Exploring relationship continuity in the context of behavioural variant frontotemporal dementia

Asfaw, Rhea E (2025). Exploring relationship continuity in the context of behavioural variant frontotemporal dementia. University of Birmingham. Clin.Psy.D.

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Abstract

Introduction: There is evidence that suggests that the symptoms of behavioural variant frontotemporal dementia (bvFTD) can place significant strain on the spousal relationship. However, the processes through which these symptoms cause challenges in the relationship remains unclear. The aim of this study was to explore how challenging interpersonal behaviours and personality change undermine the spousal relationship in bvFTD. The framework and ideas of relationship continuity were used to guide the collection and interpretation of the data. Method: Purposive sampling was used to recruit ten spouses of individuals with bvFTD. These spouses were interviewed regarding their experience of behaviour and personality change in their partner, how they interpreted these changes, and how these changes affected their relationship. Interview data was analysed used Braun and Clarke’s (2021) Reflexive Thematic Analysis. Results: Six themes were generated which provide an insight into how relationships are affected in this context: ‘Disrupted Safety and Security’, ‘Disrupted Connection and Communication’, ‘The Emotional Toll’, ‘Changing Appraisals of the Spouse and Dyad’, ‘Trying to Understand’, and ‘Coping with Changes’. Conclusions: The findings from this study highlight several emotional and relational processes which affect spouses’ experience of the relationship with their partner in the context of bvFTD. The study findings provide the basis for the development and trialling of interventions which may support spouses with their emotional wellbeing and adjustment to navigating their relationships within this difficult context.

Type of Work:

Thesis (Doctorates > Clin.Psy.D.)

Award Type:

Doctorates > Clin.Psy.D.

Supervisor(s):