| Measuring the suffering of end-stage dementia: reliability and validity of the Mini-Suffering State Examination. | |
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MedLine Citation:
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PMID: 14698490 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Assessment of suffering is extremely important in dying end-stage dementia patients (ESDP). We have developed and examined the reliability and validity of the Mini-Suffering State Examination (MSSE), in 103 consecutive bedridden ESDP. Main outcome measures included inter-observer reliability and concurrent validity. Reliability of the MSSE questionnaire was satisfactory, with Cronbach alpha values of 0.735 and 0.718 for the two physicians (Ph-1, Ph-2), respectively. The kappa agreement coefficient was 0.791. There was a high agreement for seven items (kappa 0.882-0.972) and a substantial agreement for the other three items (kappa 0.621-0.682) of the MSSE. MSSE was validated versus the comfort assessment in dying with dementia (CAD-EOLD) scale and resulted in a significant Pearson correlation (r=-0.796, P<0.001). We conclude that the MSSE scale is a reliable and valid clinical tool, recommended for evaluating the severity of the patient's condition and the level of suffering of ESDP. Use of MSSE may improve medical management and facilitate communication between patients and caregivers. |
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Authors:
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Bechor Z Aminoff; Elena Purits; Shlomo Noy; Abraham Adunsky |
Publication Detail:
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Type: Journal Article; Validation Studies |
Journal Detail:
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Title: Archives of gerontology and geriatrics Volume: 38 ISSN: 0167-4943 ISO Abbreviation: Arch Gerontol Geriatr Publication Date: 2004 Mar-Apr |
Date Detail:
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Created Date: 2003-12-30 Completed Date: 2004-05-25 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8214379 Medline TA: Arch Gerontol Geriatr Country: Ireland |
Other Details:
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Languages: eng Pagination: 123-30 Citation Subset: IM |
Affiliation:
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Department of Geriatric Medicine and Memory Clinic, Sheba Medical Center, Tel-Hashomer 52621, Israel. bechorz@yahoo.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Analysis of Variance Dementia / psychology* Geriatric Assessment Humans Psychiatric Status Rating Scales* Reproducibility of Results Stress, Psychological / diagnosis* Terminal Care |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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