The impact of dementia and mild memory impairment (MMI) on intimacy and sexuality in spousal relationships

International Psychogeriatrics

Volumn 22, Issue 4, 2010, Pages 618-628

  Davies, Helen D ^a,b   Newkirk, Lori A ^b   Pitts, Christiane B ^b   Coughlin, Christine A ^b   Sridhar, Sneha B ^b   Zeiss, L McKenzie ^c   Zeiss, Antonette M ^d  

^a VA PALO ALTO HEALTH CARE SYSTEM   (United States)

^b STANFORD UNIVERSITY SCHOOL OF MEDICINE   (United States)

^c UNIVERSITY OF CALIFORNIA   (United States)

^d Veterans Affairs Central Office   (United States)

Author keywords

Alzheimer's disease (AD); Changing relationships; Dementia; Focus groups; Mild cognitive impairment (MCI); Qualitative analysis

Indexed keywords

ADULT; AGED; ARTICLE; CAREGIVER; CAREGIVER BURDEN; CLINICAL ARTICLE; COGNITIVE DEFECT; COMMUNICATION DISORDER; COST CONTROL; DEMENTIA; DISEASE COURSE; DISEASE SEVERITY; FEMALE; HEALTH CARE SYSTEM; HUMAN; HUMAN RELATION; INTIMACY; MALE; MARRIAGE; MEMORY DISORDER; PATIENT ATTITUDE; QUALITY OF LIFE; SATISFACTION; SEX DIFFERENCE; SEXUAL BEHAVIOR; SEXUALITY; SPOUSE;

AGED; COMMUNICATION DISORDERS; DEMENTIA; FEMALE; HUMANS; INTERPERSONAL RELATIONS; MALE; MARRIAGE; MEMORY DISORDERS; NEUROPSYCHOLOGICAL TESTS; SEVERITY OF ILLNESS INDEX; SEXUAL BEHAVIOR; SPOUSES;

EID: 77952430878     PISSN: 10416102     EISSN: 1741203X     Source Type: Journal    
DOI: 10.1017/S1041610210000177     Document Type: Article

References (44)

1. APA (1994). Diagnostic and Statistical Manual of Mental Disorders. 4th edn. Washington, DC: American Psychiatric Association.
2. Apostolova, L. G. and Cummings, J. L. (2007). Neuropsychiatric manifestations in mild cognitive impairment: a systematic review of the literature. Dementia and Geriatric Cognitive Disorders, 25, 115-126.
3. Balsis, S., Carpenter, B. D. and Storandt, M. (2005). Personality change precedes clinical diagnosis of dementia of the Alzheimer type. Journals of Gerontology, Series B: Psychological Sciences and Social Sciences, 60, P98-P101.
4. Beyea, S. C. and Nicoll, L. H. (2000). Learn more using focus groups. AORN Journal, 71, 897-900.
5. Bruce, J. M., McQuiggan, M., Williams, V., Westervelt, H. and Tremont, G. (2008). Burden among spousal and child caregivers of patients with mild cognitive impairment. Dementia and Geriatric Cognitive Disorders, 25, 385-390.
6. Crook, T., Bartus, R., Ferris, S., Whitehouse, P., Cohen, G. and Gershon, S. (1986). Age-associated memory impairment: proposed diagnostic criteria and measures of clinical change. Report of a National Institute of Mental Health Work Group. Developmental Neuropsychology, 2, 261-276.
7. Cuetos, F., Arango-Lasprilla, J. C., Uribe, C., Valencia, C., and Lopera, F. (2007). Linguistic changes in verbal expression: a preclinical marker of Alzheimer's disease. Journal of the International Neuropsychological Society, 13, 433-439. (Pubitemid 47307483)
8. Davies, H. D., Zeiss, A. and Tinklenberg, J. R. (1992). 'Til death do us part: intimacy and sexuality in the marriages of Alzheimer's patients. Journal of Psychosocial Nursing, 30, 5-10.
9. Davies, H. D., Zeiss, A. M., Shea, E. A. and Tinklenberg, J. R. (1998). Sexuality and intimacy in Alzheimer's patients and their partners. Sexuality and Disability, 16, 193-203.
10. Derouesné, C., Guigot, J., Chermat, V., Winchester, N. and Lacomblez, L. (1996). Sexual behavioral changes in Alzheimer disease. Alzheimer Disease and Associated Disorders, 10, 86-92.
11. Edwards, A., Elwyn, G., Smith, C., Williams, S. and Thornton, H. (2001). Consumers' views of quality in the consultation and their relevance to 'shared decision-making' approaches. Health Expectations, 4, 151-161.
12. Frank, L. et al. (2006). Impact of cognitive impairment on mild dementia patients and mild cognitive impairment patients and their informants. International Psychogeriatrics, 18, 151-162.
13. Frankland, J. and Bloor, M. (1999). Some issues arising in the systematic analysis of focus group materials. In R. Barbour and J. Kitzinger (eds.), Developing Focus Group Research: Politics, Theory, and Practice (pp. 144-155). London: Sage Publications.
14. Garand, L., Dew, M. A., Eazor, L. R., DeKosky, S. T. and Reynolds, C. F. III (2005). Caregiving burden and psychiatric morbidity in spouses of persons with mild cognitive impairment. International Journal of Geriatric Psychiatry, 20, 512-522.
15. Garand, L., Dew, M. A., Urda, B., Lingler, J. H., Dekosky, S. T. and Reynolds, C. F. (2007). Marital quality in the context of mild cognitive impairment. Western Journal of Nursing Research, 29, 976-992.
16. George, L. K. and Gwyther, L. P. (1986). Caregiver well-being: a multidimensional examination of family caregivers of demented adults. The Gerontologist, 26, 253-259.
17. Grundman, M. et al. (2004). Mild cognitive impairment can be distinguished from Alzheimer disease and normal aging for clinical trials. Archives of Neurology, 61, 59-66.
18. Halcomb, E. J., Gholizadeh, L., DiGiacomo, M., Phillips, J. and Davidson, P. M. (2007). Literature review: considerations in undertaking focus group research with culturally and linguistically diverse groups. Journal of Clinical Nursing, 16, 1000-1011.
19. Hobbs, M., Taft, A. J. and Amir, L. H. (2009). The emergency contraceptive pill rescheduled: a focus group study of women's knowledge, attitudes and experiences. Journal of Family Planning and Reproductive Health Care, 35, 87-91.
20. Ishikawa, T., Ikeda, M., Matsumoto, N., Shigenobu, K., Brayne, C. and Tanabe, H. (2006). A longitudinal study regarding conversion from mild memory impairment to dementia in a Japanese community. International Journal of Geriatric Psychiatry, 21, 134-139.
21. Johnston, J. H. (2009). The preparation of child health nurses in sexual health education: an exploratory study. Nurse Education Today, 29, 845-849.
22. Kingry, M. J., Tiedje, L. B. and Friedman, L. L. (1990). Focus groups: a research technique for nursing. Nursing Research, 39, 124-125.
23. Kitzinger, J. (1994). The methodology of focus groups: the importance of interaction between research participants. Sociology of Health and Illness, 16, 103-121.
24. Kitzinger, J. (1995). Qualitative research. Introducing focus groups. BMJ, 311, 299-302.
25. Kuppuswamy, M., Davies, H. D., Spira, A. P., Zeiss, A. M. and Tinklenberg, J. R. (2007). Sexuality and intimacy between individuals with Alzheimer's disease and their partners: caregivers describe their experiences. Clinical Gerontologist, 30, 75-81.
26. Leask, J., Chapman, S., Hawe, P. and Burgess, M. (2006). What maintains parental support for vaccination when challenged by anti-vaccination messages? A qualitative study. Vaccine, 24, 7238-7245.
27. Leon, J., Cheng, C., and Neumann, P. J. (1998). Alzheimer's disease care: costs and potential savings. Health Affairs, 17, 206-216.
28. Litz, B. T., Zeiss, A. M. and Davies, H. D. (1990). Sexual concerns of male spouses of female Alzheimer's disease patients. The Gerontologist, 30, 113-116.
29. McIlvane, J. M., Popa, M. A., Robinson, B., Houseweart, K. and Haley, W. E. (2008). Perceptions of illness, coping, and well-being in persons with mild cognitive impairment and their care partners. Alzheimer Disease and Associated Disorders, 22, 284-292.
30. Mittelman, M., Zeiss, A., Davies, H. and Guy, D. (2003). Specific stressors of spousal caregivers: difficult behaviors, loss of sexual intimacy, and incontinence. In D. W. Coon, D. Gallagher-Thompson and L. W. Thompson (eds.), Innovative Interventions to Reduce Dementia Caregiver Distress: A Clinical Guide (pp. 79-98). New York: Springer Publishing Company.
31. Mittelman, M. S., Haley, W. E., Olivio, J. C. and Roth, D. L. (2006). Improving caregiver well-being delays nursing home placement of patients with Alzheimer disease. Neurology, 67, 1592-1599.
32. Moss, B. F. and Schwebel, A. I. (1993). Defining intimacy in romantic relationships. Family Relations, 42, 31-37.
33. Nakopoulou, E., Papaharitou, S. and Hatzichristou, D. (2009). Patients' sexual health: a qualitative research approach on Greek nurses' perceptions. Journal of Sexual Medicine, 6, 2124-2132.
34. Petersen, R. C. (2005). Mild cognitive impairment: where are we? Alzheimer Disease and Associated Disorders, 19, 166-169.
35. Petersen, R. C., Smith, G. E., Waring, S. C., Ivnik, R. J., Tangalos, E. G. and Kokmen, E. (1999). Mild cognitive impairment: clinical characterization and outcome. Archives of Neurology, 56, 303-308. (Pubitemid 29120227)
36. Petersen, R. C. et al. (2001). Current concepts in mild cognitive impairment. Archives of Neurology, 58, 1985-1992.
37. Robinson, N. (1999). The use of focus group methodology - with selected examples from sexual health research. Journal of Advanced Nursing, 29, 905-913.
38. Saulnier, C. (2000). Groups as data collection method and data analysis technique: multiple perspectives on urban social work education. Small Group Research, 31, 607-627.
39. Sim, J. (1998). Collecting and analysing qualitative data: issues raised by the focus group. Journal of Advanced Nursing, 28, 345-352.
40. Simonelli, C. et al. (2008). The influence of caregiver burden on sexual intimacy and marital satisfaction in couples with an Alzheimer spouse. International Journal of Clinical Practice, 62, 47-52.
41. Sinnott, J. and Shifren, K. (2001). Gender and aging: gender differences and gender roles. In J. Birren and K. Schaie (eds.), Handbook of the Psychology of Aging (pp. 454-476). San Diego: Academic Press.
42. Weaver Cargin, J., Maruff, P., Collie, A. and Masters, C. (2006). Mild memory impairment in healthy older adults is distinct from normal aging. Brain and Cognition, 60, 146-155.
43. Wright, L. K. (1991). The impact of Alzheimer's disease on the marital relationship. The Gerontologist, 31, 224-237.
44. Zarit, S. H. (2008). Diagnosis and management of caregiver burden in dementia. In C. Duyckaerts and I. Litvan (eds.), Handbook of Clinical Neurology (pp. 101-106). Amsterdam: Elsvier.