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Biomedical subjects

M Quayhagen

Publications and source records attributed to M Quayhagen.

10 recordsLinked to original sources
PubMed2000

Coping with dementia: evaluation of four nonpharmacologic interventions.

To evaluate nonpharmacologic interventions, caregivers (65 women, 38 men) and their dementia-diagnosed spouses (patients) were randomized to one of four treatment programs (cognitive stimulation, dyadic counseling, dual supportive seminar, and early-stage day care) or to a wait-list control group. Assessments occurred initially and at postintervention (3 months). Patients were evaluated on memory, verbal fluency, and problem-solving ability, and caregivers were assessed on marital interaction, emotional status, and physical health, along with stress, coping, and social support. Caregivers also completed a program evaluation. Repeated measures procedures showed that patients in the cognitive stimulation group demonstrated more improvement over time in cognitive outcomes, and caregivers decreased in depressive symptoms. Early-stage day-care and dual supportive seminar group caregivers reported a decrease in hostility and a decrease in use of negative coping strategies, respectively. Although qualitatively derived benefits differed across groups, similarities in program content reduced the potential for quantitative differentiation among the groups.

Adaptation, Psychological↗
PubMed1999

Intervention effects on dementia caregiving interaction: a stress-adaptation modeling approach.

OBJECTIVES: Our purpose was to evaluate the adequacy of a stress adaptation framework for guiding intervention research on caregivers and patients coping with Alzheimer's disease, and to test the effect of a cognitive stimulation intervention as an interactive outcome. METHODS: Using a repeated measures design, 87 caregiver-patient dyads were randomized to one of three conditions: active cognitive stimulation, passive stimulation, or control. Assessments occurred at preintervention, postintervention (3 months), and 9 months. RESULTS: The LISREL model was entirely satisfactory by the chi-square goodness-of-fit criteria. However, the coefficients associated with the paths between the mediating concepts and the dyadic interaction differed significantly at 3 months and 9 months. The intervention group caregivers were shown to be more satisfied with their interaction with the impaired member. DISCUSSION: The improvement in caregiver satisfaction was attributed to an attenuation of the behavioral stressor effects through increased use of a problem-focused coping strategy, namely, positive reappraisal of the stressful situation.

Adaptation, Psychological↗
PubMed1996

Discovering life quality in coping with dementia.

Using qualitative techniques, data were obtained from 20 informants, comprising 10 caregiving dyads--that is, the caregiver and the spouse diagnosed with possible or probable Alzheimer's disease in the mild to moderate stages. Processes were identified in caregiving reactions and interactions during implementation of a cognitive remediation intervention designed to disrupt the trajectory of decline in dementia. Of interest was the impact of the implementation process on both the Alzheimer-diagnosed care recipient and the caregiver, as individuals and as a dyad. A four-phase process model of discovering life quality was delineated through analysis of log recordings, interviews and observational notes, and written evaluative responses of the families. The phases that emerged from the data address movement from an initial state of depleted interaction to a regaining of familial life quality.

Adaptation, Psychological↗
PubMed1989

Selective Reminding Tests: a normative study of verbal learning in adults.

Verbal learning was assessed according to the Selective Reminding Test (SRT) in order to establish normative data and to provide a comparison with measures of immediate attention, verbal IQ, and verbal memory. The 392 subjects, stratified by sex (202 women, 190 men), age (4 groups: 16-70 years), and education (3 groups), were free of conflicting pathologies. Learning curves were established on centiles (75, 50, 25, 5). Sex differences favoring women were found in percent of finishers (those who reached criterion), and at all percentile levels of acquisition. Data were analyzed for group differences in performance on the SRT and related concurrent measures, but sex differences were not found on the VIQ or immediate attention tests. Also, assumptions of age and education stratification were not confirmed. However, those who completed the task were better able to form associational strategies than those who were unable to finish. The present data indicate that it is important to use detailed norms by gender and criterion level if clinical interpretations are to be valid.

Adolescent↗
PubMed1989

Differential effects of family-based strategies on Alzheimer's disease.

Assessed was the efficacy of a home-based program of cognitive stimulation for the functional status of patients with Alzheimer's disease, as well as the well-being of caregivers. Ten family dyads (caregiver and patient) participated in the intervention and six family dyads formed the comparison group. Patients in the program maintained their levels of cognitive and behavioral functioning while improving emotionally, whereas the comparison group patients deteriorated. Similarly, the caregivers in the program maintained well-being and enhanced their coping resources.

Adaptation, Psychological↗
PubMed1980

Spatial rotation in the elderly: performance factors.

Male and female adults age 64 to 76 were tested on several measures of spatial rotation ability. Memory for the test stimulus was an important factor in the performance of those who generally performed at a high level and not for those performing poorly. Changing the test format to reduce test-taking mechanical barriers resulted in an increase in the absolute number of correct responses but not in the ratio of correct responses to the number of items attempted. Practice on some measures led to better performance on subsequent tasks.

Aged↗
PubMedDate not supplied

A dyadic remediation program for care recipients with dementia.

A cognitive remediation intervention was tested for its effect on functional outcomes of older care recipients with the diagnosis of dementia of the Alzheimer's type. The 78 community-dwelling care recipients were assessed on cognitive and behavioral functioning and randomly assigned to one of three conditions. Care recipients were expected to benefit most from active cognitive stimulation training as compared to placebo (passive) activity or wait-list control conditions. Following each weekly instruction session, the intervention was executed in the home by the family caregiver. Care recipients in the experimental group improved in cognitive and behavioral performance with treatment, but returned to former level of functioning by the 9th month. In contrast, the control group declined, while the placebo group remained static on these variables. These findings support the viability of remediation interventions in dementia despite the trajectory of cognitive decline.

Adult↗