title: The impact of non-motor manifestations of Parkinson's disease on partners: understanding and application of chronic sorrow theory.
abstract: BACKGROUND
  Parkinson's disease (PD) can cause many emotions, including grief and a sense of isolation for both the person with PD (referred to as Parkinsonian) and their partner. Such ongoing grief and emotional turmoil can be termed chronic sorrow. The aim of this research is to present accounts of partners' perspectives, analysed in the context of chronic sorrow theory, to offer health professionals an insight into the impact of non-motor PD symptoms on partners.
  
  
  METHODS
  A group of partners of Parkinsonians provided the data through individual stories. These stories were subjected to thematic analysis, using a seven-step process leading to the establishment of themes.
  
  
  RESULTS
  Caregiver burden and chronic sorrow is not related to providing physical care, but the emotional care of attempting to minimise the effect of PD, coping with disturbance to sleep, and helping the Parkinsonian to maintain as much independence as possible. Contributors to this article found chronic sorrow theory provided a framework for understanding their emotions. Sharing their experiences with others provided an opportunity to be heard, and enabled them to make sense of individual situations.
  
  
  CONCLUSIONS
  Chronic sorrow theory provides a useful framework for both partners of Parkinsonians in understanding their emotional responses, and for health professionals in considering the challenges partners face in coping with living with a person with PD.
authors.affiliation: Centre for Health and Social Practice, PB 3036 Hamilton, New Zealand. Christine.Mercer@wintec.ac.nz.
authors.forename: Christine J
authors.initials: CJ
authors.lastname: Mercer
mesh_terms: D000203:Activities of Daily Living; D000223:Adaptation, Psychological; D017028:Caregivers / Q000523:psychology*; D002908:Chronic Disease; D006117:Grief; D006801:Humans; D010300:Parkinson Disease / Q000523:psychology*; D011582:Psychological Theory; D012890:Sleep