Marital idealization as an enduring buffer to distress among spouses of persons with Alzheimer disease

Few disease processes affect the dynamics of marital relationships like neurodegenerative disorders. Illnesses such as Alzheimer disease strip older adults of a lifetime of memories and, in the latter stages, even the ability to recognize one's spouse and children. In cross-sectional research, marital idealization (or the propensity to idealize one's spouse and relationship) has emerged as significantly associated with the absence of distress among those caring for a spouse with Alzheimer disease. To extend prior findings, multilevel models were computed for the current study to demonstrate that marital idealization predicts both life satisfaction and the relative absence of caregiver burden one year later; moreover, change in marital idealization reflects a corresponding change in the psychological well-being of spouses over this same period (N = 90). Results of this study are discussed relative to the distinct demands of caring for a spouse with a dementing disorder, the health benefits of positive illusions, and demographic trends suggesting that family caregiving will become increasingly prevalent in coming years.