The experiences of East Asian dementia caregivers in filial culture: a systematic review and meta-analysis

Abstract

BackgroundWith the aging population in East Asia, the prevalence of dementia and the need for patient care is increasing. Family caregivers of people with dementia are at risk of physical and mental health problems. Filial piety culture regulates relationships within East Asian families and effects the well-being and behavior of dementia family caregivers (CGs).ObjectiveTo systematically assess the experience of East Asian dementia caregivers in filial culture. Methods: Electronic databases, including MEDLINE, APA PsycINFO, CINAHL (via EBSCOhost), Web of Science, and Cochrane Library, were searched for relevant studies up to July 2021. Only original articles were included.ResultsThirteen eligible studies were included, of which eight were qualitative and five were quantitative. Meta-analysis showed a negative association (r = −0.18, 95%CI [−0.28, −0.08]) between filial culture and caregiver burden. The quantitative studies identified four themes related to dementia caregivers’ experiences: (1) Recognition and understanding of filial piety as part of cultural identity, (2) Role transitions- from child to CG, (3) Filial piety’s constraints on CGs; (4) CGs’ self-compassion through changing cultural norms of filial practice.ConclusionFilial culture influences the whole process behind caregiving for East Asian dementia caregivers. At the same time, cultural transition has also brought about new connotations and practices to filial culture.

Development and Validation of the Dementia Caregiver Burden Scale: A Tool for Community-Dwelling Dementia Caregiver

“…However, it has been criticized for its unidimensional scale structure that allows extent of burden to be evaluated using the total scale score only (Tu et al, 2022) and its introduction 30 years ago for a Western cultural context. Wang et al (2023) reported that the strong sense of filial obligation rooted in Confucian culture influences the burden of care perceptions of caregivers of patients with dementia, with stronger levels of perceived filial obligation associated with greater resistance to asking for outside help or using formal services. Because DCBS was developed to identify the burden attributes of caregivers living in a Confucian cultural setting, it may be expected to be more useful in measuring this burden in countries/societies influenced by these cultural mores.…”

Motivators for family carers of persons with dementia in Kenya

“…For children, this perceived duty perhaps aligns with the concept of filial piety. 31,32 Our study did not explore the familial relationship (i.e., parental vs. sibling) to determine the extent to which this duty is felt. However, a study conducted in Norway shows that this sense of duty is perceived regardless of whether the relationship is strained or not.…”

Conclusiveness of the Cochrane Reviews in Family Nursing: A Meta-research Study

“…Moreover, Asian countries have many challenges for family caregivers due to their aging populations. 10 Therefore, family nursing is becoming increasingly important in public health.…”