Abstract:
:The current emphasis on early detection and disclosure of a diagnosis of dementia highlights the need to examine couples' shared constructions of, and responses to, the diagnosis, and to explore the appraisals that couples make about the illness at an early stage. While the experiences of carers and of people with dementia have mostly been considered separately, further investigation of the shared experience of couples where one partner is developing dementia is required. This study adopted a family systems perspective to investigate psychological reactions to a diagnosis of dementia in nine couples where one partner had received a diagnosis of either Alzheimer's disease or vascular dementia, with particular emphasis on the possible relevance of psychological responses to loss. Interpretative phenomenological analysis was used to explore participants' experiences of receiving a diagnosis of dementia, which were compared and contrasted across couples. Ten themes were subsumed under two higher-order themes, 'Not quite the same person, tell me what actually is wrong' and 'Everything's changed, we have to go from there', and linked through the overarching theme of 'Making sense and adjusting to loss'. A model is presented that encapsulates the oscillating processes couples appeared to go through in making sense of the experience of early-stage dementia and adjusting to the losses and difficulties evoked by the illness, which appeared to be similar to the process of adjustment outlined in dual-process models of grief. The findings suggest that couples who receive a diagnosis of dementia may be supported by helping them to create a joint construction that enables them to make sense of their situation, find ways of adjusting to the changes experienced in their roles and identity, and manage the losses they face in the early stages of dementia.
journal_name
Aging Ment Healthjournal_title
Aging & mental healthauthors
Robinson L,Clare L,Evans Kdoi
10.1080/13607860500114555subject
Has Abstractpub_date
2005-07-01 00:00:00pages
337-47issue
4eissn
1360-7863issn
1364-6915pii
W178661P76748284journal_volume
9pub_type
杂志文章abstract:OBJECTIVES:The purpose of this study is to determine how individual and contextual factors that contribute to homicide-suicide (HS) differ between young adults, middle-aged adults, and older adults, and to describe, in detail, the circumstances that lead to HS by older adults. METHODS:Data were obtained from the Cente...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2020.1795620
更新日期:2020-07-20 00:00:00
abstract:OBJECTIVES:Little is known about the patterns of psychotropic medication use in community-dwelling minority persons with dementia (PWD). The purpose of this study was to investigate racial/ethnic differences in psychotropic medication use across a diverse population of community-dwelling PWD and to examine the extent t...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2017.1286451
更新日期:2018-04-01 00:00:00
abstract:OBJECTIVES:Delirium is a common neuropsychiatric condition with many adverse outcomes in elderly populations including death. Despite this, it is often misdiagnosed and mistreated. A number of scales can be used to detect delirium. We review scales that have been used in delirium studies and report their psychometric p...
journal_title:Aging & mental health
pub_type: 杂志文章,评审
doi:10.1080/13607860903421011
更新日期:2010-07-01 00:00:00
abstract:OBJECTIVES:Little is known about the factors associated with depression among elderly Nigerians despite research evidence suggesting that some correlates of depression may be important in early detection, treatment and prognosis. This study aimed to determine the correlates of depression among a community based elderly...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2013.843156
更新日期:2014-07-01 00:00:00
abstract:BACKGROUND:Few studies have investigated the bidirectional association between depression and multimorbidity from a longitudinal perspective. We aimed to explore the bidirectional relationship between depression and multimorbidity in a middle-aged and elderly Chinese population. METHODS:Participants aged 45 years and ...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2021.1877609
更新日期:2021-01-29 00:00:00
abstract::The WM training protocol proposed by Borella et al. found specific and transfer effects among seniors, however, the studies were carried out in the same socio-cultural context and variations in the procedure were never tested. The present study aimed at analyzing the efficacy of Borella et al.'s training, in terms of ...
journal_title:Aging & mental health
pub_type: 杂志文章,随机对照试验
doi:10.1080/13607863.2018.1531372
更新日期:2020-01-01 00:00:00
abstract:OBJECTIVES:Depression is common in older adults and is linked to morbidity and mortality. The aim of this study was to investigate whether specific symptoms of depression (dysphoria, anhedonia and anergia) predicted mortality in older Australian Aged Care residents. METHODS:Eighty older adults (M = 83.16 ± 7.14) witho...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2021.1872491
更新日期:2021-01-18 00:00:00
abstract::The purpose of this study was to determine how health impairment, socioeconomic status, and social support relate to life satisfaction in later life. Using data from a sample of 320 older adults from The Georgia Centenarian Study, we constructed a structural model of life satisfaction. LISREL analysis was performed to...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860600638388
更新日期:2006-09-01 00:00:00
abstract::Objectives: This study aims to identify heterogeneous depressive symptom trajectories among the widowed elderly in China, to explore predictive variables of latent class membership, and to detect between-classes differences in life satisfaction across time.Method: Data of 198 individuals widowed between 2011 and 2013 ...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2019.1603285
更新日期:2020-08-01 00:00:00
abstract:OBJECTIVES:To investigate informal caregivers' psychological well-being and predicted increase in psychological well-being, when caring for persons with dementia (PwDs) living at home, related to caregiver, PwD and formal care (FC) factors. METHOD:A cohort study at baseline and 3 months' follow-up in eight European co...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2016.1211621
更新日期:2017-11-01 00:00:00
abstract::This study explores the associations of loneliness with depressive symptoms in a five-year follow-up and describes how the six dimensions of perceived togetherness explain loneliness and depressive symptoms at baseline. The data were collected on 207 residents of Jyväskylä, central Finland, who at baseline in 1990 wer...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860500193138
更新日期:2005-11-01 00:00:00
abstract::Early intervention in Alzheimer's disease (AD) should focus on psychological and social needs as well as the provision of medication. One possible component of early intervention programmes for people with early-stage AD is cognitive rehabilitation aimed at fostering the development of strategies for coping with memor...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/1360786021000045854
更新日期:2003-01-01 00:00:00
abstract:OBJECTIVES:Maternal malnutrition during pregnancy may have long-lasting effects on offspring's mental health. We investigate the effect of prenatal exposure to the Dutch famine (mid November 1944 to late April 1945) on mental health in later mid-life. METHODS:Data are from the Netherlands Kinship Panel Study (n = 642)...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2017.1402293
更新日期:2019-02-01 00:00:00
abstract::Objective: We examined: 1. depression rates among senior center clients; and 2. the acceptability of a lay-delivered intervention for depression ("Do More, Feel Better") from the perspective of key stakeholders prior to its implementation.Method: We conducted cross-sectional surveys at four Seattle-area senior centers...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2019.1698515
更新日期:2019-12-04 00:00:00
abstract:OBJECTIVES:Having a broadened perspective on one's future has been associated with better affective well-being, including reduced reports of depressive symptoms. However, research is limited regarding which aspect of future time perspective is associated with depressive symptoms, and whether these findings are consiste...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2020.1855107
更新日期:2020-12-21 00:00:00
abstract:OBJECTIVE:The US population of older adults is growing, with an increase in diseases like cancer. As cancer rates increase, there is a concomitant increase in adverse correlates, such as cognitive impairment and depressive symptomatology. In order to develop appropriate interventions, it is vital to assess relationship...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2017.1363868
更新日期:2018-11-01 00:00:00
abstract:OBJECTIVES:To identify caregiver profiles of persons with mild to moderate dementia and to investigate differences between identified caregiver profiles, using baseline data of the international prospective cohort study Actifcare. METHODS:A latent class analysis was used to discover different caregiver profiles based ...
journal_title:Aging & mental health
pub_type: 杂志文章,多中心研究
doi:10.1080/13607863.2016.1255716
更新日期:2017-01-01 00:00:00
abstract::We evaluated the associations between loneliness and subjective appraisals of marital relationship as well as reciprocal associations of loneliness in married men and women. The Health and Retirement Study is a national survey of older adults over the age of 50, residing in the US. This study is based on a paper and p...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2012.702725
更新日期:2013-01-01 00:00:00
abstract:OBJECTIVE:The aim of the analysis is to assess the impact of privately employed migrant care workers (MCWs) on the burden of Italian family members who care for a disabled older person. METHODS:EUROFAMCARE is a one-year prospective survey carried out to provide evidence on the availability and use of support services ...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2013.765830
更新日期:2013-01-01 00:00:00
abstract:OBJECTIVES:Carers of people with dementia face barriers in accessing therapy for mental health difficulties. Computerised cognitive behavioural therapy (cCBT) packages can be effective in treating a range of presentations; however, tailored packages for carers' unique needs are lacking. Our aim was to design a cCBT pac...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2017.1348475
更新日期:2018-10-01 00:00:00
abstract:PURPOSE:To develop a questionnaire assessing vision-targeted health-related quality of life in older adults residing in nursing homes. METHODS:Using content previously identified through structured interviews with nursing home residents, the 57-item Nursing Home Vision-Targeted Health-Related Quality of Life questionn...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860701366186
更新日期:2007-11-01 00:00:00
abstract:OBJECTIVES:Dementia is a major and growing health problem. Diagnosis is an important step in the access to care, but many dementia patients remain undiagnosed. This study investigated the magnitude and variation in the difference between 'observed' and 'estimated' prevalence of dementia in general practices. We also ex...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2011.596805
更新日期:2011-11-01 00:00:00
abstract:OBJECTIVE:Evidence points to an association between social and leisure activity (SLA) engagement and cognitive outcomes, but the mechanisms underlying this link remain unknown. We aimed to investigate three potential mechanisms: Vascular function, Perceived Stress, and Cognitive Reserve. METHODS:With data from 8163 ad...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2016.1233935
更新日期:2018-01-01 00:00:00
abstract::Objectives: This study aimed to assess how childhood socioeconomic conditions are associated with sleeping problems in older adults and how this association may be mediated by socioeconomic conditions across the lives of individuals using a life course perspective. Since the life course opportunities differ systematic...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2018.1534078
更新日期:2020-02-01 00:00:00
abstract:OBJECTIVES:To examine the impact of a meditation program in mitigating loneliness and promoting wellbeing, life satisfaction and contentment among retired South Asian older adults. METHOD:Intervention group older adults (IN2 =166) underwent weekly classes of the customized meditation program for 2 years as compared to...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2019.1691143
更新日期:2021-02-01 00:00:00
abstract:OBJECTIVES:Financial debt held by older adults in the U.S. has grown over the past two decades. This study examines the extent to which credit cards, other consumer debts, and mortgage debt increase financial stress. Outcome measures of financial stress include the material domain ("bill-paying difficulty") and psychol...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2020.1843000
更新日期:2020-11-10 00:00:00
abstract::Objectives: Humans often hold structured generalizations about themselves, which include attributes of qualities or characteristics they consider as important to their personal self-definitions. In this regard, holding one's age as an important defining personal category (high age awareness) was demonstrated to be con...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2019.1566815
更新日期:2020-06-01 00:00:00
abstract:OBJECTIVES:Limited health literacy has been shown to be associated with poor health status. However, research to date has not elucidated the factors that mediate the relationship between low literacy and poor health outcomes. The purpose of this study was to examine the mediating effect of self-efficacy on the relation...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607861003801011
更新日期:2010-09-01 00:00:00
abstract::Employing a randomized controlled trial, this study documents the effects of six months of physical activity and six month follow-up on reduction in social physique anxiety (SPA) in older adults. In addition, the role played by changes in behavioral, physiological, and psychological predictors of changes in SPA were e...
journal_title:Aging & mental health
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1080/13607860220142459
更新日期:2002-08-01 00:00:00
abstract:OBJECTIVES:Fear of falling leads to many adverse consequences and may compromise the quality of life of older adults. Psychological factors are potential mediators between the fear of falling and quality of life, but have yet to be explored in detail. This study presents results from examining the mediating effect of t...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2013.805398
更新日期:2013-01-01 00:00:00