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Perception of change in sexual activity in Alzheimer's disease: views of people with dementia and their spouse-caregivers

Published online by Cambridge University Press:  10 October 2016

Marcela Moreira Lima Nogueira ,
Jose Pedro Simões Neto ,
Maria Fernanda B. Sousa ,
Raquel L. Santos ,
Isabel Barbeito Lacerda ,
Maria Alice Tourinho Baptista  and
Marcia Cristina Nascimento Dourado
Marcela Moreira Lima Nogueira*
Affiliation:
Center for Alzheimer's Disease, Institute of Psychiatry, Universidade Federal do Rio de Janeiro, RJ, Brazil
Jose Pedro Simões Neto
Affiliation:
Department of Political Sociology, Universidade Federal de Santa Catarina, Brazil
Maria Fernanda B. Sousa
Affiliation:
Center for Alzheimer's Disease, Institute of Psychiatry, Universidade Federal do Rio de Janeiro, RJ, Brazil
Raquel L. Santos
Affiliation:
Center for Alzheimer's Disease, Institute of Psychiatry, Universidade Federal do Rio de Janeiro, RJ, Brazil
Isabel Barbeito Lacerda
Affiliation:
Center for Alzheimer's Disease, Institute of Psychiatry, Universidade Federal do Rio de Janeiro, RJ, Brazil
Maria Alice Tourinho Baptista
Affiliation:
Center for Alzheimer's Disease, Institute of Psychiatry, Universidade Federal do Rio de Janeiro, RJ, Brazil
Marcia Cristina Nascimento Dourado
Affiliation:
Center for Alzheimer's Disease, Institute of Psychiatry, Universidade Federal do Rio de Janeiro, RJ, Brazil
*
Correspondence should be addressed to: Marcela Moreira Lima Nogueira, Rua Ronald de Carvalho, 265/303, Copacabana, Rio de Janeiro, RJ, 22021-020, Brazil. Phone: +55-21-980514000. Email: [email protected].
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Abstract

Introduction:

The onset of Alzheimer's disease (AD) affects couples’ relationship. We investigated the perception of change and sexual satisfaction in spouse-caregivers and their partners diagnosed with AD.

Methods:

We compared 74 dyads of people with Alzheimer's disease (PwAD)/spouse-caregivers and 21 elderly dyads control. We assessed sexual satisfaction with Questionnaire on Sexual Experience and Satisfaction (QSES), cognition using a Mini-Mental State Examination (MMSE), disease severity using a Clinical Dementia Rating scale (CDR), awareness of disease with Assessment Scale of Psychosocial Impact of the Diagnosis of Dementia (ASPIDD), functionality with Pfeffer Functional Activities Questionnaire (FAQ), depressive symptoms with Cornell Scale for Depression in Dementia (CSDD), quality of life using a Quality of Life in Alzheimer's Disease Scale (QoL-AD), and burden using a Zarit Burden Interview (ZBI).

Results:

We found differences between the perception and no perception of change in sexual activity of PwAD (p < 0.001), spouse-caregivers (p < 0.01), and controls (p < 0.05). Moderate to severe sexual dissatisfaction was observed in 36.5% of PwAD, 65% of spouse-caregivers, and 31% of controls. PwAD sexual satisfaction was related to cognitive impairment (p < 0.05). Spouse-caregivers sexual satisfaction was related to gender (p < 0.05) and the presence of sexual activity (p < 0.001).

Conclusions:

The perception of change with higher sexual dissatisfaction, were significant in PwAD and their spouse-caregivers, in comparison with couples of elderly without dementia.

Keywords

sexual activitysexual satisfactionAlzheimer's diseasespouse-caregivercognitionelderly
Type
Research Article
Information
International Psychogeriatrics , Volume 29 , Issue 2 , February 2017 , pp. 185 - 193
Copyright
Copyright © International Psychogeriatric Association 2016 

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References

Abdo, C. H. N. and Oliveira, W. M. (2004). Validação de questionário para investigação de disfunções sexuais. Revista Brasileira de Psiquiatria, 26, 45.Google Scholar
Alagiakrishnan, K. et al. (2005). Sexually inappropriate behaviour in demented elderly people. Postgraduate Medical Journal, 81, 463–466. doi:10.1136/pgmj.2004.028043.Google Scholar
American Psychiatric Association (2000). Diagnostic and Statistical Manual of Mental Disorders – Text Revision, 4th edn, (DSM-IV-TR). Washington, DC: American Psychiatric Association.Google Scholar
Baikie, E. (2002). The impact of dementia on marital relationship. Sexual and Relationship Therapy, 17, 289–299. doi:10.1080/14681990220149095.Google Scholar
Bertolucci, P. H., Brucki, S. M., Campacci, S. R. and Juliano, Y. (1994). O Mini-exame do estado mental em uma população geral: impacto da escolaridade. Arquivos de Neuropsiquiatria, 52, 1–7. doi:10.1590/S0004-282X1994000100001.Google Scholar
Byers, E. S. (2005). Relationship satisfaction and sexual satisfaction: a longitudinal study of individuals in long‐term relationships. Journal of Sexual Research, 42, 113–118. doi:10.1080/00224490509552264.Google Scholar
Davies, H. D. et al. (2010). The impact of dementia and mild memory impairment (MMI) on intimacy and sexuality in spousal relationships. International Psychogeriatrics, 22, 618–628. doi:10.1017/S1041610210000177.Google Scholar
Davies, H. D., Sridhar, S. B., Newkirk, L. A., Beaudreau, S. A. and O'Hara, R. (2012). Gender differences in sexual behaviors of AD patients and their relationship to spousal caregiver well-being. Aging Mental Health, 16, 89–101. doi:10.1080/13607863.2011.609532.Google Scholar
DeLamater, J. and Karraker, A. (2009). Sexual functioning in older adults. Current Psychiatry Reports 11, 6–11.Google Scholar
Dourado, M., Finamore, C., Barroso, M. F., Santos, R. and Laks, J. (2010). Sexual satisfaction in dementia: perspectives of patients and spouses. Sexuality and Disability, 28, 195–203. doi:10.1007/s11195-010-9165-5.Google Scholar
Dourado, M. C. et al. (2014). Awareness of disease in dementia: factor structure of the assessment scale of psychosocial impact of the diagnosis of dementia. Journal of Alzheimers Disiease, 41, 947–956. doi:10.3233/JAD-14018.Google Scholar
Eloniemi-Sulkava, U. et al. (2002). Spouse caregivers' perceptions of influence of dementia on marriage. Interantional Psychogeriatrics, 14, 47–58. doi:10.1017/S104161020200827X.Google Scholar
Hayes, J., Boylstein, C. and Zimmerman, M. K. (2009). Living and loving with dementia: negotiating spousal and caregiver identity through narrative. Journal of Aging Studies, 23, 48–59. doi:10.1016/j.jaging.2007.09.002.Google Scholar
Mahieu, L., Anckaert, L. and Gastmans, C. (2014). Intimacy and sexuality in institutionalized dementia care: clinical-ethical considerations. Health Care Analysis 10, 1–20. doi:10.1007/s10728-014-0287-2.Google Scholar
Maia, A. L. et al. (2006). Application of the Brazilian version of the CDR scale in samples of dementia patients. Arquivos de Neuropsiquiatria 64, 485–489. doi:10.1590/S0004-282X2006000300025.Google Scholar
Nitrini, R., Caramelli, P., Bottino, C. M. C., Damasceno, B. P., Brucki, S. M. D. and Anghinah, R. (2005). Diagnóstico de doença de Alzheimer no Brasil: avaliação cognitiva e funcional. Recomendações do departamento científico de neurologia cognitiva e do envelhecimento da academia Brasileira de neurologia. Arquivos de Neuropsiquiatria, 63, 720–727. doi:10.1590/S0004-282X2005000400034.CrossRefGoogle Scholar
Nogueira, M. M. L., Brasil, D., Sousa, M. F. B., Santos, R. L. and Dourado, M. C. N. (2013). Satisfação sexual na demência. Sexual satisfaction in dementia. Revista de Psiquiatria Clinica, 40, 77–80. doi:10.1590/S010160832013000200005.Google Scholar
Nogueira, M. M. L. et al. (2014). Spouse-caregivers’ quality of life in Alzheimer's disease. International Psychogeriatrics, 27, 837–45. doi:10.1017/S1041610214002646.CrossRefGoogle ScholarPubMed
Novelli, M. M. P. C., Nitrinim, R. and Caramellim, P. (2010). Validation of the Brazilian version of the quality of life scale for patients with Alzheimer disease and their caregivers (QOL-AD). Aging and Mental Health, 14, 624–631. doi:10.1080/13607861003588840.Google Scholar
Portugal, M. G. et al. (2012). Validation of Montgomery-Åsberg rating scale and cornell scale for depression in dementia in Brazilian elderly patients. International Psychogeriatrics, 08, 1291–1298. doi:10.1017/S1041610211002250.Google Scholar
Scazufca, M. (2002). Brazilian version of the Burden Interview scale for the assessment of burden of care in carers of people with mental illnesses. Revista Brasileira de Psiquiatria, 24, 12–17. doi:10.1590/S151644462002000100006.Google Scholar
Simonelli, C. et al. (2008). The influence of caregiver burden on sexual intimacy and marital satisfaction in couples with an Alzheimer spouse. International Journal of Clinical Practice, 62, 47–52. doi:10.1111/j.17421241.2007.01506.x.CrossRefGoogle ScholarPubMed
Sousa, M. F. B. et al. (2013). Quality of life in dementia: the role of non-cognitive factors in the ratings of people with dementia and family caregivers. International Psychogeriatrics, 25, 1097–1105. doi:10.1017/S1041610213000410.Google Scholar
Svetlik, R. N. D., Dooley, W. K., Weiner, M. F., Williamson, G. M. and Walters, A. S. (2005). Declines in satisfaction with physical intimacy predict caregiver perceptions of overall relationship loss: a study of elderly caregiving spousal dyads. Sexuality and Disability, 23, 65–79. doi:10.1007/s11195-005-4670-7.Google Scholar
Tsatali, M. S., Tsolaki, M. N., Christodoulou, T. P. and Papaliagkas, V. T. (2010). The complex nature of inappropriate sexual behaviors in patients with dementia: can we put it into a frame? Sexuality and Disability, 29, 143–156. doi:10.1007/s11195-010-9187-z.Google Scholar
Wright, L. K. (1998). Affection and sexuality in the presence of Alzheimer's disease: a longitudinal study. Sexuality and Disability, 16, 167–179. doi:10.1023/A:1023042924997.Google Scholar