J Multidiscip Healthc. 2015 May 27;8:245-54. doi: 10.2147/JMDH.S84069. eCollection 2015.
Adult children of parents with young-onset dementia narrate the experiences of their youth through metaphors.
Journal of multidisciplinary healthcare
Aud Johannessen, Knut Engedal, Kirsten Thorsen
Affiliations
Affiliations
- Vestfold Hospital Trust, Norwegian National Advisory Unit on Ageing and Health, Tønsberg, Norway.
- Vestfold Hospital Trust, Norwegian National Advisory Unit on Ageing and Health, Tønsberg, Norway ; University College of Oslo and Akershus, Oslo, Norway.
PMID: 26060403
PMCID: PMC4454217 DOI: 10.2147/JMDH.S84069
Abstract
BACKGROUND: Limited research exists on the development and needs of children of parents with young-onset dementia (YOD) (<65 years old). There is scarce knowledge of how these children experience the situation of growing up with a parent with dementia. This study investigates the stories of children of persons with YOD and interprets their metaphorical expressions of their experiences as a source of understanding their situation and needs during the development and course of their parent's dementia.
METHODS: Qualitative interviews with 14 informants (aged 18-30 years; nine daughters, five sons) were conducted in 2014 and subsequently analyzed by the informants' use of metaphors. Steger's three-step method for analyzing metaphors was applied.
RESULTS: The analysis identified four themes in the metaphors: the informants' relations to the disease, to the self, to the parent, and to others. From these themes, four core metaphors were abstracted: "my parent is sliding away"; "emotional chaos"; "becoming a parent to my parent"; and "a battle".
CONCLUSION: The study revealed that growing up with a parent with dementia has a great impact on the children's situation and their experiences of their personal development. Children of a parent with YOD are a group with unmet needs for support. A formalized system where the children can get into contact with service providers to receive tailored information and individual follow-up needs to be established. The service providers must listen to the children's stories, perceive how metaphors convey their experiences, and recognize their need for support for their own development.
Keywords: adult children; early-onset dementia; experiences; metaphors; services; support
References
- Psychol Bull. 1985 Sep;98(2):310-57 - PubMed
- Int Psychogeriatr. 2014 Dec;26(12):2001-10 - PubMed
- Soc Sci Med. 2012 Mar;74(5):753-6 - PubMed
- Int Psychogeriatr. 2011 Apr;23 (3):356-71 - PubMed
- Lancet. 2001 Aug 11;358(9280):483-8 - PubMed
- Int J Aging Hum Dev. 1995;41(4):281-97 - PubMed
- Scand J Caring Sci. 2004 Jun;18(2):145-53 - PubMed
- Disabil Rehabil. 2014;36(17):1464-73 - PubMed
- Appl Nurs Res. 2012 Aug;25(3):146-51 - PubMed
- Int Psychogeriatr. 2014 Dec;26(12):1935-44 - PubMed
- Int J Qual Stud Health Well-being. 2013 Oct 22;8:21676 - PubMed
- Int J Qual Stud Health Well-being. 2014 Jul 11;9:24756 - PubMed
- Soc Sci Med. 1988;26(4):417-24 - PubMed
- Alzheimers Dement. 2013 Jan;9(1):63-75.e2 - PubMed
- Am J Alzheimers Dis Other Demen. 2011 Feb;26(1):29-35 - PubMed
- J Neurol Neurosurg Psychiatry. 2003 Sep;74(9):1206-9 - PubMed
- Dementia (London). 2013 Jul;12(4):410-24 - PubMed
Publication Types