Caregiving spouses’ experiences of relational uncertainty and partner influence in the prolonged relational transition of Alzheimer’s disease and related dementias

Alzheimer’s disease and related dementias cause gradual cognitive and communicative decline over a period of several years creating a prolonged transitional period in the lives of people with the disease and their spouse. Relational turbulence theory served as a lens to examine 18 in-depth interviews with caregiving spouses regarding their experiences of relational uncertainty, and interference and facilitation from their partner throughout this prolonged relational transition. Counterintuitively, the experience of relational uncertainty was greatly influenced by the certainties of relational change and termination (death) that shifted the temporal focus of uncertainty to the future. Communicative symptoms and aggressive behavior were a main source of interference. Despite the impairment of the disease, caregiving spouses recognized their partners’ expressions of gratitude, moments of recognition, and simple expressions of love as facilitation.

Caregivers' Loss of the Dyadic Experience After Their Care Partner's Death

One emerging dyadic concept is the experience of family caregivers when their care partner dies and their dyadic relationship comes to an end. This study qualitatively examined and characterized the loss of the dyadic experience for the caregiver after the death of their care partner. Data was accrued as part of a randomized clinical trial in 29 older hospice caregivers. Iterative thematic analysis focused on dyadic processes before, during and post death. Using two relational parameters from Relational Turbulence Theory resulted in a preliminary characterization of a new concept - dyadic dissolution as a cognitive and affective process whereby a remaining member of a dyad experiences relational uncertainty and partner interference while adapting (or not) to the death of their care partner. Findings suggest that asking several open-ended questions about the dyadic relationship will enable assessment for any continuing impact of relational uncertainty and partner interference on bereaved caregivers.

The role of identity uncertainty in predicting relational turbulence and perceived partner communication for women coping with infertility

Infertility can change the way people see themselves and their relational roles. This study examined how changes to identity following reproductive hardship are associated with identity uncertainty and relationship outcomes. Drawing on relational turbulence theory, we position identity uncertainty as an antecedent condition for relational uncertainty and interdependence processes in the context of infertility and examine these relationship mechanisms as predictors of relational turbulence and perceptions of partner communication during this relationship transition. We surveyed 152 women who have been unsuccessful at conceiving for at least 12 months about their identity and perceptions of their relationship. Data were analyzed using structural equation modeling. Consistent with hypotheses, identity change was positively associated with identity uncertainty, which, in turn, predicted increased relational uncertainty. Relational turbulence was positively predicted by relational uncertainty, but not partner interference or facilitation. Perceptions of a partner’s communication were predicted by relational turbulence and partner facilitation. The theoretical and practical implications of the findings are discussed.

Relational turbulence during the COVID-19 pandemic: A longitudinal analysis of the reciprocal effects between relationship characteristics and outcomes of relational turbulence

This study offers a longitudinal and dyadic test of relational turbulence theory during the COVID-19 pandemic. Specifically, this study highlights the severity of irritations and the aggressiveness and openness of relational communication as outcomes of relational turbulence that both shape and reflect relationship characteristics during this transition. Romantic dyads ( N = 151) completed four weekly surveys during the pandemic’s early stages. We used multilevel modeling to document between- and within-person effects and evaluate reciprocal effects over time. Results indicated that relational uncertainty and partner interference were positively associated with relational turbulence, whereas partner facilitation was negatively associated with turbulence. Relational turbulence was positively associated with the severity of irritations and the aggressiveness of communication, and negatively associated with the openness of communication, above and beyond the effects of the relationship mechanisms. Over-time analyses showed that relational turbulence, severity of irritations, aggressive communication, and open communication predicted subsequent levels of relationship qualities. These findings showcase the theoretical utility of relational turbulence theory for explaining how relationships are affected by the pandemic and highlight relationship processes to target in helping couples manage their relationship during these stressful times.

Parent–student relational turbulence, support processes, and mental health during the COVID-19 pandemic

In Spring 2020, the COVID-19 pandemic introduced unexpected transitions for college students and their families. Informed by Relational Turbulence Theory, we examined associations among relational turbulence processes in students’ relationships with parents, social support seeking and reception, and mental health. Seven hundred forty-seven college students living at home with a parent completed an online survey during June 2020. Students’ self uncertainty, interference from parents, and relational turbulence were negatively associated with their support seeking and perceptions of support from parents, whereas facilitation from parents predicted increased support seeking and perceptions of support. In turn, support seeking and perceived support were negatively associated with students’ anxiety, depression, and stress. Finally, support processes mediated the association of turbulence with depression.

Engaged Women’s Relationships, Weddings, and Mental Health During Covid-19

We examined the association between mental health and relationship and wedding factors among engaged women planning their weddings before and during Covid-19. Survey data from 715 non-Covid-19 and 427 Covid-19 participants revealed that Covid-19 participants experienced depression in greater proportion than non-Covid-19 participants. Wedding satisfaction and financial strain were stronger predictors of depression for Covid-19 than non-Covid-19 participants. Other significant predictors of Covid-19 participants’ depression included social isolation, relational satisfaction and turbulence, and wedding disillusionment. Additionally, 22.0% of Covid-19 participants reported severe levels of anxiety, which was significantly predicted by social isolation, relational turbulence, wedding financial strain, wedding disillusionment, and wedding satisfaction. According to Covid-19 participants’ open-ended responses, less depressed participants liked something better about their revised wedding plans, more anxious participants could not identify positive aspects of their revised plans, and less anxious participants appreciated the perspective that came with revising wedding plans due to Covid-19.