Anxiety mediates the relationship between caregiver burden and preparedness in individuals with acquired brain injury: meta-analytic structural equation modeling.

IF 1.5 4区医学 Q4 NEUROSCIENCES

Brain injury Pub Date : 2025-01-01 Epub Date: 2025-01-29 DOI:10.1080/02699052.2025.2456964

Shengnan Kuai, Yuying Fan, Yisha Zhao, Xiaotian Zhang, Xue Li, Hongyi Li

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引用次数: 0

Abstract

Background: Informal caregivers of individuals with acquired brain injury (ABI) often lack adequate preparedness for caregiving. Caregiver burden may reduce preparedness, with anxiety potentially mediating this relationship. However, these associations remain unclear. This study aims to analyze the relationships between caregiver burden, anxiety, and preparedness, and to explore the mediating role of anxiety.

Methods: This study systematically searched seven databases, including PubMed, Web of Science, Embase, Cochrane Library, China National Knowledge Infrastructure, Wanfang, and China Biology Medicine Disc, from inception to June 6, 2024. Meta-analytic structural equation modeling (MASEM) combines concepts of meta-analysis and structural equation modeling (SEM) to integrate correlation or covariance matrices. A summary correlation matrix was estimated using a random-effects model and incorporated into SEM to examine the associations among caregiver burden, anxiety, and preparedness.

Results: 13,610 articles were screened for MASEM analysis, and 27 studies were included. The MASEM results showed significant correlations among the three variables (all p < 0.001). Additionally, anxiety partially mediated the relationship between burden and preparedness (β= -0.147, 95% CI [-0.226, -0.083]).

Conclusions: Research using the MASEM method observed that heightened caregiver burden and anxiety potentially reduce preparedness, with anxiety significantly mediating the relationship between caregiver burden and preparedness.

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焦虑在获得性脑损伤患者照顾者负担和准备之间的关系中起中介作用：元分析结构方程模型。

背景：获得性脑损伤（ABI）患者的非正式照护者通常缺乏足够的照护准备。照顾者负担可能会降低准备程度，焦虑可能会调节这种关系。然而，这些关联尚不清楚。本研究旨在分析照顾者负担、焦虑和准备之间的关系，并探讨焦虑的中介作用。方法：本研究系统检索了PubMed、Web of Science、Embase、Cochrane Library、中国知识基础设施、万方、中国生物医学光盘等7个数据库，检索时间自成立至2024年6月6日。元分析结构方程建模（MASEM）将元分析和结构方程建模（SEM）的概念结合起来，整合相关或协方差矩阵。使用随机效应模型估计总结相关矩阵，并将其纳入扫描电镜，以检查照顾者负担、焦虑和准备之间的关联。结果：筛选13610篇文章进行MASEM分析，纳入27项研究。结论：使用MASEM方法的研究发现，照顾者负担和焦虑的增加可能会降低准备程度，焦虑在照顾者负担和准备之间的关系中起着显著的中介作用。

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

Brain injury 医学-康复医学

CiteScore

3.50

自引率

5.30%

发文量

148

审稿时长

12 months

期刊介绍： Brain Injury publishes critical information relating to research and clinical practice, adult and pediatric populations. The journal covers a full range of relevant topics relating to clinical, translational, and basic science research. Manuscripts address emergency and acute medical care, acute and post-acute rehabilitation, family and vocational issues, and long-term supports. Coverage includes assessment and interventions for functional, communication, neurological and psychological disorders.