Markers of assimilation of problematic experiences in dementia within the LivDem project

Dementia
Richard ChestonPeter Coleman

Abstract

This study aimed to determine whether the Markers of Assimilation of Problematic Experiences in Dementia scale (MAPED) can be used to identify whether the way in which participants talk about dementia changed during the group. All eight sessions of a LivDem group, which were attended by participants were recorded and transcribed. An initial analysis identified 160 extracts, which were then rated using the MAPED system. Inter-rater reliability was 61% and following a resolution meeting, 35 extracts were discarded, leaving 125 extracts with an agreed marker code. All of the participants were identified as producing a speech marker relating to dementia, and these varied between 0 (warding off) to 6 (problem solution). Examples of these markers are provided. The proportion of emergence markers (indicating the initial stages of assimilation) compared to later markers changed significantly between the first four sessions and the final sessions. This difference was still significant even when the markers produced by the most verbal participant, Graham, were excluded. The use of process measures within psychotherapy complements more conventional outcome measures and has both theoretical and clinical implications.

References

Jun 16, 2000·Journal of Clinical Psychology·L Honos-WebbW B Stiles
Oct 25, 2000·Journal of Clinical Psychology·W B StilesJ A Lani
Oct 28, 2003·Aging & Mental Health·R ChestonJ Gilliard
Aug 10, 2010·The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences·Rebecca G LogsdonLinda Teri

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Citations

Sep 28, 2016·Aging & Mental Health·Richard ChestonPeter Coleman
Jan 4, 2017·Journal of Clinical Nursing·Berit Seiger CronfalkAstrid Norberg

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Software Mentioned

LivDem

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