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Effects of caregiver communication on the outcomes of requests in spouses with dementia of the Alzheimer type
Author(s)Patricia M Hendryx-Bedalov
Journal titleInternational Journal of Aging and Human Development, vol 49, no 2, 1999
Pagespp 127-148
KeywordsDementia ; Spouses as carers ; Communication ; United States of America.
AnnotationCommunication difficulties that result from dementia of the Alzheimer type (DAT) are a major source of dependency and substantially affect caregiver burden. In this study, three clinical and three matched non-clinical couples were studied for the effectiveness of their discourse in eliciting outcomes to requests made. Caregivers in the clinical couples were less likely to achieve successful outcomes than dominant communicators in the non-clinical couples. In studying the context for the requests, differences could not be attributed to the degree of concreteness of reference that was used by caregivers of spouses with DAT. More abstract and less abstract references were equally likely to be responded by two of the three clinical couples. Differences in the styles of communication by the caregivers contributed to outcomes and reflected a self-reported degree of strain or comfort in the couples' relationships. Suggested is a method of study of outcomes that could be used in clinical assessment and intervention for non-responsiveness and non-compliance with dementia patients. (AKM).
Accession NumberCPA-000410419 A
ClassmarkEA: P6:SN: U: 7T

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