Sexual problems encountered by married couples coping with Alzheimer's disease appear to be a fairly common, yet seldom addressed consequence of the disease. This article reviews current knowledge about the impact of Alzheimer's disease on sexuality. The major effects of the disease on the sexual responses of affected individuals and their spouses are discussed and highlighted through examples. Guidelines for interventions by social workers and other professionals who work with these couples are recommended.
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References
1.
1. Evans DA, Scherr PA, Cook NR, Albert MS, Funkelstein HH, Smith LA, Taylor JO: Estimated prevalence of Alzheimer's disease in the United States. Milbank Memorial Fund Quarterly, 1990;68(2): 267-289.
2.
2. National Institutes of Health: Progress Report on Alzheimer's Disease,1993, Washington,D.C.: U.S. Department of Health and Human Services, NIH Publication No. 93-3409, 1993.
3.
3. Rolland JS: Family Illness and Disability: An Integrative Treatment Model. New York, Harper Collins, 1994.
4.
4. Ade-Ridder L: Sexuality and marital quality among older couples. In Brubaker T (Ed.): Family Relationships in Later Life, Second Edition. Newbury Park, Calif., Sage Publications, 1990:48-67
5.
5. Marsiglio W, Donnelly D: Sexual relations in laterlife: Anational study of married persons. Journal of Gerontology: Social Sciences, 1991; 46:S338-S344
6.
6. Greeley A: Sex after sixty: A report, unpublished manuscript University of Chicago, National Opinion Research Center, 1992
7.
7. Flodberg SO: Sexuality. In Morof Lubkin I (Ed.): Chronic illness: Impact and interventions. Boston: Jones and Bartlett Publishers, 1990:232-260
8.
8. Shapira J, Cummings JL: Alzheimer's disease: Changes in sexual behavior. Medical Aspects of Human Sexuality, 1989; 6:32-35
9.
9. Quayhagen MP, Quayhagen M: Alzheimer's stress: Coping with the caregiving role. The Gerontologist, 1989; 28(3):391-396
10.
10. Simson S, Comstack HA, Wilson LB, Slade A: Interpersonal intimacy between caregivers and the dementia impaired. The American Journal of Alzheimer's Care and Related Disorders & Research, 1989; 8 (3):28-32
11.
11. Zeiss AM, Davies HM, Wood M, Tinklenberg JR: The incidence and correlates of erectile problems in patients with Alzheimer's disease. Archives of Sexual Behavior, 1990; 19(4):325-331
12.
12. Wright LK: The impact of Alzheimer's disease on the marital relationship. The Gerontologist, 1991;6(28):224-237
14. Schulz R, Visintainer P, Williamson GM: Psychiatric and physical morbidity effects of caregiving. Journal of Gerontology, Psychological Sciences, 1990;45: P181-P191
15.
15. Wright LK, Clipp EC, George LK: Health consequences of caregiver stress. Medicine, Exercise, Nutrition and Health, 1993;2: 181-195
16.
16. Masters WH, Johnson VE: Human sexual inadequacy. Boston, Little Brown, 1970.
17.
17. McGowin DF: Living in the labyrinth, San Francisco, Elder Books, 1993
18.
18. Ballard EK, Poer CM: Sexuality and Alzheimer's disease. Durham, NC, Duke University Medical Center, Joseph and Kathleen Bryan Alzheimer's Disease Research Center, 1993
19.
19. Funk WW: The stranger in my bed. Central City, NB. Self-published, 1992
20.
20. Litz BT, Zeiss AM, Davies HM: Sexual concerns of male spouses of female Alzheimer's disease patients. The Gerontologist, 1990;30(1):113-116
21.
21. Hanks N: The effects of Alzheimer's disease on the sexual attitudes and behaviors of married caregivers and their spouses. Sexuality and Disability, 1992;10(3):137-152
22.
22. Annon J: The behavioral treatment of sexual problems, Honolulu: Enabling Systems, 1974
23.
23. Kaplan HS: The new sex therapy, New York, Brunner/Mazel, 1974
24.
24. Masters WH, Johnson VE, Kolodny RC: Human sexuality, Fourth Edition. New York, Harper Collins Publishers Inc., 1992
25.
25. Cooper AJ: Medroxprogesterone acetate (MPA) treatment of sexually acting out men suffering from dementia. Journal of Clinical Psychiatry, 1987;48(9):368-370
26.
26. Kyomen HH, Nobel KW, Wei JW: The use of estrogen to decrease aggressive physical behavior in elderly men with dementia. Journal of the American Geriatrics Society, 1991;39:1110-1112
