A modified transactional model of stress and coping on depressive symptoms among informal caregivers of persons with dementia

Informal caregivers are crucial to the care of persons with dementia (PWD), but their role is often reported as challenging. This study aims to examine caregiver stress and depressive symptoms among informal caregivers of PWD using a modified transactional stress and coping model. Path analysis was...

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Bibliographic Details
Published in:Scientific reports Vol. 14; no. 1; pp. 25507 - 10
Main Authors: Yuan, Qi, Tan, Tee Hng, Wang, Peizhi, Poremski, Daniel, Abdin, Edimansyah, Magadi, Harish, Goveas, Richard, Ng, Li Ling, Subramaniam, Mythily
Format: Journal Article
Language:English
Published: London Nature Publishing Group UK 26.10.2024
Nature Publishing Group
Nature Portfolio
Subjects:
631/477
692/499
Adaptation, Psychological
Adult
Aged
Caregivers
Caregivers - psychology
Dementia
Dementia - nursing
Dementia - psychology
Dementia disorders
Depression - epidemiology
Depression - psychology
Depressive symptoms
Female
Humanities and Social Sciences
Humans
Informal caregivers
Male
Mental depression
Middle Aged
Models, Psychological
multidisciplinary
Path analysis
Science
Science (multidisciplinary)
Self Efficacy
Singapore - epidemiology
Social interactions
Social Support
Stress, Psychological - psychology
Transactional model of stress and coping
Singapore
Path analysis
Informal caregivers
Depressive symptoms
Transactional model of stress and coping
Dementia
ISSN:2045-2322, 2045-2322
Online Access:Get full text
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Summary:Informal caregivers are crucial to the care of persons with dementia (PWD), but their role is often reported as challenging. This study aims to examine caregiver stress and depressive symptoms among informal caregivers of PWD using a modified transactional stress and coping model. Path analysis was conducted among a sample of informal caregivers of PWD in Singapore ( n  = 281) using information on functional dependence and memory and behavioral problems of PWD, and self-reported measurements on caregivers’ knowledge of dementia, perceived positive aspects of caregiving, social support, coping patterns, caregiving self-efficacy, caregiving burden and depressive symptoms. The initial model reflecting our assumptions for the transactional stress and coping model showed a poor fit (model 1 - CFI = 0.858, TLI = 0.665, RMSEA = 0.118). Logical modifications were made until sufficient model fit was achieved (model 2 - CFI = 0.987, TLI = 0.955, RMSEA = 0.043). We then removed the insignificant paths in model 2 and obtained our final model (model 3 - CFI = 0.990, TLI = 0.974, RMSEA = 0.033). The final model supported our hypotheses, with some adjustments. This study advances our understanding of caregiver distress by modifying the transactional stress and coping model, including (1) the key role of caregiver self-efficacy in the primary appraisal process, (2) the dynamic assessment of coping resources across all stages of the model, and (3) the importance of coping patterns. Future studies could explore the generalizability of these findings.
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ISSN:2045-2322
2045-2322
DOI:10.1038/s41598-024-76339-4