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Mediating effect of social support on the relationship between resilience and burden in caregivers of people with dementia
Affiliation:1. Department of Health and Physical Education, The Education University of Hong Kong, Tai Po, New Territories, Hong Kong;2. Department of Clinical Psychology, Norwich Medical School, University of East Anglia, Norwich, United Kingdom;3. Comprehensive Health Research Centre, CEDOC, Nova Medical School / Faculdade de Ciências Médicas, Universidade Nova de Lisboa, Lisbon, Portugal;1. Department of Medicine, University of Udine, Viale Ungheria 20, 33010 Udine, Italy;2. South Denmark European Office, Avenue Palmerston 3, B-1000 Brussels, Belgium;3. University College Lillebaelt, Erhvervsakademi og Professionshøjskole, Niels Bohrs Allé 1, 5230 Odense, Denmark;4. Odense Kommune, Departement for the elderly and persons with disabilities (ÆHF), Ørbækvej 100, 5220 Odense SØ;5. Healthy Ageing Network Northern Netherlands, L.J. Zielstraweg 2, 9713 GX Groningen, The Netherlands;6. European Connected Health Alliance, Innovation Centre - Catalyst Inc, Queen''s Road, BT3 9DT Belfast, Northern Ireland - United Kingdom;7. Matia Gerontological Institute, Calle Orense, 6 Planta 13 1A, 28020 Madrid, Spain
Abstract:ObjectiveThis study examined different predictive factors of burden in a sample of family caregivers of patients with dementia (PWD). In particular, the influence of social support and resilience on burden was tested, considering potential mediation effects.MethodsA total of 283 primary and family caregivers in Spain were evaluated using a standardized protocol to assess sociodemographic characteristics, clinical state of PWD and specific variables of caregiving and care providers.ResultsThe role of caregiver of PWD was more common in women, reporting significantly higher levels of burden than men. Resilience and social support accounted for most of the variance in burden. Furthermore, social support partially mediated the relationship between resilience and burden in caregivers.ConclusionsCaregivers’ resilience and social support are protective factors against burden in caregivers of PWD. Both factors should be considered for tailored interventions aimed at reducing the health costs of burden in this population.
Keywords:Burden  Caregiving  Stress  Dementia  Psychological  Social support
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