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Marital Quality in the Context of Mild Cognitive Impairment
Linda Garand
University of Pittsburgh, ligst4{at}pitt.edu.
Mary Amanda Dew
University of Pittsburgh
Bridget Urda
University of Pittsburgh
Jennifer Hagerty Lingler
University of Pittsburgh
Steven T. DeKosky
University of Pittsburgh
Charles F. Reynolds
University of Pittsburgh
Profound behavioral changes in persons with dementia often negatively affect the quality of marital relationships. Yet, little is known about the extent to which the marital relationship may be affected when the care recipient has milder degrees of cognitive impairment. This study characterizes marital quality among 27 adults who live with a spouse with mild cognitive impairment (MCI). This study demonstrates that at mild levels of cognitive impairment, specific behaviors in the affected person are distressing and may degrade the quality of the marital relationship. These results have implications for clinical practice and the delivery of health care and social services to these families. It is important to develop interventions to address the needs of these individuals and their caregivers. Results of this study suggest the need for mental health interventions designed to preserve the quality of these marital relationships.
Key Words: mild cognitive impairment caregiving stressors marital quality
References
- Archbold, P.G., Stewart, B.J., Greenlick, M.R., & Harvath, T. (1990). Mutuality and preparedness as predictors of caregiver role strain. Research in Nursing and Health, 13, 375-384.[CrossRef]
- Baumgarten, M., Battista, R.N., Infante-Rivard, C., Hanley, J.A., Becker, R., & Gauthier, S. (1992). The psychological and physical health of family members caring for an elderly person with dementia. Journal of Clinical Epidemiology, 45, 61-70.[CrossRef]
- Bookwala, J. (2005). The role of marital quality in physical health during the mature years. Journal of Aging & Health, 17(1), 85-104.[Abstract/Free Full Text]
- Chelsa, C., Martinson, I., & Muwaswes, M. (1994). Continuities and discontinuities in family members' relationships with Alzheimer's patients. Caregiving Relations, 43, 3-9.
- Cohen, J. (1988). Statistical power analysis for the behavioral sciences. Hilldale, NJ: Lawrence Erlbaum.
- de Vugt, M.E., Stevens, F., Aalten, P., Lousberg, R., Jaspers, N., Winkens, I., et al. (2003). Behavioural disturbances in dementia patients and quality of the marital relationship. International Journal of Geriatric Psychiatry, 18(2), 149-154.[CrossRef][Web of Science][Medline]
[Order article via Infotrieve]
- Donaldson, C., Tarrier, N., & Burns, A. (1998). Determinants of caregiver stress in Alzheimer's disease. International Journal of Geriatric Psychiatry, 134, 248-256.
- Draper, B.M., & Poulos, C.J. (1995). Risk factors for stress in elderly caregivers. International Journal of Geriatric Psychiatry, 11, 227-231.[CrossRef][Web of Science]
- Evans, D.A. (1990). Estimated prevalence of Alzheimer's disease in the United States. Milbank Quarterly, 68(2), 267-289.[CrossRef][Web of Science][Medline]
[Order article via Infotrieve]
- Fearon, M., Donaldson, C., & Burns, A. (1998). Intimacy as a determinant of expressed emotion in caregivers of people with Alzheimer's disease. Psychological Medicine, 28(5), 1085-1090.[CrossRef][Web of Science][Medline]
[Order article via Infotrieve]
- Gallagher-Thompson, D., Dal Canto, P.G., Jacob, T., & Thompson, L.W. (2001). A comparison of marital interaction patterns between couples in which the husband does or does not have Alzheimer's disease. Journal of Gerontology: Social Sciences, 56B(3), S140-S150.[Abstract/Free Full Text]
- Gallo, L.C., Troxel, W.M., Kuller, L.H., Sutton-Tyrrell, K., Edmundowicz, D., & Matthews, K.A. (2003). Marital status, marital quality, and atherosclerotic burden in postmenopausal women. Psychosomatic Medicine, 65(6), 952-962.[Abstract/Free Full Text]
- Garand, L., Dew, M.A., Eazor, L.R., DeKosky, S.T., & Reynolds, C.F. (2005). Caregiver burden and psychiatric morbidity in spouses of persons with mild cognitive impairment. International Journal of Geriatric Psychiatry, 20, 512-522.[CrossRef][Web of Science][Medline]
[Order article via Infotrieve]
- Hinrichsen, G.A., & Niederehe, G. (1994). Dementia management strategies and adjustment of family members of older patients. The Gerontologist, 34, 95-102.[Abstract/Free Full Text]
- Ingersoll-Dayton, B., & Raschick, M. (2004). The relationship between care-recipient behaviors and spousal caregiving stress. The Gerontologist, 44(3), 318-327.
- Lawrence, R.H., Tennstedt, S.L., & Assmann, S.F. (1998). Quality of the caregiver. Care recipient relationship: Does it offset negative consequences of caregiving for family caregivers? Psychological Aging, 13(1), 150-158.
- Lewis, F.M., Woods, N.F., Hough, E.E., & Bensley, L.S. (1989). The family's functioning with chronic illness in the mother: The spouse's perspective. Social Science and Medicine, 29, 1261-1269.[CrossRef]
- Lillard, L.A., & Panis, C.W. (1996). Marital status and mortality: The role of health. Demography, 33(3), 313-327.[Web of Science][Medline]
[Order article via Infotrieve]
- Lopez, O.L., Becker, J.T., Jagust, W.J., Fitzpatrick, A., Carlson, M.C., DeKosky, S.T., et al. (2006). Neuropsychological characteristics of mild cognitive impairment subgroups. Journal of Neurology, Neurosurgery, and Psychiatry, 77, 159-165.[Abstract/Free Full Text]
- Lyketsos, C.G., Lopez, O., Jones, B., Fitzpatric, A.L., Breitner, J., & DeKosky, S. (2002). Prevalence of neuropsychiatric symptoms in dementia and mild cognitive impairment: Results from the cardiovascular health study. Journal of the American Medical Association, 288(12), 1475-1483.[CrossRef]
- Montgomery, R.J.V., Gonyea, J.G., & Hooyman, N.R. (1985). Caregiving and the experience of subjective and objective burden. Family Relations, 34, 19-26.[CrossRef][Web of Science]
- Morris, L.W., Morris, R.G., & Britton, P.G. (1988). The relationship between marital intimacy and perceived strain and depression in spouse caregivers of dementia sufferers. British Journal of Medical Psychology, 61, 231-236.[Web of Science][Medline]
[Order article via Infotrieve]
- Petersen, R.C., Smith, G.E., Waring, S.C., Ivnik, R.J., Tangalos, E.G., & Kokmen, E. (1999). Mild cognitive impairment: Clinical characterization and outcome. Archives of Neurology, 56(3), 303-308.[CrossRef]
- Petersen, R.C., Stevens, J.C., Ganguli, M., Tangalos, E.G., Cummings, J.L., & DeKosky, S.T. (2001). Practice parameter: Early detection of dementia: Mild cognitive impairment (an evidence-based review). Neurology, 56(9), 1133-1142.[Abstract/Free Full Text]
- Pinquart, M., & Sorensen, S. (2003). Associations of stressors and uplifts of caregiving with caregiver burden and depressive mood: A meta-analysis. Journals of Gerontology: Psychological Sciences, 58B(2), 112-128.
- Rutledge, T., Matthews, K., Lui, L.Y., Stone, K.L., & Cauley, J.A. (2003). Social networks and marital status predict mortality in older women: Prospective evidence from the study of osteoporotic fractures (SOF). Psychosomatic Medicine, 65(4), 688-694.[Abstract/Free Full Text]
- Schulz, R., O'Brien, A.T., Bookwala, J., & Fleissner, K. (1995). Psychiatric and physical morbidity effects of dementia caregiving: Prevalence, correlates, and causes. The Gerontologist, 35(6), 771-791.[Abstract/Free Full Text]
- Seltzer, M.M., & Li, L.W. (1996). The transitions of caregiving: Subjective and objective definitions. The Gerontologist, 36(5), 614-626.[Abstract/Free Full Text]
- Spanier, G.B. (1976). Measuring dyadic adjustment: New scales for assessing the quality of marriage and similar dyads. Journal of Marriage and Family, 38, 15-38.[CrossRef]
- Speziale, B.A. (1997). Couples, sexual intimacy, and multiple sclerosis. Journal of Family Psychotherapy, 8, 13-32.[CrossRef]
- Stone, R., Cafferata, G.L., & Sangl, J. (1987). Caregivers of the frail elderly: A national profile. The Gerontologist, 27(5), 616-626.[Abstract/Free Full Text]
- Tacachnick, B.G., & Fidell, L.S. (2001). Using multivariate statistics (4th ed.). Boston: Allyn & Bacon.
- Troxel, W.M., Matthews, K.A., Gallo, L.C., & Kuller, L.H. (2005). Marital quality and occurrence of the metabolic syndrome in women. Archives of Internal Medicine, 165(9), 1022-1027.[Abstract/Free Full Text]
- Uchino, B.N., Keicolt-Glaser, J.K., & Cacioppo, J.T. (1994). Construals of preillness relationship quality predict cardiovascular response in family caregivers of Alzheimer's disease victims. Psychology and Aging, 9(1), 113-120.[CrossRef][Web of Science][Medline]
[Order article via Infotrieve]
- Wright, L.K. (1991). The impact of Alzheimer's disease on the marital relationship. The Gerontologist, 31(2), 224-237.[Abstract/Free Full Text]
- Wyke, S., & Ford, G. (1992). Competing explanations for associations between marital status and health. Social Science and Medicine, 34, 523-532.[CrossRef][Medline]
[Order article via Infotrieve]
- Zarit, S.H., Reever, K., & Bach-Peterson, J. (1980). Relatives of the impaired elderly: Correlates and feelings of burden. The Gerontologist, 20(6), 649-655.[Abstract/Free Full Text]
- Zarit, S.H., & Zarit, K.E. (1987). The memory and behavior problems checklist: 1987R. University Park: Pennsylvania State University.
Western Journal of Nursing Research, Vol. 29, No. 8,
976-992 (2007)
DOI: 10.1177/0193945907303086

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