Obligation of filial piety, adult child caregiver burden, received social support, and psychological wellbeing of adult child caregivers for frail elderly people in Guangzhou, China

Author(s):  
Yong Tang
2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Selma Bozkurt Zincir ◽  
Murat Sunbul ◽  
Serkan Zincir ◽  
Esra Aydin Sunbul ◽  
Mustafa Oguz ◽  
...  

Background. The primary purpose of this study was to investigate adult-child caregiver burden in heart failure (HF) patients. Secondary purpose of the study was to identify the possible influencing factors for caregiver burden and depressive symptoms in a young adult-child caregiver group.Methods. A total of 138 adult-child caregivers and 138 patients with HF participated in this study. Caregivers’ burden, depressive symptoms, and anxiety levels were assessed by using Zarit Caregiver Burden Scale (ZCBS), Beck Depression Inventory, and State-Trait Anxiety Inventory, respectively.Results. The mean ZCBS scores of the female caregivers were significantly higher than male caregivers. Approximately one-third of the adult-child caregivers had at least mild depressive symptoms. Caregivers with higher depressive symptoms had higher levels of caregiver burden. There were positive correlations between caregiving time, severity of depressive symptoms, and perceived caregiver burden. There was a negative correlation between education level of caregivers and perceived caregiver burden. Age, socioeconomic level, and marital status of patients were affecting factors for depressive symptoms in caregivers. Among caregiver characteristics, gender, marital status, and ZCBS scores seem to influence the depression in caregivers.Conclusions. The study findings suggest significant levels of burden and depressive symptoms even in adult-child caregivers of HF patients.


Author(s):  
Christina N. Marsack-Topolewski

This study sought to explore the mediating effect of informal social support on the relationship between caregiver burden and quality of life among compound and noncompound caregivers. Parents ( N = 320) completed a web-based survey aimed to examine effects of caring for an adult child with autism spectrum disorder. Results of the mediation analysis suggested that informal social support partially mediated the relationship between caregiver burden and quality of life for both groups. Informal social support appears to be more impactful for noncompound caregivers compared with compound caregivers based on a greater reduction in explained variance. These results highlight the importance of informal social support as caregivers juggle ongoing challenges to provide care to one or more care recipients.


2020 ◽  
Vol 9 (2) ◽  
Author(s):  
Kayla Entwistle ◽  
Douglas Mabie ◽  
David Bond

With an increasing number of Alzheimer’s disease patients in Singapore, complications related to the degenerative disease have become highly relevant. Standing out among these complications are inflated caregiver burden resulting from the cultural expectations associated with filial piety. Filial piety, a value ingrained in Chinese culture, requires adult-children to display love, obedience, and respect towards their parents as well as provide physical care when required (Bedford, 2019). Expectations associated with filial piety, however, have been associated with severe caregiver burdens that persist even after patient institutionalisation (Whitlatch, 2001). Expectations to provide care presents numerous challenges for adult-children of patients: economic instability, psychological exhaustion, and social isolation (Lai, 2009; Langda, 2011; Win, 2017). These implications associated with caregiving are heightened when the patient being cared for is diagnosed with Alzheimer’s, as the disease has a unique cognitive-degeneration component that inhibits an individual from conducting independent actions after a certain point (Pratt, 1985). This article aims to shed light on the relationship between the level of involvement and the severity of caregiver burden among familial caregivers of Alzheimer’s patients in an effort to identify how to better support familial caregivers of Alzheimer’s patients. Through the use of a quantitative correlational analysis, a relationship between the two data points of involvement level and burden level was established. This research serves to identify a potential problem, not propose methods of reconciliation. While the data collection process for this study was inhibited by the COVID-19 pandemic, theoretical data is provided in an effort to develop new understandings and draw hypothetical conclusions. Keywords: Alzheimer’s, Filial Piety, Familial Caregiver, Institutionalisation, Caregiving Burden, Correlation, Adult-Child Caregiver


Author(s):  
Mark D. Miller

Chapter 8 discusses the involvement of the family or caregivers into the interpersonal psychotherapy (IPT) treatment process. Using illustrative case studies, it outlines the roles of the adult child caregiver (including the issues that adult caregivers may face, shared caregiving duties, inadequate care), spouses are caregivers, adult child/intact spouse collaboration, and nonfamily caregivers.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 71-72
Author(s):  
Ling Xu ◽  
Yiwei Liu ◽  
Hui He ◽  
Noelle Fields ◽  
Chen Kan ◽  
...  

Abstract Objective: Using the stress-coping theory, the aims of the present study were to test what levels of caregiving intensity (hours actually spent on caregiving every day) posed the most negative influence on caregiver burden as well as how social support moderated such associations among dementia caregivers. Methods: Data from the baseline assessment of the Resources for Enhancing Alzheimer’s Caregiver Health (REACH II) (N = 637) were used. Caregiver burden (12-item Zarit caregiver burden scale), caregiving intensity (caregiving hours), and social support (Lubben social network, received support, satisfaction with support, and negative interactions) were the main measurements. Separate multivariate regression models were conducted with Stata 16. Results: The results showed that the relationships between caregiving hours and caregiver burden were nonlinear after controlling all of the socio-demographic variables. Further analyses showed that when caregiving hours reached 13.50 hours per day, the levels of burden were the highest. In addition, received social support, satisfaction with social support, and social network significantly moderated the relationship between caregiving hours and caregiver burden among dementia caregivers when they were examined separately. However, only social network played a significant moderator role when examining the four social support indicators simultaneously. Discussion and conclusion: These findings suggest the need for programs and practices on educating caregivers regarding how to identify, approach, and gain social support/s, especially in how to broaden the caregivers’ social network while caring for a family member with dementia.


2007 ◽  
Vol 47 (3) ◽  
pp. 280-295 ◽  
Author(s):  
M. E. Szinovacz ◽  
A. Davey

2016 ◽  
Vol 28 (11) ◽  
pp. 1845-1855 ◽  
Author(s):  
Hua Yu ◽  
Li Wu ◽  
Shu Chen ◽  
Qing Wu ◽  
Yuan Yang ◽  
...  

ABSTRACTBackground:The majority of the family caregivers are adult children in China. The aim of this study was to examine the mediating role of reciprocal filial piety (RFP) between the care recipient's behavioral and psychological symptoms of dementia (BPSD) and the caregiver's burden or gain among adult-child caregivers caring for parents with dementia in China.Methods:Using Kramer's caregiver adaptation model as the research framework, a cross-sectional survey collected data from 401 adult-child caregivers caring for parents with dementia from hospitals in China.Results:Results of the regression analysis revealed that after adjusting for covariates, the regression coefficient between care recipient's BPSD and caregiver burden reduced fromc= 1.01 toc′ = 0.91 when controlling for RFP. Using the bootstrap approach, the estimated indirect effect through RFP between care recipient's BPSD and caregiver burden was 0.11 (95% CI: 0.03, 0.20). The mediation proportion was 11%. The absolute value of the regression coefficient between care recipient's BPSD and caregiver gain reduced fromc= −0.75 toc′ = −0.63 when controlling for RFP. The bootstrapped estimate of the indirect effect through RFP between care recipient's BPSD and caregiver gain was −0.12 (95% CI: −0.18, −0.07). The mediation proportion was 12%.Conclusions:The findings suggest that the effect of care recipient's BPSD on caregiver's burden/gain may be related to the level of RFP among adult-child caregivers in China.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 319-320
Author(s):  
Jaime Goldberg ◽  
Jooyoung Kong ◽  
Sara Moorman

Abstract Combining the stress process model of caregiving and life course perspective, this study examined the long-term influences of childhood abuse on perpetrating parent-adult child relationships and adult child well-being in the context of caregiving. Using a sample of family caregivers from the Wisconsin Longitudinal Study (969 caregivers of mothers; 280 caregivers of fathers), we investigated whether contact frequency and emotional closeness with an abusive parent mediate the longitudinal effects of parental childhood abuse on adult child caregivers’ depressive symptoms and the moderating effects of self-acceptance and mastery on this mediational association. Key findings indicate that maternal childhood abuse may negatively affect emotional closeness between an adult child caregiver and perpetrating mother (b = -0.24, p < .001). This could lead the adult child caregiver to experience increased depressive symptoms (b = 0.02, p < .05). Although the mediation paths for the effect of maternal childhood abuse on depressive symptoms via emotional closeness with mothers did not differ by caregivers’ level of psychological resources, we found that psychological resources significantly moderated the association between maternal childhood abuse and depressive symptoms (b = -0.08, p < .05). Further research may explore this phenomenon in light of the heterogeneity of contemporary families. Practitioners working with adults with a history of parental childhood abuse who are caregiving for their perpetrator are encouraged to employ a trauma-informed approach to maximize the caregivers’ health and well-being.


Sign in / Sign up

Export Citation Format

Share Document