Caregiving burden and psychological distress in Chinese spousal caregivers: gender difference in the moderating role of positive aspects of caregiving

Wong, Daniel Fu Keung; Ng, Ting Kin; Zhuang, Xiao Yu

doi:10.1080/13607863.2018.1474447

Cited by 28 publications

(23 citation statements)

References 45 publications

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“…In addition, having more parenting experience may be the reason for their lower parenting stress. Females are positively correlated with burden and parenting stress, which is consistent with most studies [ 25 – 27 ]. In traditional Chinese culture, females assume the role of caregivers and are responsible for family affairs [ 28 ].…”

Section: Discussionsupporting

confidence: 91%

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

et al. 2021

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Background One public health problem that cannot be ignored is the mental health of left-behind elderly individuals in rural areas. However, the burden of care and parenting stress among left-behind elderly individuals has never been analyzed. The purpose of this study was to explore the level of caregiver burden and parenting stress and their relationship among left-behind elderly individuals. Methods A total of 261 left-behind elderly people responded to the study. The 22-item Zarit Burden Interview and the 36-item Parenting Stress Index-Short Form were used. Results We sent out 300 questionnaires in total. The effective rate was 87% (n = 261). Among the left-behind elderly individuals, most respondents were female (n = 171; 65.5%). The results showed that older age (OR:3.04; 95%CI: 1.307–7.048), an annual income of ¥5000–¥9900 (OR:3.25; 95%CI: 1.192–8.852) and higher parenting stress (OR:1.17; 95%CI: 1.103–1.242) were the risk factors related to higher caregiver burden in the left-behind elderly individuals. The influencing factor for lower caregiver burden in the left-behind elderly was gender (being male) (OR:0.08; 95%CI:0.036–0.178). Age (r = − 0.789; P < 0.001) and gender (r = 0.325; P < 0.001) were significant positively correlated with parenting stress, and annual income (r = − 0.717; P < 0.001) was negatively correlated with parenting stress. Conclusion Parenting stress is a risk factor affecting caregiver burden of left-behind elderly individuals. Healthcare professionals should pay close attention to the caregiver burden and parenting stress of left-behind elderly individuals, especially those who are older, female and have lower income.

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Section: Discussionsupporting

confidence: 91%

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

et al. 2021

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“…Carers had worse scores across the depression, anxiety, and stress scales when compared to the normative data (Henry and Crawford 2005). Our findings are consistent with previous research on carer distress which showed higher levels of depression, anxiety and stress were associated with higher burden (Wong et al 2018); we build upon these earlier findings by demonstrating that carers with high resilient coping have lower distress scores across all measures. This aligns with findings that resilience can improve wellbeing in other groups such as formal carers (Mealer et al 2012;).…”

Section: Discussionsupporting

confidence: 90%

“…The Depression Anxiety and Stress Scale (DASS-21) was used to assess psychological distress. The DASS-21 is a well-established measure of negative affect in adults and has been used in studies of family carers (Ervin et al 2015;Kumfor et al 2016;Wong et al 2018). It is a self-report measure that distinguishes between stress, anxiety and depressive states (Lovibond and Lovibond 1995).…”

Section: Psychological Distressmentioning

confidence: 99%

The role of resilient coping in dementia carers' wellbeing

Jones

Mioshi

2019

British Journal of Neuroscience Nursing

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Background: Carers of people with dementia are at risk of psychological distress. However some carers experience positives outcomes and resilient coping may account for this variance in carers' wellbeing. Aim: To assess the role of resilient coping in dementia carers' wellbeing. Methods: A cross-sectional survey of carers measured resilient coping, depression, anxiety, stress and burden. First, group comparisons between carers with high, medium and low resilient coping were made. Next, mediation analyses were conducted to identify if resilient coping was a mediator in the relationships between carer wellbeing and distress. Results: Carers (n=110) were aged 30-80+ years; 66% female; 72% provided 40+ hours care per week; 23% were highly resilient. High resilient carers report significantly less distress than low resilient carers. Resilient coping was a partial mediator in the relationships between wellbeing and depression, anxiety, stress and burden. Conclusions: Interventions promoting or maintaining resilient coping may reduce morbidity in family carers.

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“…15 Hence, examining the relationship between psychological distress and caregiving burden is common in caregiver research as it provides an important perspective on the psychosocial burden of caregiving. 16,17 Despite NS being a chronic relapsing condition in most children and the heavy reliance on caregiver's input in the home management, few studies have examined the psychosocial well-being of caregivers of children with NS. 7,10,18 Indeed, the impact of NS on caregiver's health has received relatively little attention compared with other chronic childhood illnesses.…”

Section: Introductionmentioning

confidence: 99%

Significant Burden and Psychological Distress Among Caregivers of Children With Nephrotic Syndrome: A Cross-Sectional Study

Esezobor

Solarin

Olagunju

2020

Can J Kidney Health Dis

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Background: Childhood nephrotic syndrome (NS) follows a chronic course in most children. However, little is known about the psychosocial burden of NS on the caregivers despite evidence that caregiver burden or impairment in their well-being may alter the outcome of chronic childhood illnesses. Objectives: To determine the frequency and predictors of significant caregiver burden and psychological distress among caregivers of children with NS. Design: A cross-sectional study. Setting: Two pediatric nephrology clinics in Lagos, Nigeria. Patients: We included primary caregivers of children with idiopathic NS for at least 6 months. Measurements: The primary outcomes were psychological distress and significant caregiver burden among caregivers. Methods: We interviewed caregivers using the 12-item General Health Questionnaire (GHQ-12) and the 6-item Zarit Burden Interview (ZBI-6). The GHQ-12 scores ≥ 3 and ZBI-6 scores ≥ 6 indicated psychological distress and significant caregiver burden, respectively. Results: The caregivers were mostly mothers (77.9%) and married (92.4%), whereas the children (n = 172) were mainly male (65.1%). Most of the children (n = 152; 88.4%) had steroid-sensitive NS including 24 (14%) children with frequent relapses or steroid dependence and 20 (11.6%) with steroid-resistant NS. Of the 172 caregivers, 53 (30.8%) and 30 (17.4%) reported psychological distress and significant burden, respectively. Caregivers of children in relapse had adjusted an odds ratio (aOR) with 95% confidence interval (CI) of 2.45 (1.05-5.67) and 3.30 (1.22-8.92) of psychological distress and significant caregiver burden, respectively. Furthermore, caregivers of male children and those who needed help paying for health care had an aOR of 4.61 (1.34-15.68) and 3.06 (1.06-8.87) of significant caregiver burden, respectively. Limitations: The study was limited by its cross-sectional design and the use of generic rather than disease-specific instruments. Conclusion: One in every 6 caregivers of children with idiopathic NS reported significant caregiver burden, and it was associated with psychological distress. Our findings underscore the need for psychosocial support for caregivers of children with NS, especially those with identifiable vulnerability.

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Caregiving burden and psychological distress in Chinese spousal caregivers: gender difference in the moderating role of positive aspects of caregiving

Abstract: As these findings suggest that PAC is lower but more beneficial for Chinese wife caregivers than Chinese husband caregivers, helping professionals are recommended to use strengths-based interventions that target PAC when working with Chinese wife caregivers.

Cited by 28 publications

References 45 publications

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

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

The role of resilient coping in dementia carers' wellbeing

Significant Burden and Psychological Distress Among Caregivers of Children With Nephrotic Syndrome: A Cross-Sectional Study

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