Coping and anxiety symptoms in family carers of dependent older people: Mediation and moderation effects of subjective caregiver burden

INTRODUCTION: Coping responses influence anxiety symptoms experienced by informal carers. However, only a few studies have investigated the longitudinal association between coping responses and anxiety symptoms in family carers. We also currently have limited knowledge on the mediating or moderating...

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Autores: López-Martínez, Catalina, Orgeta, Vasiliki, Frías-Osuna, Antonio, Del-Pino-Casado, Rafael
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2024
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:10953/1770
Acceso en línea:https://sigmapubs.onlinelibrary.wiley.com/doi/10.1111/jnu.12957
https://hdl.handle.net/10953/1770
Access Level:acceso abierto
Palabra clave:anxiety
coping
family carers
mediation
moderation
older relatives
subjective caregiver burden
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spelling Coping and anxiety symptoms in family carers of dependent older people: Mediation and moderation effects of subjective caregiver burdenLópez-Martínez, CatalinaOrgeta, VasilikiFrías-Osuna, AntonioDel-Pino-Casado, Rafaelanxietycopingfamily carersmediationmoderationolder relativessubjective caregiver burdenINTRODUCTION: Coping responses influence anxiety symptoms experienced by informal carers. However, only a few studies have investigated the longitudinal association between coping responses and anxiety symptoms in family carers. We also currently have limited knowledge on the mediating or moderating influence of subjective caregiver burden on this relationship over time. The aim of the present study was to investigate the longitudinal relationship between coping and anxiety symptoms in family carers of dependent older people, and examine the mediating or moderating role of subjective caregiver burden over time. DESIGN: Prospective longitudinal study. METHODS: We recruited and enrolled participants from a probability sample of 132 family carers of older dependent relatives. We measured coping strategies, anxiety symptoms, subjective caregiver burden, and several covariates (sex and intensity of care) at baseline and at 1-year follow-up. We used generalized estimating equations with multiple imputations to examine associations over time. RESULTS: Considering both direct and indirect effects through subjective burden, anxiety symptoms were positively associated with proactive coping (B = 0.13), planning (B = 0.15), self-distraction (B = 0.24), denial (B = 1.15), venting (B = 0.94) and self-blame (B = 0.90), and negatively associated with positive reframing (B = -0.83) and acceptance (B = -0.75). Subjective caregiver burden moderated the relationship between anxiety symptoms and planning, and the use of denial as a form of coping. CONCLUSIONS: Our results show that subjective caregiver burden is an important moderator and mediator of the longitudinal association between coping responses and anxiety symptoms in carers. CLINICAL RELEVANCE: Proactive coping and planning when subjective burden is low, self-distraction, denial, venting, and self-blame significantly increase levels of anxiety and caregiver burden in carers over time. Acceptance and positive reframing however as coping responses are associated with lower levels of anxiety and caregiver burden long-term. Our findings highlight the need for a multi-dimensional approach in future caregiving interventions.Publicado en Open Acces con financiación de la Universidad de Jaén.Wiley202420242024info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://sigmapubs.onlinelibrary.wiley.com/doi/10.1111/jnu.12957https://hdl.handle.net/10953/1770reponame:RUJA. Repositorio Institucional de la Producción Científica de la Universidad de Jaéninstname:Universidad de JaénInglésJournal of Nursing ScholarshipAtribución-NoComercial-SinDerivadas 3.0 Españahttp://creativecommons.org/licenses/by-nc-nd/3.0/es/info:eu-repo/semantics/openAccessoai:ruja.ujaen.es:10953/17702026-06-24T12:41:07Z
dc.title.none.fl_str_mv Coping and anxiety symptoms in family carers of dependent older people: Mediation and moderation effects of subjective caregiver burden
title Coping and anxiety symptoms in family carers of dependent older people: Mediation and moderation effects of subjective caregiver burden
spellingShingle Coping and anxiety symptoms in family carers of dependent older people: Mediation and moderation effects of subjective caregiver burden
López-Martínez, Catalina
anxiety
coping
family carers
mediation
moderation
older relatives
subjective caregiver burden
title_short Coping and anxiety symptoms in family carers of dependent older people: Mediation and moderation effects of subjective caregiver burden
title_full Coping and anxiety symptoms in family carers of dependent older people: Mediation and moderation effects of subjective caregiver burden
title_fullStr Coping and anxiety symptoms in family carers of dependent older people: Mediation and moderation effects of subjective caregiver burden
title_full_unstemmed Coping and anxiety symptoms in family carers of dependent older people: Mediation and moderation effects of subjective caregiver burden
title_sort Coping and anxiety symptoms in family carers of dependent older people: Mediation and moderation effects of subjective caregiver burden
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 anxiety
coping
family carers
mediation
moderation
older relatives
subjective caregiver burden
topic anxiety
coping
family carers
mediation
moderation
older relatives
subjective caregiver burden
description INTRODUCTION: Coping responses influence anxiety symptoms experienced by informal carers. However, only a few studies have investigated the longitudinal association between coping responses and anxiety symptoms in family carers. We also currently have limited knowledge on the mediating or moderating influence of subjective caregiver burden on this relationship over time. The aim of the present study was to investigate the longitudinal relationship between coping and anxiety symptoms in family carers of dependent older people, and examine the mediating or moderating role of subjective caregiver burden over time. DESIGN: Prospective longitudinal study. METHODS: We recruited and enrolled participants from a probability sample of 132 family carers of older dependent relatives. We measured coping strategies, anxiety symptoms, subjective caregiver burden, and several covariates (sex and intensity of care) at baseline and at 1-year follow-up. We used generalized estimating equations with multiple imputations to examine associations over time. RESULTS: Considering both direct and indirect effects through subjective burden, anxiety symptoms were positively associated with proactive coping (B = 0.13), planning (B = 0.15), self-distraction (B = 0.24), denial (B = 1.15), venting (B = 0.94) and self-blame (B = 0.90), and negatively associated with positive reframing (B = -0.83) and acceptance (B = -0.75). Subjective caregiver burden moderated the relationship between anxiety symptoms and planning, and the use of denial as a form of coping. CONCLUSIONS: Our results show that subjective caregiver burden is an important moderator and mediator of the longitudinal association between coping responses and anxiety symptoms in carers. CLINICAL RELEVANCE: Proactive coping and planning when subjective burden is low, self-distraction, denial, venting, and self-blame significantly increase levels of anxiety and caregiver burden in carers over time. Acceptance and positive reframing however as coping responses are associated with lower levels of anxiety and caregiver burden long-term. Our findings highlight the need for a multi-dimensional approach in future caregiving interventions.
publishDate 2024
dc.date.none.fl_str_mv 2024
2024
2024
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://sigmapubs.onlinelibrary.wiley.com/doi/10.1111/jnu.12957
https://hdl.handle.net/10953/1770
url https://sigmapubs.onlinelibrary.wiley.com/doi/10.1111/jnu.12957
https://hdl.handle.net/10953/1770
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Journal of Nursing Scholarship
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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