Cited by 139Dementia and Cognitive Impairment ResearchAttachment and Relationship DynamicsNursing care and research

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Caregiver-Recipient Closeness and Symptom Progression in Alzheimer Disease. The Cache County Dementia Progression Study

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Norton, M. C., Piercy, K. W., Rabins, P. V., Green, R. C., Breitner, J. C. S., Ostbye, T., Corcoran, C., Welsh-Bohmer, K. A., Lyketsos, C. G., Tschanz, J. T.·2009·The Journals of Gerontology Series B: Psychological Sciences and Social Sciences

DOI 10.1093/geronb/gbp052PMC PMC2728091

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Abstract

Applying Rusbult's investment model of dyadic relationships, we examined the effect of caregiver-care recipient relationship closeness (RC) on cognitive and functional decline in Alzheimer's disease. After diagnosis, 167 participants completed up to six visits, observed over an average of 20 months. Participants were 64% women, had a mean age of 86 years, and mean dementia duration of 4 years. Caregiver-rated closeness was measured using a six-item scale. In mixed models adjusted for dementia severity, dyads with higher levels of closeness (p < .05) and with spouse caregivers (p = .01) had slower cognitive decline. Effect of higher RC on functional decline was greater with spouse caregivers (p = .007). These findings of attenuated Alzheimer's dementia (AD) decline with closer relationships, particularly with spouse caregivers, are consistent with investment theory. Future interventions designed to enhance the caregiving dyadic relationship may help slow decline in AD.

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Authors: Norton, M. C., Piercy, K. W., Rabins, P. V., Green, R. C., Breitner, J. C. S., Ostbye, T., Corcoran, C., Welsh-Bohmer, K. A., Lyketsos, C. G., & Tschanz, J. T.
Affiliations: Utah State University (US)
Johns Hopkins University (US)
Boston University (US)
University of Washington (US)
Duke Medical Center (US)
ORCID: Green, R. C.
Breitner, J. C. S.
Corcoran, C.
Welsh-Bohmer, K. A.
Lyketsos, C. G.
Tschanz, J. T.
Venue: The Journals of Gerontology Series B: Psychological Sciences and Social Sciences
Publisher: Oxford University Press (OUP)
Published: 2009-06-29
Volume: 64B
Issue: 5
Pages: 560-568
ISSN: 1079-5014 (ISSN-L)
1758-5368
DOI: 10.1093/geronb/gbp052
PMC: PMC2728091
OpenAlex: W2160616246
Cited by: 139
References: 54
Citations by year: 2026: 3 · 2025: 5 · 2024: 8 · 2023: 4 · 2022: 8 · 2021: 14 · 2020: 9 · 2019: 10 · 2018: 10 · 2017: 8 · 2016: 8 · 2015: 8 · 2014: 7 · 2013: 6 · 2012: 11
FWCI: 6.18
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: The Journals of Gerontology Series B (publishedVersion)
Europe PMC (PubMed Central) (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Digital Commons - USU (Utah State University) (submittedVersion)
RePEc: Research Papers in Economics (submittedVersion)
HighWire Press Open Archive (submittedVersion)
Funders: National Institute on Aging (R01AG031272, AG027841, AG-011380, AG031272, AG018712, AG021136, R01AG011380, R01AG021136, R01AG018712, K24AG027841)
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
Social Sciences › Psychology › Social Psychology › Attachment and Relationship Dynamics
Health Sciences › Nursing › Research and Theory › Nursing care and research
Keywords: Alzheimer's disease, cognitive decline, functional decline, spousal caregivers, dyads, dementia progression
MeSH terms: Alzheimer Disease, Family Relations, Female, Follow-Up Studies, Humans, Male, Marriage, Mental Status Schedule, Neuropsychological Tests, Parent-Child Relations, Cohort Studies, Caregivers, Cost of Illness, Disease Progression, Spouses

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Caregiver-Recipient Closeness and Symptom Progression in Alzheimer Disease. The Cache County Dementia Progression Study

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