Elizabeth Cousins-Whitus, Erin Burke, Mary Beth Spitznagel
{"title":"Self-Mastery and Dementia Caregiver Burden: A Systematic Review and Meta-Analysis.","authors":"Elizabeth Cousins-Whitus, Erin Burke, Mary Beth Spitznagel","doi":"10.1080/07317115.2025.2477588","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>Dementia caregiving often results in caregiver burden, but self-mastery may buffer against burden's negative impact. This work explores the link between these variables, examining potential moderators, through systematic review and meta-analysis.</p><p><strong>Methods: </strong>A PubMed, PsychInfo, Scopus, and Medline search in April 2024 resulted in 25 eligible studies. The Appraisal tool for Cross-Sectional Studies assessed bias risk. Meta-regression via continuous random effects model was conducted in R to examine the relationship between dementia caregiver burden and self-mastery as well as moderating variables.</p><p><strong>Results: </strong>A medium strength meta-correlation, <i>r</i>=-.347 (95% CI: -.413, -.278, <i>p</i> < .0001) was detected. Percent of extended family caregivers (e.g. nieces, cousins, grandchildren; β=-1.01, 95% C.I. (-1.71, -.32), <i>p</i> < .01) and percent of cases with frontotemporal dementia (β=-.67, 95% C.I. (-1.20, -.13), <i>p</i> < .05) attenuated the relationship.</p><p><strong>Conclusions: </strong>Results may support the role of self-mastery in mitigating effects of caregiver burden, though experiences unique to extended family or frontotemporal dementia may weaken that relationship. The current review was limited by lack of diversity in potential moderator variables, pointing to needs for future research.</p><p><strong>Clinical implications: </strong>Findings highlight the robustness of the relationship between self-mastery and caregiver burden, possibly informing self-mastery-based interventions and helping clinicians identify and treat at-risk caregivers.</p>","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-20"},"PeriodicalIF":2.6000,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Gerontologist","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/07317115.2025.2477588","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"GERIATRICS & GERONTOLOGY","Score":null,"Total":0}
引用次数: 0
摘要
目的：痴呆症护理通常会给护理者带来负担，但自我管理可以减轻负担的负面影响。本研究通过系统综述和荟萃分析探讨了这些变量之间的联系，并研究了潜在的调节因素：2024 年 4 月，通过对 PubMed、PsychInfo、Scopus 和 Medline 的检索，共找到 25 项符合条件的研究。横断面研究评估工具对偏倚风险进行了评估。在R语言中通过连续随机效应模型进行元回归，研究痴呆症照护者负担与自我管理之间的关系以及调节变量：结果：中等强度的元相关性，r=-.347（95% CI：-.413，-.278，p p p 结论：结果可能支持自我管理在痴呆症护理中的作用：尽管大家庭或额颞叶痴呆症的独特经历可能会削弱这种关系，但研究结果可能支持自我管理在减轻照顾者负担方面的作用。由于潜在的调节变量缺乏多样性，目前的综述受到了限制，这也表明了未来研究的必要性：研究结果凸显了自我超越与照顾者负担之间关系的稳健性，可能会为基于自我超越的干预措施提供信息，并帮助临床医生识别和治疗高危照顾者。
Self-Mastery and Dementia Caregiver Burden: A Systematic Review and Meta-Analysis.
Objectives: Dementia caregiving often results in caregiver burden, but self-mastery may buffer against burden's negative impact. This work explores the link between these variables, examining potential moderators, through systematic review and meta-analysis.
Methods: A PubMed, PsychInfo, Scopus, and Medline search in April 2024 resulted in 25 eligible studies. The Appraisal tool for Cross-Sectional Studies assessed bias risk. Meta-regression via continuous random effects model was conducted in R to examine the relationship between dementia caregiver burden and self-mastery as well as moderating variables.
Results: A medium strength meta-correlation, r=-.347 (95% CI: -.413, -.278, p < .0001) was detected. Percent of extended family caregivers (e.g. nieces, cousins, grandchildren; β=-1.01, 95% C.I. (-1.71, -.32), p < .01) and percent of cases with frontotemporal dementia (β=-.67, 95% C.I. (-1.20, -.13), p < .05) attenuated the relationship.
Conclusions: Results may support the role of self-mastery in mitigating effects of caregiver burden, though experiences unique to extended family or frontotemporal dementia may weaken that relationship. The current review was limited by lack of diversity in potential moderator variables, pointing to needs for future research.
Clinical implications: Findings highlight the robustness of the relationship between self-mastery and caregiver burden, possibly informing self-mastery-based interventions and helping clinicians identify and treat at-risk caregivers.
期刊介绍：
Clinical Gerontologist presents original research, reviews, and clinical comments relevant to the needs of behavioral health professionals and all practitioners who work with older adults. Published in cooperation with Psychologists in Long Term Care, the journal is designed for psychologists, physicians, nurses, social workers, counselors (family, pastoral, and vocational), and other health professionals who address behavioral health concerns found in later life, including:
-adjustments to changing roles-
issues related to diversity and aging-
family caregiving-
spirituality-
cognitive and psychosocial assessment-
depression, anxiety, and PTSD-
Alzheimer’s disease and other neurocognitive disorders-
long term care-
behavioral medicine in aging-
rehabilitation and education for older adults.
Each issue provides insightful articles on current topics. Submissions are peer reviewed by content experts and selected for both scholarship and relevance to the practitioner to ensure that the articles are among the best in the field. Authors report original research and conceptual reviews. A unique column in Clinical Gerontologist is “Clinical Comments." This section features brief observations and specific suggestions from practitioners which avoid elaborate research designs or long reference lists. This section is a unique opportunity for you to learn about the valuable clinical work of your peers in a short, concise format.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
