Caregiver burden and parenting stress among left-behind elderly individuals in rural China: a cross-sectional study

Zhao, Mengjuan; Zhu, Ziqiang; Kong, Chenchen; Zhao, Chen

doi:10.1186/s12889-021-10892-9

Cited by 13 publications

(8 citation statements)

References 28 publications

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Section: Discussionsupporting

confidence: 91%

“…In line with previous reports on gender differences in the experience of caregiving for a family member (Pinquart & S örensen, 2006) and raising grandchildren (Park, 2009;Zhao et al, 2021), women in this study reported greater subjective stress. In addition, the results indicate that greater perceived overload was associated with greater depressive symptoms among women than men, in support of previous studies (e.g., Zhao et al, 2021). The experience of higher subjective stress and depressive symptoms may be related to the common view of women as expected caregivers and the propensity of women to take nurturing roles and assume major responsibility for the care of others, even if they exceed their personal resources (Bullock, 2005).…”

Section: Discussionsupporting

confidence: 91%

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Objective and Subjective Stress among Grandparents Providing Assistive Regular Grandchild Care

2023

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Research on stress and coping has differentiated the effects of objective stress and subjective perceptions of stress on psychological and physical health, including in old age. This study examined the moderating role of social support in the relationship between objective and subjective stress with depressive and somatic symptoms in the context of Israeli grandparents. This cross-sectional study involved 243 grandparents who provided at least 5 hours a week of assistive regular care to their grandchildren, divided into lower and higher support groups. The results show that the levels of depressive and somatic symptoms were higher in the lower support group. Social support moderated the association between the intensity of care and perceived stress. Social support moderated the association between subjective stress and somatic symptoms. To conclude, the combination of high subjective stress and lower social support constitutes a risk factor for impaired psychological and physical health.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 91%

Objective and Subjective Stress among Grandparents Providing Assistive Regular Grandchild Care

2023

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“…However, determining whether the elderly will have children capable of providing for them is difficult [ 36 ]. With the development of the economy and society over the past 30 years, the number of left-behind elderly people has increased rapidly in rural China and other countries [ 37 ]. These elderly people have increased DPD risk with regard to physical, mental, social, and economic areas; however, a study showed that only an extremely small proportion of elderly people are physically dependent [ 38 ].…”

Section: Discussionmentioning

confidence: 99%

Association between dependency on community resources and social support among elderly people living in rural areas in China: a cross-sectional study

et al. 2022

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Background The prevalence of dependency personality disorder (DPD) is high among elderly people living in rural areas. This study aims to explore the association between dependency on community resources and social support among elderly individuals living in rural areas. Methods A cross-sectional study was conducted in 26 locations in China. A total of 1160 participants aged ≥ 60 years were selected using a complex multistage sampling design. All data were obtained using questionnaires via face-to-face interviews. DPD was measured using the Minnesota Multiphasic Personality Inventory-II in the standardized Chinese version. Self-efficacy was assessed using the Chinese version of the General Self-Efficacy Scale. Social support was measured using the Chinese version of the questionnaires of the Older American Resources and Services scale. Community services and resources comprised 44 items. The association between DPD and levels of social support and self-efficacy was evaluated using a logistic regression model. The association between social support and self-efficacy was assessed using analysis of covariance. Results Univariate analysis results showed that elderly people living in rural areas had higher DPD scores and lower levels of self-efficacy compared with those living in urban areas (P < 0.001). Logistic regression analysis showed that DPD was positively associated with the received frequencies of community health service, contracted family doctor services, and regular lectures on health knowledge among the elderly people with odd ratios of 1.58 (P < 0.001), 2.03 (P = 0.013), and 2.67 (P = 0.005), respectively. Logistic regression analysis showed significant interaction between social support and self-efficacy effect on DPD was found in the additive model (P < 0.001). Conclusion DPD was associated mainly with the community resources among elderly people living in rural areas. Social support and self-efficacy were commonly associated with DPD through a synergistic effect. These results suggest that DPD among elderly people may be reduced through effective social support to directly and indirectly promote the elderly’s use of community resources and improve their self-efficacy.

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“…A score of <21 indicates no burden or a mild burden, a score of 21–39 indicates a moderate burden, and a score of ≥40 indicates a severe burden on each scale, which includes five grades from 0 (none) to 4 (always) ( 39 ). The Chinese version of the ZBI has good reliability and validity for caregiver burden surveys, and the Cronbach’s coefficient of the scale is 0.86 ( 40 ).…”

Section: Methodsmentioning

confidence: 99%

Impact of caregiver burden on caregiver mental health in patients with esophageal cancer: chain mediating effects of benefit finding and rumination, a cross-sectional study

Wen¹,

Liang²,

Ni³

et al. 2022

J Gastrointest Oncol

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Background: Cancer caregivers are the main supporter for the tumor patients, they not only need to provide daily nursing to the patients, but also suffering the pressure from economy, emotion and even family members. The mental health of tumor patient is mostly noticed, while not caregivers. The mental health of caregiver greatly affected the nursing quality and even the treatment outcomes. In the current study, the mechanisms underlying the links between caregiver burden, benefit finding, mental health, and rumination in those caring for people with esophageal cancer were examined. Methods:The study was using a convenience sampling, 166 esophageal cancer patients in 2 general hospitals in Jiangsu Province, China, and caregivers of patients were included after excluded the nonconforming patients. Data were collected using investigator-developed questionnaires, the Benefit Finding Scale (BFS), the Event-Related Rumination Inventory (ERRI), the Zarit Burden Interview (ZBI), and the Hospital Anxiety and Depression Scale (HADS) during May 2020 to December 2020. The results were analyzed by SPSS, and the chain mediating effect was analyzed by the the SPSS PROCESS Macro Model. Results:The study comprised 166 caregivers with an average age of (59.96±11.48) years, most of them were female (85.5%). The ZBI was positive correlated with HADS (r=0.882, P<0.01), and negative correlated with BFS (r=−0.873, P<0.01). Intrusive rumination and deliberate rumination in caregivers were negatively correlated (r=−0.901, P<0.01) and positive correlated (r=0.904, P<0.01) with BFS scores, respectively. Furthermore, research have discovered a chain mediation impact of benefit finding and rumination between caregiver burden and psychological well-being among carers of esophageal cancer patients. Conclusions:The findings of this study imply that benefit finding and rumination are crucial components of the coping strategy used to buffer against negative emotion (such as anxiety and depression). Therefore, the mental health of caregivers should also be noticed, and health care professionals should provide targeted interventions to increase the caregiver's level of benefit finding and promote deliberate ruminative thinking.

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Caregiver burden and parenting stress among left-behind elderly individuals in rural China: a cross-sectional study

Cited by 13 publications

References 28 publications

Objective and Subjective Stress among Grandparents Providing Assistive Regular Grandchild Care

Objective and Subjective Stress among Grandparents Providing Assistive Regular Grandchild Care

Association between dependency on community resources and social support among elderly people living in rural areas in China: a cross-sectional study

Impact of caregiver burden on caregiver mental health in patients with esophageal cancer: chain mediating effects of benefit finding and rumination, a cross-sectional study

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