Skip to main content Accessibility help
×
Home

Spouse-caregivers’ quality of life in Alzheimer's disease

  • Marcela Moreira Lima Nogueira (a1), Jose Pedro Simões Neto (a2), Maria Fernanda B. Sousa (a1), Raquel L. Santos (a1), Rachel D. L. Rosa (a1), Tatiana Belfort (a1), Bianca Torres (a1) and Marcia Cristina Nascimento Dourado (a1)...

Abstract

Background:

The relationship between sexuality and quality of life (QoL) of spouse-caregivers remains unclear. We designed this study to evaluate the relationship between sexual satisfaction and spouse-caregivers’ QoL, and to determine the influence of the clinical characteristics of people with dementia (PWD) on spouse-caregivers’ self-reported QoL.

Methods:

Using a cross-sectional design, 54 PWD and their spouse-caregivers completed the QoL in Alzheimer's Disease scale (QoL-AD), questionnaire on sexual experience and satisfaction (QSES), Mini-Mental State Examination (MMSE), Clinical Dementia Rating scale (CDR), Assessment Scale of Psychosocial Impact of the Diagnosis of Dementia (ASPIDD), Pfeffer functional activities questionnaire (FAQ), the Cornell scale for depression in dementia (CSDD) and Zarit burden interview (ZBI). Univariate and multivariate regression analyses were conducted to identify the factors that influenced the spouse-caregivers’ QoL ratings.

Results:

We did not find a significant difference in QoL between male and female spouse-caregivers (p = 0.71). We also found that 13% of males and 48.1% of females demonstrated moderate to severe sexual dissatisfaction. However, we did not find a significant correlation between spouse-caregivers’ QoL and sexual satisfaction (p = 0.41). The linear regression indicated that impaired awareness and lower QoL of PWD were significantly related to spouse-caregivers’ QoL (p = 0.000).

Conclusions:

The spouse-caregivers’ QoL is influenced by awareness of disease and PWD QoL. Our study would be helpful for the development of adequate psycho-educational approaches to increase spouse-caregivers’ QoL, considering the specificities of the couples’ relationship.

Copyright

Corresponding author

Correspondence should be addressed to: Marcela Moreira Lima Nogueira, Rua Ronald de Carvalho, 265/303, Copacabana, Rio de Janeiro, RJ, 22021-020, Brasil. Phone: +55 21 980514000. Email: marcela.lima.psi@gmail.com.

References

Hide All
Abdo, C. H. N. and Oliveira, W. M. (2004). Validação de questionário para investigação de disfunções sexuais. Revista Brasileira de Psiquiatria, 26,45.
American Psychiatric Association (2000). Diagnostic and Statistical Manual of Mental Disorders – Text Revision, 4th edn, (DSM-IV-TR). Washington, DC: American Psychiatric Association.
Bertolucci, P. H., Brucki, S. M., Campacci, S. R. and Juliano, Y. (1994). O Mini-exame do estado mental em uma população geral: impacto da escolaridade. Arquivos de Neuropsiquiatria, 52, 17. doi:10.1590/S0004-282X1994000100001.
Boylsten, C. and Hayes, J. (2012). Reconstructing marital closeness while caring for a spouse with Alzheimer's. Journal of Family Issues, 33, 584612. doi: 10.1177/0192513X11416449.
Carthery-Goulart, M. T. et al. (2007). Brazilian version of the Cornell depression scale in dementia. Arquivos de Neuropsiquiatria, 65, 912915. doi:10.1590/S0004-282X2007000500037.
Clare, L. et al. (2012). Marital relationship quality in early-stage dementia perspectives from people with dementia and their spouses. Alzheimer Disease and Associated Disorders, 26, 148158. doi: 10.1097/WAD.0b013e318221ba23.
Conde-Sala, J. L., Garre-Olmo, J., Turró-Garriga, O., López-Pousa, S. and Vilalta-Franch, J. (2009). Factors related to perceived quality of life in patients with Alzheimer's disease: the patient's perception compared with that of caregivers. International Journal of Geriatric Psychiatry, 24, 585594. doi:10.1002/gps.2161.
Conde-sala, J. L. et al. (2013). Clinical differences in patients with Alzheimer's disease according to the presence or absence of anosognosia: implications for perceived quality of life. Journal of Alzheimer's Disease, 33, 11051116. doi: 10.3233/JAD-2012-121360.
Cooper, C., Katona, C., Orrell, M. and Livingston, G. (2008). Coping strategies, anxiety and depression in caregivers of people with Alzheimer's disease. International Journal of Geriatric Psychiatry, 23, 929936. doi: 10.1002/gps.2007.
Davies, H. D. et al. (2010). The impact of dementia and mild memory impairment (MMI) on intimacy and sexuality in spousal relationships. International Psychogeriatrics, 22, 618628. doi:10.1017/S1041610210000177.
Dourado, M., Finamore, C., Barroso, M. F., Santos, R. and Laks, J. (2010). Sexual satisfaction in dementia: perspectives of patients and spouses. Sexuality and Disability, 28, 195203. doi:10.1007/s11195-010-9165-5.
Dourado, M. C. et al. (2014). Awareness of disease in dementia: factor structure of the assessment scale of psychosocial impact of the diagnosis of dementia. Journal of Alzheimer's Disease, 41, 947956. doi: 10.3233/JAD-140183.
Hong, S. and Coogle, C. L. (2014). Spousal caregiving for partners with dementia: a deductive literature review testing Calasanti's gendered view of care work. Journal of Applied Gerontology, 7, 129. doi: 10.1177/0733464814542246.
Karttunen, K. et al. (2011). Neuropsychiatric symptoms and quality of life in patients with very mild and mild Alzheimer's disease. International Journal of Geriatric Psychiatry, 26, 473482. doi:10.1002/gps.2550.
Keating, N. and Gaudet, N. (2012). Quality of life of persons with dementia. Journal of Nutrition, Health & Aging, 5, 454456. doi: 10.1007/s12603-011-0346-4.
Logsdon, R. G., Gibbons, L. E., McCurry, S. M. and Teri, L. (1999). Quality of life in Alzheimer's disease: patient and caregiver reports. Journal of Mental Health and Aging, 5, 2132.
Logsdon, R. G., Gibbons, L. E., McCurry, S. M. and Teri, L. (2002). Assessing quality of life in older adults with cognitive impairment. Psychosomatic Medicine, 64, 510519. doi: 0033-3174/02/6403-0510.
Maia, A. L. G. et al. (2006). Application of the Brazilian version of the CDR scale in samples of dementia patients. Arquivos de Neuropsiquiatria, 64, 485489. doi: 10.1590/S0004-282X2006000300025.
Nitrini, R., Caramelli, P., Bottino, C.M.C., Damasceno, B.P., Brucki, S.M.D. and Anghinah, R. (2005). Diagnóstico de doença de Alzheimer no Brasil: avaliação cognitiva e funcional. Recomendações do departamento científico de neurologia cognitiva e do envelhecimento da academia Brasileira de neurologia. Arquivos de Neuropsiquiatria, 63, 720727. doi 10.1590/S0004-282X2005000400034.
Nogueira, M. M. L., Brasil, D., Sousa, M. F. B., Santos, R. L. and Dourado, M. C. N. (2013). Satisfação sexual na demência. Sexual satisfaction in dementia. Revista de Psiquiatria Clinica, 40, 7780. doi: 10.1590/S0101-60832013000200005.
Novelli, M. M. P. C., Nitrini, R. and Caramelli, P. (2010). Validation of the Brazilian version of the quality of life scale for patients with Alzheimer disease and their caregivers (QOL-AD). Aging and Mental Health, 14, 624631. doi:10.1080/13607861003588840.
Scazufca, M. (2002). Brazilian version of the Burden Interview scale for the assessment of burden of care in carers of people with mental illnesses. Revista Brasileira de Psiquiatria, 24, 1217. doi:10.1590/S1516-44462002000100006.
Schiffczyk, C., Romero, B., Jonas, C., Lahmeyer, C., Müller, F. and Riepe, M. W. (2010). Generic quality of life assessment in dementia patients: a prospective cohort study. BioMed Central Neurology, 10, 18. doi:10.1186/1471-2377-10-48.
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, 4752. doi: 10.1111/j.1742-1241.2007.01506.x.
Sousa, M. F. B. et al. (2013). Quality of life in dementia: the role of non-cognitive factors in the ratings of people with dementia and family caregivers. International Psychogeriatrics, 25, 10971105. doi:10.1017/S1041610213000410.
Svetlik, R. N. D., Dooley, W. K., Weiner, M. F., Williamson, G. M. and Walters, A. S. (2005). Declines in satisfaction with physical intimacy predict caregiver perceptions of overall relationship loss: a study of elderly caregiving spousal dyads.Sexuality and Disability, 23, 6579. doi: 10.1007/s11195-005-4670-7.
Vogel, A., Mortensen, E. L., Hasselbalch, S. G., Andersen, B. B. and Waldemar, G. (2006). Patient versus informant reported quality of life in the earliest phases of Alzheimer's disease. International Journal of Geriatric Psychiatry, 21, 11321138. doi:10.1002/gps. 1619.
Vugt, M. E. et al. (2003). Behavioural disturbances in dementia patients and quality of the marital relationship. International Journal of Geriatric Psychiatry, 18, 149154.
Wright, L. K. (1991). The impact of Alzheimer's disease on the marital relationship. The Gerontologist, 31, 224237. doi: 10.1093/geront/31.2.224.

Keywords

Spouse-caregivers’ quality of life in Alzheimer's disease

  • Marcela Moreira Lima Nogueira (a1), Jose Pedro Simões Neto (a2), Maria Fernanda B. Sousa (a1), Raquel L. Santos (a1), Rachel D. L. Rosa (a1), Tatiana Belfort (a1), Bianca Torres (a1) and Marcia Cristina Nascimento Dourado (a1)...

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed