Marriage and Mental Health: When a Spouse Has Alzheimer's Disease

Williams, Christine L.

doi:10.1016/j.apnu.2011.02.003

Cited by 20 publications

(23 citation statements)

References 10 publications

(7 reference statements)

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“…Spouses need to find coping strategies to maintain their own health and marriage, and at the same time be a caregiver. Williams (2011) found that spouses with strong relations are less likely to be depressed or feel overburdened. It could thereby be argued that there is a need for extended support in order to maintain the relationship.…”

Section: Discussionmentioning

confidence: 99%

That mr. Alzheimer… you never know what he’s up to, but what about me? A discourse analysis of how Swedish spouse caregivers can make their subject positions understandable and meaningful

Lövenmark

Meranius

Hammar

2018

International Journal of Qualitative Studies on Health and Well

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The spouses of people suffering from dementia are commonly first-in-line caregivers. This can have a considerable effect on their own lives, health and marriages. Several studies have focused on spouses’ experiences, but very few have focused in any depth on their descriptions of themselves as subjects. Therefore, the aim of this study is to describe how spouse caregivers can express themselves when living with and caring for their partners with dementia. The study has a qualitative approach with a discourse analysis design and uses analytical tools such as rhetoric, subject positions and categorization. The results reveal three subject positions: as an actor, as a parent and as a survivor. The results show that as spouses struggle with external and internal clashes as subjects, they therefore need to develop coping strategies. They also experience pronounced loneliness and a risk to their own health. There is thus a need to support these spouses as individuals in their differing and changing needs.

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Section: Discussionmentioning

confidence: 99%

That mr. Alzheimer… you never know what he’s up to, but what about me? A discourse analysis of how Swedish spouse caregivers can make their subject positions understandable and meaningful

Lövenmark

Meranius

Hammar

2018

International Journal of Qualitative Studies on Health and Well

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“…O relacionamento familiar positivo ou negativo foi apontado, como independe do sexo (masculino ou feminino) do cuidador e do grau do familiar demente (Gibbons et al, 2014;Parveen, Morrison, & Robson, 2014;Fauth et al, 2012;Bursh & Butcher, 2012;Baker, Grocke, & Pachana, 2012;Williams, 2011;Hui et al, 2011;Iecovich, 2011;Winter, Gitlin, & Dennis, 2011;Borghi et al, 2011;Fitzpatrick & Vacha-Haase, 2010;O'Shaughnessy, Lee & Lintern, 2010;Clare et al, 2012;Ball et al, 2010;Ablett, Jones & Muers, 2009;Falcão & Bucher-Maluschke, 2009;Betts Adams, McClendom, & Smyth, 2008;Quinn, Clare & Woods, 2009;Braun et al, 2009;Steadman, Tremont, & Davis, 2007;McConaghy & Caltabiano, 2005). Apenas um estudo ressaltou que o relacionamento familiar foi positivo, porque o demente era viúvo ou solteiro, e essa relação não havia prejuízo da relação de cuidado entre o cuidador e o demente (Borghi et al, 2011).…”

Section: Discussionunclassified

“…Ainda, a satisfação sexual e atividade sexual são outros fatores descritos que influenciam a sobrecarga do cuidador (Braun et al, 2009). Altos níveis de sobrecarga resultam em baixo nível de saúde mental e negativo bem-estar do cuidador (McConaghy & Caltabiano, 2005), aumento da sintomatologia depressiva do cuidador e piora da qualidade marital contraposto à uma forte e satisfatória união, a qual acarreta pouca sobrecarga ao cuidador (Williams, 2011).…”

Section: Discussionunclassified

“…Nesse panorama, os enfermeiros devem estar atentos e se instrumentalizar para atender esse cuidador com sobrecarga, uma vez que esta revisão mostrou que essa realidade aponta para o adoecimento do cuidador. 156-171, 2016 -ISSN 2175- Lyketsosez, JoAnn Tschanzbcz / Estados Unidos / 2012 (Fauth et al, 2012) Não informado Felicity A. Baker, Denise Grocke, Nancy A. Pachana / Austrália / 2012 (Baker, Grocke & Pachana, 2012) Não informado (Williams, 2011) Não informado Cônjuges que classificaram sua união tão forte e satisfatória experimentaram menor sobrecarga do que os cônjuges que classificaram seu casamento mais negativamente. Houve uma relação positiva entre a duração da prestação de cuidados, a qualidade conjugal e a sobrecarga.…”

Section: Conclusãounclassified

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A Qualidade do Relacionamento do Familiar Cuidador com o Familiar Portador de Demência: Revisão Integrativa

Dullius

Migott

2016

Revista de Psicologia da IMED

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ResumoA qualidade de vida do individuo pode acelerar o envelhecimento, com isto, a susceptibilidade à patologias, tal como, a demência, a qual se apresenta como uma das principais morbidades desta faixa etária. Objetivo: caracterizar o que a literatura indica sobre a qualidade do relacionamento do familiar cuidador com o familiar portador de demência. Método: revisão integrativa de literatura de artigos completos disponíveis nas bases de dados Brock Library, Scielo, Pubmed, CINAHL e Google Acadêmico, por meio dos descritores "Cuidadores", "Demência", "Doença de Alzheimer", "Relações Interpessoais" e "Relações Familiares", em português ou inglês, publicados no período de 2005 a 2015. Resultados: foram identificados 21 artigos, os quais apontam para uma sobrecarga do cuidador, independente dele ser o cuidador familiar principal ou não. Esta situação acaba por gerar doenças no próprio cuidador advindas da relação da díade familiar cuidador-demente. Conclusões: constatou-se que o cuidador do familiar demenciado apresenta-se com uma alta sobrecarga, o que repercute negativamente na sua saúde mental e física. Independente do grau da doença e da característica do cuidador a qualidade do relacionamento é negativa.

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“…Cancer survivors’ functioning is an important factor for their spousal caregivers’ marital adjustment (Zhou et al, 2011). Marital adjustment was reported to be associated with spousal caregiver burden and distress (Shanmugham, Cano, Elliott, & Davis, 2009; Williams, 2011). It has been reported that spousal caregivers have significantly more changes in their marital relationship over time than noncaregivers (Davis et al, 2011; Zhou et al, 2011).…”

Section: Background and Conceptual Issuesmentioning

confidence: 99%

Locke-Wallace Short Marital-Adjustment Test: Psychometric Evaluation in Caregivers for Persons With Primary Malignant Brain Tumor

Jiang¹,

Terhorst²,

Donovan³

et al. 2013

J Nurs Meas

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Background and Purpose Caregivers’ well-being has been found to be associated with marital adjustment. This study’s purpose was to evaluate the psychometric properties of the Locke-Wallace Short Marital-Adjustment Test (LWSMAT) in a sample of caregivers of persons with primary malignant brain tumor (PMBT). Methods Secondary analysis of data collected from 114 caregivers. The LWSMAT was tested for factor structure, internal consistency reliability, and construct validity. Results 5 extracted factors explained 60.55% of the total variance. Four interpretable factors (Contentment & Communication, Leisure & Sociality, Intimacy, and Shared Philosophy) had Cronbach’s alpha between 0.63 and 0.74. Convergent validity (r = −.35 and r = −.43, respectively, both p < .0001) and discriminant validity (r = .07, p = .49; and r = −.04, p = .67) were confirmed by comparing four factors with subdimensions of the Caregiver Reaction Assessment (CRA). Conclusion The LWSMAT is a multidimensional, reliable, and valid measure of marital adjustment in caregivers of persons with a PMBT.

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Marriage and Mental Health: When a Spouse Has Alzheimer's Disease

Cited by 20 publications

References 10 publications

That mr. Alzheimer… you never know what he’s up to, but what about me? A discourse analysis of how Swedish spouse caregivers can make their subject positions understandable and meaningful

That mr. Alzheimer… you never know what he’s up to, but what about me? A discourse analysis of how Swedish spouse caregivers can make their subject positions understandable and meaningful

A Qualidade do Relacionamento do Familiar Cuidador com o Familiar Portador de Demência: Revisão Integrativa

Locke-Wallace Short Marital-Adjustment Test: Psychometric Evaluation in Caregivers for Persons With Primary Malignant Brain Tumor

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