Family Caregiving of Older Chinese People With Dementia

Liu, Yu; Insel, Kathleen C.; Reed, Pamela G.; Crist, Janice D.

doi:10.1097/nnr.0b013e31823bc451

Cited by 34 publications

(33 citation statements)

References 39 publications

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“…This interpretation extends previous studies, which have shown indirect effects of caregiving characteristics on HRQoL through strain [29,28], but have not reported mediation [30,27]. Specifically, chains-of-risk refers to the accumulation of risk factors over time, which tend to lead to one another [32].…”

Section: Discussionsupporting

confidence: 83%

The relationship among caregiving characteristics, caregiver strain, and health-related quality of life: evidence from the Survey of the Health of Wisconsin

et al. 2014

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Purpose In order to better understand how family caregiving may contribute to poor health outcomes, this study sought to determine 1) if and to what extent caregiving characteristics were associated with caregiver strain and health-related quality of life (HRQoL), and 2) whether caregiver strain mediated this association. Methods Data were from the 2008–2010 Survey of the Health of Wisconsin, a representative sample of Wisconsin adults aged 21–74 years. Participants completed questionnaires about their caregiving, sociodemographics, and HRQoL; 264 caregivers were identified. Staged generalized additive models assessed the associations between caregiving characteristics, caregiver strain, and HRQoL; survey weights were applied to account for the complex sampling design. Results More hours per week of care and greater duration of caregiving were associated with higher levels of strain. Greater caregiver strain was in turn associated with worse mental HRQoL. However, most caregiving characteristics were not directly associated with mental or physical HRQoL. Conclusions The findings suggest a chains-of-risk model in which caregiving may increase strain, which may in turn adversely influence mental HRQoL. Using this perspective to refine interventions may improve our ability to support caregivers on practice and policy levels.

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Section: Discussionsupporting

confidence: 83%

The relationship among caregiving characteristics, caregiver strain, and health-related quality of life: evidence from the Survey of the Health of Wisconsin

et al. 2014

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“…Concerning objective 2, to characterize the burden‐satisfaction profile groups, we found that the coexistence of high satisfaction and high perceived burden was accompanied by caring for relatives with high care requirements, supporting the hypothesis that satisfaction with care can be experienced despite the presence of stressful caregiving conditions (Liu et al, ). The low satisfaction‐low burden profile was characterized by a higher proportion of male caregivers and caregivers who were not spouses or offspring (greater kinship distance), and by caring for relatives with low care requirements, suggesting that this profile may be associated with a low level of involvement in care.…”

Section: Discussionsupporting

confidence: 72%

“…Some studies on satisfaction with care (e.g., Liu, Insel, Reed, & Crist, ) have been based on Bradburn's two‐factor theory of emotional wellbeing (1969), and on subsequent developments of this theory by Lawton et al () in the field of dependent elderly relative care.…”

Section: Coexistence Of Satisfaction and Burdenmentioning

confidence: 99%

The Association of Satisfaction and Perceived Burden With Anxiety and Depression in Primary Caregivers of Dependent Elderly Relatives

Casado

Palomino-Moral

Frías-Osuna

2015

Research in Nursing & Health

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Some researchers have viewed caregiver burden and satisfaction as two ends of the same continuum rather than as independent aspects of the caregiving experience. We conducted a cross-sectional study of primary caregivers of dependent elderly relatives in Spain (N = 200; probabilistic sample), to determine whether satisfaction and perceived burden coexisted in caregivers, and whether these variables, considered separately and in combination, were associated with anxiety and depression, while controlling for objective aspects of care recipients' needs. Data on satisfaction with care, perceived burden, objective burden, anxiety, and depression were gathered in 2013 by interviews in caregivers' homes. Descriptive, bivariate, and multivariate analyses were performed. Of the 200 primary caregivers, 12.5% reported both high satisfaction with care and high perceived burden. Anxiety and depression levels were lower in caregivers with high satisfaction and low perceived burden than in those with low satisfaction and high burden or with high satisfaction and high burden. Our findings support the following conclusions: (1) Satisfaction may be experienced despite the presence of stressful factors; (2) the combination of high satisfaction and low burden might have protective effects on anxiety and depression in caregivers.

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“…In addition, older caregivers may become experienced and resilient in response to demands of care over time, which, in turn, generates a greater sense of inner strength and experienced greater satisfaction. In accordance with the values of familism, family members emphasizing identification, allegiance, reciprocity, and attachment to their families may view caring for their loved ones as a normative family event, having a deeprooted desire to commit caregiving activities, and even gaining satisfaction from caregiving (Liu, Insel, Reed & Crist, 2012). The perception of losing face associated with stigma attached to mental illness may lead families to rely on the immediate or significant relatives and friends (Chien et al, 2007).…”

Section: Discussionmentioning

confidence: 99%

Caregiver Burden and Satisfaction in Families of Individuals With Schizophrenia

Hsiao

Tsai

2014

Nursing Research

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Caring for family members with schizophrenia is burdensome but can also be a source of satisfaction. Correlates of caregiver burden appeared to be somewhat distinct from those of caregiver satisfaction. Further research on negative and positive aspects of caregiving is warranted to broaden the understanding of caregiving experiences and design therapeutic interventions to mitigate caregiver burden and enhance the sense of satisfaction with caregiving.

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Family Caregiving of Older Chinese People With Dementia

Cited by 34 publications

References 39 publications

The relationship among caregiving characteristics, caregiver strain, and health-related quality of life: evidence from the Survey of the Health of Wisconsin

The relationship among caregiving characteristics, caregiver strain, and health-related quality of life: evidence from the Survey of the Health of Wisconsin

The Association of Satisfaction and Perceived Burden With Anxiety and Depression in Primary Caregivers of Dependent Elderly Relatives

Caregiver Burden and Satisfaction in Families of Individuals With Schizophrenia

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