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Caregiving burden and gain among adult-child caregivers caring for parents with dementia in China: the partial mediating role of reciprocal filial piety

Published online by Cambridge University Press:  03 June 2016

Hua Yu ,
Li Wu ,
Shu Chen ,
Qing Wu ,
Yuan Yang  and
Helen Edwards
Hua Yu*
Affiliation:
School of Nursing, Kunming Medical University, Kunming, Yunnan, China
Li Wu
Affiliation:
Department of Geriatric, Mental Health Centre of Yunnan Province, China
Shu Chen
Affiliation:
School of Nursing, Kunming Medical University, Kunming, Yunnan, China
Qing Wu
Affiliation:
School of Nursing, Kunming Medical University, Kunming, Yunnan, China
Yuan Yang
Affiliation:
School of Basic Medical, Kunming Medical University, Kunming, Yunnan, China
Helen Edwards
Affiliation:
Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Queensland, Australia
*
Correspondence should be addressed to: Hua Yu, 1168 West Chunrong Road, Yuhua Avenue, Chenggong District, Kunming 650500, Yunnan, P.R. China. Phone: +86-871-67462024; Fax: +86-871-65932186; Mobile number: +86 18787442448. Email: 372035922@qq.com.
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Abstract

Background:

The majority of the family caregivers are adult children in China. The aim of this study was to examine the mediating role of reciprocal filial piety (RFP) between the care recipient's behavioral and psychological symptoms of dementia (BPSD) and the caregiver's burden or gain among adult-child caregivers caring for parents with dementia in China.

Methods:

Using Kramer's caregiver adaptation model as the research framework, a cross-sectional survey collected data from 401 adult-child caregivers caring for parents with dementia from hospitals in China.

Results:

Results of the regression analysis revealed that after adjusting for covariates, the regression coefficient between care recipient's BPSD and caregiver burden reduced from c = 1.01 to c′ = 0.91 when controlling for RFP. Using the bootstrap approach, the estimated indirect effect through RFP between care recipient's BPSD and caregiver burden was 0.11 (95% CI: 0.03, 0.20). The mediation proportion was 11%. The absolute value of the regression coefficient between care recipient's BPSD and caregiver gain reduced from c = −0.75 to c′ = −0.63 when controlling for RFP. The bootstrapped estimate of the indirect effect through RFP between care recipient's BPSD and caregiver gain was −0.12 (95% CI: −0.18, −0.07). The mediation proportion was 12%.

Conclusions:

The findings suggest that the effect of care recipient's BPSD on caregiver's burden/gain may be related to the level of RFP among adult-child caregivers in China.

Keywords

burdengaincaregiverChinadementiareciprocal filial piety
Type
Research Article
Information
International Psychogeriatrics , Volume 28 , Issue 11 , November 2016 , pp. 1845 - 1855
Copyright
Copyright © International Psychogeriatric Association 2016 

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