DYADIC AMBIVALENCE IN ALZHEIMER’S DISEASE: LINKING BEHAVIORAL AND PSYCHOLOGICAL SYMPTOMS TO LIFE SATISFACTION

阿尔茨海默病中的二元矛盾心理：将行为和心理症状与生活满意度联系起来

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作者：Xu,Tong Bill,Mostafavi,Armin,Boot,Walter R,Czaja,Sara,Kalantari,Saleh,Toh,Wei Xing,Ho,Chin Wei,Khoo,Shuna Shi Ann,Hugenschmidt,Christina,Collier,Natasha,Brenes,Gretchen,Kirvalidze,Mariam,Boström,Anne-Marie,Liljas,Anne,Doheny,Megan,Hendry,Anne,McCormack,Brendan,Agerholm,Janne,Calderón-Larrañaga,Amaia,Chen,Yuling,Quach,Emma,Moo,Lauren,Franzosa,Emily,Ni,Pengsheng,Zhao,Shibei,Hartmann,Christine,Dosso,Jill,Kailley,Jaya,Angus,Payton,Robillard,Julie,Santana,Layla Katharine,Meng,Hongdao,Peterson,Lindsay,Le,Minh Quan,Li,Mingyang,Dobbs,Debra,Lou,Yifan,Monin,Joan,Vu,Thi Hoang,Piechota,Amanda,Demuth,Ilja,Vetter,Valentin,Homann,Jan,Lill,Christina,Bertram,Lars,Karakose,Selin,Luchetti,Martina,Ledermann,Thomas,Stephan,Yannick,Terracciano,Antonio,Sutin,Angelina R,Zhang,Wuyang,Powell,Danielle,Reed,Nicholas,Jimenez,Laura Laiton,Shalev,Idan,Sliwinski,Martin,Veturi,Yogasudha,Liu,Ruotong,Peak,Katherine D,Trubits,Em,Quiñones,Ana,Wang,Qingwei,Zhao,Fengzhi,Wu,Zixuan,Han,Ling,Luzum,Geske,Allore,Heather,Askim,Torunn,Tan,Xiangchun,Thingstad,Pernille,Håberg,Asta,Saltvedt,Ingvild,Brown,Candace,Pan,Yinghao,Miller,Maggi,Lohman,Matthew,Ng,Reuben,Indran,Nicole,Bolz,Fabio,Warren,John,Grodsky,Eric,Muller,Chandra,Pearman,Ann,Hertzog,Christopher,Hughes,MacKenzie,Giannotto,Emily,Zhu,Dantong,Wu,Judy,Samuelson,Brady,Kane,Alice,Hancock,David,White,Bess,Lachs,David,Karlawish,Jason,Lachs,Mark,Zheng,Diane,Curiel,Rosie,Ortega,Alexandra,Crenshaw,Kirsten,Carballea,Denise,Bosworth,Brooke,Neer,Emory,Loewenstein,David,Lee,Ji Yeon,Kim,Gwang Suk,Park,Min Kyung,Kim,Layoung,Lee,Jae Jun,Chen,Duan-Rung,Wu,Kevin Chien-Chang,Kuo,Chun-Tung,Yamamoto,Hiroshi,Ogawa,Kenichi,Hisamatstu,Yasushi,Ishitake,Tatsuya,Stangl,Morgan,Guo,Man,Wang,Yi,Ma,Kris (Pui Kwan),Saw,Anne,Cheng,Joyce,Ribeiro,Oscar,Abreu,Taiane,Teixeira,Laetitia,Araujo,Lia,Germain,Cassandra,Brown-Huges,Travonia,Yang,Siqi,Cuevas,Nicolas,Shelar,Shatakshi,Lu,Yu,Katare,Bhagyashree,Lalani,Nasreen,Cotton,Quinton,Kissell,Paul,Johnson,Elma,Nkimbeng,Manka,Gaugler,Joseph,Budnick,Andrea,Bünning,Farina,Smith,Lindsey,Unsworth,Julia,Stodola,Allyson,Himes,Dani,Brandis,Leah,Cellarius,Karen,Carder,Paula,Dawson,Walter,Khan,Maham,Sands,Laura,Comer,Cozette,Hoch,Jackson,Bowes,Aaron,Giordani,Bruno,Kavcic,Voyko,Kotecho,Messay,Kassay,Abraham,Adamek,Margaret,Ahn,Seoyeon,Park,Sojung,Kwon,Eunsun,Kim,BoRin,Praska,Nicole,Chur,Marcus,Collins-Pisano,Caroline,Weiskittle,Rachel,Boateng,Josephine,Fleet,Alexa,Siebecker,Megan,Jansen,Taylor,Dugan,Elizabeth,Huyen,Do Thi Thu,Gao,Xianqi,Park,Moonkyoung,Yao,Li,Masaki,Harue,Gonzales,Mitzi,Kojis,Daniel,Spartano,Nicole,Thibault,Emma,DeCarli,Charles,Johnson,Keith,Beiser,Alexa,Seshadri,Sudha,Koch,Jana,Brady,Brooke,Anstey,Kaarin,Eagle,Angelica,Weber,Emma,Noyer,Emily,Turkelson,Angela,Birditt,Kira,Silveyra,Eduardo,Snih,Soham Al,Akabike,Ekenechukwu,Howe,Rebecca,Agnoli,Alicia,Bidwell,Julie,Amadi,Grace,Lee,Youjung,McGinley,Jacqueline,Kramer,B Josea,Douglas,Joseph,Tang,Foong Yee Vivien,Chou,Kee Lee,Dunsmore,Victoria,Neupert,Shevaun,Nguyen,Annie,Neelamegam,Malinee,Smith,Matthew,Zhang,Yalu,Chen,Ziyan,Hartnell,Lisa,Maltsev,Alexander,Ferrucci,Luigi,Chai,Hye Won,Gamaldo,Alyssa,Gamaldo,Charlene,Stephan,Abigail,Phillips,Christine,Ross,Lesley,Zhang,Youjuan,Bai,Xue,da Langley,Ana Clara Costa Pinaffi,Pinto,Camila Bonin,Kleszynski,Keith,Tarantini,Stefano,Yabluchanskiy,Andriy,Phianhasin,Lalipat,Benjasirisan,Chitchanok,Ruksakulpiwat,Suebsarn,Byun,Eeeseung,Kim,Jasmyn,Heo,Jinmoo,Choy,Jacky C P,Wong,Dipsy H S,Bergh,Marissa,Travers,Jasmine,Sanchez-Reilly,Sandra,Yarrarapu,Siva Naga Srinivas,Sidle,Erin,Khalikov,Marla,LaCoss,Jennifer,Reilly,Elizabeth,Crenshaw,Shannon,McGinity,Ashley,Lampe,Nik,Akre,Ellesse-Roselee,Barbee,Harry,McKay,Tara,Liu,Yaqian,Leung,Angela,Montayre,Jed,Choi,Jung-Yeon,Kim,Kwang-il,Ost-Mor,Sharon,Wittenberg,Nir,Birati,Yossefa,Lee,Yura,Oh,Chorong,Park,Min Sook,Bong,Ji Yae,Balbim,Guilherme,Hsu,Chun-Liang,Tai,Daria,Duchesne,Simon,Madden,Kenneth,Liu-Ambrose,Teresa,Caldwell,Clover,Chunga,Richard,Hoel,Sydney,Schwartz,Heather,Slowey,A J,Werner,Nicole,Pickett,Andrew,Liu,Min,Chen,Gong,Wang,Dongmin,Kang,Ning,Seago,Elayna,Chen,Ya-Yun,Lee,Tae-Ho,Katz,Ben,Jung,Heeeun,Shin,Hyung Eun,Lee,Daehyun,Jang,Jae Young,Cho,Hyunjin,Lim,Nahyun,Won,Chang Won,Kim,Miji,Johnson,Florence,Robinson-Lane,Sheria,Kebbede,Liyat,Weathers,Brandy,Nair,Tripti,Cheng,Clio Yuen Man,Lou,Vivian Weiqun,Bene,Michael,Marx,Ruth,Powell,Laura,Ferrucci,Luigi,Khadeer,Mohammed,Moaddel,Ruin,Rudek,Michelle,Walston,Jeremy,Webster,Micah,Martin,Jennifer,Fahr,Bruce,Khairallah,Ramzi,Nearing,Kathryn,Waterhouse,Jodi,Suzuki,Haruno,Wallhagen,Margaret,Lin,Zhuoer,Ba,Fang,Allore,Heather,Chen,Xi,Hakian,Mia,Matthews,Ian,Cai,Catherine,Cortes,Constanza,Brenman,Noah,Cheng,Mengyuan,Ferdows,Nasim,Shakya,Shamatree,Tintle,Nathan,Sharp,Lisa,Halloway,Shannon,Nesser,Whitney,Snyder,Scott,Morton,Elizabeth,Zimmerman,Sheryl,Efird-Green,Lea,Davis,Scott,Qiu,Xichenhui,Kuang,Jiahao,Wei,Changning,Zheng,Xujuan,Johnson,Mallory,Ghosh,Bhaswati,Ko,Eunjung,Tate,Judith,Wright,Kathy,Rose,Karen,Chen,Liangchi,Han,Sae Hwang,Lockman,Jeffrey,McCreedy,Ellen,Devone,Frank,Gozalo,Pedro,Gravenstein,Stefan,Daus,Marguerite,Jones,Christine,Magid,Kate,Thomas,Kali,Sprague,Briana,Mosesso,Kelly,Neumann,Lycia Tramujas Vasconcellos,Annunziata,Kathy,Stratton,Lauren,Amaravadi,Harsha,Prusynski,Rachel,Fishman,Paul,Mroz,Tracy,Lewis,Nathan,Choi,Yoonseok,Lay,Jennifer,Graf,Peter,Da Jiang,Mahmood,Atiya,Fung,Helene H,Hoppmann,Christiane,Chae,Kacey,Bettencourt,Amie,Houston,Denise,Simonsick,Eleanor,Ferrucci,Luigi,Kalyani,Rita,Clark,Jeanne,Gudzune,Kimberly,Song,Yeonsu,Choi,Sarah,Moore,Raeanne,Erickson,Alexander,Camacho,Karen,Cappelletti,Monica,Alessi,Cathy,Martin,Jennifer,Brinkley,Tina,Hsu,Fang-Chi,Kitzman,Dalane,Houston,Denise,Fanning,Jason,Kim,Haeun,Lee,Yeonjung,Seidel,Elizabeth,Lin,Shih-Yin,Cortes,Tara,Na,Annalisa,Bradt,Joke,Fritz,Julie,Gliebus,Gediminas,Gitlin,Laura,Liu,Xiaohui,Liang,Nana,Du,Xuan,Gao,Haihua,Yang,Xiaoping,Wang,Huijuan,Yuan,Jialin,Kasperovich,Natalia,Sasser,Jennifer,Higbie,Anna,Baucco,Christina,Perkins,Anthony,Fowler,Nicole,Zan,Hua,Yancura,Loriena,Barnett,Melissa,Sonnega,Amanda,Sonnega,John,Vu,Thi,Wise,Jenni,Weiss,Deborah Jones,Diaz,Monica,Chandran,Aruna,Weiser,Sheri,Rubin,Leah,Monin,Joan,Chen,Limei,Yan,Mengzhao,Rozario,Philip,Anderson-Steward,Kuren,Hao,Ying,Guha,Deyaan,Li,Ziyi,Jin,Benjamin,Singleton,Andrew,Qi,Andy,Kowalchik,Kalei,shin,Juh Hyun,Park,Chung Hyuk,Lee,Myungeun,Lee,Soo-Kyoung,Farina,Crystel,Park,Suhyun,Korer,Burton,Batchelor,Melissa,Yang,Eunjin,Kim,Seohyeon,Wihry,David,Wehry,Susan,Hunt,Angela,Metcalf,Judith,Spofford,Victoria,Kleykamp,Bethea,Lynch,Erin,Smith,Hannah,Lee,Chiyoung,Park,Juyoung,Fain,Mindy,Galvin,James,Ahn,Hyochol,Chen,Lingming,Procter-Gray,Elizabeth,Le,Qun,LoPilato,Danielle,Ferretto,Marianella,Zhang,Meng,Kane,Kevin,Li,Wenjun,Burrows,Brett,Woolson,Sandra,Coffman,Cynthia,Allen,Kelli,Fielding,Roger,Blancato,Robert,Starr,Kathryn Porter,McDonald,Shelley,Zimmer,Rachel,Pettis,Jennifer,Tracy,Karen,Cai,Xinxin,Sun,Nianzi,Bai,Xue,Sun,Fei,Zhou,Kangyi,Patano,Arienne,Velez-Ortiz,Daniel,Yi,Zhiqi,Larkina,Marina,Smith,Jacqui,Cheng,Sheung-Tak,Ng,Peter,Wakui,Tomoko,Green,Makenna,Mayer,Jamie,White,Laura,Kouame,Gail,Faul,Anna,Cotton,Samantha,Yankeelov,Pamela,Gordon,Barbara,Xu,Ting,Song,Shulin,Zhao,Dan,Zheng,Yaguang,Qi,Xiang,Ji,Minghui,Xu,Qin,Wu,Bei,Berkowsky,Ronald,Friis,Marlene,Gustat,Jeanette,Cherry,Katie,Cronin,James,Bertrand,William,Jeong,Sol-ah,Jung,Bock-Young,Lee,Insuk,Cha,Jun Hyung,Choi,Yejun,Birati,Yosefa,Orkibi,Hod,Kolpina,Lola,Zisberg,Anna,Wilson,Kimberley,Pevie,Noah,Hofstra,Emma,Huang,Siou-Tang,Chong,Weiguo,Chiu,Herng-Chia,Schmitt,Brenda Landvoigt,da Pantoja,Patricia Silva,Pence,Brandt D,Daniel,George,Williams,Cedric,Lawrence,Aneesah,Buckley,Kiera,Leonard,Delaney,Bernal,Darren,Bailey,Olivia,Mwendwa,Denee,Mansoor,Marrium,Katz,Ben,Peng,Xinyuan,Da Jiang,Tse,Dwight,Ho,Yuen Wan,Lay,Jennifer,Kohli,Maulika,Verstaen,Alice,Trittschuh,Emily,Roberts,Mitchell,Sappington,Erica,Venkata,Pruthvinath Jeripity,Tremblay,Roma,VandeWeerd,Carla,Watman,Deborah,Reckrey,Jennifer,Crowder,Victoria,Cho,Youngmin,Teng,Chiao-Hsin,Batchelor,Melissa,Beeber,Anna,Coombs,Lorinda,Richardson,Daniel,Bryant,Ashley,Hentnik,Haley,Phillips,Christine,Stephan,Abigail,Ross,Lesley,Gurchiek,Reed,Ghose,Sarah,Dautovich,Natalie,Williams,Claire,Luehrsen,Samantha,Karlsen,John,Blackwell,GinaMari,Cloud,Leslie,Pretzer-Aboff,Ingrid,Roache,Tavia,Brown,Lauren,Mathershed,Amor,Stewart,Heaven,Benton,Leilani,Singleton,Mekiayla,HSU,Sheng-Chin,Savard,Grace,Birkeland,Robyn,Ingvalson,Stephanie,Pepin,Renèe,Cigliana,Jill,Gitlin,Laura,Gaugler,Joseph,Abaei,Elnaz,Martin,Peter,Tavares,Karina,Barbera,Gina,Tsotsoros,Cindy,Jang,Woo,Krull,Drew,Lee,Seonhwa,Silverstein,Merril,VanCleef,Tricia,Nah,Suyoung,Savla,Jyoti,McKay,Tara,Prasad,Anyah,Zlatar,Zvinka,Lujan,Lazaro Martinez,Greenwood-Hickman,Mikael 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Blaskewicz,Li,Lun,Wister,Andrew,Lee,Yeonjung,Lyndes,Kathryn,McEvoy,Sarah,Arata,Louis,Coen,Paul,Distefano,Giovanna,Ramos,Sofhia,Cawthon,Peggy,Cummings,Steven R,Newman,Anne B,DeLany,James,Leach,Bethany,Polychronopoulou,Efstathia,Kuo,Yong-Fang,Raji,Mukaila,Serna,Myrna,Briggs,Emily,Smith,Jacqui,Hsieh,Jenny,Chou,Pi-Ling,Lewis,Hannah,Hecht,Crystal,Buchanan,Jeff,Ku,Te-Lien,Li,Jingxi,Ford,James,Roberts,Tonya,Griffin,Hannah,Wihry,David,Gugliucci,Marilyn,Wehry,Susan,Thomas,Zoe,Falzarano,Francesca,Wong,Alice C,Lai,Daniel W L,Ou,Alison Y T,Bai,Xue,Hwang,Phoebe,Keaulana-Scott,Samantha,Ho-Lastimosa,Ilima,Chung-Do,Jane,Braun,Kathryn,David,Daniel,Hadson,Kim,Brody,Abraham,Supiano,Katherine,Laura,Bradbury,Wang,Jing,Siamdoust,Shahrzad,Xu,Sophie Zhijing,Anderson,Ruth,Plassman,Brenda,Bailey,Donald,Wu,Bei,Baker,Zachary,Alberth,Andrew,Guest,M Aaron,Peckham,Allie,Segundo,Joahana,Saenz,Joseph,Berlinger,Nancy,Noy,Roy,Javier,Noelle Marie 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Dharmendrakumar,Quach,Lien,Nguyen,Uyen-Sa,Hamlin,Abbey,Alhasan,Dana,Meier,Helen,Manning,Mark,Yu,Xuexin,Gutierrez,Sirena,Webster,Noah,Caldwell,Clover,Schwartz,Heather,Slowey,A J,Werner,Nicole,Pickett,Andrew,Nakagawa,Takeshi,Ito,Daisuke,Yasumoto,Saori,Black,Sheila,Clay,Olivio,Bell,Tyler,Blake,Jason,Kraemer,Kyle,Jackson,Barbara,Cauble,Heaven,Evans,Teairra,Testad,Ingelin,Gjestsen,Martha,Holteng,Lise Birgitte,Kong,Dexia,Shrestha,Hom,Shrestha,Lucy,Fang,Yuan,Han,Jayoung,Tseng,Tung-Sung,Li,Chien-Ching,Lin,Hui-Yi,Witmeier,Kelsey N,Chiu,Yu-Wen,Celestin,Michael,Trapido,Edward J,Tester,Griff,Eliatamby-O’Brien,M,Jia,Xueqing,Fan,Jiayao,Wu,Xucheng,Deelen,Joris,Zhou,Dan,Liu,Zuyun,Hamada,Fumiko,Lee,Soomi,Green,Gavin,Batura,Josey,Kelley,Heather,Gossner,Jacob,Aller,Ty,Levin,Michael,Fauth,Elizabeth,Lay,Jennifer,HO,Yuen Wan,Tse,Dwight,Da Jiang,Gan,Daniel,Hoverman,Adam,Mulligan,Kate,DeLouize,Alicia,Kowal,Paul,Naidoo,Nirmala,Chhim,Srean,Sopheab,Heng,Snodgrass,Josh,Chin,Savuth,Jung,Yeongin,Wu,Kaili,Alnufeay,Mashael,Jin,Xiaotong,Ballreich,Jeromie,Drabo,Emmanuel,Batura,Josey,Gossner,Jacob,Aller,Ty,Fauth,Elizabeth,Rubovits,Eve,Yedavalli,Anjali,Sadruddin,Sabeen,Lavari,Kavin,Mudar,Raksha,Leung,Vania,Raj,Minakshi,Abul,Zeynep,Raza,Sakeena,McNicoll,Lynn,Lyu,Jiyoung,Kim,Hye-Mi,Hong,Keung-Ja,Park,Byoung-Jun,Sun,Winnie,Martignetti,Lucas,Calver,Jen,Van Vleet,Samuel C,Jang,Jeein,Fields,Maizonne,Wang,Liru,Su,Mengxuan,Lu,Minjie,Yang,Liu,Miyae,Yamakawa,Aki,Sugiura,Reiko,Kanaya,Yunfan,Wu,Takeya,Yasushi,Lei,Lianlian,Langa,Kenneth,Norton,Edward,Levy,Helen,Kim,Hyungjin Myra,Blow,Frederic,Maust,Donovan,Groden,Sheryl,He,Ranran,Ogle,Destiny,Ren,Jinnan,Kooshiar,Hadi,Katsumata,Asako,Fukushima,Kiyoko,Tsukada,Noriko,Clapham,Charlotte,Varadhan,Ravi,Bandeen-Roche,Karen,Yuan,Yaqun,Chamberlin,Keran,Li,Chenxi,Luo,Zhehui,Kucharska-Newton,Anna,Shrestha,Srishti,Simonsick,Eleanor,Chen,Honglei,Segawa,Dai,Uchida,Hayato,Suganuma,Ippei,Itotani,Keisuke,Kitayama,Atsushi,Watanabe,Yuki,Cavanaugh,Robert,Yanover,Chen,Wong,Chelsea,El-Hay,Tal,Orkaby,Ariela,Bivas-Benita,Maytal,Akiva,Pinchas,Olivieri-Mui,Brianne,Friedland,Hannah,Stripling,Ashley,Crocker,Jillian,Kennedy,Katherine,Mohr,David C,Mills,Whitney,Kole,Debarati,Van 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Abdel,Taylor,Jean,Turner,Anne,Xu,Ying,Fu,Xiaoyu,Silverstein,Merril,Toyama,Itsuko,Vance,David,Azuero,Andres,Schexnayder,Julie,Puga,Frank,Byun,Jun,Xiao,Chunhong,James,Dara,Wheeler,Pariya,Dolan,Hanne,Pohl,Janet,Pituch,Keenan,Coon,David,Nomura,Ayano,Nishida,Yoshifumi,Ukraintseva,Svetlana,Popov,Vladimir,Duan,Hongzhe,Yashkin,Arseniy,Akushevich,Igor,Arbeev,Konstantin,Yashin,Anatoliy,Mitchell,Jacob,Pfoh,Elizabeth,Gunzler,Douglas,Kenyhercz,Michael,Mourany,Lyla,Gunsalus,Paul,Perzynski,Adam,Dalton,Jarrod,Xia,Wenran,van Wijngaarden,Jeroen,Buljac-Samardzić,Martina,Huijsman,Robbert,Sebastiao,Emerson,Siqueira,Vitor,Bakare,Jemimah,Shaw,Amy,Elman,Alyssa,Rosen,Tony,Hughes,Tiffany,Fang,Fang,Wang,Yueting,Jacobsen,Erin,Kakuta,Momoho,Gondo,Yasuyuki,Nakagawa,Takeshi,Masui,Yukie,Kamide,Kei,Ikebe,Kazunori,Ishiz
期刊：Innovation in Aging影响因子：4.300
时间：2024起止号：2024 Dec;8(Suppl 1):695-6
doi：10.1093/geroni/igae099

Abstract

Caring for a spouse with Alzheimer’s disease (AD) can elicit considerable distress but there are also positive moments. A growing body of work has examined caregivers’ ambivalence in the care relationship and linked it to negative caregiver outcomes such as depression, but dyadic assessments of both parties’ perspectives are missing. We examined ambivalence in both people with AD and their spousal caregivers, seeking to identify the predictors and well-being outcomes of such ambivalence in this unique context. Participants included 73 couples managing early-stage AD. People with AD and spousal caregivers independently self-reported positive and negative relationship qualities (used to indirectly calculate their ambivalence) and life satisfaction. Caregivers reported both partners’ demographic characteristics and their spouses’ behavioral and psychological symptoms of dementia (BPSD), focusing on memory-related behaviors and psychological symptoms. Path analyses revealed that the number and frequency of psychological symptoms in people with AD were positively associated with their own and caregivers’ ambivalence. Caregivers’ distress ratings of memory-related behaviors and psychological symptoms were positively associated with their ambivalence. Greater ambivalence was associated with lower life satisfaction in both spouses. BPSD directly affected both spouses’ life satisfaction but there was also a marginally significant indirect effect via ambivalence. This study utilizes a dyadic approach to assess ambivalence in dementia care. Findings reveal the conflicting emotions that couples experience as they cope with early-stage AD, identify sources of such ambivalence, and shed light on the development of dyadic interventions that can promote positive outcomes in both partners.

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