{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T11:28:22Z","timestamp":1792063702452,"version":"4.4.0"},"reference-count":61,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2024,7,30]],"date-time":"2024-07-30T00:00:00Z","timestamp":1722297600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["R21AG069045-01A1"],"award-info":[{"award-number":["R21AG069045-01A1"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["P30 AG072972"],"award-info":[{"award-number":["P30 AG072972"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>Caring for a spouse with Alzheimer\u2019s disease (AD) can elicit considerable distress but there are also positive moments. A growing body of work has examined caregivers\u2019 ambivalence in the care relationship and linked it to negative caregiver outcomes such as depression, but dyadic assessments of both parties\u2019 perspectives are missing. We examined ambivalence in both people with AD and their spousal caregivers, seeking to identify the correlates and well-being outcomes of such ambivalence in this unique context.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Participants included 72 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\u2019 demographic characteristics and their spouses\u2019 behavioral and psychological symptoms of dementia (BPSD), focusing on memory-related behaviors and psychological symptoms.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Path analyses revealed that the number and frequency of psychological symptoms in people with AD were positively associated with their own and caregivers\u2019 ambivalence. Caregivers\u2019 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\u2019 life satisfaction but there were also indirect effects via ambivalence.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>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.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/geronb\/gbae130","type":"journal-article","created":{"date-parts":[[2024,7,31]],"date-time":"2024-07-31T01:06:19Z","timestamp":1722387979000},"source":"Crossref","is-referenced-by-count":5,"title":["Dyadic Ambivalence in Couples Managing Early-Stage Alzheimer\u2019s Disease: Linking Behavioral and Psychological Symptoms of Dementia to Life Satisfaction"],"prefix":"10.1093","volume":"79","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0060-1151","authenticated-orcid":false,"given":"Meng","family":"Huo","sequence":"first","affiliation":[{"name":"Department of Human Ecology, University of California, Davis , Davis, California , 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