Shuying Zhang1, Qihao Guo2, Helen Edwards3, Patsy Yates3, Chunbo Li4. 1. Tongji University School of Medicine,Shanghai,China. 2. Department of Neurology and Institute of Neurology,Huashan Hospital,State Key Laboratory of Medical Neurobiology,Shanghai Medical College,Fudan University,Shanghai,China. 3. Institute of Health and Biomedical Innovation,Queensland University of Technology,Queensland,Australia. 4. Shanghai Key Laboratory of Psychotic Disorders,Shanghai Mental Health Center,Shanghai Institute of Mental Health,Shanghai Jiao Tong University School of Medicine,Shanghai,China.
Abstract
ABSTRACT Background: This study aims to explore moderation and mediation roles of caregiver self-efficacy between subjective caregiver burden and (a) behavioral and psychological symptoms (BPSD) of dementia; and (b) social support. Methods: A cross-sectional study with 137 spouse caregivers of dementia patients was conducted in Shanghai. We collected demographic information for the caregiver-patient dyads, as well as information associated with dementia-related impairments, caregiver social support, caregiver self-efficacy, and SF-36. Results: Multiple regression analysis showed that caregiver self-efficacy was a moderator both between BPSD and subjective caregiver burden, and social support and subjective caregiver burden. Results also showed a partial mediation effect of caregiver self-efficacy on the impact of BPSD on subjective caregiver burden, and a mediation effect of social support on subjective caregiver burden. Caregiver self-efficacy and subjective burden significantly influenced BPSD and social support. Conclusion: Caregiver self-efficacy played an important role in the paths by which the two factors influenced subjective burden. Enhancing caregiver self-efficacy for symptom management (particularly BPSD) can be an essential strategy for determining interventions to support dementia caregivers in China, and possibly in other countries.
ABSTRACT Background: This study aims to explore moderation and mediation roles of caregiver self-efficacy between subjective caregiver burden and (a) behavioral and psychological symptoms (BPSD) of dementia; and (b) social support. Methods: A cross-sectional study with 137 spouse caregivers of dementiapatients was conducted in Shanghai. We collected demographic information for the caregiver-patient dyads, as well as information associated with dementia-related impairments, caregiver social support, caregiver self-efficacy, and SF-36. Results: Multiple regression analysis showed that caregiver self-efficacy was a moderator both between BPSD and subjective caregiver burden, and social support and subjective caregiver burden. Results also showed a partial mediation effect of caregiver self-efficacy on the impact of BPSD on subjective caregiver burden, and a mediation effect of social support on subjective caregiver burden. Caregiver self-efficacy and subjective burden significantly influenced BPSD and social support. Conclusion: Caregiver self-efficacy played an important role in the paths by which the two factors influenced subjective burden. Enhancing caregiver self-efficacy for symptom management (particularly BPSD) can be an essential strategy for determining interventions to support dementia caregivers in China, and possibly in other countries.
Authors: Briana J Taylor; Leah A Irish; Lynn M Martire; Greg J Siegle; Robert T Krafty; Richard Schulz; Martica H Hall Journal: Psychosom Med Date: 2015 Nov-Dec Impact factor: 4.312
Authors: Paul Gellert; Andreas Häusler; Ralf Suhr; Maryam Gholami; Michael Rapp; Adelheid Kuhlmey; Johanna Nordheim Journal: PLoS One Date: 2018-01-04 Impact factor: 3.240