Advertisement
Research Article| Volume 12, ISSUE 4, P202-208, August 1998

Communication patterns between caregivers and their spouses with Alzheimer's disease: A case study

  • Karen A. Roberto
    Correspondence
    Address reprint requests to Karen A. Roberto, PhD, Professor and Director, Center for Gerontology (0426), Virginia Polytechnic Institute and State University, Blacksburg, VA 24060.
    Affiliations
    Center for Gerontology, Virginia Polytechnic Institute and State University, Blacksburg, VA, USA

    College of Health and Human Sciences, University of Northern Colorado, Greeley, CO, USA
    Search for articles by this author
  • Judith M. Richter
    Affiliations
    Center for Gerontology, Virginia Polytechnic Institute and State University, Blacksburg, VA, USA

    College of Health and Human Sciences, University of Northern Colorado, Greeley, CO, USA
    Search for articles by this author
  • Donna J. Bottenberg
    Affiliations
    Center for Gerontology, Virginia Polytechnic Institute and State University, Blacksburg, VA, USA

    College of Health and Human Sciences, University of Northern Colorado, Greeley, CO, USA
    Search for articles by this author
  • Sean Campbell
    Affiliations
    Center for Gerontology, Virginia Polytechnic Institute and State University, Blacksburg, VA, USA

    College of Health and Human Sciences, University of Northern Colorado, Greeley, CO, USA
    Search for articles by this author
      This paper is only available as a PDF. To read, Please Download here.
      The purpose of this study was to examine the style of communication that takes place between couples in their home environment in relationship to the abilities of the spouse with Alzheimer's disease (AD) and the amount of stress and burden experienced by the caregiver. Three styles of communication emerged: parallel, questioning, and direct. Caregivers engaging in parallel communications reported greater stress and time burden than any other caregivers. Nurses need to be observant of the communication patterns that exist between caregivers and their spouses with AD and help caregivers develop successful communicative strategies that enhance interactions with their spouses.
      An earlier version of this paper was presented at the 1996 meeting of the Society for Education and Research in Psychiatric Mental Health Nursing, Nashville, TN.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Archives of Psychiatric Nursing
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Appell J.
        • Kertesz A.
        • Fisman M.
        A study of language functioning in Alzheimer patients.
        Brain and Language. 1982; 17: 73-91
        • Bayles K.
        • Kaszniak A.
        Communication and cognition in normal aging and dementias.
        College-Hill, Albany, NY1987
        • Bohling H.R.
        Communication with Alzheimer's patients: An analysis of caregiver patterns.
        International Journal of Aging and Human Development. 1991; 33: 249-267
        • Bloom R.
        • Obler L.
        • DeSanti S.
        • Ehrlich J.
        Discourse analysis and applications: Studies in adult clinical populations.
        Lawrence Erlbaum Associates, San Diego, CA1994
        • Cohen S.
        • Kamaracck T.
        • Mermelstein R.
        A global measure of perceived stress.
        Journal of Health and Social Behavior. 1983; 24: 385-396
        • Evans D.
        • Funkenstein H.
        • Albert M.
        • Scherr P.
        • Cook N.
        • Chown M.
        • Herbert L.
        • Hennekens C.
        • Taylor J.
        Prevalence of Alzheimer's disease in a community population of older persons.
        Journal of the American Medical Association. 1990; 262: 2551-2556
        • Hamilton H.
        Conversations with an Alzheimer's patient.
        Cambridge University Press, Hillsdale, NJ1994
        • Lee V.K.
        Language changes and Alzheimer's disease: A literature review.
        Journal of Gerontological Nursing. 1991; 17: 16-20
        • Novak M.
        • Guest C.
        Application of a multidimensional caregiver burden survey.
        The Gerontologist. 1989; 29: 798-803
        • Orange J.B.
        • Ryan E.
        • Meredith S.
        • MacLean M.
        Application of the communication enhancement model for long-term care residents with Alzheimer's disease.
        Topics in Language Disorders. 1995; 15: 20-35
        • Pietro M.J.
        Assessing the communicative styles of caregivers of parents with Alzheimer's disease.
        Seminars in Speech and Language. 1994; 15: 236-246
        • Pruchno R.A.
        • Resch N.L.
        Aberrant behaviors and Alzheimer's disease: Mental health effects on spouse caregivers.
        Journal of Gerontology: Social Science. 1989; 44: 177-182
        • Ripich D.N.
        • Wykle M.
        • Niles S.
        Alzheimer's disease caregivers: The FOCUSED Program.
        Geriatric Nursing. 1995; 16: 15-19
        • Smith A.
        • Bottenberg D.
        A comparison of oral and written discourse in mild-moderately impaired aphasic adults.
        Rocky Mountain Journal of Communication Disorders. 1991; 7: 19-21
        • Tanner D.
        You just don't understand: Women and men in conversation.
        Ballantine Books, Great Britain1990
        • Ulatowska H.
        • North A.
        • Macaluso-Haynes S.
        Production of narrative and procedural discourse in aphasia.
        Brain and Language. 1981; 13: 345-371
        • Wright L.K.
        Alzheimer's disease and marriage.
        Sage Publications, NY1993
        • Yin R.K.
        Case study research: Applied social research methods.
        Rev. ed. Sage Publications, Newbury Park1984
        • Zarit S.H.
        • Zarit J.M.
        Families under stress: Interventions for caregivers of senile dementia patients.
        Psychotherapy Theory Research Practice. 1982; 19: 461-471