Sense of coherence, burden and mental health in caregiving: A systematic review and meta-analysis

Casado, Rafael del Pino; Espinosa-Medina, Aída; López‐Martínez, Catalina; Orgeta, Vasiliki

doi:10.1016/j.jad.2018.08.002

Cited by 110 publications

(124 citation statements)

References 62 publications

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“…In line with previous research, SOC, self-efficacy and self-care were related to lower burnout symptoms in work-related and personal domains [19,21,32,35,36]. This was especially the case for cognitive symptoms, such as perceiving things negatively and reacting instead of acting.…”

Section: Discussionsupporting

confidence: 90%

“…As suggested by Vinje et al in their professional training program, health promotion practices should therefore focus on expanding capacities in such individuals [66]. Interventions focusing on coping, problem-solving, cognitive therapy or lifestyle changes have been reported as effective [19].…”

Section: Discussionmentioning

confidence: 99%

“…Numerous studies have assessed individual resilience to such work-related stress, which the American Psychological Society defines as the process of 'bouncing back' and adapting in the face of difficult experiences [17,18]. One well-known measure of resilience is sense of coherence (SOC), established as an integral variable related to the professional functioning of an individual [19]. The term was coined by Aaron Antonovsky and reflects one's perception of life as being comprehensible, manageable and meaningful.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

What Protects Youth Residential Caregivers from Burning Out? A Longitudinal Analysis of Individual Resilience

Kind¹,

Bürgin²,

Fegert

et al. 2020

IJERPH

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Background: Professional caregivers are exposed to multiple stressors and have high burnout rates; however, not all individuals are equally susceptible. We investigated the association between resilience and burnout in a Swiss population of professional caregivers working in youth residential care. Methods: Using a prospective longitudinal study design, participants (n = 159; 57.9% women) reported on burnout symptoms and sense of coherence (SOC), self-efficacy and self-care at four annual sampling points. The associations of individual resilience measures and sociodemographic variables, work-related and personal stressors, and burnout symptoms were assessed. Cox proportional hazards regressions were calculated to compute hazard ratios over the course of three years. Results: Higher SOC, self-efficacy and self-care were related to lower burnout symptoms in work-related and personal domains. Higher SOC and self-efficacy were reported by older caregivers and by those with children. All three resilience measures were highly correlated. A combined model analysis weakened the protective effect of self-efficacy, leaving only SOC and self-care negatively associated with burnout. Conclusion: This longitudinal analysis suggests that SOC and self-caring behaviour in particular protect against burnout. Our findings could have implications for promoting self-care practices, as well as cultivating a meaningful, comprehensible and manageable professional climate in all facets of institutional care.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

What Protects Youth Residential Caregivers from Burning Out? A Longitudinal Analysis of Individual Resilience

Kind¹,

Bürgin²,

Fegert

et al. 2020

IJERPH

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show abstract

“…The development of positive psychology led to the fact that researchers are focused on the factors, which contribute to stress resistance. As part of the theory of Salutogenesis by A. Antonovsky, it is noted that a person's ability to withstand stress depends on the relationship between the strength of stressors and personality resources (as cited in Schaberle, Roth, Lothaller, & Endler, 2018;Del-Pino-Casadoa, Espinosa-Medinaa, López-Martíneza, & Orgeta, 2019). Recently, psychologists began to pay attention to vitality as a person's personal resource (Maddi, Khoshaba, Harvey, Fazel, & Resurreccion, 2011;Bue et al, 2018;Postnikova, 2016).…”

Section: Problem Statementmentioning

confidence: 99%

Relationship Between Vitality And Generational Identification

Sivrikova¹

2019

The European Proceedings of Social and Behavioural Sciences

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“…For example, loneliness enhances the risk of morbidity and mortality, 24 elevates cardiovascular activation, 25 leads to cortisol dysregulation 26‐28 and is associated with a greater utilisation of health care institutions 29 . A lower level of sense of coherence is associated with increased burden in caregivers of patients with chronic illness 30 . Additionally, poor sleep quality is associated with blunted cortisol awakening responses 31 .…”

Section: Introductionmentioning

confidence: 99%

Neuroendocrine mechanisms of grief and bereavement: A systematic review and implications for future interventions

Hopf

Eckstein

Aguilar‐Raab

et al. 2020

J Neuroendocrinology

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Bereavement is associated with many negative behavioural, psychological and physiological consequences and leads to an increased risk of mortality and morbidity. However, studies specifically examining neuroendocrine mechanisms of grief and bereavement have yet to be reviewed. This systematic review is a synthesis of the latest evidence in this field and aims to draw conclusions about the implications of neurobiological findings on the development of new interventions. PRISMA guidelines for systematic reviews were used to search for articles assessing neuroendocrine correlates of grief. Findings were qualitatively summarised. The National Heart, Lung, and Blood Institute Study Assessment Tool was used to assess the quality of the included studies. Out of 460 papers, 20 met the inclusion criteria. However, most were of fair quality only. As a neuroendocrine marker, the majority of the studies reported cortisol as the outcome measure and found elevated mean cortisol levels, flattened diurnal cortisol slopes and higher morning cortisol in bereaved subjects. Cortisol alterations were moderated by individual differences such as emotional reaction to grief, depressive symptoms, grief severity, closeness to the deceased and age or gender. Research on neuroendocrine mechanisms of grief is still in its early stages regarding grief measures and the use and timing of neuroendocrine assessments. Most of the studies focus on cortisol as outcome, and only limited data exist on other biomarkers such as oxytocin. Future research might consider assessing a broader range of neuroendocrine markers and use longitudinal designs with a focus on the psychobiological reactions to loss. Based on this, individually tailored psychosocial interventions, possibly in the palliative care context, might be developed to prevent prolonged grief disorder.

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Sense of coherence, burden and mental health in caregiving: A systematic review and meta-analysis

Abstract: Findings suggest that SOC is an important determinant of carer well-being and may protect carers from high levels of psychological distress and caregiver burden.

Cited by 110 publications

References 62 publications

What Protects Youth Residential Caregivers from Burning Out? A Longitudinal Analysis of Individual Resilience

What Protects Youth Residential Caregivers from Burning Out? A Longitudinal Analysis of Individual Resilience

Relationship Between Vitality And Generational Identification

Neuroendocrine mechanisms of grief and bereavement: A systematic review and implications for future interventions

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