Objective The purpose of this study was to determine how burden and quality of life predict anxiety and depressive symptoms among caregivers of hemodialysis patients. Social support was included in the model as a proposed moderator in the above relationships. Methods This cross-sectional study involved 340 caregivers of chronic kidney patients undergoing hemodialysis. The setting was in Terengganu, Malaysia. The caregivers completed the measures of caregiving burden, quality of life, social support, and symptoms of anxiety and depression. Results About 28.8% and 52.4% of caregivers showed clinically moderate levels of anxiety and depressive symptoms, respectively. Furthermore, 35.9% and 3.8% of them showed clinically high levels of anxiety and depressive symptoms, respectively. Analyses showed that general quality of life was a significant predictor of both anxiety and depressive symptoms. Burden and psychological domains of quality of life significantly predicted anxiety. In addition, a lack of social support was a determinant of depressive symptoms. Evidence suggested that social support moderated the burden–anxiety relationship. Specifically, caregivers with low levels of social support showed more elevated levels of anxiety symptoms when their burden was higher. Conclusion There is an urgent need for early detection to initiate prompt treatment in this population. The study provides some important insights into offering comprehensive intervention to help caregivers cope more effectively through the provision of sufficient social support to buffer the effects of caregiving burden and improve mental health.

This study is aimed at exploring whether learning about art activities can help children of divorced parents in three aspects, namely self-concept, emotional expression, and linguistic expression. The researcher designed appropriate art activities for children of divorced parents based on their family backgrounds. There were nine art activities in total, including "self in the mirror", "painting with paint", and "pick-up and paste". From February to April in 2016, these art activities were conducted once a week for 40 minutes, led by the researcher. During these art activities, data were collected through observations and interviews and then coded and analyzed. To ensure the correctness of the analysis results, triangulation was applied for verification with three angles, the researcher's, the case subject's caretaker's (the grandmother's), and the case subject's custodian's (the father's). The research findings are summarized below: 1. In the aspect of family and self-concept, the art activities helped the children of divorced parents with their self-exploration and self-assertion. 2. In the aspect of emotional expression, the art activities offered the children of divorced parents more opportunities to express their feelings and gradually reveal their true emotions inside. 3. In the aspect of linguistic expresision, the art activities offered the children of divorced parents more opportunities for expression. The children were allowed to express their thoughts and ideas through drawing images and symbols. Lastly, based on the research findings, as references for children of divorced parents and related future studies.

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