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Spirituality and self-efficacy in dementia family caregiving
 — trust in God and in yourself
Author(s)J Lopez, R Romero-Moreno, M Marquez-Gonzalez
Journal titleInternational Psychogeriatrics, vol 24, no 12, December 2012
Pagespp 1943-1952
Sourcejournals.cambridge.org/ipg
KeywordsDementia ; Family care ; Spiritual characteristics [elderly] ; Self esteem ; Anxiety ; Depression ; Cross sectional surveys ; Spain.
AnnotationResearch indicates that spirituality and self-efficacy have been associated with higher levels of caregivers' well-being. However, these two concepts have rarely been examined simultaneously. This Spanish cross-sectional study of 122 dementia family caregivers analyses the combined effect of spirituality and self-efficacy on the caregiving stress process. The caregivers were assessed in relation to the following variables: stressors (time since caregiving began, daily hours caring, frequency of behavioural problems, patient's functional status); appraisal (caregiver's appraisal of behavioural problems), caregiver's personal resources (self-efficacy, spiritual meaning, social support), and outcomes (depression and anxiety). Participants were divided into four groups corresponding to four profiles defined by their scores on spiritual meaning and self-efficacy: LELS = Low self-efficacy and low spirituality; HELS = High self-efficacy and low spirituality; LEHS = Low self-efficacy and high spirituality; and HEHS = High self-efficacy and high spirituality. No differences were found between groups in stressors, appraisal, or personal resources. Caregivers in the HEHS group had significantly less depression compared to the LEHS group. Regression analysis showed that being a HEHS caregiver, low appraisal of behavioural problems and high social support were associated with low caregiver depression. Only high appraisal of behavioural problems was associated with high levels of anxiety. These results suggest that spirituality and self-efficacy had an additive effect on caregivers' well-being. A high sense of spiritual meaning and a high self-efficacy, in combination, was associated with lower levels of depression in caregivers. (RH).
Accession NumberCPA-121116208 A
ClassmarkEA: P6:SJ: EX: DPA: ENP: ENR: 3KB: 76S

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