Hua Yu1, Li Wu2, Shu Chen1, Qing Wu1, Yuan Yang3, Helen Edwards4. 1. School of Nursing,Kunming Medical University,Kunming,Yunnan,China. 2. Department of Geriatric,Mental Health Centre of Yunnan Province,China. 3. School of Basic Medical,Kunming Medical University,Kunming,Yunnan,China. 4. Institute of Health and Biomedical Innovation,Queensland University of Technology,Brisbane,Queensland,Australia.
Abstract
BACKGROUND: 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 from c = 1.01 to c' = 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 from c = -0.75 to c' = -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.
BACKGROUND: 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 from c = 1.01 to c' = 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 from c = -0.75 to c' = -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.
Authors: Ying Yang; Shizhen Wang; Borui Hu; Jinwei Hao; Runhu Hu; Yinling Zhou; Zongfu Mao Journal: Int J Environ Res Public Health Date: 2020-09-02 Impact factor: 3.390