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Life after care: psychological adjustment to bereavement in family carers of people with dementia

Published online by Cambridge University Press:  09 December 2015

Aggeliki Vlachogianni ,
Areti Efthymiou ,
Dimitra Potamianou ,
Paraskevi Sakka  and
Vasiliki Orgeta
Aggeliki Vlachogianni
Affiliation:
Athens Association of Alzheimer's Disease and Related Disorders, Athens, Greece
Areti Efthymiou
Affiliation:
Athens Association of Alzheimer's Disease and Related Disorders, Athens, Greece
Dimitra Potamianou
Affiliation:
Athens Association of Alzheimer's Disease and Related Disorders, Athens, Greece
Paraskevi Sakka
Affiliation:
Athens Association of Alzheimer's Disease and Related Disorders, Athens, Greece
Vasiliki Orgeta*
Affiliation:
Division of Psychiatry, University College London, UK
*
Correspondence should be addressed to: Dr Vasiliki Orgeta, University College London, Division of Psychiatry (formerly Mental Health Sciences Unit), 6th Floor, Maple House, 149 Tottenham Court Road, London W1T 7NF, UK. Phone: 0044-020-7679-9294; Fax: 0044-020-7679-9426. Email: v.orgeta@ucl.ac.uk.
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Abstract

Background:

Despite well-documented evidence of the psychological effects of caring for a relative with dementia, little is known about the bereavement experiences of family carers. The aim of this study was to explore the key psychological changes associated with carers’ adjustment to bereavement and “life after care.”

Methods:

All carers taking part were recruited from a day care center, providing specialist services to people with dementia. We asked carers to describe the key changes associated with psychological adjustment to bereavement through semi-structured qualitative in-depth interviews. Strategies carers used to cope with and adapt to their new role were also explored. All data were thematically analysed.

Results:

Thirty-one carers were interviewed. The most frequent emotional reactions to bereavement were feelings of loneliness, loss, void, sadness, anger, and relief. Most carers were able to adapt to their new role, and engaging in pleasant activities was the most frequent strategy used to cope with loss and “life after care.”

Conclusions:

Feelings of loneliness and loss are amongst the key emotional reactions shaping carers’ adjustment to bereavement. Most carers are able to adapt to loss; however, a minority experience increased psychological distress after the death of their loved one. A small percentage of carers continues caring for other dependants. Further research is required to identify how carers of people with dementia adapt to bereavement and how this increasing number of individuals can be best supported.

Keywords

dementia carerscaringpost-caringqualitative researchbereavementserial caring
Type
Research Article
Information
International Psychogeriatrics , Volume 28 , Issue 5 , May 2016 , pp. 815 - 823
Copyright
Copyright © International Psychogeriatric Association 2015 

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