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CARING FOR THE CAREGIVER: INTERPERSONAL FACTORS AND DEPRESSION AS PARALLEL-SERIAL MEDIATORS BETWEEN STIGMA AND SUICIDAL IDEATION
Title
CARING FOR THE CAREGIVER: INTERPERSONAL FACTORS AND DEPRESSION AS PARALLEL-SERIAL MEDIATORS BETWEEN STIGMA AND SUICIDAL IDEATION
Creator
Tsen, Jonathan Y.
Date
2022
Description
Background/Objectives: This study applied Joiner's Interpersonal PsychologicalTheory to a caregiver population, by describing relationships...
Show moreBackground/Objectives: This study applied Joiner's Interpersonal PsychologicalTheory to a caregiver population, by describing relationships among affiliate stigma, thwarted-belongingess (TB), perceived-burdensomeness (PB), and depression, and suicidal ideation (SI). Participants/Setting: 243 adult caregivers participated in this study via Prolific Academic and caregiver-related websites. Design/Main Outcome Measures: This study used a cross-sectional, survey-based design including demographics, the Affiliate Stigma Scale (α=.93), Interpersonal Needs Questionnaire-15 (α=.95), Center of Epidemiology Studies–Depression-10 (α=.90), and Depressive Symptom Inventory— Suicide Subscale (α = .91) via Qualtrics. Analyses run on SPSSv27/Hayes’ PROCESS macro. Results: Parallel-serial mediation found after controlling for covariates that the total indirect effect of affiliate stigma on SI through both TB and PB then through depression was significant, B = .0271, SE = .0062, β = .1659, 95%CI [.0152, .0393]. Conclusions: Findings indicated that affiliate stigma indirectly affected SI through both TB and PB then through depression. Interventions to improve caregiver wellbeing should capitalize on both improving interpersonal functioning and depressive symptoms in tandem in order to reduce SI risk.
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Agency and Pathway Thinking as Mediators of The Relationship Between Caregiver Burden And Life Satisfaction Among Family Caregivers Of People With Parkinson’s Disease: An Application Of Snyder’s Hope Theory
Title
Agency and Pathway Thinking as Mediators of The Relationship Between Caregiver Burden And Life Satisfaction Among Family Caregivers Of People With Parkinson’s Disease: An Application Of Snyder’s Hope Theory
Creator
Springer, Jessica Gabrielle
Date
2024
Description
In the United States, there are 47.9 million caregivers providing care to family members with disabilities. Those providing care to someone...
Show moreIn the United States, there are 47.9 million caregivers providing care to family members with disabilities. Those providing care to someone who has Parkinson’s Disease (PD), a complex degenerative movement disorder, may have a unique caregiving experience, given that disease-related factors (e.g. motor and non-motor symptoms) can contribute to worsening caregiver burden and life satisfactions (LS). PD has an increasing incidence of 90,000 new cases per year, likely resulting in an increased need for caregivers. Caregiving research frequently focuses on the mediators between caregiver burden and LS including social support, coping skills, and appraisals. Research that has specifically focused on caregivers of people with PD (Pw/PD) is significantly limited. Hope is a “positive motivational characteristic comprised of agency and pathways thinking that can help facilitate drive towards one’s goal while also serving as a buffer against negative events” (Snyder et al.,1991). The goal of this study is to understand Snyder’s hope theory as it relates to caregiver burden and LS for caregivers of Pw/PD. Specifically, we hypothesized that (a) caregiver burden will be negatively correlated with agency thinking, pathways thinking, and LS among caregivers of Pw/PD. In addition, pathways thinking, and agency thinking will be positively associated with LS, and (b) agency thinking, and pathways thinking will mediate the relationship between caregiver burden and LS among caregivers of Pw/PD. The study sample consisted of 249 caregivers of Pw/PD who completed an online anonymous questionnaire. Correlations between agency and pathways thinking, LS, caregiver burden, and sociodemographic factors were evaluated. A parallel mediation analysis was run to evaluate the mediating roles of pathways and agency thinking in the relationship between caregiver burden and LS. Results indicated that LS was significantly and negatively correlated with caregiver burden. LS was significantly and positively correlated with both pathways and agency thinking. Pathways thinking had no indirect effect on the relationship of caregiver burden on LS. Agency thinking had a negative, indirect effect on the relationship suggesting that agency thinking partially mediated the relationship between caregiver burden and LS. Clinical implications and future directions are discussed.
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