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Centre for Policy on Ageing | |
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Coping strategies, care manager support and mental health outcome among Japanese family caregivers | Author(s) | Miho Yamada, Akihito Hagihara, Koichi Nobutomo |
Journal title | Health and Social Care in the Community, vol 16, no 4, July 2008 |
Pages | pp 400-409 |
Source | http://www.blackwellpublishing.com/hsc |
Keywords | Family care ; Self care capacity ; Stress ; Depression ; Management [care] ; Social workers ; Social surveys ; Japan. |
Annotation | Coping and social support are regarded as major modifiers of the caregiving stress and negative mental health effects experienced by caregivers. Under Japan's Long-term Care Insurance (LTCI) system, care managers have played a major role in providing psychosocial support for family caregivers while coordinating formal and informal care resources for older people. However, since the launch of the LTCI system in 2000, no evaluation of the role care managers play in buffering the negative effects of family caregiver burden in Japan, which this study now examines. A self-administered questionnaire survey was conducted in February and March 2005 in a rural suburb in southwestern Japan. Subjects were 371 family caregivers caring for community-dwelling people aged 65+ who were having difficulties with activities of daily living (ADLs). Hierarchical regression analyses revealed three things. First, coping strategies and "social talk" by care managers had direct effects on caregiver burden and depression. Second, "avoidant" coping and "social talk" by care managers had buffering effects on the care needs and depression relationship. Third, "information giving" by care managers had no significant direct effect, but it had a negative effect on the care needs and depression relationship. Overall, results concerning "approaching" coping were in line with those of previous studies, while findings concerning "avoidant" coping were not consistent with findings in western countries. The type of care managers support appeared to have a variable influence on caregiver burden and depression. (RH). |
Accession Number | CPA-080703209 A |
Classmark | P6:SJ: CA: QNH: ENR: QA: QR: 3F: 7DT |
Data © Centre for Policy on Ageing |
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...from the Ageinfo database published by Centre for Policy on Ageing. |
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