The mediating role of sense of coherence on mental health outcomes in carers of older dependent relatives: A longitudinal study

Background: Sense of coherence (SOC) is an important protective factor for carer well-being but research to date remains cross-sectional, focusing primarily on the direct effects of SOC on carers’ mental health. The study’s aim was to investigate the mediating role of SOC in the longitudinal relatio...

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Autores: López-Martínez, Catalina, Orgeta, Vasiliki, Frías-Osuna, Antonio, Del-Pino-Casado, Rafael
Tipo de recurso: artículo
Estado:Versión aceptada para publicación
Fecha de publicación:2021
País:España
Institución:Universidad de Jaén
Repositorio:RUJA. Repositorio Institucional de la Producción Científica de la Universidad de Jaén
OAI Identifier:oai:ruja.ujaen.es:10953/1707
Acceso en línea:https://onlinelibrary.wiley.com/doi/abs/10.1002/gps.5472
https://hdl.handle.net/10953/1707
Access Level:acceso abierto
Palabra clave:family carers
sense of coherence
mental health
caregiver strain
anxiety
depression
older relatives
mediating role
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spelling The mediating role of sense of coherence on mental health outcomes in carers of older dependent relatives: A longitudinal studyLópez-Martínez, CatalinaOrgeta, VasilikiFrías-Osuna, AntonioDel-Pino-Casado, Rafaelfamily carerssense of coherencemental healthcaregiver strainanxietydepressionolder relativesmediating roleBackground: Sense of coherence (SOC) is an important protective factor for carer well-being but research to date remains cross-sectional, focusing primarily on the direct effects of SOC on carers’ mental health. The study’s aim was to investigate the mediating role of SOC in the longitudinal relationship between caregiver strain and carers’ psychological health, and its stability over time. Methods: Prospective longitudinal study conducted in Jaén (Spain) with a probabilistic sample of 132 carers of older people, with data collected at baseline and at one-year follow-up. We measured SOC, caregiver strain, anxiety and depressive symptoms, and several care recipient characteristics and intensity of care provided. We used multiple linear regression modelling and the Sobel test to analyse mediation effects. Results: SOC was significantly negatively longitudinally associated with both anxiety (β= -0.38, p= 0.001) and depressive symptoms (β= -0.28, p= 0.023), after controlling for several confounders. SOC mediated both the relationship between caregiver strain and anxiety and caregiver strain and depressive symptoms (Sobel test; p< 0.001 for anxiety and p< 0.001 for depressive symptoms). Differences between baseline and one-year follow-up SOC scores were not statistically significant (p= 0.617). Conclusions: SOC appears to buffer the impact of caregiver strain on symptoms of depression and anxiety in informal carers of older people. Our data showed that SOC is an important psychological resource for carers that remained relatively stable under non-experimental conditions over a period of one year in this sample. Findings suggest that interventions aimed at strengthening SOC may protect carer psychological well-being.Wiley202420242021info:eu-repo/semantics/articleinfo:eu-repo/semantics/acceptedVersionapplication/pdfhttps://onlinelibrary.wiley.com/doi/abs/10.1002/gps.5472https://hdl.handle.net/10953/1707reponame:RUJA. Repositorio Institucional de la Producción Científica de la Universidad de Jaéninstname:Universidad de JaénInglésInternational Journal of Geriatric PsychiatryAtribución-NoComercial-SinDerivadas 3.0 Españahttp://creativecommons.org/licenses/by-nc-nd/3.0/es/info:eu-repo/semantics/openAccessoai:ruja.ujaen.es:10953/17072026-06-24T12:41:07Z
dc.title.none.fl_str_mv The mediating role of sense of coherence on mental health outcomes in carers of older dependent relatives: A longitudinal study
title The mediating role of sense of coherence on mental health outcomes in carers of older dependent relatives: A longitudinal study
spellingShingle The mediating role of sense of coherence on mental health outcomes in carers of older dependent relatives: A longitudinal study
López-Martínez, Catalina
family carers
sense of coherence
mental health
caregiver strain
anxiety
depression
older relatives
mediating role
title_short The mediating role of sense of coherence on mental health outcomes in carers of older dependent relatives: A longitudinal study
title_full The mediating role of sense of coherence on mental health outcomes in carers of older dependent relatives: A longitudinal study
title_fullStr The mediating role of sense of coherence on mental health outcomes in carers of older dependent relatives: A longitudinal study
title_full_unstemmed The mediating role of sense of coherence on mental health outcomes in carers of older dependent relatives: A longitudinal study
title_sort The mediating role of sense of coherence on mental health outcomes in carers of older dependent relatives: A longitudinal study
dc.creator.none.fl_str_mv López-Martínez, Catalina
Orgeta, Vasiliki
Frías-Osuna, Antonio
Del-Pino-Casado, Rafael
author López-Martínez, Catalina
author_facet López-Martínez, Catalina
Orgeta, Vasiliki
Frías-Osuna, Antonio
Del-Pino-Casado, Rafael
author_role author
author2 Orgeta, Vasiliki
Frías-Osuna, Antonio
Del-Pino-Casado, Rafael
author2_role author
author
author
dc.subject.none.fl_str_mv family carers
sense of coherence
mental health
caregiver strain
anxiety
depression
older relatives
mediating role
topic family carers
sense of coherence
mental health
caregiver strain
anxiety
depression
older relatives
mediating role
description Background: Sense of coherence (SOC) is an important protective factor for carer well-being but research to date remains cross-sectional, focusing primarily on the direct effects of SOC on carers’ mental health. The study’s aim was to investigate the mediating role of SOC in the longitudinal relationship between caregiver strain and carers’ psychological health, and its stability over time. Methods: Prospective longitudinal study conducted in Jaén (Spain) with a probabilistic sample of 132 carers of older people, with data collected at baseline and at one-year follow-up. We measured SOC, caregiver strain, anxiety and depressive symptoms, and several care recipient characteristics and intensity of care provided. We used multiple linear regression modelling and the Sobel test to analyse mediation effects. Results: SOC was significantly negatively longitudinally associated with both anxiety (β= -0.38, p= 0.001) and depressive symptoms (β= -0.28, p= 0.023), after controlling for several confounders. SOC mediated both the relationship between caregiver strain and anxiety and caregiver strain and depressive symptoms (Sobel test; p< 0.001 for anxiety and p< 0.001 for depressive symptoms). Differences between baseline and one-year follow-up SOC scores were not statistically significant (p= 0.617). Conclusions: SOC appears to buffer the impact of caregiver strain on symptoms of depression and anxiety in informal carers of older people. Our data showed that SOC is an important psychological resource for carers that remained relatively stable under non-experimental conditions over a period of one year in this sample. Findings suggest that interventions aimed at strengthening SOC may protect carer psychological well-being.
publishDate 2021
dc.date.none.fl_str_mv 2021
2024
2024
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/acceptedVersion
format article
status_str acceptedVersion
dc.identifier.none.fl_str_mv https://onlinelibrary.wiley.com/doi/abs/10.1002/gps.5472
https://hdl.handle.net/10953/1707
url https://onlinelibrary.wiley.com/doi/abs/10.1002/gps.5472
https://hdl.handle.net/10953/1707
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv International Journal of Geriatric Psychiatry
dc.rights.none.fl_str_mv Atribución-NoComercial-SinDerivadas 3.0 España
http://creativecommons.org/licenses/by-nc-nd/3.0/es/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Atribución-NoComercial-SinDerivadas 3.0 España
http://creativecommons.org/licenses/by-nc-nd/3.0/es/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Wiley
publisher.none.fl_str_mv Wiley
dc.source.none.fl_str_mv reponame:RUJA. Repositorio Institucional de la Producción Científica de la Universidad de Jaén
instname:Universidad de Jaén
instname_str Universidad de Jaén
reponame_str RUJA. Repositorio Institucional de la Producción Científica de la Universidad de Jaén
collection RUJA. Repositorio Institucional de la Producción Científica de la Universidad de Jaén
repository.name.fl_str_mv
repository.mail.fl_str_mv
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