title: Progressive dementia: personal and relational impact on caregiving wives.
abstract: The purpose of this exploratory study was to examine the perceptions of 115 female spouse caregivers of early to moderate stage dementia patients. Based on patients' cognitive status, cross-sectional comparisons of two groups of caregiving wives were conducted. No group differences were found in measures of caregiver burden, depression, or personal gain. However, wives of patients with greater cognitive impairment experienced lower levels of mastery and more relational deprivation when compared to wives of patients with higher mental status. Supportive approaches might be directed toward helping early dementia caregivers restructure their understanding of, and participation in, their marital relationships in anticipation of changes ahead. Interventions aimed at enhancing a caregiver's sense of personal mastery may help reduce the negative effects of dementia on caregivers' well-being.
authors.affiliation: Research Service and Geriatric Research, Education and Clinical Center, Department of Veterans Affairs Medical Center, Minneapolis, Minnesota, USA.
authors.forename: M J
authors.initials: MJ
authors.lastname: Bauer
authors.forename: M K
authors.initials: MK
authors.lastname: Maddox
authors.forename: L N
authors.initials: LN
authors.lastname: Kirk
authors.forename: T
authors.initials: T
authors.lastname: Burns
authors.forename: M A
authors.initials: MA
authors.lastname: Kuskowski
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000544:Alzheimer Disease; D017028:Caregivers; D017281:Cost of Illness; D003865:Major Depressive Disorder / Q000523:psychology; D018450:Disease Progression; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D008875:Middle Aged; D013315:Stress, Psychological / Q000523:psychology