What makes some people more prone to wedded bliss or sorrow than others? Researchers at UC Berkeley and Northwestern University have found a major clue in our DNA. A gene involved in the regulation of serotonin can predict how much our emotions affect our relationships, according to a new study that may be the first to link genetics, emotions, and marital satisfaction. The study was conducted at UC Berkeley

“An enduring mystery is, what makes one spouse so attuned to the emotional climate in a marriage, and another so oblivious?” said UC Berkeley psychologist Robert W. Levenson, senior author of the study published online today (Oct. 7) in the journal Emotion. “With these new genetic findings, we now understand much more about what determines just how important emotions are for different people.”

older romantic couple

iStockphoto © Abel Mitja Varela

Specifically, researchers found a link between relationship fulfillment and a gene variant, or “allele,” known as 5-HTTLPR. All humans inherit a copy of this gene variant from each parent. Study participants with two short 5-HTTLPR alleles were found to be most unhappy in their marriages when there was a lot of negative emotion, such as anger and contempt, and most happy when there was positive emotion, such as humor and affection. By contrast, those with one or two long alleles were far less bothered by the emotional tenor of their marriages.

“We are always trying to understand the recipe for a good relationship, and emotion keeps coming up as an important ingredient,” said Levenson, who heads up a longitudinal study that has tracked over 150 married couples for more than 20 years.

The new findings don’t mean that couples with different variations of 5-HTTLPR are incompatible, the researchers note. Instead, it suggests that those with two short alleles are likelier to thrive in a good relationship and suffer in a bad one. The results of the study, which looked at the genotypes of more than 100 spouses and observed how they interacted with their partners over time, bore this out, they said.

“Individuals with two short alleles of the gene variant may be like hothouse flowers, blossoming in a marriage when the emotional climate is good and withering when it is bad,” said Claudia M. Haase, assistant professor of human development and social policy at Northwestern University and lead author of the study, which she conducted as a postdoctoral fellow at UC Berkeley. “Conversely, people with one or two long alleles are less sensitive to the emotional climate.”

“Neither of these genetic variants is inherently good or bad,” Haase added. “Each has its advantages and disadvantages.”

Participants in the study belong to a group of 156 middle-aged and older couples whose relationships Levenson and fellow researchers have followed since 1989. Every five years, the couples have come to UC Berkeley to report on their marital satisfaction and interact with one another in a lab setting while researchers code their conversations based on facial expressions, body language, tone of voice and topic of discussion.

More recently, 125 of the study participants provided DNA samples, and researchers matched their genotypes with their levels of marital satisfaction and the emotional tenor of their interactions in the lab setting.

For spouses with two short 5-HTTLPR alleles, who made up 17 percent of the spouses studied, researchers found a strong correlation between the emotional tone of their conversations and how they felt about their marriage. For the 83 percent of spouses with one or two long alleles, on the other hand, the emotional quality of their discussions bore little or no relation to their marital satisfaction over the next decade.

The link between genes, emotion and marital satisfaction was particularly pronounced for older adults. “One explanation for this latter finding is that in late life – just as in early childhood – we are maximally susceptible to the influences of our genes,” Levenson said.

Berkley University of California

World Alzheimer Report 2013

old and young hands

istockphoto

The World Alzheimer Report 2013 ‘Journey of Caring: An analysis of long-term care for dementia’, reveals that, as the world population ages, the traditional system of “informal” care by family, friends, and community will require much greater support. Globally, 13% of people aged 60 or over require long-term care. Between 2010 and 2050, the total number of older people with care needs will nearly treble from 101 to 277 million.

Long-term care is mainly about care for people with dementia; around half of all older people who need personal care have dementia, and 80% of older people in nursing homes are living with dementia. The worldwide cost of dementia care is currently over US$600 billion, or around 1% of global GDP.

The report which was researched and authored by Prof Martin Prince, Dr Matthew Prina and Dr Maëlenn Guerchet on behalf of the Global Observatory for Ageing and Dementia Care which is hosted at the Health Service and Population Research Department, King’s College London.

Number of dependent older adults to increase to 277 million by 2050
Half of all older people who need personal care have dementia
The World Alzheimer Report 2013 ‘Journey of Caring: An analysis of long-term care for dementia’, released today, calls for governments around the world to make dementia a priority by implementing national plans, and by initiating urgent national debates on future arrangements for long-term care.

Alzheimer’s Disease International (ADI) and Bupa commissioned a team of researchers, led by Professor Martin Prince from King’s College London, to produce the report.

world report 2013 coverThe report reveals that, as the world population ages, the traditional system of “informal” care by family, friends, and community will require much greater support. Globally, 13% of people aged 60 or over require long-term care. Between 2010 and 2050, the total number of older people with care needs will nearly treble from 101 to 277 million. Long-term care is mainly about care for people with dementia; around half of all older people who need personal care have dementia, and 80% of older people in nursing homes are living with dementia. The worldwide cost of dementia care is currently over US$600 billion (£395 billion), or around 1% of global GDP.

The report states that more attention needs to be paid to maintaining and enhancing quality of life; helping those affected, and their families to ‘live well with dementia’.

Ten-fold increases in research funding are needed to re-energise the work on dementia prevention, treatment and care. This investment is essential to mitigate the impact of the global dementia epidemic on future long-term care needs, and improve quality of care.

The report recommends that:

Systems should to be in place to monitor the quality of dementia care in all settings – whether in care homes or in the community
Autonomy and choice should be promoted at all stages of the dementia journey, prioritising the voices of people with dementia and their caregivers
Health and social care systems should be better integrated and coordinated to meet people’s needs
Front-line caregivers must be adequately trained and systems will need to be in place to ensure paid and unpaid carers receive appropriate financial reward in order to sustain the informal care system and improve recruitment and retention of paid carers
Care in care homes is a preferred option for a significant minority – quality of life at home can be as good, and costs are comparable if the unpaid work of family caregivers is properly valued
The quality of care in care homes should be monitored through the quality of life and satisfaction of their residents, in addition to routine inspections, as care homes will remain an important component of long-term care.
Professor Martin Prince, from King’s College London’s Institute of Psychiatry and author of the report, said: “People with dementia have special needs. Compared with other long-term care users they need more personal care, more hours of care, and more supervision, all of which is associated with greater strain on caregivers, and higher costs. Their needs for care start early in the disease course, and evolve constantly over time, requiring advanced planning, monitoring, and coordination. We need to value the unpaid contribution of family caregivers more, and reward paid caregivers better. We can build quality into our care systems, but to do so while containing costs and achieving equity of access for all will be a challenge.”

Marc Wortmann, Executive Director, Alzheimer’s Disease International said: “We need to value those that provide frontline care for people with dementia. This includes paid, as well as unpaid family caregivers, who share much in common. Governments need to acknowledge the role of caregivers and ensure that there are policies in place to support them.”

Dr Paul Zollinger-Read, Chief Medical Officer, Bupa, said: “An ageing population around the world means that improving dementia care and support is one of our generation’s greatest healthcare challenges – a challenge we must tackle. We’re calling on governments around the world to make dementia a national health priority by developing national dementia plans. National plans ensure that people living with dementia have a good quality of life and friends and family, who often take on the important role of a carer, are properly supported too.”

In response to the global Alzheimer’s epidemic, Alzheimer’s Disease International and Home Instead Senior Care®, have joined together to host Living with Alzheimer’s: A Journey of Caring World Alzheimer Report 2013 Release & Roundtable Discussions. The events, held in three international capitals, address the global impact of the disease during World Alzheimer’s Month. The first event was held in Washington, DC. The other two events are in London on 20 September and Beijing on 26 September.

Roger Baumgart, CEO, Home Instead Senior Care, said: “Studies consistently show that older adults overwhelmingly prefer to age at home, and with support, they can age at home. However, two-thirds of the calls we get every day are from families in crisis. Caregiver stress is a driver for transition to institutional care. Interventions that provide support, education and training for caregivers have considerable potential to reduce or delay transition into institutional settings. It is our responsibility as a society to determine how we can better support their needs. We are working actively to raise awareness of the needs and challenges for families and to offer the support, educational classes and materials we’ve developed widely available around the world.”

The full report can be found here: www.alz.co.uk/worldreport2013

http://www.alz.co.uk/

Swan Song by Rick Gershon & Caitlyn Greene

The excellent Media Storm has posted this poignant, heartbreaking account of the Greer family and how they cope when Marilyn Greer is diagnosed with Frontotemporal dementia.

This is an honest account of the effect of this devastating diagnosis, and how one family copes.

The Greers grew up as a 3-woman unit. This mother-daughter team was nicknamed “The Greer Girls.”

When Marilyn is diagnosed with dementia at age 58, her daughters refocused their lives to care for her during her most precious years.

As Marilyn’s disease progresses, the girls struggle to care for a woman who is less and less like their mother. Together, they navigate the unknown while balancing their personal lives until they are forced to make a heartbreaking decision.

Published: September 19, 2013


Credits

Director of Photography: Rick Gershon
Producer: Caitlyn Greene
Additional Cinematography: Caitlyn Greene, Bret Curry
Associate Producer: Arkasha Stevenson
Graphics: Joe Fuller
Executive Producer: Brian Storm

The Alzheimer’s Association
Frontotemporal Dementia
The Association for Frontotemporal Degeneration

boy looking for help

© iStockphoto

Children with a genetic disorder called 22q11.2 deletion syndrome, who frequently are believed to also have autism, often may be misidentified because the social impairments associated with their developmental delay may mimic the features of autism, a study by researchers with the UC Davis MIND Institute suggests.

The study is the first to examine autism in children with chromosome 22q11.2 deletion syndrome, in whom the prevalence of autism has been reported at between 20 and 50 percent, using rigorous gold-standard diagnostic criteria. The research found that none of the children with 22q11.2 deletion syndrome “met strict diagnostic criteria” for autism.

The researchers said the finding is important because treatments designed for children with autism, such as widely used discrete-trial training methods, may exacerbate the anxiety that is commonplace among the population….read more

ᔥUC Davis Health Sysytem