Cultural and Noncultural Factors as Determinants of Caregiver Burden for the Impaired Elderly in South Korea

Choi, Haekyung

doi:10.1093/geront/33.1.8

Cited by 74 publications

(80 citation statements)

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“…In the Chinese society and other Asian countries, there is an obligation to care for a dependent older relative that is influenced by cultural values and filial responsibility (Chou, LaMontagne & Hepworth 1999;Choi 1993). Recent family studies have shown that Effectiveness of mutual support group 6 such belief of filial obligation often causes a heavy burden for family caregivers, which can be progressively overwhelming (Li & Bucchel 2007;Almberg, Grafstman & Winbald 1997).…”

Section: Cultural Considerations For Family Support and Carementioning

confidence: 99%

An experimental study on the effectiveness of a mutual support group for family caregivers of a relative with dementia in mainland China

2012

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When caring for an older relative with dementia, family members experience considerable distress and burden. Literature reviews show that supportive group interventions for these caregivers have significant positive effects on improving their distress and quality of life, but not consistent and conclusive. Limited research is found in Asian populations. This study tested the effectiveness of a 12-session bi-weekly mutual support group program for Chinese family caregivers of a relative with dementia in Guangzhou of mainland China, when compared with standard family support service. An experimental study with pretest and posttest, parallel groups design was conducted. A randomized sample of 78 family caregivers, 39 in each of the experimental and control groups, from one regional dementia care center participated in the study. A protocol was specifically designed by an advanced practice nurse to guide the mutual support group process and the facilitator and peer leader training, based on evidence from the literature on family support group intervention in Western countries.The results of ANOVA tests indicated that the mutual support group participants had significantly greater improvements in distress levels and quality of life than the control group. There were only mild changes in the demands for mental health services in both groups at post-test. These findings support the effectiveness of mutual support groups to offer psychosocial support to Chinese family caregivers in dementia care beyond routine community mental health care.Effectiveness of mutual support group 3

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Section: Cultural Considerations For Family Support and Carementioning

confidence: 99%

An experimental study on the effectiveness of a mutual support group for family caregivers of a relative with dementia in mainland China

2012

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“…There were fourteen studies which explored the experiences of Korean family caregivers (Chee & Levkoff, 2001;Cho, 2000;Choi, 1993;Jung, 2002;J. Kim & Lee, 2003;H.…”

Section: Korean Family Caregiversmentioning

confidence: 99%

“…Of the studies, thirteen used a quantitative research design and one used a qualitative research design (Chee & Levkoff, 2001). Twelve studies used non-random sampling methods and two included a random sample (Choi, 1993;K. Sung, 1992).…”

Section: Korean Family Caregiversmentioning

confidence: 99%

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The Influence of Culture on the Experiences of Korean, Korean American, and Caucasian-American Family Caregivers of Frail Older Adults: A Literature Review

Kong

2007

J Korean Acad Nurs

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As the size of the frail older adult population increases, family caregiving is becoming a more important issue. Caring for frail older relatives has been regarded as both a challenging and rewarding experience. Recently, some published literature reviews have revealed that culture influences the experiences of family caregivers (Aranda & Knight, 1997;Connell & Gibson, 1997;Dilworth-Anderson, Williams, & Gibson, 2002;Janevic & Connell, 2001).Culture is located inside a human's head, not outside (De Munck, 2000). Cognitive anthropologists view that "culture consists of the mental ordering of personal experiences into templates or schemas that are used to in- Results. This review supported cultural influences on the selection of primary caregiver, caregiving motivation, and support/help-seeking among the three caregiver groups. In Korean caregivers, the major primary caregivers were daughters-in-law while among Korean American and Caucasian American caregivers, the major primary caregivers were daughters or spouses. As a major caregiving motivation, Caucasian American caregivers reported filial affection while Korean caregivers and Korean American caregivers reported filial obligation. Korean caregivers reported higher extended family support, while Caucasian American caregivers reported higher utilization of formal support. Korean caregivers showed the highest levels of depression followed by Korean American caregivers and Caucasian American caregivers. Conclusion.In order to develop culturally appropriate interventions and policies, more research is needed to further explain these differences among the three groups, especially regarding support/help-seeking and negative emotional responses.

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“…Also, several studies have reported that only 0.4% of U.S. family caregivers were daughters-in-law, whereas 25% to 70% of KK caregivers were daughters-in-law (Choi, 1993;Hong, Lee, Park, Cho, & Oh, 1994;Peter-Davis, Moss, & Pruchno, 1999;Sung, 1994;Yoon & Cha, 1999;Youn et al, 1999).…”

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confidence: 99%

Depression among Korean, Korean American, and Caucasian American Family Caregivers

Lee

Farran

2004

J Transcult Nurs

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This study compared depressive symptoms among Korean, Korean American, and Caucasian American female family caregivers of older persons with dementia. The sample included Korean caregivers living in Seoul, Korea (KK); Korean American (KA) caregivers living in the Chicago and Los Angeles areas; and Caucasian American (CA) caregivers from the Chicago metropolitan area. KK caregivers were more likely to be daughters-in-law, KA caregivers were more likely to be daughters, and CA caregivers were more likely to be wives or daughters. Overall, wives were more depressed than daughters and daughters-in-law. KK caregivers were the most depressed of the three cultural groups. When caregiver relationship and cultural group were examined simultaneously, KK and KA wives were most depressed, and KA daughters-in-law were least depressed. Differences in culture and social role appeared to affect depressive symptoms among these caregivers. The findings suggest a need to further examine the associations between caregivers' relationships with their care recipients and their own emotional status. Keywordscross-cultural comparisons; depressive symptoms; caregiver relationships; family caregiving; Korean caregivers; Korean American caregivers; Caucasian American caregivers In the 10-year period between 1990 and 2000, the number of Korean Americans (KAs) in the United States increased by nearly 35%, from 797,304 to 1,076,872 (U.S. Census Bureau, 2001). As the number of KAs in the United States increases, the number of older Korean Americans will also increase, and the number of older persons who suffer from dementia may increase as well. However, little information is available about KA elders with dementia and their family caregivers.The literature has consistently noted that in the United States, family caregivers of older persons with dementia are at high risk for negative mental health outcomes, such as depression and anxiety (Pearlin, Mullan, Semple, & Skaff, 1990; Schulz, O'Brien, Bookwala, & Fleissner, 1995;Stommel, Given, & Given, 1990). Recent caregiver research also suggests that these poorer mental health outcomes may be associated with changes in caregiver physical health. One recent study found that among caregivers who were stressed, mortality rates were 63% higher than among those who were not stressed (Schulz & Beach, 1999). Fewer studies have addressed these issues from a cross-cultural perspective.Family caregiving by Koreans in Korea (KK) and by KAs might be expected to differ from caregiving by Euro-American descendants in the United States because of the different attitudes, norms, practices, and expectations for caregiving in traditional Korean culture. Studies have consistently found that KK caregivers were more likely to be female, younger, married, and sharing a household with their ill family member than American caregivers, and these differences may have resulted from different cultural practices or expectations about caregiving (Choi, 1993;Lee & Sung, 1997;Sung, 1994;Youn, Knight, Jeong, & Benton, ...

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Cultural and Noncultural Factors as Determinants of Caregiver Burden for the Impaired Elderly in South Korea

Cited by 74 publications

References 0 publications

An experimental study on the effectiveness of a mutual support group for family caregivers of a relative with dementia in mainland China

An experimental study on the effectiveness of a mutual support group for family caregivers of a relative with dementia in mainland China

The Influence of Culture on the Experiences of Korean, Korean American, and Caucasian-American Family Caregivers of Frail Older Adults: A Literature Review

Depression among Korean, Korean American, and Caucasian American Family Caregivers

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