Self-efficacy is associated with less burden and more gains from behavioral problems of Alzheimer's disease in Hong Kong Chinese caregivers

To test the effects of different self-efficacy beliefs on caregiver appraisals and depressive symptoms. We hypothesized that self-efficacy has a direct effect on depression while moderating the effects of behavioral problems on both negative (i.e., burden) and positive (i.e., uplifting) appraisals....

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Vydáno v:The Gerontologist Ročník 53; číslo 1; s. 71
Hlavní autoři: Cheng, Sheung-Tak, Lam, Linda C W, Kwok, Timothy, Ng, Natalie S S, Fung, Ada W T
Médium: Journal Article
Jazyk:angličtina
Vydáno: United States 01.02.2013
Témata:
Adaptation, Psychological
Adult
Aged
Aged, 80 and over
Alzheimer Disease - diagnosis
Alzheimer Disease - nursing
Asian Continental Ancestry Group - psychology
Caregivers - psychology
Cost of Illness
Cross-Sectional Studies
Depression - etiology
Depression - psychology
Factor Analysis, Statistical
Hong Kong
Humans
Interviews as Topic
Middle Aged
Quality of Health Care
Regression Analysis
Self Efficacy
Surveys and Questionnaires
Hong Kong
ISSN:1758-5341, 1758-5341
On-line přístup:Zjistit podrobnosti o přístupu
Tagy: Přidat tag
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Abstract To test the effects of different self-efficacy beliefs on caregiver appraisals and depressive symptoms. We hypothesized that self-efficacy has a direct effect on depression while moderating the effects of behavioral problems on both negative (i.e., burden) and positive (i.e., uplifting) appraisals. Ninety-nine Chinese caregivers of relatives with Alzheimer's disease responded to measures of self-efficacy, positive gains, burden, depression, and care recipient behavioral problems. Data were analyzed using confirmatory factor analysis and multiple regression. Confirmatory factor analysis supported a 3-factor structure for the Revised Scale for Caregiving Self-Efficacy (obtaining respite, responding to disruptive behaviors, and controlling upsetting thoughts). Interaction effects in regression showed that caregivers with higher self-efficacy in controlling upsetting thoughts had more positive gains and less burden when confronted with more behavioral problems. Self-efficacy in obtaining respite had direct effects on burden and depression, and self-efficacy in responding to disruptive behaviors had a direct effect on positive gains, but not moderating effects. The results supported the multidimensional structure of caregiver self-efficacy and showed that efficacy in controlling upsetting thoughts was most important in buffering the effects of behavioral problems on burden and positive gains among Chinese caregivers. Interventions for dementia caregivers may be more effective if more emphasis is given on changing negative thoughts.
AbstractList To test the effects of different self-efficacy beliefs on caregiver appraisals and depressive symptoms. We hypothesized that self-efficacy has a direct effect on depression while moderating the effects of behavioral problems on both negative (i.e., burden) and positive (i.e., uplifting) appraisals. Ninety-nine Chinese caregivers of relatives with Alzheimer's disease responded to measures of self-efficacy, positive gains, burden, depression, and care recipient behavioral problems. Data were analyzed using confirmatory factor analysis and multiple regression. Confirmatory factor analysis supported a 3-factor structure for the Revised Scale for Caregiving Self-Efficacy (obtaining respite, responding to disruptive behaviors, and controlling upsetting thoughts). Interaction effects in regression showed that caregivers with higher self-efficacy in controlling upsetting thoughts had more positive gains and less burden when confronted with more behavioral problems. Self-efficacy in obtaining respite had direct effects on burden and depression, and self-efficacy in responding to disruptive behaviors had a direct effect on positive gains, but not moderating effects. The results supported the multidimensional structure of caregiver self-efficacy and showed that efficacy in controlling upsetting thoughts was most important in buffering the effects of behavioral problems on burden and positive gains among Chinese caregivers. Interventions for dementia caregivers may be more effective if more emphasis is given on changing negative thoughts.
To test the effects of different self-efficacy beliefs on caregiver appraisals and depressive symptoms. We hypothesized that self-efficacy has a direct effect on depression while moderating the effects of behavioral problems on both negative (i.e., burden) and positive (i.e., uplifting) appraisals.PURPOSETo test the effects of different self-efficacy beliefs on caregiver appraisals and depressive symptoms. We hypothesized that self-efficacy has a direct effect on depression while moderating the effects of behavioral problems on both negative (i.e., burden) and positive (i.e., uplifting) appraisals.Ninety-nine Chinese caregivers of relatives with Alzheimer's disease responded to measures of self-efficacy, positive gains, burden, depression, and care recipient behavioral problems. Data were analyzed using confirmatory factor analysis and multiple regression.DESIGN AND METHODSNinety-nine Chinese caregivers of relatives with Alzheimer's disease responded to measures of self-efficacy, positive gains, burden, depression, and care recipient behavioral problems. Data were analyzed using confirmatory factor analysis and multiple regression.Confirmatory factor analysis supported a 3-factor structure for the Revised Scale for Caregiving Self-Efficacy (obtaining respite, responding to disruptive behaviors, and controlling upsetting thoughts). Interaction effects in regression showed that caregivers with higher self-efficacy in controlling upsetting thoughts had more positive gains and less burden when confronted with more behavioral problems. Self-efficacy in obtaining respite had direct effects on burden and depression, and self-efficacy in responding to disruptive behaviors had a direct effect on positive gains, but not moderating effects.RESULTSConfirmatory factor analysis supported a 3-factor structure for the Revised Scale for Caregiving Self-Efficacy (obtaining respite, responding to disruptive behaviors, and controlling upsetting thoughts). Interaction effects in regression showed that caregivers with higher self-efficacy in controlling upsetting thoughts had more positive gains and less burden when confronted with more behavioral problems. Self-efficacy in obtaining respite had direct effects on burden and depression, and self-efficacy in responding to disruptive behaviors had a direct effect on positive gains, but not moderating effects.The results supported the multidimensional structure of caregiver self-efficacy and showed that efficacy in controlling upsetting thoughts was most important in buffering the effects of behavioral problems on burden and positive gains among Chinese caregivers. Interventions for dementia caregivers may be more effective if more emphasis is given on changing negative thoughts.IMPLICATIONSThe results supported the multidimensional structure of caregiver self-efficacy and showed that efficacy in controlling upsetting thoughts was most important in buffering the effects of behavioral problems on burden and positive gains among Chinese caregivers. Interventions for dementia caregivers may be more effective if more emphasis is given on changing negative thoughts.
Author Cheng, Sheung-Tak
Ng, Natalie S S
Fung, Ada W T
Kwok, Timothy
Lam, Linda C W
Author_xml – sequence: 1
  givenname: Sheung-Tak
  surname: Cheng
  fullname: Cheng, Sheung-Tak
  email: takcheng@ied.edu.hk
  organization: Department of Psychological Studies, Hong Kong Institute of Education, Tai Po, New Territories, Hong Kong. takcheng@ied.edu.hk
– sequence: 2
  givenname: Linda C W
  surname: Lam
  fullname: Lam, Linda C W
– sequence: 3
  givenname: Timothy
  surname: Kwok
  fullname: Kwok, Timothy
– sequence: 4
  givenname: Natalie S S
  surname: Ng
  fullname: Ng, Natalie S S
– sequence: 5
  givenname: Ada W T
  surname: Fung
  fullname: Fung, Ada W T
BackLink https://www.ncbi.nlm.nih.gov/pubmed/22563001$$D View this record in MEDLINE/PubMed
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Snippet To test the effects of different self-efficacy beliefs on caregiver appraisals and depressive symptoms. We hypothesized that self-efficacy has a direct effect...
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SubjectTerms Adaptation, Psychological
Adult
Aged
Aged, 80 and over
Alzheimer Disease - diagnosis
Alzheimer Disease - nursing
Asian Continental Ancestry Group - psychology
Caregivers - psychology
Cost of Illness
Cross-Sectional Studies
Depression - etiology
Depression - psychology
Factor Analysis, Statistical
Hong Kong
Humans
Interviews as Topic
Middle Aged
Quality of Health Care
Regression Analysis
Self Efficacy
Surveys and Questionnaires
Title Self-efficacy is associated with less burden and more gains from behavioral problems of Alzheimer's disease in Hong Kong Chinese caregivers
URI https://www.ncbi.nlm.nih.gov/pubmed/22563001
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