negative affect can discriminate states of well-being in nursing home residents with dementia and whether affect balance is associated with activity engagement. Baseline data from a randomized clinical trial were used in this secondary analysis. Participants were 128 residents recruited from 9 nursing homes located in Pennsylvania. Participants were primarily female, Caucasian, and had a mean age of 86 years. Measures of agitation and affect were taken from video recordings of 10 observational sessions. Measures of engagement and self-reported mood were taken in real time. Ten percent of participants were categorized as having high well-being. These participants had a mean ratio of positive-negative affect of 2.21 (±0.50), a ratio significantly different than that of participants with moderate or low well-being. Affect balance was related to greater engagement in activity (r= .23;P= .008).
authors.affiliation: College of Nursing, The Pennsylvania State University, University Park, PA, USA amk20@psu.edu.
authors.forename: Ann M
authors.initials: AM
authors.lastname: Kolanowski
authors.affiliation: Abramson Center for Jewish Life, Polisher Research Institute, North Wales, PA, USA.
authors.forename: Kimberly
authors.initials: K
authors.lastname: Van Haitsma
authors.affiliation: Department of Psychology and Brain Sciences, University of Louisville, Louisville, KY, USA.
authors.forename: Suzanne
authors.initials: S
authors.lastname: Meeks
authors.affiliation: Department of Clinical and Community Sciences, School of Dentistry, University of Alabama, Birmingham, AL, USA.
authors.forename: Mark
authors.initials: M
authors.lastname: Litaker
mesh_terms: D000339:Affect / Q000502:physiology*; D000368:Aged; D000369:Aged, 80 and over; D003704:Dementia / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D009735:Nursing Homes; D011788:Quality of Life / Q000523:psychology*; D016032:Randomized Controlled Trials as Topic
keywords: affect balance; dementia; nursing home residents; quality of life