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A longitudinal study of coping and burnout among Japanese family caregivers of frail elders
Author(s)Hideki Okabayashi, Hidehiro Sugisawa, Kaoro Takanashi
Journal titleAging & Mental Health, vol 12, no 4, July 2008
PublisherTaylor & Francis, July 2008
Pagespp 434-443
Sourcehttp://www.tandfonline.com
KeywordsFamily care ; Attitude ; Stress ; Longitudinal surveys ; Japan.
AnnotationClarification of causal relations between coping strategies and burnout was the aim of this 1-year longitudinal study. 546 Japanese caregivers living in suburban Tokyo were interviewed at baseline and one year. Using newly refined measures, five coping strategies of caregivers (Keeping Their Own Pace, Positive Acceptance of Caregiving Role, Diversion, Informal Support Seeking, and Formal Support Seeking) and caregiver burnout were measured. After controlling for confounding factors, results of cross-lagged effects modelling showed that adaption to a Diversion coping strategy decreased caregiver burnout, while increases in burnout decreased caregiver Positive Acceptance of Caregiving Role. The beneficial effect of an Adaptive Avoidance Coping strategy, Diversion, on caregiver mental health was confirmed in this two-wave study. The mechanism by which diversion appears to work is by containing caregiving stressors from completely spilling over into caregivers' personal lives. The study also shows that preventing a decline in caregiver mental health (i.e. an increase in burnout) allowed caregivers to more easily embrace the caregiving role and, as a result, older care recipients were better placed to receive high quality care. (RH).
Accession NumberCPA-081010203 A
ClassmarkP6:SJ: DP: QNH: 3J: 7DT

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