Affect balance and relationship with well-being in nursing home residents with dementia

Ann M. Kolanowski, Kimberly Van Haitsma, Suzanne Meeks, Mark Litaker

Research output: Contribution to journalArticlepeer-review

23 Scopus citations


The purpose of this exploratory study was to determine whether the balance of positive to negative affect can discriminate states of well-being in nursing home residents with dementia and whether affect balance is associated with activity engagement. Baseline data from a randomized clinical trial were used in this secondary analysis. Participants were 128 residents recruited from 9 nursing homes located in Pennsylvania. Participants were primarily female, Caucasian, and had a mean age of 86 years. Measures of agitation and affect were taken from video recordings of 10 observational sessions. Measures of engagement and self-reported mood were taken in real time. Ten percent of participants were categorized as having high well-being. These participants had a mean ratio of positive-negative affect of 2.21 (±0.50), a ratio significantly different than that of participants with moderate or low well-being. Affect balance was related to greater engagement in activity (r =.23; P =.008).

Original languageEnglish (US)
Pages (from-to)457-462
Number of pages6
JournalAmerican journal of Alzheimer's disease and other dementias
Issue number5
StatePublished - Aug 2014

All Science Journal Classification (ASJC) codes

  • General Neuroscience
  • Clinical Psychology
  • Geriatrics and Gerontology
  • Psychiatry and Mental health


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