Relationship satisfaction and emotional language in frontotemporal dementia and Alzheimer disease patients and spousal caregivers.
Relationship satisfaction and emotional language in frontotemporal dementia and Alzheimer disease patients and spousal caregivers.
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DOI：
10.1097/wad.0b013e3181bd66a3
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发表时间：
2010-01
影响因子：
2.1
通讯作者：
Levenson RW
中科院分区：
文献类型：
--
作者：
Ascher EA;Sturm VE;Seider BH;Holley SR;Miller BL;Levenson RW
我们研究了两种类型的痴呆对婚姻满意度的影响，以及在冲突的婚姻互动中配偶使用的情感语言。15对额颞叶痴呆（FTD）和16对阿尔茨海默病（AD）患者-照顾者夫妇，以及21对对照夫妇，在实验室环境中讨论了一个关系问题。采用问卷法评估婚姻满意度，采用文本分析法对情感语言进行量化。FTD夫妇报告的婚姻满意度低于AD和对照组夫妇。在互动过程中，FTD和AD照顾者使用的负面情绪词汇明显多于患者配偶（对照组夫妇中没有发现配偶差异）。FTD照顾者也比AD照顾者和对照组使用更多的负面词汇。我们将这些发现解释为反映了FTD的行为变化对维持健康的婚姻关系造成的挑战。
We studied the impact of two types of dementia on marital satisfaction and on the emotional language spouses use during conflictive marital interactions. Fifteen frontotemporal dementia (FTD) and 16 Alzheimer’s disease (AD) patient-caregiver couples, as well as 21 control couples, discussed a relationship problem in a laboratory setting. Marital satisfaction was assessed via questionnaire, and emotion language was quantified using text analysis. FTD couples reported lower marital satisfaction than AD and control couples. During the interactions, FTD and AD caregivers used significantly more negative emotion words than their patient spouses (no spousal differences were found in control couples). FTD caregivers also used more negative words than AD caregivers and controls. We interpret these findings as reflecting challenges that the behavioral changes in FTD create for maintaining a healthy marital bond.