Studies suggest the protective effect of mastery and caregiving competence against psychological stressors of caregiving in the context of dementia, although the interplay between the two with caregiver outcomes is not well understood. This study examines the independent and moderating impact of mastery and caregiving competence on burden, anxiety and depression among caregivers of older adults with frailty-related care needs.
This is a cross-sectional study of 274 older adults-family caregiver dyads from a hospital in Singapore. Mean ages of the older adults and their caregivers were 85 and 59 years respectively.
We performed hierarchical linear regression models to examine the independent influence of mastery and caregiving competence on caregiver burden, anxiety and depression. We also examined the interaction effect between mastery and caregiving competence for each outcome.
Mastery and caregiving competence were independently negatively associated with caregiver burden, anxiety and depression. Mastery explained more variance than caregiving competence and had a stronger correlation with all outcomes. There was a statistically significant interaction between mastery and caregiving competence for depression (interaction term beta=.14, p<0.01), but not burden and anxiety. High levels of mastery are associated with less depression. particularly among caregivers with below-average levels of caregiving competence. Likewise, high levels of caregiving competence are associated with less depression. particularly among caregivers with below-average levels of mastery.
Our findings suggest potential benefits adressing targeted interventions for mastery and caregiving competence of caregivers to older adults as they independently influence caregiver outcomes and moderate each other’s effect on depression. Mastery-based interventions should be incorporated into current caregiver training which traditionally has focused on caregiver competence alone.
He W, Goodkind D and Kowal P. International Population Reports, 2016; P95/16–1, An Aging World: 2015. Washington D.C., U.S. Government Publishing Office.
Johnson RW and Wiener JM, 2008. A Profile of Frail Older Americans and Their Caregivers. https://doi.org/www.urban.org/sites/default/files/publication/42946/311284-AProfile-of-Frail-Older-Americans-and-Their-Caregivers.PDF. Accessed 01 Nov 2016
National Alliance for Caregiving and American Association of Retired Persons. Caregiving in the U.S. 2009. https://doi.org/www.caregiving.org/data/Caregiving_in_the_US_2009_full_report.pdf. Accessed 18 Apr 2015
Kim Y. Stress, Caregiver. In: Gellman MD and Turner JR: Encyclopedia of Behavioral Medicine, ed 1st. Springer New York, New York, 2013;pp 1901–1903. CrossRef
Pearlin LI and Bierman A. Current Issues and Future Directions in Research into the Stress Process. In: Aneshensel CS, Phelan JC, and Bierman A: Handbook of the Sociology of Mental Health, ed Springer Netherlands, Dordrecht, 2013;pp 325–340. CrossRef
Skaff MM. Stress and the Self: A study of caregiving and self-concept. Dissertation, University of California, 1990.
Stevens EK. Appraisal and Coping: Mediators Between Caregivers and Psychological Wellbeing. Case Western Degree, 2008.
Roepke SK, Mausbach BT, Aschbacher K, Ziegler MG, Dimsdale JE, Mills PJ, von Kanel R, Ancoli-Israel S, Patterson TL and Grant I. Personal mastery is associated with reduced sympathetic arousal in stressed Alzheimer caregivers. The American Journal of Geriatric Psychiatry 2008;16:310–317. CrossRefPubMedPubMedCentral
Roepke SK, Mausbach BT, von Kanel R, Ancoli-Israel S, Harmell AL, Dimsdale JE, Aschbacher K, Mills PJ, Patterson TL and Grant I. The moderating role of personal mastery on the relationship between caregiving status and multiple dimensions of fatigue. International Journal of Geriatric Psychiatry 2009;24:1453–1462. CrossRefPubMedPubMedCentral
Hinkle DE, Wiersma W and Jurs SG. Book Applied Statistics for the Behavioral Sciences, ed 5th. Houghton Miffin, Boston, 2003.
Morley JE, Vellas B, van Kan GA, Anker SD, Bauer JM, Bernabei R, Cesari M, Chumlea WC, Doehner W, Evans J, Fried LP, Guralnik JM, Katz PR, Malmstrom TK, McCarter RJ, Gutierrez Robledo LM, Rockwood K, von Haehling S, Vandewoude MF and Walston J. Frailty consensus: a call to action. The Journal of the American Medical Directors Association 2013;14:392–397. CrossRefPubMed
Bandura A. Self-efficacy In: Ramachaudran VS: Encyclopedia of Human Behavior, ed 1st. Academic Press, New York, 1994;pp 71–81.
Carbonneau H, Caron C and Desrosiers J. Development of a conceptual framework of positive aspects of caregiving in dementia. Dementia 2010;9:327–353. CrossRef
Ben-Zur H. Coping, affect and aging: the roles of mastery and self-esteem. Personality and Individual Differences 2002;32:357–372. CrossRef
- Relationship Between Mastery and Caregiving Competence in Protecting Against Burden, Anxiety and Depression Among Caregivers of Frail Older Adults
- Springer Paris
The journal of nutrition, health & aging
Print ISSN: 1279-7707
Elektronische ISSN: 1760-4788
Neu im Fachgebiet Innere Medizin
Meistgelesene Bücher aus der Inneren Medizin
Mail Icon II