title: The impact of diagnostic disclosure in dementia: a qualitative case analysis.
abstract: OBJECTIVE
  The aim of this study was to give an in-depth description of the impact of disclosure of the diagnosis of dementia on a patient and the patient's partner.
  
  
  METHODS
  Grounded theory interview study.
  
  
  RESULTS
  Analysis of the interviews revealed that disclosure had an impact on three key domains: awareness of dementia, interpersonal relationship and social relationships. Disclosure was perceived as a confirmation of the pre-test ideas of both patient and carer. Formal disclosure of dementia was especially relevant for the carer in reconsidering her response to the patient's changed behavior.
  
  
  CONCLUSIONS
  Receiving the diagnosis of dementia can be considered as a crucial moment in the process of becoming aware of the changes in one's life. Moreover, disclosure marks a new phase in the process of caring by the caregiver.
authors.affiliation: Centre for Quality of Care Research, Alzheimer Centre Nijmegen, The Netherlands. e.derksen@kwazo.umcn.nl
authors.forename: Els
authors.initials: E
authors.lastname: Derksen
authors.forename: Myrra
authors.initials: M
authors.lastname: Vernooij-Dassen
authors.forename: Freek
authors.initials: F
authors.lastname: Gillissen
authors.forename: Marcel
authors.initials: M
authors.lastname: Olde-Rikkert
authors.forename: Philip
authors.initials: P
authors.lastname: Scheltens
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001364:Awareness / Q000502:physiology*; D003704:Dementia / Q000175:diagnosis* / Q000523:psychology*; D019587:Dietary Supplements; D030881:Disclosure; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D012944:Social Support; D018454:Spouses / Q000523:psychology*; D014743:Videotape Recording