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Multicenter Study
. 2012;16(1):89-101.
doi: 10.1080/13607863.2011.609532. Epub 2011 Oct 14.

Gender differences in sexual behaviors of AD patients and their relationship to spousal caregiver well-being

Helen D Davies  1 , Sneha B Sridhar, Lori A Newkirk, Sherry A Beaudreau, Ruth O'Hara
Affiliations
Multicenter Study

Gender differences in sexual behaviors of AD patients and their relationship to spousal caregiver well-being

Helen D Davies et al. Aging Ment Health. 2012.

Abstract

Objectives: Little is known about gender differences in sexuality among community-dwelling heterosexual couples in which one partner has Alzheimer's disease (AD). Few studies have examined gender differences in specific sexual behaviors or their associations with caregiver well-being. This study evaluated the impact of gender differences on intimacy and sexual satisfaction in marital relationships in which one partner has AD.

Method: Baseline measures were collected from 162 AD patients and their partners enrolled in a multi-site study between 2001 and 2009 to evaluate gender differences in measures of intimacy, caregiver well-being, and patient sexual behaviors.

Results: While over 70% of all patients initiated physically intimate activities (i.e., kissing, hugging, and intercourse), most did not initiate intercourse specifically. Female caregivers reported higher levels of stress and depressive symptoms than male caregivers (p < 0.01). Satisfaction with intimacy was significantly associated with fewer stress and depressive symptoms in female caregivers (r = -0.29, p < 0.01). Caregiver gender, satisfaction with intimacy, and caring for a patient with mild AD were significant predictors of caregiver depressive symptoms (p's < 0.05).

Conclusion: The majority of couples dealing with AD reported engaging in intimacy, suggesting its importance in the relationship. Female caregivers who reported less sexual satisfaction reported more frequent stress and depressive symptoms. Caregiver gender, satisfaction with intimacy, and the AD patient's level of cognitive functioning significantly contributed to caregiver well-being. Gender-specific therapies to address patient sexual difficulties and caregiver well-being could potentially maintain or improve the marital relationship.

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Figures

Figure 1
Figure 1. Frequency of Sexual Behavior/Intimacy Items Within Last Month (n=162)*
Note: *Results based on smaller sample size due to missing data
See this image and copyright information in PMC

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References

    1. Alzheimer’s Association 2010 Alzheimer’s disease facts and figures. 2010 Retrieved from: http://www.alz.org/documents_custom/report_alzfactsfigures2010.pdf. - PubMed
    1. Baker KL, Robertson N. Coping with caring for someone with dementia: Reviewing the literature about men. Aging & Mental Health. 2008;12:413–422. doi: 10.1080/13607860802224250. - PubMed
    1. Blessed G, Tomlinson BE, Roth M. The association between quantitative measures of dementia and of senile change in the cerebral grey matter of elderly subjects. British Journal of Psychiatry. 1968;114:797–811. doi: 10.1192/bjp.114.512.797. - PubMed
    1. Butzer B, Campbell L. Adult attachment, sexual satisfaction, and relationship satisfaction: a study of married couples. Personal Relationships. 2008;15:141–154. doi: 10.1111/j.1475-6811.2007.00189.x.
    1. California Alzheimer’s Disease Program . “Alzheimer’s Disease Research Centers of California, Evaluation Project Report 2006-2007. Alzheimer’s Disease Program, California Department of Public Health; 2007. Publications Using the Minimum Uniform Dataset (MUDS) 1985-2007.” Unpublished report.

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