Abstract
The extent to which sense of overall relationship loss (feeling less happy or emotionally close) is predicted by declines in satisfaction with opportunities for affectionate physical contact and sexual intimacy was investigated in 136 caregivers of physically and/or cognitively impaired elderly spouses. Changes in satisfaction and relationship loss were unrelated to demographic factors. Older caregivers and those with more cognitively impaired spouses evaluated their own physical health less favorably, but caregiver health was unrelated to declines in satisfaction with physical intimacy or relationship loss. The only significant predictor of declines in satisfaction was providing more care; the only significant predictor of more perceived relationship loss was greater decline in satisfaction with opportunities for affectionate physical contact and sexual intimacy. Thus, decrements in health have minimal influence on caregiver perceptions of loss in relationship quality – as long as they do not result in losses in satisfaction with physical intimacy.
Similar content being viewed by others
References
J Bookwala JL Yee R Schulz (2000) Caregiving and detrimental mental and physical health outcomes GM Williamson DR Shaffer PA Parmelee (Eds) Physical Illness and Depression in Older Adults: A Handbook of Theory, Research, and Practice Plenum Press New York 93–131
R Schulz AT O’Brien J Bookwala K Fleissner (1995) ArticleTitlePsychiatric and physical morbidity effects of Alzheimer’s disease caregiving: Prevalence, correlates, and causes Gerontologist 35 771–791
R Schulz P Visintainer GM Williamson (1990) ArticleTitlePsychiatric and physical morbidity effects of caregiving J Gerontol 45 181–191
GM Williamson DR Shaffer (1996) ArticleTitleInterpersonalloss in the context of family caregiving: Implications of communal relationships theory J Pers Interpers Loss 1 249–274
GM Williamson DR Shaffer (1998) Implications of communal relationships theory for understanding loss among family caregivers JH Harvey (Eds) Perspectives on Loss: A Sourcebook Taylor & Francis Philadelphia 173–187
Williamson GM, Shaffer DR, and the Family Relationships in Late Life Project: Caregiver loss and quality of care provided: Pre-illness relationship makes a difference. In Loss and Trauma: General and Close Relationship Perspectives. JH Harvey, ED Miller (eds.) Philadelphia: Brunner/Mazel, 2000, pp. 230–237.
Williamson GM, Shaffer DR, and the Family Relationships in Late Life Project: Relationship quality and potentially harmful behaviors by spousal. caregivers: How we were then, how we are now. Psychol Aging 16:217–226, 2001.
LK Wright (1998) ArticleTitleAffection and sexuality in the presence of Alzheimer’s disease: A longitudinal study Sex Disabil 16 167–179
LK George SJ Weiler (1981) ArticleTitleSexuality in middle age and late life: The effect of age, cohort, and gender Arch Gen Psychiatry 38 919–923
JP Richardson A Lazur (1995) ArticleTitleSexuality and aging Urol Clin N Am 22 711–726
BD Starr MB Weiner (1981) The Starr–Weiner Report on Sex and Sexuality in the Mature Years Stein & Day New York
G Trudel L Turgeon L Piche (2000) ArticleTitleMarital and sexual aspects of old age Sex Relatsh Ther 15 381–406
PW Blumstein P Schwartz (1983) American Couples Morrow New York
VS Cain CB Johannes NE Avis B Mohr M Schocken J Skurnick M Ory (2003) ArticleTitleSexualfunctioning and practices in a multi-ethnic study of midlife women: Baseline results from the SWAN J Sex Res 40 266–276
V Call S Sprecher P Schwartz (1995) ArticleTitleMaritalsexual intercourse frequency in a national sample J Marriage Fam 57 639–652
CG Adams BF Turner (1985) ArticleTitleReported change in sexuality from young adulthood to old age J Sex Res 21 126–141
E Libman (1989) ArticleTitleSociocultural and cognitive factors in aging and sexual expression: Conceptual and research issues Can Psychol 30 560–567
WR Cupach J Comstock (1990) ArticleTitleSatisfaction with sexual communication in marriage J Soc Pers Rel 7 179–186
CM Meston (1997) ArticleTitleAging and sexuality Western J Med 167 285–290
RC Schiavi (1996) ArticleTitleSexuality and the aging male: From performance to satisfaction Sexual and Marital Ther 11 9–13
DL Rowland WJ Greenleaf LJ Dorfman JM Davidson (1993) ArticleTitleAging and sexual function in men Arch Sexual Behav 22 545–557
RC Schiavi (1990) ArticleTitleSexuality and aging in men Ann Rev Sex Res 1 227–249
NE Avis R Stellato S Crawford J Bromberger P Ganz V Cain M Kagawa-Singer (2001) ArticleTitleIsthere a menopausal syndrome? Menopausal status and symptoms across racial/ethnic groups Soc Sci Med 52 345–356
NE Avis R Stellato S Crawford C Johannes C Longcope (2000) ArticleTitleIsthere an association between menopause status and sexual functioning? Menopause 7 297–309
PK Mansfield PB Koch AM Voda (1998) ArticleTitleQualities midlife women desire in their sexual relationships and their changing sexual response Psychol Women Q 22 285–303
M Gott S Hinchliff (2003) ArticleTitleHow important is sex in later life? The views of older people. Soc Sci Med 56 1617–1628
SR Leiblum RM Baume SH Croog (1994) ArticleTitleThe sexual functioning of elderly hypertensive women J Sex Marital Ther 20 259–270
Davies MS, Miller LS, and the Family Relations in Late Life Project [FRILL]: Caregiver cognitive status and quality of care to the elderly [abstract]. Clin Neuropsychol 13:233, 1999.
National Alliance for Caregiving and the American Association of Retired Persons: Family caregiving in the US: Findings from a national survey. (Final Report). Bethesda, MD: National Alliance for Caregiving, 1997.
M Pinquart S Sorensen (2003) ArticleTitleDifferences between caregivers and noncaregivers in psychological and physical health: A meta-analysis Psychol Aging 18 250–267
R Schulz SR Beach (1999) ArticleTitleCaregivingas a risk factor for mortality: The Caregiver Health Effects Study JAMA 282 2215–2219
R Schulz L Martire (2001) Informal caregiving to older adults: Health effects of providing and receiving care TA Revenson JE Singer (Eds) Handbook of Health Psychology. A Baum. Lawrence Erlbaum Mahwah, NJ 477–494
RE Matthias JE Lubben KA Atchison S Schweitzer (1997) ArticleTitleSexual activity and satisfaction among very old adults: Results from a community-dwelling Medicare population survey Gerontologist 37 6–14
O Moore T Gurevich AD Korczyn M Anca H Shabtai N Giladi (2002) ArticleTitleQuality of life in Parkinson’s disease Parkinsonism Rel Disord 8 243–246
AS Walters GM Williamson (1998) ArticleTitleSexualsatisfaction predicts quality of life: A study of adult amputees J Sexuality Disabil 16 103–115
CG Ballard M Solis M Gahir P Cullen S George F Oyebode G Wilcock (1997) ArticleTitleSexualrelationships in married dementia sufferers Int J Geriatr Psychiatry 12 447–451
U Eloniemi-Sulkava IL Notkola K Hämäläinenen T Rahkonen P Viramo M Hentinen SL Kivelä R Sulkava (2002) ArticleTitleSpouse caregivers’ perceptions of influence of dementia on marriage Intl Psychogeriatr 14 47–58
LK Wright (1991) ArticleTitleTheimpact of Alzheimer’s disease on the marital relationship Gerontologist 31 224–237
SH Fischman EA Rankin KL Soeken ER Lenz (1986) ArticleTitleChangesin sexual relationships in postpartum couples J Obstetric Gynecol Neonatal Nurs 15 58–63
LA Anderson J Fogler RF Dedrick (1995) ArticleTitleRecruiting from the community: Lessons learned from the Diabetes Care for Older Adults Project Gerontologist 35 187–195
JH Patrick RA Pruchno MS Rose (1998) ArticleTitleRecruiting research participants: A comparisons of the costs and effectiveness of five recruitment strategies Gerontologist 38 295–302
RA Pearlman RF Uhlmann (1991) ArticleTitleQuality of life in elderly, chronically ill outpatients Journal of Gerontology 46 31–38
GM Williamson R Schulz (1992) ArticleTitlePhysical illness and symptoms of depression among elderly outpatients Psychol Aging 7 343–351
EL Idler S Kasl (1991) ArticleTitleHealth perceptions and survival: Do global evaluations of health status really predict mortality? J Gerontol 46 55–65
GM Williamson R Schulz (1990) ArticleTitleRelationship orientation, quality of prior relationship, and distress among caregivers of Alzheimer’s patients Psychol Aging 5 502–509
GM Williamson DR Shaffer R Schulz (1998) ArticleTitleActivity restriction and prior. relationship history as contributors to mental health outcomes among middle-aged and older spousal caregivers Health Psychol 17 152–162
Duke University Center for the Study of Aging and Human Development: Multidimensional Functional Assessment, the OARS Methodology: A Manual (2nd ed.). Durham, NC: Duke University Press, 1978.
Cognistat: Neurobehavioral Cognitive Status Examination. Lutz, FL, Psychological Assessment Resources, 2004.
K Hooker DJ Monahan SR Bowman LD Frazier K Shifren (1998) ArticleTitlePersonality counts for a lot: Predictors of mental and physical health of spouse caregivers in two disease groups J Gerontol 53 73–85
E Light G Niederehe BD Lebowitz (1994) Stress Effects on Family Caregivers of AD Patients: Research and Interventions Springer New York
MG Ory RR Hoffman JL Yee S Tennstedt R Schulz (1999) ArticleTitlePrevalence and impact of caregiving: A detailed comparison between dementia and nondementia caregivers Gerontologist 39 177–185
EJ Pedhazur (1982) Multiple Regression in Behavioral Research: Explanation and Prediction Holt, Rinehart & Winston Fort Worth, TX
RB Darlington (1990) Regression and Linear Models McGraw-Hill New York
RM Baron DA Kenny (1986) ArticleTitleThe moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations J Personal Soc Psychol 51 1173–1182
SM Harman GB Talbert (1986) Reproductive aging CE Finch EL Schneider (Eds) Handbook of the Biology of Aging EditionNumber2 Van Nostrand Reinhold New York 457–496
E Brahler U Unger (1994) ArticleTitleSexual activity in advanced age in the context of gender, family and personality aspects—results of a representative survey Zeitschrifte für Gerontologie 27 10–115
W Marsiglio D Donnelly (1991) ArticleTitleSexualrelations in later life: A national survey of married persons J Gerontol 46 338–344
SR Penteado AM Fonseca VR Bagnoli JS Assis JA Pinotti (2003) ArticleTitleSexuality in healthy postmenopausal women Climacteric 6 321–329
LA Panser T Rhodes CJ Girman HA Guess CG Chute JE Oesterling MM Lieber SJ Jacobsen (1995) ArticleTitleSexualfunction of men ages 40 to 79 years: The Olmsted County Study of Urinary Symptoms and Health Status Among Men J Am Geriatr Soc 43 1107–1111
Shaffer DR, Williamson GM: Age and cognitive functioning. In Cambridge Handbook of Psychology, Health, and Medicine. S Ayers, A Baum, C McManus, S Newman, K Wallston, J Weinman, R West (eds.) (2nd ed.), Cambridge, UK: Cambridge University Press, in press.
Williamson GM, Shaffer DR: Ageand physical functioning. In Cambridge Handbook of Psychology, Health, and Medicine. S Ayers, A Baum, C McM anus, S Newman, K Wallston, J Weinman, & R. West(eds.) (2nd ed.), Cambridge, UK : Cambridge University Press, in press.
SR Beach R Schulz GM Williamson LS Miller MF Weiner CE Lance (2005) ArticleTitleRisk factors for potentially harmful informal caregiver behavior J Am Geriatr Soc 53 255–261
JE Barnett C Dunning (2003) ArticleTitleClinical perspectives on elderly sexuality Arch Sexual Behav 32 295–296
JG Bretschneider NL McCoy (1988) ArticleTitleSexual interest and behavior in healthy 80- to 102-year-olds Arch Sexual Behav 17 109–129
D Knox C Schacht (2002) Choices in relationships: An introduction to marriage and the family Wadsworth Belmont, CA
J Giordano K Beckman (1985) Theaged within a family context: Relationship, roles, and events LL Abate (Eds) Handbook of Family Psychology and Therapy Dorsey Homewood, IL 384–320
National Council on Aging: Half of older Americans report they are sexually active: 4 in 10 want more sex, says new survey. Press Release, September 28, 1998.
Author information
Authors and Affiliations
Corresponding author
Additional information
Research reported in this paper was supported by the National Institute on Aging (AG15321, G. M. Williamson, principal investigator). Manuscript preparation was facilitated by a fellowship from the Institute for Behavioral Research at the University of Georgia to G. M. Williamson and by P3012300. Partial support at UT Southwestern was provided by NIA P30AG12300.
Rights and permissions
About this article
Cite this article
Doris Svetlik, R., Keith Dooley, W., Weiner, M.F. et al. Declines in Satisfaction with Physical Intimacy Predict Caregiver Perceptions of Overall Relationship Loss: A Study of Elderly Caregiving Spousal Dyads. Sex Disabil 23, 65–79 (2005). https://doi.org/10.1007/s11195-005-4670-7
Issue Date:
DOI: https://doi.org/10.1007/s11195-005-4670-7