A qualitative investigation into family carers’ experiences of living with/caring for a person with young-onset dementia

Authors:
Cathal Blake Dublin City University, Ireland

Search for other papers by Cathal Blake in
Current site
Google Scholar
Close
and
Louise Hopper Dublin City University, Ireland

Search for other papers by Louise Hopper in
Current site
Google Scholar
Close
Restricted access
Get eTOC alerts
Rights and permissions Cite this article

Ageing is a significant risk factor for developing dementia; however, some people develop symptoms before the age of 65. Although less common, it is referred to as young-onset dementia. Estimating prevalence rates in Ireland is difficult, as there has been little study around what it is like to live with/care for this cohort; consequently, it is poorly understood. Nine primary carers were interviewed using semi-structured one-to-one interviews. Interview data were analysed with inductive thematic analysis. Themes included sense of loss, diagnostic issues, appropriateness of services, stigma and carer strain, illustrating the complex nature of caring for someone with young-onset dementia.

  • Adelman, R.D., Tmanova, L.L., Delgado, D., Dion, S. and Lachs, M.S. (2014) Carer strain: a clinical review, Journal of the American Medical Association, 311(10): 105260. doi: 10.1001/jama.2014.304

    • Search Google Scholar
    • Export Citation
  • Allen, J., Oyebode, J.R. and Allen, J. (2009) Having a father with young onset dementia. The impact on well-being of young people, Dementia, 8(4): 45580. doi: 10.1177/1471301209349106

    • Search Google Scholar
    • Export Citation
  • Arai, A., Matsumoto, T., Ikeda, A. and Arai, Y. (2007) Do family carers perceive more difficulty when they look after patients with early-onset dementia compared to those with late onset dementia?, International Journal of Geriatric Psychiatry, 22(12): 125561. doi: 10.1002/gps.1935

    • Search Google Scholar
    • Export Citation
  • Armari, E., Jarmolowicz, A. and Panegyres, P.K. (2013) The needs of patients with early onset dementia, American Journal of Alzheimer’s Disease and Other Dementias, 28(1): 426.

    • Search Google Scholar
    • Export Citation
  • Bakker, C., de Vugt, M.E., van Vliet, D., Verhey, F.R.J., Pijnenburg, Y.A., Vernooij-Dassen, M. and Raymond Koopmans, R.T.C.M. (2013) Predictors of the time to institutionalization in young- versus late-onset dementia: results from the Needs in Young Onset Dementia (NeedYD) study, Journal of the American Medical Directors Association, 14(4): 24853. doi: 10.1016/j.jamda.2012.09.011

    • Search Google Scholar
    • Export Citation
  • Beattie, A., Daker-White, G., Gilliard, J. and Means, R. (2004) How can they tell? A qualitative study of the views of younger people about their dementia and dementia care services, Health and Social Care in the Community, 12(4): 35968. doi: 10.1111/j.1365-2524.2004.00505.x

    • Search Google Scholar
    • Export Citation
  • Bunn, F. et al. (2012) Psychosocial factors that shape patient and carer experiences of dementia diagnosis and treatment: a systematic review of qualitative studies, PLoS Medicine, 9(10): 112. doi: 10.1371/journal.pmed.1001331

    • Search Google Scholar
    • Export Citation
  • Cahill, S., O’Shea, E. and Pierce, M. (2012) Creating Excellence in Dementia Care: A Research Review for Ireland’s National Dementia Strategy, Dublin: School of Social Work and Social Policy, Trinity College Dublin.

    • Search Google Scholar
    • Export Citation
  • Cations, M. et al. (2017) Why aren’t people with young onset dementia and their supporters using formal services? Results from the INSPIRED study, PLoS One, 12(7): 115. doi: 10.1371/journal.pone.0180935

    • Search Google Scholar
    • Export Citation
  • Chemali, Z., Schamber, S., Tarbi, E., Acar, D. and Avila-Urizar, M. (2011) Diagnosing early onset dementia and then what? A frustrating system of aftercare resources, International Journal of General Medicine, 5: 816.

    • Search Google Scholar
    • Export Citation
  • De Vugt, M.E. and Verhey, F.R. (2013) The impact of early dementia diagnosis and intervention on informal carers, Progress in Neurobiology, 110: 5462. doi: 10.1016/j.pneurobio.2013.04.005

    • Search Google Scholar
    • Export Citation
  • Ducharme, F., Kergoat, M.J., Antoine, P., Pasquier, F. and Coulombe, R. (2013) The unique experience of spouses in early-onset-dementia, American Journal of Alzheimer’s Disease and Other Dementias, 28(6): 63441.

    • Search Google Scholar
    • Export Citation
  • Elo, S. and Kyngas, H. (2008) The qualitative content analysis process, Journal of Advanced Nursing, 62(1): 10715. doi: 10.1111/j.1365-2648.2007.04569.x

    • Search Google Scholar
    • Export Citation
  • Flynn, R. and Mulcahy, H. (2013) Early-onset dementia: the impact on family care-givers, British Journal of Community Nursing, 18(12): 598606. doi: 10.12968/bjcn.2013.18.12.598

    • Search Google Scholar
    • Export Citation
  • Freyne, A., Kidd, N., Coen, R. and Lawlor, A.B. (1999) Strain in carers of dementia patients: higher levels in carers of young sufferers, International Journal of Geriatric Psychiatry, 14(9): 7848. doi: 10.1002/(SICI)1099-1166(199909)14:9<784::AID-GPS16>3.0.CO;2-2

    • Search Google Scholar
    • Export Citation
  • Gelman, C.R. and Greer, C. (2011) Young children in early-onset Alzheimer’s disease families: research gaps and emerging service needs, American Journal of Alzheimer’s Disease and Other Dementias, 26(1): 2935.

    • Search Google Scholar
    • Export Citation
  • Harris, P.B. and Keady, J. (2009) Selfhood in younger onset dementia: transitions and testimonies, Aging and Mental Health, 13(3): 43744. doi: 10.1080/13607860802534609

    • Search Google Scholar
    • Export Citation
  • Hayward, P. and Bright, J.A. (1997) Stigma and mental illness: a review and critique, Journal of Mental Health, 6(4): 34554. doi: 10.1080/09638239718671

    • Search Google Scholar
    • Export Citation
  • HSE (Health Service Executive) (2016) Facts and figures: dementia understand together, www.hse.ie/eng/services/list/4/olderpeople/dementia/about-dementia/dementia-stats/.

    • Search Google Scholar
    • Export Citation
  • Hsieh, H.F. and Shannon, S.E. (2005) Three approaches to qualitative content analysis, Qualitative Health Research, 15(9): 127788, www.ageaction.ie/how-we-can-help/information/questions-about-nursing-homes/fair-deal-nursing-home-support-scheme. doi: 10.1177/1049732305276687

    • Search Google Scholar
    • Export Citation
  • Huber, M., Knottnerus, J.A., Green, L., van der Horst, H., Jadad, A.R., Kromhout, D., Leonard, B., Lorig, K., Loureiro, M. I., van der Meer, J.W., Schnabel, P., Smith, R., van Weel, C. and Smid, H. (2011) How should we define health?, BMJ (Clinical research ed), 343, d4163. doi: 10.1136/bmj.d4163

    • Search Google Scholar
    • Export Citation
  • Hudson, P. and Payne, S. (2009) Family Carers in Palliative Care: A Guide for Health and Social Care Professionals, Oxford: Oxford University Press.

    • Search Google Scholar
    • Export Citation
  • Jorm, A.F. (2001) History of depression as a risk factor for dementia: an updated review, Australian & New Zealand Journal of Psychiatry, 35(6): 77681.

    • Search Google Scholar
    • Export Citation
  • Koopmans, R.T. and Thompson, D. (2013) Services for people with young onset dementia, in H. de Waal, C. Lyketsos, D. Ames and J. O’Brien (eds) Designing and Delivering Dementia Services, Chichester: John Wiley & Sons, Ltd, pp 3345.

    • Search Google Scholar
    • Export Citation
  • Liebson, E., Rauch, P., Graff, S. and Folstein, M. (2005) Early-onset dementia: diagnostic considerations and implications for families, Harvard Review of Psychiatry, 13(2): 10211. doi: 10.1080/10673220590956492

    • Search Google Scholar
    • Export Citation
  • Millenaar, J.K., Bakker, C., van Vliet, D., Koopmans, R.T., Kurz, A., Verhey, F.R. and de Vugt, M.E. (2016) Exploring perspectives of young onset dementia caregivers with high versus low unmet needs, International Journal of Geriatric Psychiatry, 33(2): 3407. doi: 10.1002/gps.4749

    • Search Google Scholar
    • Export Citation
  • Morgan, D.G., Semchuk, K.M., Stewart, N.J. and D’Arcy, C. (2002) Rural families caring for a relative with dementia: barriers to the use of formal services, Social Science Medical, 55(7): 112942. doi: 10.1016/S0277-9536(01)00255-6

    • Search Google Scholar
    • Export Citation
  • Morhardt, D. (2012) Accessing community-based and long-term care services: challenges facing persons with frontotemporal dementia and their families, Journal of Molecular Neuroscience, 45(3): 73741. doi: 10.1007/s12031-011-9612-5

    • Search Google Scholar
    • Export Citation
  • Nichols, K.R., Fam, D., Cook, C., Pearce, M., Elliot, G., Baago, S., Rockwood, K. and Chow, T.W. (2013) When dementia is in the house: needs assessment survey for young caregivers, Canadian Journal of Neurological Sciences, 40(1): 218. doi: 10.1017/S0317167100012907

    • Search Google Scholar
    • Export Citation
  • O’Shea, E. (2007) Implementing Policy for Dementia Care in Ireland: the Time for Action is Now, http://www.dementianetwork.ie/sites/default/files/publications/implementing_policy_for_dementia_care_in_ireland.pdf.

    • Search Google Scholar
    • Export Citation
  • Roach, P., Keady, J., Bee, P. and Hope, K. (2008) Subjective experiences of younger people with dementia and their families: implications for UK research, policy and practice, Review of Clinical Gerontology, 18(2): 16574. doi: 10.1017/S0959259809002779

    • Search Google Scholar
    • Export Citation
  • Roach, P., Drummond, N. and Keady, J. (2016) Nobody would say that it is Alzheimer’s or dementia at this age: family adjustment following a diagnosis of early-onset dementia, Journal of Aging Studies, 36: 2632. doi: 10.1016/j.jaging.2015.12.001

    • Search Google Scholar
    • Export Citation
  • Scambler, G. (2009) Health-related stigma, Sociology of Health & Illness, 31(3): 44155. doi: 10.1111/j.1467-9566.2009.01161.x

  • Sperlinger, D. and Furst, M. (1994) The service experiences of people with presenile dementia: a study of carers in one London borough, International Journal of Geriatric Psychiatry, 9(1): 4750. doi: 10.1002/gps.930090110

    • Search Google Scholar
    • Export Citation
  • Svanberg, E., Stott, J. and Spector, A. (2010) ‘Just helping’: children living with a parent with young onset dementia, Ageing & Mental Health, 14(6): 74150.

    • Search Google Scholar
    • Export Citation
  • Teng, E., Tassniyom, K. and Lu, P.H. (2012) Reduced quality-of-life ratings in mild cognitive impairment: analyses of subject and informant responses, The American Journal of Geriatric Psychiatry, 20(12): 101625. doi: 10.1097/JGP.0b013e31826ce640

    • Search Google Scholar
    • Export Citation
  • Van Vliet, D., de Vugt, M.E., Bakker, C., Koopmans, R.T. and Verhey, F.R. (2010) Impact of early onset dementia on carers: a review, International Journal of Geriatric Psychiatry, 25(11): 1091100. doi: 10.1002/gps.2439

    • Search Google Scholar
    • Export Citation
  • Van Vliet, D., de Vugt, M.E., Bakker, C., Koopmans, R.T., Pijnenburg, Y.A., Vernooij-Dassen, M.J. and Verhey, F.R. (2011) Carers’ perspectives on the pre-diagnostic period in early onset dementia: a long and winding road, International Psychogeriatrics, 23(9): 1393404. doi: 10.1017/S1041610211001013

    • Search Google Scholar
    • Export Citation
  • Verhey, F.R.J., De Vugt, M.E., Aalten, P., Vernooij-Dassen, M.J., Byrne, E.J. and Robert, P. (2007) Caregiver outcomes in disease modifying trials, Journal of Nutrition Health and Aging, 11(4): 3424.

    • Search Google Scholar
    • Export Citation
  • Weder, N.D., Aziz, R., Wilkins, K. and Tampi, R.R. (2007) Frontotemporal dementias: a review, Annals of General Psychiatry, 6(1): 110. doi: 10.1186/1744-859X-6-1

    • Search Google Scholar
    • Export Citation
  • Werner, P., Stein-Shvachman, I. and Korczyn, A.D. (2009) Early onset dementia: clinical and social aspects, International Psychogeriatrics, 21(4): 6316. doi: 10.1017/S1041610209009223

    • Search Google Scholar
    • Export Citation
  • Williams, T., Dearden, A.M. and Cameron, I.H. (2001) From pillar to post: a study of younger people with dementia, Psychiatric Bulletin, 25(10): 384387.

    • Search Google Scholar
    • Export Citation
Cathal Blake Dublin City University, Ireland

Search for other papers by Cathal Blake in
Current site
Google Scholar
Close
and
Louise Hopper Dublin City University, Ireland

Search for other papers by Louise Hopper in
Current site
Google Scholar
Close

Content Metrics

May 2022 onwards Past Year Past 30 Days
Abstract Views 1338 387 14
Full Text Views 46 5 1
PDF Downloads 32 6 1

Altmetrics

Dimensions