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Table 3 The four themes resulting from the analysis

From: Living with myotonic dystrophy; what can be learned from couples? a qualitative study

Impact for persons with MD1

1) Decreasing abilities

   • Many barriers; "no power, no pep, no guts"

   • Avoiding barriers; "I don't do that much"

Impact for partners

2) Increasing burden

   • "If I did not do it, nothing happened"

   • "I am in charge; I give directions"

Impact for both as a (married) couple

3) Finding a mode together

   • Doing or leaving; renegotiation of tasks

   • Individual and shared activities; give each other freedom

Impact for persons with MD1, for partners and for couples

4) Lack of understanding

   • Even the family does not understand

   • We manage ourselves

   • Health care: many islands focused on part of the disease