Predictors of Caregiver Well-being and Satisfaction: The Development of a Comprehensive Model
ProQuest, 2008 - 165 pages
This study examined the utility of Lazarus and Folkman's model of stress and coping in understanding relationship between caregiving demands, stressors, coping, and caregiver and care recipient physical and emotional well-being and life satisfaction. Participants were 1,226 informal caregivers providing services to a matched recipients who were 65 years or older. The sample is a nationally representative portion of respondents from the 1999 wave of the National Long Term Care Survey. Model 1 examined predictors of caregiver well-being and satisfaction using an SEM approach. Results indicated that caregivers' appraisals of stress (i.e., subjective stressors) mediate the relationship between caregiver demands (i.e., objective stressors) and caregiver physical and emotional well-being. Model 2 examined coping strategies proposed to buffer the effects of stress on caregivers' and recipients' emotional well-being using an HLM dyad modeling approach. Results indicated that caregivers benefit from using active coping strategies and avoiding substance use to cope with stress. Although caregivers' own level of social support did not buffer the effects of stress, they appeared to benefit when recipients had a strong support network. Recipients benefited from social support. Caregiver coping was not related to recipient well-being. These results have implications for intervention design to assist caregivers and recipients coping more effectively with stress.
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REVIEW OF THE LITERATURE
Caregiver Appraised Stressors from Caregiving
AARP actor and partner ADL's African American associated with caregiving behaviors caregiver age Caregiver Appraised Buffers caregiver appraised stressors caregiver buffers caregiver context caregiver demands caregiver life satisfaction Caregiver Rating caregiver satisfaction caregiver strain caregiver stressors caregiver well-being caregiver's caregivers report caregiving situation cognitive difficulty Cope-Activity Cope-Subst coping resources correlated Demands from Caregiving depression effects on caregiver emotional well-being examined factor factor analysis family conflict Figure health conditions hierarchical linear modeling IADL's increased individuals interclass correlation latent construct Latent Variable Lazarus and Folkman's measured variables mediate model of stress negative mood noncaregivers overall partner effects physical health positive coping predict caregiver Predictors of Caregiver providing Recipient Appraised Buffers recipient condition recipient well-being relationships between caregiver RMSEA sample score self-efficacy Sobel test social support spent caring stress and coping transactional model U.S. Census Bureau variance variance-covariance matrix Well-being & Satisfaction well-being and satisfaction