Using an Electronic Diary to Bolster Self-Esteem in Persons with Early-Stage Dementia

Authors

  • Tomohiro Takezawa The National Institute of Vocational Rehabilitation, Chiba, Japan
  • Rina Ishiwata Department of Assistive Technology, Research Institute of National Rehabilitation Center for Persons with Disabilities, Saitama, Japan
  • Takenobu Inoue Department of Assistive Technology, Research Institute of National Rehabilitation Center for Persons with Disabilities, Saitama, Japan
  • Misato Nihei Graduate School of Frontier Sciences, The University of Tokyo, Tokyo, Japan
  • Yoichi Motomura Digital Human Research Center, National Institute of Advanced Industrial Science and Technology, Tokyo, Japan

DOI:

https://doi.org/10.12970/2310-8231.2014.02.01.3

Keywords:

 Self-esteem, frontotemporal dementia, Alzheimer’s disease.

Abstract

Persons with early-stage dementia are at risk for decreasing self-esteem because they perceive discrepancies between their actual self-state and their preclinical self-state. We developed a psychological intervention that uses diaries with entries related to positive self-worth for persons with early-stage dementia. We report three exploratory case studies with a 59-year-old male with frontotemporal dementia (Mr. A), and a 53-year-old male (Mr. B) and a 46-year-old female (Ms. C) with Alzheimer’s disease. Participants were asked to read their diaries focusing either on achievement, positive interpersonal, or other themes, and rate their self-esteem before and after. Mr. A demonstrated improvement of self-esteem after reading diaries focused on achievement themes. Mr. B demonstrated improvement after reading diaries focused on interpersonal themes. However, Ms. C did not show improvement of self-esteem. These results suggest that reading diaries focused on achievement or positive interpersonal themes could bolster the self-esteem of some persons with early-stage dementia.

References

Grabowski TJ, Damasio AR. Definition, clinical features, and neuroanatomical basis of dementia. In M. Esiri, V. Lee, and J. Trojanowski (Eds). Neuropathology of Dementia (2nd edition, pp. 1-10). UK: Cambridge University Press 2004. http://dx.doi.org/10.1017/CBO9780511526886.002

Ballatore C, Lee VMI, Trojanowski JQ. Tau-mediated neurodegeneration in Alzheimer’s disease and related disorders. Nat Rev Neurosci 2007; 8: 663-72. http://dx.doi.org/10.1038/nrn2194

Götz J, Ittner LM. Animal models of Alzheimer’s disease and frontotemporal dementia. Nat Rev Neurosci 2008; 9: 532-44. http://dx.doi.org/10.1038/nrn2420

Naylor E, Clare L. Awareness of memory functioning, autobiographical memory and identity in early-stage dementia. Neuropsychol Rehabil 2008; 18: 590-606. http://dx.doi.org/10.1080/09602010701608681

Rosenberg M. Society and the Adolescent Self-image. Princeton, NJ: Princeton University Press 1965.

Higgins ET. Self-discrepancy: A theory relating self and affect. Psychol Rev 1987; 94: 319-40. http://dx.doi.org/10.1037/0033-295X.94.3.319

Butler AC, Hokanson JE, Flynn HA. A comparison of self-esteem lability and low trait self-esteem as vulnerability factors for depression. J Pers Soc Psychol 1994; 66: 166-77. http://dx.doi.org/10.1037/0022-3514.66.1.166

Kim ES, Cleary SJ, Hopper T, et al. Evidence-based practice recommendations for working with individuals with dementia: Group reminiscence therapy. J Med Speech Lang Pathol 2006; 14: xxiii-xxxiv.

Gowans G, Campbell J, Alm N, Astell A, Ellis M, Dye R. Designing a multimedia conversation aid for reminiscence therapy in dementia care environments. Proceedings of CHI 2004, 2004; 825-36.

Massimi M, Berry E, Browne G, Smyth G, Watson P, Baecker RM. An exploratory case study of the impact of ambient biographical displays on identity in a patient with Alzheimer's disease. Neuropsychol Rehabil 2008; 18: 742-65. http://dx.doi.org/10.1080/09602010802130924

Takezawa T, Inoue T, Ishiwata R, Miyanaga K, Hoshiba I. Assistive technology for promoting self-enhancement of persons with dementia. In H. Ohnabe and D. M. Collins (Eds). Selected Papers from the Japanese Conference on the Advancement of Assistive and Rehabilitation Technology - 23rd JCAART 2008, Niigata (pp. 161-165). IOS Press. 2011.

Pillemer DB, Ivcevic Z, Gooze RA, Collins KA. Self-esteem memories: Feeling good about achievement success, feeling bad about relationship distress. Pers Soc Psychol Bull 2007; 33: 1292-305. http://dx.doi.org/10.1177/0146167207303952

Rosenberg M. Conceiving the Self. New York: Basic Books 1979.

Folstein MF, Folstein SF, McHugh PR. ‘Mini-Mental State’, practical methods for grading the cognitive state of patients for clinicians. J Psychiatr Res 1975; 12: 189-98. http://dx.doi.org/10.1016/0022-3956(75)90026-6

Mihailidis A, Boger JN, Craig T, Hoey J. The COACH prompting system to assist older adults with dementia through hand washing: An efficacy study. BMC Geriatr 2008; 8: 28. http://dx.doi.org/10.1186/1471-2318-8-28

D'Argembeau A, Comblain, C, Van der Linden M. Phenomenal characteristics of autobiographical memories for positive, negative, and neutral events. Appl Cognit Psychol 2003; 17: 281-94. http://dx.doi.org/10.1002/acp.856

Zeigler-Hill V, Showers CJ. Self-structure and self-esteem stability: The hidden vulnerability of compartmentalization. Pers Soc Psychol Bull 2007; 33: 143-59. http://dx.doi.org/10.1177/0146167206294872

Alm N, Dye R, Astell A, Ellis M, Gowans G, Campbell J. Making software accessible to people with severe memory deficits. Proceeding Accessible Design'05 Proceedings of the 2005 International Conference on Accessible Design in the Digital World 2005; 16.

Markus HR, Kitayama S. Culture and the self: Implications for cognition, emotion, and motivation. Psychol Rev 1991; 98: 224-53. http://dx.doi.org/10.1037/0033-295X.98.2.224

Addis DR, Tippett LJ. Memory of myself: Autobiographical memory and identity in Alzheimer’s disease. Memory 2004; 12: 56-74. http://dx.doi.org/10.1080/09658210244000423

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Published

2014-04-05

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