Stressors and anxiety in dementia caregiving: multiple mediation analysis of rumination, experiential avoidance, and leisure

Romero‐Moreno, Rosa; Losada, Andrés; Márquez‐González, María

doi:10.1017/s1041610216001009

Cited by 30 publications

(20 citation statements)

References 32 publications

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“…In addition, rumination explained the association between behavioral/ emotional problems in a person with ABI and caregivers' symptoms of anxiety and depression. This result is consistent with findings of studies that show that stressors lead to greater use of rumination (Barchia & Bussey, 2010), something found in studies with family caregivers (Romero-Moreno et al, 2016), where caregivers who reported having more stressors also reported a higher level of rumination.…”

Section: Discussionsupporting

confidence: 91%

“…The role of rumination has also been examined in different samples of family caregivers, being associated with higher levels of distress, such as anxiety and depression, experienced by a caregiver (Perlick et al, 2012). In addition, Romero-Moreno et al (2016) found that rumination mediated the association between stressors and anxiety in family caregivers of people with dementia.…”

Section: Article In Pressmentioning

confidence: 99%

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Trait Mindfulness, Rumination, and Well-being in Family Caregivers of People with Acquired Brain Injury

et al. 2021

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Acquired brain injury (ABI) is a major public health problem and one of the main causes of disability and death worldwide (Chan et al., 2009). ABI includes a variety of brain injuries that can happen suddenly and unexpectedly in a person's life as a result of a stroke or traumatic brain injury. As a result of ABI, an individual may experience limitations and loss of functionality in several areas. Family members often have to assume the role of caregivers and the responsibility to support a person living with ABI in numerous physical, cognitive, economic, financial, social, and leisure activities (Verhaeghe et al., 2005). In addition, people with ABI frequently experience emotional and behavioral problems that family caregivers have to deal with (López de Arroyabe et al., 2013). All in all, caring for a person with ABI can become a source of stress for family members, especially when the care required is extended over time without adequate formal and informal support resources (Calvete & López de Arroyabe, 2012). As a consequence, caregivers often experience symptoms of anxiety and depression and a decline in their own quality of life (Las Hayas et al., 2015). These consequences are negative not only for the caregiver, since they entail suffering and discomfort for the caregiver, but also for the person with ABI, given that the quality of care can be negatively affected (Sander et al., 2012). Based on the stress and coping process, several studies have shown consistently Clínica y Salud (2021) xx(x) xx-xx Funding: This research was supported by a grant from Aristos Campus Mundus Program and from the Basque Country (Ref. IT982-16).

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Section: Discussionsupporting

confidence: 91%

Section: Article In Pressmentioning

confidence: 99%

Trait Mindfulness, Rumination, and Well-being in Family Caregivers of People with Acquired Brain Injury

et al. 2021

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“…Psychology, accessibility, time, partners, and security factors can all become crucial leisure constraints [33]. Stressors may influence anxiety through its effect on satisfaction with leisure activities [34]. Regular leisure activities can mitigate stress and depression [35].…”

Section: Discussionmentioning

confidence: 99%

Mediating effects of depression on anxiety and leisure constraints in patients with breast cancer

2019

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BackgroundPatients with breast cancer often exhibit high levels of anxiety and depression and a considerable decrease in their ability to participate in leisure activities, which result in the long-term disruption of their daily lives. This study intended to explore the relationships among anxiety, leisure constraints, and depression and evaluate whether depression mediates the effects of anxiety on leisure constraints in patients with breast cancer.MethodThis prospective study included 106 patients with breast cancer. All the patients completed the Taiwanese version of the Hospital Anxiety and Depression Scale and Leisure constraints questionnaire. Path analysis was used to test the mediating role of depression.ResultsLeisure constraints, anxiety, and depression were positively interrelated and co-occurred in the patients. The accelerated bootstrapping confidence intervals of the indirect effect did not include zero (0.276–1.663). Moreover, depression completely mediated the effects of anxiety on leisure constraints in patients with earlier cancer stages but not in patients with advanced cancer stages.ConclusionsDepression is a crucial mechanism underlying the relationship between anxiety and leisure constraints in patients with breast cancer. Although many patients experience minimal disruption of activities and roles during survivorship, they are unable to perform functional activities and satisfactorily play their roles. This is the first study to explore leisure constraints in patients with breast cancer and investigate the mediating role of depression that underlies the relationship between anxiety and leisure constraints. The current findings are clinically crucial because they suggest the need to consider the simultaneous management of anxiety and depression for alleviating leisure constraints.

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“…In addition, dementia family caregivers also show low levels of quality of life (Coen, O'Boyle, Coakley, & Lawlor, ) and high levels of anxiety (Joling et al, ). Further, emotion‐regulation variables have been found to influence in caregivers' anxiety levels, such as emotional intelligence (Weaving, Orgeta, Orrell, & Petrides, ) and rumination (Romero‐Moreno, Losada, Márquez‐González, & Mausbach, ). Future studies should also analyse the association between ambivalence, guilt feelings, and emotion‐regulation variables in dementia family caregivers.…”

Section: Discussionmentioning

confidence: 99%

Ambivalence and guilt feelings: Two relevant variables for understanding caregivers' depressive symptomatology

Losada

Márquez‐González

Vara‐García

et al. 2017

Clin Psychology and Psychoth

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Providing care for a relative with dementia is considered to be a chronic stressor that has been linked to negative mental health consequences for caregivers. A theoretical model was developed and tested to assess the degree to which ambivalence and guilt feelings contribute to caregivers' depressive symptomatology. Participants included 212 dementia family caregivers. In addition to ambivalence and guilt feelings, sociodemographic characteristics, behavioural and psychological symptoms of dementia, and depressive symptomatology were assessed. Hypotheses derived from the stress and coping model were tested using path analysis. The analysed model showed an excellent fit to the data. In total, 35% of the variance in depressive symptomatology was explained by the assessed variables. Although significant correlations were obtained between frequency and appraisal of behavioural and psychological symptoms of dementia and depression, the obtained model suggests that this effect was mediated through ambivalence. In addition, ambivalence had an indirect effect on depression. The association of ambivalence with depression was explained through feelings of guilt; that is, respondents who reported ambivalent feelings were more likely to experience guilt, leading in turn to greater depressive symptomatology. The findings suggest that dementia caregivers' ambivalence and guilt feelings are relevant for understanding their depressive symptomatology. These factors should be addressed in psychological interventions with caregivers.

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Stressors and anxiety in dementia caregiving: multiple mediation analysis of rumination, experiential avoidance, and leisure

Cited by 30 publications

References 32 publications

Trait Mindfulness, Rumination, and Well-being in Family Caregivers of People with Acquired Brain Injury

Trait Mindfulness, Rumination, and Well-being in Family Caregivers of People with Acquired Brain Injury

Mediating effects of depression on anxiety and leisure constraints in patients with breast cancer

Ambivalence and guilt feelings: Two relevant variables for understanding caregivers' depressive symptomatology

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