This qualitative case study of five couples in which one spouse has Alzheimer's disease in the early stage, and the other spouse is a caregiver, investigated including both spouses in couple interview sessions which included using emotionally focused couple therapy techniques, and how their prior quality of relationship before the onset of Alzheimer's was related to their present attachment, depressive symptoms, and marital adjustment. The couples participated in in-depth couple interviews which included an Oral History Interview (Gottman, 1994) and a semi-structured Interview Guide. They individually completed four instruments: the Dyadic Adjustment Scale (DAS) (Spanier, 1976); the Geriatric Depression Scale (GDS) (Yesavage, 1983); the Prior Quality of Relationship Scale (PQRS), a composite scale created by Zahn; and the adapted Experiences in Close Relationships-Revised questionnaire (ECR-R) (Fraley, Waller, & Brennan, 2000). The Screen for Caregiver Burden (SCB) (Vitaliano, Russo, Young, Becker, & Maiuro, 1991) was given to the caregiving spouses. The researcher qualitatively analyzed the audiotaped interviews and questionnaires, which all spouses with Alzheimer's were able to complete. All couples reported positive prior quality relationships of 16-63 years, and present continued attachment. All couples reported problems of marital adjustment, and varying depressive symptoms were reported for 2 out of 5 caregivers, and 2 of 5 persons with Alzheimer's. Implications of findings were that couples experiencing early stage Alzheimer's would benefit from couple interviews or therapy to assist with depressive and other symptoms and marital adjustment problems, and that spouses in the early stage of Alzheimer's are able to fully participate in these couple procedures.
|Advisor:||Denton, Wayne H.|
|Commitee:||Glueckauf, Robert L., Holtrop, Kendal N., Rehm, Marsha L.|
|School:||The Florida State University|
|Department:||Family & Child Sciences|
|School Location:||United States -- Florida|
|Source:||DAI-A 76/10(E), Dissertation Abstracts International|
|Subjects:||Gerontology, Clinical psychology, Individual & family studies|
|Keywords:||Alzheimer's disease, Caregivers, Depression, Spouses|
Copyright in each Dissertation and Thesis is retained by the author. All Rights Reserved
The supplemental file or files you are about to download were provided to ProQuest by the author as part of a
dissertation or thesis. The supplemental files are provided "AS IS" without warranty. ProQuest is not responsible for the
content, format or impact on the supplemental file(s) on our system. in some cases, the file type may be unknown or
may be a .exe file. We recommend caution as you open such files.
Copyright of the original materials contained in the supplemental file is retained by the author and your access to the
supplemental files is subject to the ProQuest Terms and Conditions of use.
Depending on the size of the file(s) you are downloading, the system may take some time to download them. Please be