Caring for disabled older adults with musculoskeletal conditions: A transactional model of caregiver burden, coping strategies, and depressive symptoms

Lü, Nan; Liu, Jinyu; Wang, Fei; Lou, VW

doi:10.1016/j.archger.2016.11.001

Cited by 25 publications

(15 citation statements)

References 27 publications

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“…These findings match those of several studies (Garcia-Alberca et al, 2012b;Lu et al, 2017;Roche et al, 2015) showing that generally use of active coping strategies oriented towards problem solving and regulating affect such as positive reframing (Cooper et al, 2008a) modify the negative impact of carer distress. We found that the most frequently used coping strategies by carers were acceptance and accessing emotional support.…”

Section: Coping and Psychological Distresssupporting

confidence: 90%

Coping strategies and psychological distress in family carers of frail older people: A longitudinal study

Casado

Serrano-Ortega

López‐Martínez

et al. 2019

Journal of Affective Disorders

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Background. Carers of dependent older people experience high levels of psychological distress. However, little is known about the effects of coping on carer distress over time. In this one year longitudinal study we investigated the relationship between distress, and coping strategies in a representative sample of family carers living in Spain. Methods. Primary carers of older people were recruited (N = 200). We used probability sampling and collected data via individual interviews from 2013 to 2015. Variables investigated included psychological distress, coping, and levels of objective and subjective burden. Panel data analysis was used to test a model of association of psychological distress, and coping strategies controlling for key confounders. Results. Acceptance and emotional support were the most frequently used strategies, whereas behavioural disengagement and humour were the least used. In the panel data regressions, positive reframing (B = -0.79, p < 0.001), self-distraction (B = -0.46, p = 0.034), substance use (B = 0.57, p < 0.001) and denial (B = 0.57, p = 0,049) were significantly related to psychological distress at one year follow-up. Limitations. Limitations include participant drop out and assessing substance use coping via a brief measure. Conclusions. Positive reframing and self-distraction were longitudinally associated with lower levels of carer psychological distress. Using denial and substance use coping increased distress long-term. Our results suggest that interventions that focus on positive reframing and assisting carers in decreasing dysfunctional coping may be useful therapeutic targets mitigating carer psychological morbidity.

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Section: Coping and Psychological Distresssupporting

confidence: 90%

Coping strategies and psychological distress in family carers of frail older people: A longitudinal study

Casado

Serrano-Ortega

López‐Martínez

et al. 2019

Journal of Affective Disorders

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“…Arthritis-related pain and functional impairment are not only chronic and stressful for older adults, but may also lead to higher demand for long-term care, further exaggerating caregiver burden in multiple dimensions Lou 2015, 2016;Lu et al 2017). Arthritis also causes a high level of financial burden to families and the health-care system (Murphy et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

Association between childhood conditions and arthritis among middle-aged and older adults in China: the China Health and Retirement Longitudinal Study

Lü

Jiang

et al. 2020

Ageing and Society

Self Cite

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This study examined the association between childhood conditions and arthritis among middle-aged and older adults in China. The data were derived from the 2015 wave and the life-history module of the China Health and Retirement Longitudinal Study. Face-to-face interviews were conducted with respondents age 45 and over across China. Multiple imputation was used to handle the missing data, generating a final analytic sample of 19,800. Doctor-diagnosed arthritis was the main outcome variable. Random-effects logistic regression models were used to test the proposed models. Approximately 8 per cent of the respondents had better family financial status in childhood than their neighbours. Close to 8 per cent had been hospitalised or encountered similar conditions (e.g. confined to bed or home) for at least one month in childhood. Around one-third reported better subjective health in childhood than their peers. The majority of the respondents (80%) reported that they had stable health resources, and that their mothers were illiterate during their childhood. Childhood family financial status, subjective health, mother's education, access to health care and medical catastrophic events were found to be significant factors associated with arthritis in later life, after controlling for adulthood and older-age conditions (family financial status: odds ratio (OR) = 0.885, 95 per cent confidence interval (95% CI) = 0.848–0.924; subjective health: OR = 0.924, 95% CI = 0.889–0.960; mother's education: OR = 0.863, 95% CI = 0.750–0.992; access to health care: OR = 0.729, 95% CI = 0.552–0.964; medical catastrophic events: OR = 1.266, 95% CI = 1.108–1.446). The study results highlight an important role that childhood conditions play in affecting the onset of arthritis in late life in China. Health-care providers may consider childhood conditions as a valuable screening criterion to identify risk populations, which could be used to guide health promotion and prevention programmes, and promote healthy ageing.

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“…In order to help older people to live interpedently, it is crucial to understand what types of care services are needed, as well as factors that contribute to people’s transition into institutional care facilities. It is also important to understand how caregiving may impact informal caregivers in terms of physical and mental health (Li et al, 2019; Liu et al, 2017a; Lu et al, 2017), social support (Jiang et al, 2018) and financial status. We have seen some evidence from the international literature, but evidence from China remains scant.…”

Section: Improving Care Provisionmentioning

confidence: 99%

Understanding Health and Social Challenges for Aging and Long-Term Care in China

Yang

Tan

et al. 2020

Res Aging

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The second King’s College London Symposium on Ageing and Long-term Care in China was convened from 4 to 5th July 2019 at King’s College London in London. The aim of the Symposium was to have a better understanding of health and social challenges for aging and long-term care in China. This symposium draws research insights from a wide range of disciplines, including economics, public policy, demography, gerontology, public health and sociology. A total of 20 participants from eight countries, seek to identify the key issues and research priorities in the area of aging and long-term care in China. The results published here are a synthesis of the top four research areas that represent the perspectives from some of the leading researchers in the field.

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Caring for disabled older adults with musculoskeletal conditions: A transactional model of caregiver burden, coping strategies, and depressive symptoms

Cited by 25 publications

References 27 publications

Coping strategies and psychological distress in family carers of frail older people: A longitudinal study

Coping strategies and psychological distress in family carers of frail older people: A longitudinal study

Association between childhood conditions and arthritis among middle-aged and older adults in China: the China Health and Retirement Longitudinal Study

Understanding Health and Social Challenges for Aging and Long-Term Care in China

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