Alessandro Bosco1, Justine Schneider2, Donna Maria Coleston-Shields1, Lidia Sousa3, Martin Orrell1. 1. a Division of Psychiatry and Applied Psychology , University of Nottingham , Nottingham , United Kingdom. 2. b School of Sociology and Social Policy , University of Nottingham , Nottingham , United Kingdom. 3. c Santa Maria University Hospital , Lisbon , Portugal.
Abstract
OBJECTIVES: Good interaction with family caregivers helps maintain positive identity in people with dementia. However, research in this area is limited. We aimed to systematically review the dyadic experience of dementia caring. METHOD: We searched on five databases: MedLine, EMBASE, PsycInfo, ASSIA, and CINAHL. Eligible studies employed qualitative or mixed method design, reported the experience of dyads of dementia with no comorbid organic or psychiatric disorders. No restrictions were made on language, year of publication, sex or age of participants. Two independent researchers conducted the quality appraisal of studies. We synthesise data through meta-ethnography and developed a behavioural model to explain dyadic interaction. RESULTS: Seventeen studies were included in the review. The meta-ethnography generated two third-order constructs: Personal orientation and noises. When people with dementia and their carers have dyadic-oriented goals, their behavioural responses may promote positive interaction. When only one partner has dyadic goals, context-related stress may affect the interaction, because of no perceived shared understanding of the situation. CONCLUSION: Our findings suggest that unequal power distribution within dyads, can cause significant stress, when coping strategies are impaired. We discussed implications for family carers, people with dementia, and health professionals deriving from greater understanding of dyadic dynamics to care.
OBJECTIVES: Good interaction with family caregivers helps maintain positive identity in people with dementia. However, research in this area is limited. We aimed to systematically review the dyadic experience of dementia caring. METHOD: We searched on five databases: MedLine, EMBASE, PsycInfo, ASSIA, and CINAHL. Eligible studies employed qualitative or mixed method design, reported the experience of dyads of dementia with no comorbid organic or psychiatric disorders. No restrictions were made on language, year of publication, sex or age of participants. Two independent researchers conducted the quality appraisal of studies. We synthesise data through meta-ethnography and developed a behavioural model to explain dyadic interaction. RESULTS: Seventeen studies were included in the review. The meta-ethnography generated two third-order constructs: Personal orientation and noises. When people with dementia and their carers have dyadic-oriented goals, their behavioural responses may promote positive interaction. When only one partner has dyadic goals, context-related stress may affect the interaction, because of no perceived shared understanding of the situation. CONCLUSION: Our findings suggest that unequal power distribution within dyads, can cause significant stress, when coping strategies are impaired. We discussed implications for family carers, people with dementia, and health professionals deriving from greater understanding of dyadic dynamics to care.
Entities:
Keywords:
Dementia; dyadic interaction; family carers; identity; self
Authors: Sarah M Bannon; Mira Reichman; Paula Popok; Victoria A Grunberg; Lara Traeger; Melissa V Gates; Erin A Krahn; Katherine Brandt; Megan Quimby; Bonnie Wong; Bradford C Dickerson; Ana-Maria Vranceanu Journal: Gerontologist Date: 2022-02-09
Authors: Alessandro Bosco; Justine Schneider; Claudio Di Lorito; Emma Broome; Donna Maria Coleston-Shields; Martin Orrell Journal: Int J Environ Res Public Health Date: 2020-07-28 Impact factor: 3.390