Cited by 138Dementia and Cognitive Impairment ResearchNursing care and researchAttachment and Relationship Dynamics

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The relationship between marital intimacy, perceived strain and depression in spouse caregivers of dementia sufferers

Morris, Lorna W., Morris, Robin G., Britton, Peter G.·1988·British Journal of Medical Psychology

DOI 10.1111/j.2044-8341.1988.tb02784.x

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Abstract

This study explored the quality of marital relationship between dementia sufferers and their spouse caregivers. It assessed the quality of the relationship (level of intimacy) prior to the onset of dementia and also at the time of the study. Caregivers who experienced lower levels of marital intimacy, both currently and before the onset of dementia, were found to have higher levels of perceived strain and depression. The decline in intimacy following the onset of dementia was estimated from the difference between the levels of past and present intimacy. Caregivers who experienced a greater loss of intimacy had a higher level of depression, but did not show evidence of increased perceived strain. It is speculated that a poor premorbid relationship makes caregiving more stressful because of a greater difficulty in performing the caregiving role. In addition, it is suggested that a poor premorbid relationship or high loss of intimacy acts as a vulnerability factor, predisposing the caregiver to depression.

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“On the other hand, caregivers may experience emotional stress (2,4,8,18); poor communication (19); physical wear, lack of appetite, and sleep disturbances (8); as well as limited access to social or leisure activity, which may ultimately result in social isolation and resentfulness (4,8).”
Background
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“, 2017), while criticism and emotional over-involvement with the care recipient reflect poor relationship quality and predict caregivers’ strain levels (Morris et al., 1988; Fearon et al., 1998).”
Background
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“…et al., 1992) and they experience significantly higher levels of psychological morbidity, depression, stress, and burden than people who are not carers or who are caring for physically ill relatives (Brodaty et al., 1990; Eagles et al., 1987; Livingston et al., 1996; Morris et al., 1988).”
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Authors: Morris, L. W., Morris, R. G., & Britton, P. G.
Affiliations: Royal Victoria Infirmary (GB)
Corresponding author: Morris, Lorna W.
ORCID: Morris, Robin G.
Venue: British Journal of Medical Psychology
Publisher: Wiley
Published: 1988-09
Volume: 61
Issue: 3
Pages: 231-236
ISSN: 0007-1129 (ISSN-L)
DOI: 10.1111/j.2044-8341.1988.tb02784.x
OpenAlex: W2071185686
Cited by: 138
References: 0
Citations by year: 2026: 1 · 2025: 1 · 2024: 2 · 2022: 3 · 2021: 1 · 2020: 4 · 2019: 1 · 2018: 5 · 2017: 4 · 2016: 3 · 2015: 10 · 2014: 11 · 2013: 6 · 2012: 4
FWCI: 2.99
Type: journal article
Language: en
Open access: closed
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor, 8349 d)
Locations: British Journal of Medical Psychology (publishedVersion)
PubMed (publishedVersion)
Research Portal (King's College London) (submittedVersion)
Funders: Medical Research Council Canada
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
Health Sciences › Nursing › Research and Theory › Nursing care and research
Social Sciences › Psychology › Social Psychology › Attachment and Relationship Dynamics
Keywords: marital intimacy, dementia, spousal caregivers, caregiver depression, perceived strain, caregiver stress, vulnerability factors
MeSH terms: Aged, Aged, 80 and over, Alzheimer Disease, Depressive Disorder, Female, Home Nursing, Humans, Male, Marriage, Middle Aged, Psychological Tests, Risk Factors, Dementia, Vascular

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The relationship between marital intimacy, perceived strain and depression in spouse caregivers of dementia sufferers

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