ArticleThe journals of gerontology. Series B, Psychological sciences and social sciences2019
Genuine Smiles by Patients During Marital Interactions are Associated with Better Caregiver Mental Health.
Article in The journals of gerontology. Series B, Psychological sciences and social sciences, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- A rise-assisting robot extends life space and improves facial expressions of nursing home residents.BMC health services research · 2022Trial
- The role of specific affects in the psychopathology of dementia family caregivers.Emotion (Washington, D.C.) · 2026Article
- Caregivers' positive emotional language predicts their depression trajectories after dementia caregiving ends.The journals of gerontology. Series B, Psychological sciences and social sciences · 2026Article
- Lower income level is associated with less favorable health trajectories in caregivers of people with neurodegenerative disease after caregiving ends.Aging & mental health · 2025Article
- Diminished preparatory physiological responses in people with dementia: associations with caregiver health and relationship quality.The journals of gerontology. Series B, Psychological sciences and social sciences · 2025Article
- Caregiving in the face of empathy loss in Frontotemporal Dementia: an integrative review.Aging & mental health · 2025Review
- Positive affect expression during a play interaction and psychological health among older adults living with cognitive impairment and their adult children.Aging & mental health · 2025Observational
- Interpersonal linkage in positive and negative emotional behaviors, emotional well-being, and physical functioning in dementia caregivers.Clinical psychological science : a journal of the Association for Psychological Science · 2024Article
- "Out of the clear blue sky she tells me she loves me": Connection experiences between caregivers and people with dementia.Journal of the American Geriatrics Society · 2023Article
- Genuine and non-genuine smiles in individuals meeting criteria for a clinical high-risk syndrome.Early intervention in psychiatry · 2022Article
- Lower activity linkage between caregivers and persons with neurodegenerative diseases is associated with greater caregiver anxiety.Psychophysiology · 2022Article
- Laughter and short-term blood pressure reactivity in middle-aged and older adult spousal support interactions.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2021Article
- Poor Disgust Suppression Is Associated with Increased Anxiety in Caregivers of People with Neurodegenerative Disease.The journals of gerontology. Series B, Psychological sciences and social sciences · 2021Article
- Emotional and Cognitive Empathy in Caregivers of Persons with Neurodegenerative Disease: Relationships with Caregiver Mental Health.Clinical psychological science : a journal of the Association for Psychological Science · 2021Article
- Stress and Illness: A Role for Specific Emotions.Psychosomatic medicine · 2019Article
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Authors and funding
6 authors.
Funding
Abstract
objectiveProviding care for a spouse with dementia is associated with an increased risk for poor mental health. To determine whether this vulnerability in caregivers is related to the expression of positive emotion, we examined 57 patients with Alzheimer's disease and behavioral variant frontotemporal dementia and their spouses as they discussed a marital conflict.
methodFacial behavior during the discussion was objectively coded to identify Duchenne (i.e., genuine) smiles and non-Duchenne (i.e., polite) smiles. Caregiver mental health was measured using the Medical Outcomes Survey.
resultsGreater expression of Duchenne smiles by patients was associated with better caregiver mental health, even when accounting for covariates (i.e., diagnosis, patient cognitive functioning, and caregiver marital satisfaction). Greater expression of non-Duchenne smiles by patients was associated with worse caregiver health, but only when covariates were entered in the model. Expression of Duchenne and non-Duchenne smiles by caregivers was not associated with caregiver mental health. DISCUSSION: Patients' expression of Duchenne and non-Duchenne smiles may reveal important aspects of the emotional quality of the patient-caregiver relationship that influence caregiver burden and mental health.
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