Evidence map›Paper›PMID 31886633›Full record

ArticleInternational journal of older people nursing2020

The value of "us"-Expressions of togetherness in couples where one spouse has dementia.

Anna Swall, Christine Williams, Lena Marmstål Hammar

Open access · hybridAbstract read
In one paragraph

Article in International journal of older people nursing, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Exploring the experiences and needs in everyday life of spouse carers of persons with dementia.International journal of qualitative studies on health and well-being · 2026
    Article
  3. Review
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  6. "I Aim to Fulfill My Promise": Dementia Caregiving from the Perspective of Spouses and Partners.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2025
    Observational
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  15. Negative Impact and Positive Value of Caregiving in Spouse Carers of Persons with Dementia in Sweden.International journal of environmental research and public health · 2022
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 2 countries.

Anna SwallSchool of Education, Health and Society, Dalarna University, Falun, Sweden.ORCID https://orcid.org/0000-0001-8069-9402
Christine WilliamsCollege of Nursing, Florida Atlantic University, Boca Raton, FL, USA.
Lena Marmstål HammarSchool of Education, Health and Society, Dalarna University, Falun, Sweden.
Dalarna University · SEFlorida Atlantic University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLiving with dementia involves both illness and health, and self-care and care from others. As most persons with dementia live in their own homes, dementia affects not only the person with the disease, but also family, commonly the partner. Research shows that spousal carers feel as though they are losing their partners since they can no longer share thoughts, feelings and experiences as a couple.

aimThe aim of the study was to describe the sense of togetherness of the spouses when one spouse has dementia.

methodThe sample consists of 18 recorded conversations between 15 persons with dementia and their spouses. The filmed conversations were transcribed verbatim and then analysed using qualitative content analysis.

findingsOne overarching theme arose: Dementia preserved and challenged the value of "us." It can be challenging for a couple in which one partner has dementia to preserve a sense of togetherness and to have the relationship they wish for.

conclusionBased on our results, we suggest that practitioners should help couples to strengthen their bond as a couple so as to maintain a sense of well-being. Future studies should examine couplehood under differing conditions, such as long- versus short-term relationships. Prior relationship quality may also be a factor that influences the sense of couplehood following a serious health challenge, such as dementia. IMPLICATION FOR PRACTICE: When spouses were able to live together, their relationship was enriched at many levels. Their love for each other strengthened them as a unit - as an "us" - where togetherness seemed to be strong. Future studies need to examine whether the sense of couplehood varies depending on the length of the relationship (i.e., a relationship of many years or a relatively new relationship).

Indexed as

Adaptation, PsychologicalEmotionsAgedAged, 80 and overCaregiversDementiaFemaleHumansInterpersonal RelationsMaleNarrationSpousescaringcommunicationcouplesdementianursing

Identifiers

PMID31886633
PMCPMC7317469
OpenAlexW2996795340

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.