A longitudinal study of coping and burnout among Japanese family caregivers of frail elders.

Abstract:

OBJECTIVES:The purpose of this study is to clarify causal relations between coping strategies and burnout in family caregivers of frail elders in Japan. METHODS:Baseline and 1-year follow-up interviews were conducted with 546 caregivers living in suburban Tokyo. 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, as well as several confounding factors. RESULTS:After controlling for these confounding factors, results of cross-lagged effects modelling showed that adoption of a Diversion coping strategy decreased caregiver burnout, while increases in burnout decreased caregiver Positive Acceptance of Caregiving Role. CONCLUSIONS:The beneficial effect of an Adaptive Avoidance Coping strategy, Diversion, on caregiver mental health was confirmed in this two-wave longitudinal study. The mechanism by which Diversion appears to work is by containing caregiving stressors from completely spilling over into caregivers' personal lives. In addition, we also show 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, elder care-recipients were better positioned to receive high quality care.

journal_name

Aging Ment Health

journal_title

Aging & mental health

authors

Okabayashi H,Sugisawa H,Takanashi K,Nakatani Y,Sugihara Y,Hougham GW

doi

10.1080/13607860802224318

subject

Has Abstract

pub_date

2008-07-01 00:00:00

pages

434-43

issue

4

eissn

1360-7863

issn

1364-6915

pii

902432846

journal_volume

12

pub_type

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