Subjective caregiver burden and coping in family carers of dependent adults and older people: A systematic review and meta-analysis.

IF 3 2区心理学 Q2 PSYCHIATRY

Stress and Health Pub Date : 2024-08-01 Epub Date: 2024-03-16 DOI:10.1002/smi.3395

Juan Carlos Muñoz-Cruz, Catalina López-Martínez, Vasiliki Orgeta, Rafael Del-Pino-Casado

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引用次数: 0

Abstract

Subjective caregiver burden is highly prevalent in family caregivers. Despite several studies investigating the relationship between subjective caregiver burden and coping strategies, results remain inconsistent. The aim of our study was to systematically review current literature on the relationship between subjective caregiver burden and coping in family carers of dependent adults and older people. A secondary objective was to analyse possible sources of heterogeneity in the estimated effect. The study design was a systematic review with meta-analysis following Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement (PRISMA) guidelines. We searched several international databases (CINAHL, LILACS, PsycINFO and PubMed) up to February 2024. We performed several subgroup analyses to examine whether study design, methodological quality or care recipient dependency influenced results. Of the 1064 records identified in our search, a total of 80 studies met inclusion criteria. We found a significant association between greater use of dysfunctional coping and higher levels of subjective caregiver burden ( $\overline{r}$ = 0.400; 95% CI = 0.315, 0.478); higher use of second-order active coping was significantly associated with lower caregiver burden ( $\overline{r}$ = -0.213; 95% CI = -0.316, -0.105). Problem-focused coping showed no statistically significant association with levels of subjective burden; emotion-focused coping was associated with caregiver burden only after controlling for confounding variables ( $\overline{r}$ = -0.258; 95% CI = -0.441, -0.055); several individual strategies of this dimension such as acceptance ( $\overline{r}$ = -0.135; 95% CI = -0.238, -0.028), positive reappraisal ( $\overline{r}$ = -0.178; 95% CI = -0.255, -0.099) and religious coping ( $\overline{r}$ = -0.083; 95% CI = -0.162, -0.002), were associated with lower burden. We found that several dimensions of coping strategies are significantly associated with levels of subjective caregiver burden experienced by carers. These results can inform future research evaluating the effectiveness of interventions aimed at improving carers' mental health.

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受扶养成年人和老年人家庭照顾者的主观照顾负担和应对方法：系统回顾和荟萃分析。

照顾者的主观负担在家庭照顾者中非常普遍。尽管有多项研究调查了照顾者的主观负担与应对策略之间的关系，但结果仍不一致。我们的研究旨在系统地回顾目前有关受抚养成人和老年人家庭照顾者主观照顾者负担与应对之间关系的文献。次要目的是分析估计效应中可能存在的异质性来源。研究设计采用了系统性综述和荟萃分析，并遵循了《系统性综述和荟萃分析首选报告项目声明》（PRISMA）指南。我们检索了截至 2024 年 2 月的多个国际数据库（CINAHL、LILACS、PsycINFO 和 PubMed）。我们进行了多项亚组分析，以考察研究设计、方法质量或护理对象依赖性是否会影响研究结果。在我们搜索到的 1064 条记录中，共有 80 项研究符合纳入标准。我们发现，更多使用功能失调型应对方式与更高的护理者主观负担之间存在明显关联（r ‾ $\overline{r}$ = 0.400; 95% CI = 0.315, 0.478）；更多使用二阶积极应对方式与更低的护理者负担之间存在明显关联（r ‾ $\overline{r}$ = -0.213; 95% CI = -0.316, -0.105）。以问题为中心的应对方式与主观负担水平没有统计学意义上的关联；以情绪为中心的应对方式只有在控制了混杂变量后才与照顾者负担相关（r ‾ $\overline{r}$ = -0.258; 95% CI = -0.441, -0.055); 此维度的一些个体策略，如接受 ( r ‾ $\overline{r}$ = -0.135; 95% CI = -0.238, -0.028), 积极的再评价 ( r ‾ $\overline{r}$ = -0.178; 95% CI = -0.255, -0.099）和宗教应对（r ‾ $\overline{r}$ = -0.083; 95% CI = -0.162, -0.002）与较低的负担相关。我们发现，应对策略的几个维度与照护者的主观照护负担水平显著相关。这些结果可以为今后评估旨在改善照顾者心理健康的干预措施的有效性的研究提供参考。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Stress and Health 医学-精神病学

CiteScore

6.40

自引率

4.90%

发文量

审稿时长

>12 weeks

期刊介绍： Stress is a normal component of life and a number of mechanisms exist to cope with its effects. The stresses that challenge man"s existence in our modern society may result in failure of these coping mechanisms, with resultant stress-induced illness. The aim of the journal therefore is to provide a forum for discussion of all aspects of stress which affect the individual in both health and disease. The Journal explores the subject from as many aspects as possible, so that when stress becomes a consideration, health information can be presented as to the best ways by which to minimise its effects.