Wie trauern Eheleute um ihre an Demenz erkrankten Partner?

How do spouses grieve for their partners with dementia?

What influence does emotional attachment between spouses have on the grieving process when one spouse develops dementia? A research group from Israel investigated this. An important protective factor was the feeling of a secure bond within the marriage.

Grief can have several causes. One of the most common reasons is the death of a loved one. However, in the case of dementia, the grieving process can begin long before the loved one dies. Due to ongoing cognitive decline, those affected may experience changes in personality or familiar daily routines. This can often be difficult to cope with and process, especially for the closest caregivers, such as spouses.

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Analysis on two levels

To investigate emotional attachment, researchers from Israel used a special scientific model. This model states that the grief of relatives in cases of dementia can occur on two levels. On the one hand, traumatic and chronic experiences in the care process can have physical, psychological, and social consequences. On the other hand, this can also cause a break in the previous relationship.

„A “secure" relationship is a protective factor

The authors identified the extent of the emotional bond between the two spouses as the most important influencing factor on the grieving process. Based on their analyses, the researchers found that the feeling of a secure attachment within the marriage is a significant protective factor for a variety of accompanying symptoms of the grieving process. For example, spouses who were in an „insecure“ relationship reported more frequent depression, more relationship conflicts, and greater suffering after the death of their spouse compared to partners in „secure“ relationships. Despite their findings, however, the authors see a need for further, comprehensive research in this area.

Tip for practice: In particular, nurture your relationship with your spouse. If you are going through a grieving process, utilize grief counseling services.

Here's the study:

Spousal Mourning for Partners Living with Cognitive Impairment: The Interplay of Attachment and the Two-Track Model of Dementia Grief 

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