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Dyadic coping and well-being in early-stage dementia couples
Peter Muijres1, Guy Bodenmann1, Fridtjof W Nussbeck2
1Department of Psychology, Clinical Psychology for Children/Adolescents and Couples/Families, University of Zurich, Zürich, Switzerland.
Frontiers in Psychiatry
|October 6, 2025
Summary
Dyadic coping (DC) significantly impacts well-being in couples facing early-stage dementia (ESD). Individual coping efforts primarily benefit the self, highlighting the need for tailored support for both patients and caregivers.
Area of Science:
- Psychology
- Gerontology
- Neuroscience
Background:
- Early-stage dementia (ESD) presents unique challenges for couples.
- Dyadic coping (DC) is crucial for navigating relationship stress.
- Understanding the impact of DC on mental health and quality of life is vital.
Purpose of the Study:
- To examine the relationship between dyadic coping (DC) and anxiety, depression, and quality of life in couples with early-stage dementia (ESD).
- To investigate actor and partner effects within the Actor-Partner Interdependence Model.
Main Methods:
- Utilized the Actor-Partner Interdependence Model for analysis.
- Assessed dyadic coping, anxiety, depression, and quality of life in 37 couples facing ESD.
Main Results:
- Significant actor effects of DC were found on anxiety, depression, and quality of life.
- Patients with ESD engaging in more delegated and common DC reported less anxiety.
- Caregiving partners experienced reduced distress with emotion-focused common DC.
- Positive DC from caregivers was paradoxically linked to lower patient quality of life.
Conclusions:
- Dyadic coping primarily influences individual well-being rather than a partner's.
- Tailored interventions are necessary, considering the distinct needs of patients with ESD and their caregiving partners.
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