Files and links (1)
PDFOpen Access (License Unspecified), Open Access
Dissertation
Do hope and social support influence self-esteem in early stage dementia?
Doctor of Nursing Practice (D.N.P.), Drexel University
Jun 2010
DOI:
https://doi.org/10.17918/00009995
Abstract
Statement of the problem. A diagnosis of early stage dementia typically results in feelings of loss, social stigma and uncertainty placing major demands on the coping strategies for the individual. Recent studies indicate that they manage the illness and its emotional impact through a series of processes that progress through stages of awareness, coping, and evaluation. They acknowledge and actively seek to understand and adjust to current and future loss of memory, independence, previous roles and lifestyle, as well as feelings of depression and frustration, and its potential for negative beliefs about the self. The purpose of this study was to examine the relationships between hope and social support on state self-esteem in individuals with early stage dementia. Procedure & methods. The study employed a cross-sectional, correlational design. The sample was recruited from two neurology practices, two continuing care retirement communities and the Alzheimer's Association early stage dual support groups. Data was collected using the Herth Hope Index, Social Support Questionnaire Short Form, State Self-Esteem Scale, and a demographic data form. Results. Fifty-three participants, predominantly female (68%), older-aged (80.8 ±7.8 years) and with mild stage dementia (MMSE 25.5 ±3.5) completed the study. Hope was significantly related to state self-esteem (p < .001), and the relationship was of moderate strength (r = .49). There was no statistically significant relationship between social support satisfaction and state self-esteem (rs = .18, p = .30). Regression results showed that the overall association was statistically significant, F (2, 50) = 8.32, p < .001, and together hope and social support satisfaction accounted for 25% of the variance in state self-esteem. However, only hope made a statistically significant, unique contribution to the estimation of state self-esteem ([beta] = .49, p < .001). Social support satisfaction was not significant to the prediction of state self-esteem ([beta] = .12, p = .383). There was no interaction effect between hope and social support satisfaction on state self-esteem. Conclusions. Hope and social support satisfaction are psychosocial factors which contribute to higher levels of self-esteem in early stage dementia. Future investigation is warranted to explore predictors of self-esteem and other important components of self-concept.
Metrics
33 File views/ downloads
16 Record Views
Details
- Title
- Do hope and social support influence self-esteem in early stage dementia?
- Creators
- Valerie T. Cotter
- Contributors
- Elizabeth W. Gonzalez (Advisor) - Drexel University, Drexel University (1970-)
- Awarding Institution
- Drexel University
- Degree Awarded
- Doctor of Nursing Practice (D.N.P.)
- Publisher
- Drexel University; Philadelphia, Pennsylvania
- Number of pages
- x, 79 pages
- Resource Type
- Dissertation
- Language
- English
- Academic Unit
- Doctoral Nursing; Nursing (Graduate); College of Nursing and Health Professions; Drexel University
- Other Identifier
- 991021888849804721