Penger, Susanne
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Publication Access status: Metadata only , Reducing Dementia Grief Through Psychosocial InterventionsThis review assessed the existing dementia grief interventions for caregivers of persons with dementia (PwD) prior to physical death from September 2016 to September 2021. Electronic databases Web of Science (SSCI), PsycArticles, Psychology and Behavioral Sciences Collection, PsycINFO, PSYNDEX Literature with PSYNDEX Tests, and MEDLINE were searched. Fifty-five publications meeting predetermined criteria were screened of which 12 were included in this review. Included interventions were multifaceted and the intervention format was heterogeneous. There has been a vast increase in dementia grief interventions in the last 5 years implying that the concept has been recognized as a valid and important construct to describe the caregiver experience. Implementation research should be undertaken to explore how well the concept of dementia grief is known and recognized and how elements of the interventions are used in everyday mental health care.Source Type:Article5 - Some of the metrics are blocked by yourconsent settings
Publication Access status: Metadata only , The Role of Different Aspects of Communication Behavior in the Assessment of Capacity to ConsentAny medical treatment that interferes with physical integrity requires the informed consent of a patient capable of such consent. For people with dementia, the capacity to consent is questioned even in the early course of the disease. Particularly diagnostic instruments like the MacArthur Competence Assessment Tool for Treatment (MacCAT-T) often deny people with dementia the capacity to consent because of high confounding of the results with patients’ verbal abilities. To date, it remains unclear whether not only verbal but also nonverbal communication is associated with assessments of capacity to consent. The current study investigates associations between patients’ verbal and nonverbal communication behaviors as assessed by the measure for Communication Behavior in People with Dementia in Ambulant Settings (CODEM amb ) and capacity to consent as assessed by the MacCAT-T. We expected the strongest positive associations for verbal communication behaviors compared to nonverbal communication behaviors. Data of N = 43 patients with dementia ( n = 8 capable of consent) were collected at two different German psychiatric clinics. The results show small to moderate correlations between the overall scores of CODEM amb and MacCAT-T. As expected, correlations were strongest for the verbal CODEM amb subscale. The results support current findings on the dependency of the MacCAT-T on verbal communication. Based on the findings, the discussion addresses how people with dementia can be enabled to make self-determined medical treatment decisions.Source Type:Article3