Article2018

Mediating effect of spiritual coping strategies and family stigma stress on caregiving burden and mental health in caregivers of persons with dementia

Mohsen Saffari · Harold George Koenig · Keisha O’Garo · Amir H. Pakpour

42 citations0/0 files storedDementia

No readable copy stored yet — this record is metadata only.

Religion, Spirituality, and Psychology Dementia and Cognitive Impairment Research Nursing care and research

Abstract

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.

Citations in this library

Stored only when both papers are in the corpus — 42 citations exist upstream.

References

1983The Hospital Anxiety and Depression Scale 1996A 12-Item Short-Form Health Survey 2008Sleep Pattern Differences Between Older Adult Dementia Caregivers and Older Adult Noncaregivers Using Objective and Subjective Measures 2016Using Hospital Anxiety and Depression Scale (HADS) on patients with epilepsy: Confirmatory factor analysis and Rasch models 2003Psychometric evaluation of the Spiritual Coping Strategies scale in English, Maltese, back‐translation and bilingual versions 2009Integrative cognitive–behavioral and spiritual counseling for rural dementia caregivers with depression.

Cited by

2020Impacts and interactions of COVID-19 response involvement, health-related behaviours, health literacy on anxiety, depression and health-related quality of life among healthcare workers: a cross-sectional study 2020Influence of Spiritual Coping and Social Support on the Mental Health and Quality of Life of the Saudi Informal Caregivers of Patients with Stroke 2020Gazing at Medusa: Alzheimer’s dementia through the lenses of spirituality and religion 2021Fear of COVID-19 and religious coping mediate the associations between religiosity and distress among older adults

Imported from OpenAlex (CC0) — nothing here is generated.