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Self-efficacy moderation and mediation roles on BPSD and social support influences on subjective caregiver burden in Chinese spouse caregivers of dementia patients

Published online by Cambridge University Press:  16 June 2014

Shuying Zhang ,
Qihao Guo ,
Helen Edwards ,
Patsy Yates  and
Chunbo Li
Shuying Zhang
Affiliation:
Tongji University School of Medicine, Shanghai, China
Qihao Guo
Affiliation:
Department of Neurology and Institute of Neurology, Huashan Hospital, State Key Laboratory of Medical Neurobiology, Shanghai Medical College, Fudan University, Shanghai, China
Helen Edwards
Affiliation:
Institute of Health and Biomedical Innovation, Queensland University of Technology, Queensland, Australia
Patsy Yates
Affiliation:
Institute of Health and Biomedical Innovation, Queensland University of Technology, Queensland, Australia
Chunbo Li*
Affiliation:
Shanghai Key Laboratory of Psychotic Disorders, Shanghai Mental Health Center, Shanghai Institute of Mental Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China
*
Correspondence should be addressed to: Chunbo Li, Shanghai Mental Health Center, 600 Wan Ping Nan Rd, Shanghai 200030, China. Phone: 86-213477 3243; Fax: 86-21-6438 7986. Email: [email protected]
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Abstract

Background:

This study aims to explore moderation and mediation roles of caregiver self-efficacy between subjective caregiver burden and (a) behavioral and psychological symptoms (BPSD) of dementia; and (b) social support.

Methods:

A cross-sectional study with 137 spouse caregivers of dementia patients was conducted in Shanghai. We collected demographic information for the caregiver–patient dyads, as well as information associated with dementia-related impairments, caregiver social support, caregiver self-efficacy, and SF-36.

Results:

Multiple regression analysis showed that caregiver self-efficacy was a moderator both between BPSD and subjective caregiver burden, and social support and subjective caregiver burden. Results also showed a partial mediation effect of caregiver self-efficacy on the impact of BPSD on subjective caregiver burden, and a mediation effect of social support on subjective caregiver burden. Caregiver self-efficacy and subjective burden significantly influenced BPSD and social support.

Conclusion:

Caregiver self-efficacy played an important role in the paths by which the two factors influenced subjective burden. Enhancing caregiver self-efficacy for symptom management (particularly BPSD) can be an essential strategy for determining interventions to support dementia caregivers in China, and possibly in other countries.

Keywords

caregiver self-efficacyBPSDdementiafamily caregiversocial supportsubjective caregiver burden
Type
Research Article
Information
International Psychogeriatrics , Volume 26 , Issue 9 , September 2014 , pp. 1465 - 1473
Copyright
Copyright © International Psychogeriatric Association 2014 

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