Redefining the meaning of dementia: A qualitative study of meaning, stigma, and care experiences among family and professional carers
Year: 2026
Type: article
Abstract: INTRODUCTION: As dementia prevalence rises, reliance on carers increases substantially, yet little is known about how carers experience, interpret, and redefine dementia. This qualitative study explored how family and professional carers in the United Kingdom (UK) make sense of dementia, focusing on the meanings they ascribe and how stigma shapes care practices, trajectories, and preferences within cultural, moral, and structural contexts. METHODS: Purposive sampling recruited 12 family carers and three professional carers across the United Kingdom, and data were analyzed using inductive reflexive thematic analysis. The perspectives of professional carers were included as contextual insights into dementia caregiving experiences rather than for direct comparison with family carers. RESULTS: Carers described dementia caregiving as a totalising, unpredictable process requiring ongoing reconfiguration of daily life, family roles, and care expectations. Disclosure, reasoning with symptoms, and care-setting decisions were shaped by cultural, moral, and structural factors, balancing practical needs, autonomy, public responses, and emotional wellbeing. DISCUSSION: Recognizing the dynamic processes of dementia caregiving within the United Kingdom care context underscores the need for iterative support systems that promote the resilience and quality of life for carers and people with dementia.
DOI: 10.1002/dad2.70521
Language: English
Subfield: Psychiatry and Mental health
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $2,540
Funders: South London and Maudsley NHS Foundation Trust, King's College Hospital NHS Foundation Trust, UK Research and Innovation, National Institute for Health and Care Research, Department of Health and Social Care, King's College London, National University of Singapore, NIHR Maudsley Biomedical Research Centre, Medical Research Council, National Institute for Health Research Applied Research Collaboration South London
OpenAlex ID: W7223176254
