يعرض 1 - 10 نتائج من 11 نتيجة بحث عن '"Rebecca E. Ready"', وقت الاستعلام: 1.22s تنقيح النتائج
  1. 1

    المؤلفون: Rebecca E. Ready, Molly A Mather

    المصدر: Eur J Ageing

    الوصف: Older adults may be better able to regulate emotion responses to negative experiences than younger persons when provided instructions, but age group differences in spontaneous emotion responses are poorly understood. The current study determined age group differences in spontaneous reactivity and recovery in negative and positive affects, as well as the co-occurrence of negative and positive affects, following a laboratory mood induction. Younger (n = 71) and older adults (n = 44) rated negative and positive affects before and several times after a negative mood induction involving sad film clips. ANCOVA and multilevel longitudinal modeling in HLM were utilized to determine age group differences in spontaneous reactivity to and recovery from the mood induction, as well as age group differences in co-occurrence of negative and positive affects. Relative to younger adults, older adults reported greater negative affect reactivity to and recovery from the mood induction. Older adults also reported greater co-occurrence of negative and positive affects in response to the mood induction, as compared to younger adults. Thus, older adults reacted more strongly to sad film clips than younger persons, exhibited efficient recovery, and reported greater co-occurrence of negative and positive affects. A fruitful line of future research might determine whether affect co-occurrence facilitates effective emotion regulation.

  2. 2

    المصدر: Journal of Huntington's Disease. 8:221-232

    الوصف: Background Positive affect is associated with resiliency and beneficial health outcomes, but little is known about associations between positive affect and health-related quality of life (HRQOL) in Huntington's disease (HD). Objective This longitudinal study determined the association between positive affect and several HRQOL outcomes in persons with HD. Functional status was examined as a moderator of the association between positive affect and HRQOL. Methods Participants, with premanifest (i.e., genetically at risk but no clinical diagnosis, n = 50) and manifest HD (early-stage n = 171; late-stage n = 101), completed a measure of positive affect and well-being and several HRQOL measures at baseline, 12-, and 24-month follow-ups. UHDRS Functional Assessment scale indicated functional status. Results Positive affect was associated with better HRQOL for persons with premanifest and manifest HD over the 24-month time frame. These associations were moderated by functional status. For persons with higher functional status, positive affect was associated with better HRQOL, including less depression, lower anxiety, less anger, better social role satisfaction, better executive functions, greater upper extremity function, less dyscontrol, and less concern with death and dying. For persons with lower functional status, positive affect was not associated with HRQOL. Conclusions Positive affect predicted better self-reported HRQOL over a 24-month period in persons with premanifest and manifest HD, particularly when participnats had better functional status. Interventions to enhance positive affect in HD may have beneficial effects on HRQOL.

  3. 3

    المؤلفون: Brian R. Ott, Rebecca E. Ready

    المصدر: American Journal of Alzheimer's Disease & Other Dementiasr. 22:528-534

    الوصف: Patients with mild cognitive impairment and mild to moderate Alzheimer's disease can provide information about their quality of life. This study determined whether aggregating patient and informant quality-of-life reports on the Cornell-Brown Scale for Quality of Life in Dementia can provide a broader perspective on the quality of life relative to patient or informant reports separately. Aggregated Cornell-Brown Scale for Quality of Life in Dementia scores were hypothesized to correlate more strongly with both patient and informant perspectives of patient's memory, function, and neuropsychiatric symptoms than the unaggregated measures. Results indicated that aggregated Cornell-Brown Scale for Quality of Life in Dementia scores reflected a blend of patient and informant perspectives on patient function. This study contributes to a growing line of research that recommends integrating patient and informant perspectives to achieve the most complete assessment of quality of life.

  4. 4

    المصدر: Journal of the American Geriatrics Society. 51:32-37

    الوصف: OBJECTIVES: This study evaluated two amnestic behavior changes (repetitive questioning and repetitive actions) to determine their utility in screening for early dementia. DESIGN: Patient data were collected through a retrospective chart review. Comparison data from nondemented older people were collected prospectively from acquaintances of clinic patients. SETTING: The setting was a hospital-based outpatient memory disorder clinic. PARTICIPANTS: Participants were older individuals with no cognitive impairment (n = 25), undetermined dementia (n = 50), and definite dementia (n = 25). The undetermined cases were followed for at least 1 year to assess for conversion to dementia. MEASUREMENTS: Amnestic behaviors were assessed using informant-report for all participants. The behaviors were examined for their ability to distinguish between definite dementia cases and noncases. They were further evaluated for the ability to differentiate undetermined cases that eventually converted to definite dementia from cases that did not convert. RESULTS: Results indicated that repetitive behaviors were common in early and more-severe dementia cases. Repetitive behaviors were relatively uncommon in cognitively intact older participants. In analyses of the full study sample, engagement in repetitive behaviors had high sensitivity (0.97) in identifying dementia cases. CONCLUSIONS: Assessing repetitive behaviors in patients may be a useful means for family members and primary care physicians to screen for early cognitive impairment. The assessment can help to identify individuals that should be evaluated further for dementia.

  5. 5

    المصدر: Journal of Neurology, Neurosurgery & Psychiatry. 71:310-314

    الوصف: OBJECTIVE Neuropsychiatric symptoms are common in Huntington9s disease and have been considered its presenting manifestation. Research characterising these symptoms in Huntington9s disease is variable, however, encumbered by limitations within and across studies. Gaining a better understanding of neuropsychiatric symptoms is essential, as these symptoms have implications for disease management, prognosis, and quality of life for patients and caregivers. METHOD Fifty two patients with Huntington9s disease were administered standardised measures of cognition, psychiatric symptoms, and motor abnormalities. Patient caregivers were administered the neuropsychiatric inventory. RESULTS Ninety eight per cent of the patients exhibited neuropsychiatric symptoms, the most prevalent being dysphoria, agitation, irritability, apathy, and anxiety. Symptoms ranged from mild to severe and were unrelated to dementia and chorea. CONCLUSIONS Neuropsychiatric symptoms are prevalent in Huntington9s disease and are relatively independent of cognitive and motor aspects of the disease. Hypothesised links between neuropsychiatric symptoms of Huntington9s disease and frontal-striatal circuitry were explored. Findings indicate that dimensional measures of neuropsychiatric symptoms are essential to capture the full range of pathology in Huntington9s disease and are vital to include in a comprehensive assessment of the disease.

  6. 6

    المصدر: The Journal of Neuropsychiatry and Clinical Neurosciences. 13:342-346

    الوصف: Cognitive decline may precede motor symptoms in Huntington's disease (HD). Depression is common in HD and has also been linked with cognitive impairment. The contribution of depression to cognition in individuals presymptomatic for HD (N=15) was investigated. Tests from the Cambridge Automated Neuropsychological Assessment Battery measured visual and working memory. Depression was assessed with the Beck Depression Inventory and the Unified Huntington's Disease Rating Scale. Depressed mood and estimated time to disease onset, calculated by using DNA mutation length, both were significant predictors of working memory performance. Findings are consistent with and contribute to existing research with individuals presymptomatic for HD, identifying a potentially remediable contribution to cognitive decline (i.e., depressed mood).

  7. 7

    الوصف: Older and midlife adults tend to report greater emotional complexity and greater emotional wellbeing than younger adults but there is variability in these factors across the lifespan. The current study determined how the personality trait of Neuroticism at baseline predicts emotional complexity and emotional well-being 10 years later; a goal was to determine if Neuroticism is a stronger predictor of these emotion outcomes with increasing age in adulthood. Data were from two waves of the MIDUS projects (N = 1,503; aged 34 to 84). Greater Neuroticism predicted less emotional complexity as indicated by associations between Positive (PA) and Negative Affect (NA), particularly for older participants. Neuroticism predicted lower emotional well-being and this association was stronger for older and midlife than for younger adults. Overall, high Neuroticism may be greater liability for poor emotion outcomes for older and perhaps for midlife adults than for younger persons. Clinical and theoretical implications of this conclusion are discussed.

  8. 8

    المؤلفون: Lee Anna Clark, Rebecca E. Ready

    المصدر: Journal of personality. 73(1)

    الوصف: Informant reports of psychiatric patient behavior are collected routinely during intake interviews and to monitor therapeutic interventions. We investigated agreement between informant and adult psychiatric patient reports of patient behaviors (N=110). Behaviors were about substance use, physical and mental health, employment, illegal behavior, and recreational and social activities. Informant agreement with patients regarding whether or not a particular behavior occurred recently and also behavior frequency ratings were moderate overall (M r=.47 for frequency) and highly variable (rs=-.09 to .80). No informant, patient, or relationship characteristics were found consistently to moderate agreement. Thus, informants can report very accurately about the presence and frequency of some, but not all, patient behaviors. Low patient-informant agreement may be due to informants having relatively less detailed knowledge of patient behavior over time or patients not reporting accurately about certain behaviors.

  9. 9

    المؤلفون: Rebecca E. Ready, Brian R. Ott

    المصدر: Vascular Dementia ISBN: 9781588293664

    الوصف: Little is known about quality of life (QOL) in vascular dementia (VaD). The past decade has witnessed considerable attention to QOL issues in dementia, but the majority of this work has been conducted with Alzheimer’s disease (AD) or mixed dementia samples, with surprisingly scant attention devoted exclusively to VaD populations. Thus, this chapter primarily focuses on future directions for work regarding QOL in VaD, a largely uncharted territory. Current conceptualizations and measurement issues regarding QOL in dementia are reviewed. Hypotheses about QOL in VaD are generated from the literature bases regarding QOL in AD and in stroke patients without dementia, which are two patient populations that share overlapping features with VaD.

  10. 10

    المصدر: Assessment. 9(4)

    الوصف: The authors investigated the criterion and incremental validity of personality reports from psychiatric patients and knowledgeable informants in predicting patient substance use, social and risky behaviors, and psychological distress. Patient and informant reports of patient personality and behavior were collected from an adult psychiatric sample (N = 94). Hierarchical regressions indicated that patient reports of personality accounted for significant variance in both concurrent (17%-42%) and future behavior assessed 1 year later (17%-40%). Informant reports contributed significantly to the prediction of several behaviors and most strongly to social behaviors. Behaviors were predicted equally well by self-reports and informant reports in prospective as in concurrent regressions. Thus, both patient and informant reports of personality contribute importantly to prediction of behavior, and predictive ability is stable across time.