Evidence map›Paper›PMID 31030701›Full record

ArticleInternational psychogeriatrics2020

Thought-feeling discrimination in people with dementia: adaptation and preliminary validation of the first dementia-specific measure.

Joshua Stott, Tim Cadman, Henry Potts, Katrina Scior, Janina Brede, Georgina Charlesworth

Erratum issuedAbstract readValidation Study
PubMed Full text at PMC Publisher
In one paragraph

Article in International psychogeriatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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3 · Its place in the literature

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Joshua StottResearch Department of Clinical, Educational and Health Psychology, University College London, London, UK.
Tim CadmanResearch Department of Clinical, Educational and Health Psychology, University College London, London, UK.
Henry PottsUCL Institute of Health Informatics, University College London, London, UK.
Katrina SciorResearch Department of Clinical, Educational and Health Psychology, University College London, London, UK.
Janina BredeResearch Department of Clinical, Educational and Health Psychology, University College London, London, UK.
Georgina CharlesworthResearch Department of Clinical, Educational and Health Psychology, University College London, London, UK.

Funding

Alzheimer's Society 236Department of HealthEPA EP-C-14-005
6 · The paper itself

Abstract

objectiveThere is emerging evidence that cognitive behavioral therapy (CBT) can be effective for treating anxiety and depression in people living with dementia (PLWD). Discriminating between thoughts and feelings is a critical element of CBT and also of relevance to emotional understanding more generally. The aim of the present study was the structured adaptation and preliminary validation of an existing measure of thought-feeling discrimination for use in PLWD. METHODS/

designThe Behavior Thought Feeling Questionnaire (BTFQ) was adapted via expert and service-user consultation for use in PLWD. One hundred two PLWD and 77 people aged over 65 years who did not have measurable cognitive impairments completed the adapted measure along with two measures of emotional recognition and reasoning. The factor structure of this measure was examined and the measure reduced.

resultsFactor analysis suggested a two-factor solution with thought and feeling items loading on separate factors. The behavior items were not included in scoring due to high cross-loading and ceiling effects, leaving a 14-item measure with two subscales. Thus, an adapted measure was created (named the BTFQ-D), which showed moderate convergent validity in the PLWD but not the older adult sample. Both thought and feeling subscales showed good internal consistency.

conclusionsThe BTFQ-D showed preliminary validity as a measure of thought-feeling discrimination in PLWD. It may have utility in measuring readiness for CBT as part of clinical assessment. Further validation is required.

Indexed as

EmotionsAgedAged, 80 and overAnxiety DisordersCognitive Behavioral TherapyDementiaDepressive DisorderFactor Analysis, StatisticalFemaleHumansMaleMiddle AgedPsychometricsSurveys and Questionnairesaginganxietyclinical assessmentcognitive behavioral therapy (CBT)mood disorders

Identifiers

PMID31030701
PMCPMC7025873

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