View in EDS

The Role of Family Functioning in the Stress Process of Dementia Caregivers: A Structural Family Framework

Saved in:
Bibliographic Details
Title: The Role of Family Functioning in the Stress Process of Dementia Caregivers: A Structural Family Framework
Language: English
Authors: Mitrani, Victoria B., Lewis, John E., Feaster, Daniel J., Czaja, Sara J., Eisdorfer, Carl, Schulz, Richard, Szapocznik, Jose
Source: Gerontologist. 2006 46(1):97-105.
Availability: The Gerontological Society of America. 1030 15th Street NW Suite 250, Washington, DC 20005. Tel: 202-842-1275; Fax: 202-842-1150; e-mail: geron@geron.org; Web site: http://www.geron.org/journals/gsapub.htm.
Peer Reviewed: Y
Page Count: 9
Publication Date: 2006
Document Type: Journal Articles
Reports - Research
Descriptors: Family Role, Dementia, Caregivers, Predictor Variables, Ethnicity, Multidimensional Scaling, Structural Equation Models, Intervention, Family Influence, Family (Sociological Unit), Cubans, Hispanic Americans, Whites, Research Problems, Depression (Psychology), Anxiety
Assessment and Survey Identifiers: State Trait Anxiety Inventory
ISSN: 0016-9013
Abstract: Purpose: The purpose of the study was to evaluate the role of family functioning in the stress process in a sample of caregivers of dementia patients by using a structural family framework. The stress-process model of caregiver distress included family functioning as an intervening variable in the relationship between objective burden and distress. We theorized family functioning to partially mediate the relationship between objective burden and distress and to significantly account for the prediction of distress beyond well-recognized predictors. Design and Methods: One hundred eighty-one family caregivers from the Miami site of the Resources for Enhancing Alzheimer's Caregiver Health project participated in this study. We assessed sociodemographics, burden, depression, anxiety, and perceived health for each caregiver. We measured family functioning by using a multidimensional and observational instrument. We used structural equation modeling to assess the fit of the model for the overall sample and for different caregiver subgroups and to examine whether demographic variables affected the relationships in the model. Results: The results of the study indicated that family functioning significantly contributed to distress in the overall sample and partially mediated the relationship between objective burden and distress. We also found that the stress-process model was adequately fit by the hypothesized relationships between objective burden, family functioning, and distress for the overall sample and all of the subsamples, except for wives. Implications: This study provides support for the structural family approach as an explanatory model for the influence of family functioning on dementia caregivers. Family structural functioning is one contributor to the caregiver stress process. This suggests that interventions targeting structural family problems may reduce caregiver distress. (Contains 5 tables and 1 figure.)
Abstractor: Author
Number of References: 42
Entry Date: 2006
Access URL: https://gerontologist.gerontologyjournals.org/cgi/content/abstract/46/1/97
Accession Number: EJ742728
Database: ERIC
FullText Text:
  Availability: 0
Header DbId: eric
DbLabel: ERIC
An: EJ742728
AccessLevel: 3
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: The Role of Family Functioning in the Stress Process of Dementia Caregivers: A Structural Family Framework
– Name: Language
  Label: Language
  Group: Lang
  Data: English
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Mitrani%2C+Victoria+B%2E%22">Mitrani, Victoria B.</searchLink><br /><searchLink fieldCode="AR" term="%22Lewis%2C+John+E%2E%22">Lewis, John E.</searchLink><br /><searchLink fieldCode="AR" term="%22Feaster%2C+Daniel+J%2E%22">Feaster, Daniel J.</searchLink><br /><searchLink fieldCode="AR" term="%22Czaja%2C+Sara+J%2E%22">Czaja, Sara J.</searchLink><br /><searchLink fieldCode="AR" term="%22Eisdorfer%2C+Carl%22">Eisdorfer, Carl</searchLink><br /><searchLink fieldCode="AR" term="%22Schulz%2C+Richard%22">Schulz, Richard</searchLink><br /><searchLink fieldCode="AR" term="%22Szapocznik%2C+Jose%22">Szapocznik, Jose</searchLink>
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="SO" term="%22Gerontologist%22"><i>Gerontologist</i></searchLink>. 2006 46(1):97-105.
– Name: Avail
  Label: Availability
  Group: Avail
  Data: The Gerontological Society of America. 1030 15th Street NW Suite 250, Washington, DC 20005. Tel: 202-842-1275; Fax: 202-842-1150; e-mail: geron@geron.org; Web site: http://www.geron.org/journals/gsapub.htm.
– Name: PeerReviewed
  Label: Peer Reviewed
  Group: SrcInfo
  Data: Y
– Name: Pages
  Label: Page Count
  Group: Src
  Data: 9
– Name: DatePubCY
  Label: Publication Date
  Group: Date
  Data: 2006
– Name: TypeDocument
  Label: Document Type
  Group: TypDoc
  Data: Journal Articles<br />Reports - Research
– Name: Subject
  Label: Descriptors
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Family+Role%22">Family Role</searchLink><br /><searchLink fieldCode="DE" term="%22Dementia%22">Dementia</searchLink><br /><searchLink fieldCode="DE" term="%22Caregivers%22">Caregivers</searchLink><br /><searchLink fieldCode="DE" term="%22Predictor+Variables%22">Predictor Variables</searchLink><br /><searchLink fieldCode="DE" term="%22Ethnicity%22">Ethnicity</searchLink><br /><searchLink fieldCode="DE" term="%22Multidimensional+Scaling%22">Multidimensional Scaling</searchLink><br /><searchLink fieldCode="DE" term="%22Structural+Equation+Models%22">Structural Equation Models</searchLink><br /><searchLink fieldCode="DE" term="%22Intervention%22">Intervention</searchLink><br /><searchLink fieldCode="DE" term="%22Family+Influence%22">Family Influence</searchLink><br /><searchLink fieldCode="DE" term="%22Family+%28Sociological+Unit%29%22">Family (Sociological Unit)</searchLink><br /><searchLink fieldCode="DE" term="%22Cubans%22">Cubans</searchLink><br /><searchLink fieldCode="DE" term="%22Hispanic+Americans%22">Hispanic Americans</searchLink><br /><searchLink fieldCode="DE" term="%22Whites%22">Whites</searchLink><br /><searchLink fieldCode="DE" term="%22Research+Problems%22">Research Problems</searchLink><br /><searchLink fieldCode="DE" term="%22Depression+%28Psychology%29%22">Depression (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Anxiety%22">Anxiety</searchLink>
– Name: SubjectThesaurus
  Label: Assessment and Survey Identifiers
  Group: Su
  Data: <searchLink fieldCode="SU" term="%22State+Trait+Anxiety+Inventory%22">State Trait Anxiety Inventory</searchLink>
– Name: ISSN
  Label: ISSN
  Group: ISSN
  Data: 0016-9013
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Purpose: The purpose of the study was to evaluate the role of family functioning in the stress process in a sample of caregivers of dementia patients by using a structural family framework. The stress-process model of caregiver distress included family functioning as an intervening variable in the relationship between objective burden and distress. We theorized family functioning to partially mediate the relationship between objective burden and distress and to significantly account for the prediction of distress beyond well-recognized predictors. Design and Methods: One hundred eighty-one family caregivers from the Miami site of the Resources for Enhancing Alzheimer's Caregiver Health project participated in this study. We assessed sociodemographics, burden, depression, anxiety, and perceived health for each caregiver. We measured family functioning by using a multidimensional and observational instrument. We used structural equation modeling to assess the fit of the model for the overall sample and for different caregiver subgroups and to examine whether demographic variables affected the relationships in the model. Results: The results of the study indicated that family functioning significantly contributed to distress in the overall sample and partially mediated the relationship between objective burden and distress. We also found that the stress-process model was adequately fit by the hypothesized relationships between objective burden, family functioning, and distress for the overall sample and all of the subsamples, except for wives. Implications: This study provides support for the structural family approach as an explanatory model for the influence of family functioning on dementia caregivers. Family structural functioning is one contributor to the caregiver stress process. This suggests that interventions targeting structural family problems may reduce caregiver distress. (Contains 5 tables and 1 figure.)
– Name: AbstractInfo
  Label: Abstractor
  Group: Ab
  Data: Author
– Name: Ref
  Label: Number of References
  Group: RefInfo
  Data: 42
– Name: DateEntry
  Label: Entry Date
  Group: Date
  Data: 2006
– Name: URL
  Label: Access URL
  Group: URL
  Data: <link linkTarget="URL" linkTerm="https://gerontologist.gerontologyjournals.org/cgi/content/abstract/46/1/97" linkWindow="_blank">http://gerontologist.gerontologyjournals.org/cgi/content/abstract/46/1/97</link>
– Name: AN
  Label: Accession Number
  Group: ID
  Data: EJ742728
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=eric&AN=EJ742728
RecordInfo BibRecord:
  BibEntity:
    Languages:
      – Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 9
        StartPage: 97
    Subjects:
      – SubjectFull: Family Role
        Type: general
      – SubjectFull: Dementia
        Type: general
      – SubjectFull: Caregivers
        Type: general
      – SubjectFull: Predictor Variables
        Type: general
      – SubjectFull: Ethnicity
        Type: general
      – SubjectFull: Multidimensional Scaling
        Type: general
      – SubjectFull: Structural Equation Models
        Type: general
      – SubjectFull: Intervention
        Type: general
      – SubjectFull: Family Influence
        Type: general
      – SubjectFull: Family (Sociological Unit)
        Type: general
      – SubjectFull: Cubans
        Type: general
      – SubjectFull: Hispanic Americans
        Type: general
      – SubjectFull: Whites
        Type: general
      – SubjectFull: Research Problems
        Type: general
      – SubjectFull: Depression (Psychology)
        Type: general
      – SubjectFull: Anxiety
        Type: general
      – SubjectFull: State Trait Anxiety Inventory
        Type: general
    Titles:
      – TitleFull: The Role of Family Functioning in the Stress Process of Dementia Caregivers: A Structural Family Framework
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Mitrani, Victoria B.
      – PersonEntity:
          Name:
            NameFull: Lewis, John E.
      – PersonEntity:
          Name:
            NameFull: Feaster, Daniel J.
      – PersonEntity:
          Name:
            NameFull: Czaja, Sara J.
      – PersonEntity:
          Name:
            NameFull: Eisdorfer, Carl
      – PersonEntity:
          Name:
            NameFull: Schulz, Richard
      – PersonEntity:
          Name:
            NameFull: Szapocznik, Jose
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 01
              Type: published
              Y: 2006
          Identifiers:
            – Type: issn-print
              Value: 0016-9013
          Numbering:
            – Type: volume
              Value: 46
            – Type: issue
              Value: 1
          Titles:
            – TitleFull: Gerontologist
              Type: main
ResultId 1