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Mediating effect of spiritual coping strategies and family stigma stress on caregiving burden and mental health in caregivers of persons with dementia.
Baqiyatallah University of Medical Sciences, Iran.
Duke University Medical Center, United States.
Duke University Medical Center, United States.
Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science. Qazvin University of Medical Sciences, Iran.ORCID iD: 0000-0002-8798-5345
2018 (English)In: Dementia, ISSN 1471-3012, E-ISSN 1741-2684Article in journal (Refereed) Epub ahead of print
Abstract [en]

Background

A considerable number of the persons living with dementia rely on family members for care and assistance when performing activities of daily living. As a result, caregivers may be at increased risk for mental health problems such as depression, anxiety and caregiver burden. This study examined if and how spiritual coping and stigma-related family stress impacted the associations between the patient activities of daily living impairment and caregiver mental health.

Methods

Using a longitudinal design, 664 caregivers were assessed at baseline for spiritual coping strategies and family stigma stress, along with patients' instrumental activities of daily living and cognitive functioning. After 12 months, caregivers were assessed for depressive and anxiety symptoms, caregiver burden, and quality of life (physical and mental). Sequential mediation of spiritual coping strategies and stigma-related family stress on the relationship between patient instrumental activities of daily living and caregiver mental health outcomes was examined using the PROCESS macro statistical method.

Results

Participants had been caring for someone with dementia for an average of 46.4 (SD, 16.9) months and 63% of caregivers were female. There were significant indirect associations between patient instrumental activities of daily living and caregiver anxiety, depression, caregiving burden, and the mental health component of quality of life. Spiritual coping and stigma-related stress mediated these associations (-0.54<b<-0.02). Overall, 26%, 41%, 49%, and 59% of the variances of caregiving burden, anxiety, depression, and mental functioning, respectively, were explained using the sequential mediation models.

Conclusions

Spiritual coping and stigma-related stress appear to mediate the relationship between the patient instrumental activities of daily living impairment and caregiver psychological health. These factors should be considered when addressing mental health problems experienced by caregivers.

Place, publisher, year, edition, pages
2018.
Keywords [en]
caregiver, coping, dementia, elderly, mental health, spiritual
National Category
Neurology
Identifiers
URN: urn:nbn:se:hj:diva-42441DOI: 10.1177/1471301218798082PubMedID: 30205692Scopus ID: 2-s2.0-85059079496Local ID: HHJÖvrigtISOAI: oai:DiVA.org:hj-42441DiVA, id: diva2:1275657
Available from: 2019-01-07 Created: 2019-01-07 Last updated: 2019-01-07

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Pakpour, Amir H.

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