Relationship quality and sense of coherence in dementia

Results of a European cohort study

Maria J. Marques, Bob Woods, Louise Hopper, Hannah Jelley, Kate Irving, Liselot Kerpershoek, Gabriele Meyer, Anja Bieber, Astrid Stephan, Anders Sköldunger, Britt Marie Sjölund, Geir Selbaek, Janne Rosvik, Orazio Zanetti, Elisa Portolani, Marjolein de Vugt, Frans Verhey, Manuel Gonçalves-Pereira

Research output: Contribution to journalArticle

Abstract

Objective: Quality of life of people with dementia and their family carers is strongly influenced by interpersonal issues and personal resources. In this context, relationship quality (RQ) and sense of coherence (SOC) potentially protect and promote health. We aimed to identify what influences RQ in dyads of people with dementia and their carers and to examine differences in their perspectives. Methods: Cross-sectional data were used from the Actifcare cohort study of 451 community-dwelling people with dementia and their primary carers in eight European countries. Comprehensive assessments included the Positive Affect Index (RQ) and the Orientation to Life Questionnaire (SOC). Results: Regression analyses revealed that RQ as perceived by people with dementia was associated with carer education, stress, and spouse caregiving. RQ as perceived by carers was associated with carer stress, depression, being a spouse, social support, reported neuropsychiatric symptoms of dementia, and carer SOC. Neuropsychiatric symptoms and carer stress contributed to discrepancies in RQ ratings within the dyad. The only factor associated with both individual RQ ratings and discrepancies was carer stress (negative feelings subscore). No significant differences in the overall perception of RQ were evident between spouses and adult children carers, but RQ determinants differed between the two. Conclusions: In this European sample, carer SOC was associated with carer-reported RQ. RQ determinants differed according to the perspective considered (person with dementia or carer) and carer subgroup. A deeper understanding of RQ and its determinants will help to tailor interventions that address these distinct perspectives and potentially improve dementia outcomes.

Original languageEnglish
Pages (from-to)745-755
Number of pages11
JournalInternational Journal of Geriatric Psychiatry
Volume34
Issue number5
DOIs
Publication statusPublished - 1 Jan 2019

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Sense of Coherence
Caregivers
Dementia
Cohort Studies
Spouses
Independent Living
Adult Children

Keywords

  • Alzheimer disease
  • dementia
  • dyadic perspective
  • family care
  • relationship quality
  • sense of coherence

Cite this

Marques, Maria J. ; Woods, Bob ; Hopper, Louise ; Jelley, Hannah ; Irving, Kate ; Kerpershoek, Liselot ; Meyer, Gabriele ; Bieber, Anja ; Stephan, Astrid ; Sköldunger, Anders ; Sjölund, Britt Marie ; Selbaek, Geir ; Rosvik, Janne ; Zanetti, Orazio ; Portolani, Elisa ; de Vugt, Marjolein ; Verhey, Frans ; Gonçalves-Pereira, Manuel. / Relationship quality and sense of coherence in dementia : Results of a European cohort study. In: International Journal of Geriatric Psychiatry. 2019 ; Vol. 34, No. 5. pp. 745-755.
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abstract = "Objective: Quality of life of people with dementia and their family carers is strongly influenced by interpersonal issues and personal resources. In this context, relationship quality (RQ) and sense of coherence (SOC) potentially protect and promote health. We aimed to identify what influences RQ in dyads of people with dementia and their carers and to examine differences in their perspectives. Methods: Cross-sectional data were used from the Actifcare cohort study of 451 community-dwelling people with dementia and their primary carers in eight European countries. Comprehensive assessments included the Positive Affect Index (RQ) and the Orientation to Life Questionnaire (SOC). Results: Regression analyses revealed that RQ as perceived by people with dementia was associated with carer education, stress, and spouse caregiving. RQ as perceived by carers was associated with carer stress, depression, being a spouse, social support, reported neuropsychiatric symptoms of dementia, and carer SOC. Neuropsychiatric symptoms and carer stress contributed to discrepancies in RQ ratings within the dyad. The only factor associated with both individual RQ ratings and discrepancies was carer stress (negative feelings subscore). No significant differences in the overall perception of RQ were evident between spouses and adult children carers, but RQ determinants differed between the two. Conclusions: In this European sample, carer SOC was associated with carer-reported RQ. RQ determinants differed according to the perspective considered (person with dementia or carer) and carer subgroup. A deeper understanding of RQ and its determinants will help to tailor interventions that address these distinct perspectives and potentially improve dementia outcomes.",
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Marques, MJ, Woods, B, Hopper, L, Jelley, H, Irving, K, Kerpershoek, L, Meyer, G, Bieber, A, Stephan, A, Sköldunger, A, Sjölund, BM, Selbaek, G, Rosvik, J, Zanetti, O, Portolani, E, de Vugt, M, Verhey, F & Gonçalves-Pereira, M 2019, 'Relationship quality and sense of coherence in dementia: Results of a European cohort study', International Journal of Geriatric Psychiatry, vol. 34, no. 5, pp. 745-755. https://doi.org/10.1002/gps.5082

Relationship quality and sense of coherence in dementia : Results of a European cohort study. / Marques, Maria J.; Woods, Bob; Hopper, Louise; Jelley, Hannah; Irving, Kate; Kerpershoek, Liselot; Meyer, Gabriele; Bieber, Anja; Stephan, Astrid; Sköldunger, Anders; Sjölund, Britt Marie; Selbaek, Geir; Rosvik, Janne; Zanetti, Orazio; Portolani, Elisa; de Vugt, Marjolein; Verhey, Frans; Gonçalves-Pereira, Manuel.

In: International Journal of Geriatric Psychiatry, Vol. 34, No. 5, 01.01.2019, p. 745-755.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Relationship quality and sense of coherence in dementia

T2 - Results of a European cohort study

AU - Marques, Maria J.

AU - Woods, Bob

AU - Hopper, Louise

AU - Jelley, Hannah

AU - Irving, Kate

AU - Kerpershoek, Liselot

AU - Meyer, Gabriele

AU - Bieber, Anja

AU - Stephan, Astrid

AU - Sköldunger, Anders

AU - Sjölund, Britt Marie

AU - Selbaek, Geir

AU - Rosvik, Janne

AU - Zanetti, Orazio

AU - Portolani, Elisa

AU - de Vugt, Marjolein

AU - Verhey, Frans

AU - Gonçalves-Pereira, Manuel

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Objective: Quality of life of people with dementia and their family carers is strongly influenced by interpersonal issues and personal resources. In this context, relationship quality (RQ) and sense of coherence (SOC) potentially protect and promote health. We aimed to identify what influences RQ in dyads of people with dementia and their carers and to examine differences in their perspectives. Methods: Cross-sectional data were used from the Actifcare cohort study of 451 community-dwelling people with dementia and their primary carers in eight European countries. Comprehensive assessments included the Positive Affect Index (RQ) and the Orientation to Life Questionnaire (SOC). Results: Regression analyses revealed that RQ as perceived by people with dementia was associated with carer education, stress, and spouse caregiving. RQ as perceived by carers was associated with carer stress, depression, being a spouse, social support, reported neuropsychiatric symptoms of dementia, and carer SOC. Neuropsychiatric symptoms and carer stress contributed to discrepancies in RQ ratings within the dyad. The only factor associated with both individual RQ ratings and discrepancies was carer stress (negative feelings subscore). No significant differences in the overall perception of RQ were evident between spouses and adult children carers, but RQ determinants differed between the two. Conclusions: In this European sample, carer SOC was associated with carer-reported RQ. RQ determinants differed according to the perspective considered (person with dementia or carer) and carer subgroup. A deeper understanding of RQ and its determinants will help to tailor interventions that address these distinct perspectives and potentially improve dementia outcomes.

AB - Objective: Quality of life of people with dementia and their family carers is strongly influenced by interpersonal issues and personal resources. In this context, relationship quality (RQ) and sense of coherence (SOC) potentially protect and promote health. We aimed to identify what influences RQ in dyads of people with dementia and their carers and to examine differences in their perspectives. Methods: Cross-sectional data were used from the Actifcare cohort study of 451 community-dwelling people with dementia and their primary carers in eight European countries. Comprehensive assessments included the Positive Affect Index (RQ) and the Orientation to Life Questionnaire (SOC). Results: Regression analyses revealed that RQ as perceived by people with dementia was associated with carer education, stress, and spouse caregiving. RQ as perceived by carers was associated with carer stress, depression, being a spouse, social support, reported neuropsychiatric symptoms of dementia, and carer SOC. Neuropsychiatric symptoms and carer stress contributed to discrepancies in RQ ratings within the dyad. The only factor associated with both individual RQ ratings and discrepancies was carer stress (negative feelings subscore). No significant differences in the overall perception of RQ were evident between spouses and adult children carers, but RQ determinants differed between the two. Conclusions: In this European sample, carer SOC was associated with carer-reported RQ. RQ determinants differed according to the perspective considered (person with dementia or carer) and carer subgroup. A deeper understanding of RQ and its determinants will help to tailor interventions that address these distinct perspectives and potentially improve dementia outcomes.

KW - Alzheimer disease

KW - dementia

KW - dyadic perspective

KW - family care

KW - relationship quality

KW - sense of coherence

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JF - International Journal of Geriatric Psychiatry

SN - 0885-6230

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