Skip to main content
Top
Gepubliceerd in:

21-04-2020 | ORIGINAL PAPER

Caregiver Burden and Depression Among Chinese Family Caregivers: the Role of Self-compassion

Auteurs: Shuo Xu, Huiping Zhang, Jingxin Wang

Gepubliceerd in: Mindfulness | Uitgave 7/2020

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Objectives

This study aimed to examine the association between caregiver burden and depression among Chinese cancer caregivers, and to identify the buffering role of self-compassion in the relationship between caregiver burden and depressive symptoms. In China, family caregivers perform major tasks and responsibilities on behalf of cancer patients because of unique Chinese norms regarding family obligations and the underdeveloped healthcare system. The caregiver burden has become a major challenge facing family members, and it could elicit depressive symptoms, but the protective factors buffering the effects of caregiver burden on depression are understudied.

Methods

A convenience sample of 208 family caregivers of cancer patients visiting a hospital in Tianjin City was surveyed. Data on depression, caregiver burden, and self-compassion were collected using reliable established scales. A series of linear regression models was estimated to determine the statistical relationships among the variables and the moderation effect of self-compassion.

Results

Caregiving burden was positively associated with depression, and the hierarchical multiple regressions revealed that self-compassion was associated with a reduction in the negative influence of caregiver burden on depression.

Conclusions

This correlational study, which found an association between caregiving burden and depression, provides the basis for a longitudinal study that examines whether there is a causal relationship between caregiving burden and depression among Chinese caregivers of individuals with cancer.
Literatuur
go back to reference Aiken, L. S., West, S. G., & Reno, R. R. (1991). Multiple regression: testing and interpreting interactions. London: Sage Publications. Aiken, L. S., West, S. G., & Reno, R. R. (1991). Multiple regression: testing and interpreting interactions. London: Sage Publications.
go back to reference Badr, H., Smith, C.B.,Goldstein, N.E., Gomez, J.E., & Redd, W.H. (2015). Dyadic psychosocial intervention for advanced lung cancer patients and their family caregivers: results of a randomized pilot trial. Cancer, 150-158. Badr, H., Smith, C.B.,Goldstein, N.E., Gomez, J.E., & Redd, W.H. (2015). Dyadic psychosocial intervention for advanced lung cancer patients and their family caregivers: results of a randomized pilot trial. Cancer, 150-158.
go back to reference Barnard, L. K., & Curry, J. F. (2011). Self-compassion: conceptualizations, correlates, & interventions. Review of General Psychology, 15(4), 289–303. Barnard, L. K., & Curry, J. F. (2011). Self-compassion: conceptualizations, correlates, & interventions. Review of General Psychology, 15(4), 289–303.
go back to reference Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: conceptual strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173–1182.PubMed Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: conceptual strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173–1182.PubMed
go back to reference Blanchard, C. G., Albrecht, T. L., & Ruckdeschel, J. C. (1997). The crisis of cancer: psychological impact on family caregivers. Oncology, 11(2), 189–194.PubMed Blanchard, C. G., Albrecht, T. L., & Ruckdeschel, J. C. (1997). The crisis of cancer: psychological impact on family caregivers. Oncology, 11(2), 189–194.PubMed
go back to reference Blum, K., & Sherman, D. W. (2010). Understanding the experience of caregivers: a focus on transitions. Seminars in Oncology Nursing, 26(4), 243–258.PubMed Blum, K., & Sherman, D. W. (2010). Understanding the experience of caregivers: a focus on transitions. Seminars in Oncology Nursing, 26(4), 243–258.PubMed
go back to reference Bucher, J. A., Houts, P. S., & Nezu, C. M. (1999). Improving problem-solving skills of family caregivers through group education. Journal of Psychosocial Oncology, 16, 73–84. Bucher, J. A., Houts, P. S., & Nezu, C. M. (1999). Improving problem-solving skills of family caregivers through group education. Journal of Psychosocial Oncology, 16, 73–84.
go back to reference Chan, C. L., Ho, A. H., Leung, P. P., Chochinov, H. M., Neimeyer, R. A., Pang, S. M., & Tse, D. M. (2012). The blessings and the curses of filial piety on dignity at the end of life: lived experience of Hong Kong Chinese adult children caregivers. Journal of Ethnic and Cultural Diversity in Social Work, 21(4), 277–296. Chan, C. L., Ho, A. H., Leung, P. P., Chochinov, H. M., Neimeyer, R. A., Pang, S. M., & Tse, D. M. (2012). The blessings and the curses of filial piety on dignity at the end of life: lived experience of Hong Kong Chinese adult children caregivers. Journal of Ethnic and Cultural Diversity in Social Work, 21(4), 277–296.
go back to reference Chen, M. L., Chu, L., & Chen, H. C. (2004). Impact of cancer patients’ quality of life on that of spouse caregivers. Supportive Care in Cancer, 12(7), 469–475.PubMed Chen, M. L., Chu, L., & Chen, H. C. (2004). Impact of cancer patients’ quality of life on that of spouse caregivers. Supportive Care in Cancer, 12(7), 469–475.PubMed
go back to reference Chen, J., Yan, L., & Zhou, L. (2011). Reliability and validity of Chinese version of self-compassion scale. Chinese Journal of Clinical Psychology, 19(6), 734–736. Chen, J., Yan, L., & Zhou, L. (2011). Reliability and validity of Chinese version of self-compassion scale. Chinese Journal of Clinical Psychology, 19(6), 734–736.
go back to reference Chen, W., Zheng, R., Baade, P. D., Zhang, S., Zeng, H., Bray, F., Jemal, A., Yu, Q. X., & He, J. (2016). Cancer statistics in China, 2015. CA: a Cancer Journal for Clinicians, 66(2), 115–132. Chen, W., Zheng, R., Baade, P. D., Zhang, S., Zeng, H., Bray, F., Jemal, A., Yu, Q. X., & He, J. (2016). Cancer statistics in China, 2015. CA: a Cancer Journal for Clinicians, 66(2), 115–132.
go back to reference Dorian, M., & Killebrew, J. E. (2014). A study of mindfulness and self-care: a path to self-compassion for female therapists in training. Women & Therapy, 37(1–2), 155–163. Dorian, M., & Killebrew, J. E. (2014). A study of mindfulness and self-care: a path to self-compassion for female therapists in training. Women & Therapy, 37(1–2), 155–163.
go back to reference Fann, J. R., Thomas-Rich, A. M., Katon, W. J., Cowley, D., Pepping, M., McGregor, B. A., & Gralow, J. (2008). Major depression after breast cancer: a review of epidemiology and treatment. General Hospital Psychiatry, 30(2), 112–126.PubMed Fann, J. R., Thomas-Rich, A. M., Katon, W. J., Cowley, D., Pepping, M., McGregor, B. A., & Gralow, J. (2008). Major depression after breast cancer: a review of epidemiology and treatment. General Hospital Psychiatry, 30(2), 112–126.PubMed
go back to reference Frazier, P. A., Tix, A. P., & Barron, K. E. (2004). Testing moderator and mediator effects in counseling psychology research. Journal of Counseling Psychology, 51(1), 115–134. Frazier, P. A., Tix, A. P., & Barron, K. E. (2004). Testing moderator and mediator effects in counseling psychology research. Journal of Counseling Psychology, 51(1), 115–134.
go back to reference Friðriksdóttir, N., Sævarsdóttir, Þ., Halfdánardóttir, S. Í., Jónsdóttir, A., Magnúsdóttir, H., Ólafsdóttir, K. L., Guðmundsdóttir, G., & Gunnarsdóttir, S. (2011). Family members of cancer patients: needs, quality of life and symptoms of anxiety and depression. Acta Oncologica, 50(2), 252–258.PubMed Friðriksdóttir, N., Sævarsdóttir, Þ., Halfdánardóttir, S. Í., Jónsdóttir, A., Magnúsdóttir, H., Ólafsdóttir, K. L., Guðmundsdóttir, G., & Gunnarsdóttir, S. (2011). Family members of cancer patients: needs, quality of life and symptoms of anxiety and depression. Acta Oncologica, 50(2), 252–258.PubMed
go back to reference Fujinami, R., Sun, V., Zachariah, F., Uman, G., Grant, M., & Ferrell, B. (2015). Family caregivers’ distress levels related to quality of life, burden, and preparedness. Psycho-Oncology, 24(1), 54–62.PubMed Fujinami, R., Sun, V., Zachariah, F., Uman, G., Grant, M., & Ferrell, B. (2015). Family caregivers’ distress levels related to quality of life, burden, and preparedness. Psycho-Oncology, 24(1), 54–62.PubMed
go back to reference Geng, H. M., Chuang, D. M., Yang, F., Yang, Y., Liu, W. M., Liu, L. H., & Tian, H. M. (2018). Prevalence and determinants of depression in caregivers of cancer patients: a systematic review and meta-analysis. Medicine, 97(39), e11863.PubMedPubMedCentral Geng, H. M., Chuang, D. M., Yang, F., Yang, Y., Liu, W. M., Liu, L. H., & Tian, H. M. (2018). Prevalence and determinants of depression in caregivers of cancer patients: a systematic review and meta-analysis. Medicine, 97(39), e11863.PubMedPubMedCentral
go back to reference Girgis, A., Lambert, S., Johnson, C., Waller, A., & Currow, D. (2013). Physical, psychosocial, relationship, and economic burden of caring for people with cancer: a review. Journal of Oncology Practice, 9(4), 197–202.PubMed Girgis, A., Lambert, S., Johnson, C., Waller, A., & Currow, D. (2013). Physical, psychosocial, relationship, and economic burden of caring for people with cancer: a review. Journal of Oncology Practice, 9(4), 197–202.PubMed
go back to reference Given, B., Wyatt, G., Given, C., Sherwood, P., Gift, A., DeVoss, D., & Rahbar, M. (2004). Burden and depression among caregivers of patients with cancer at the end of life. Oncology Nursing Forum, 31(6), 1105–1117.PubMedPubMedCentral Given, B., Wyatt, G., Given, C., Sherwood, P., Gift, A., DeVoss, D., & Rahbar, M. (2004). Burden and depression among caregivers of patients with cancer at the end of life. Oncology Nursing Forum, 31(6), 1105–1117.PubMedPubMedCentral
go back to reference Gustin, L. W., & Wagner, L. (2013). The butterfly effect of caring – clinical nursing teachers’ understanding of self-compassion as a source to compassionate care. Scandinavian Journal of Caring Sciences, 27(1), 175–183. Gustin, L. W., & Wagner, L. (2013). The butterfly effect of caring – clinical nursing teachers’ understanding of self-compassion as a source to compassionate care. Scandinavian Journal of Caring Sciences, 27(1), 175–183.
go back to reference Han, Y., Yuan, J., Luo, Z., Zhao, J., Wu, J., Liu, R., & Lopez, V. (2013). Determinants of hopelessness and depression among Chinese hospitalized esophageal cancer patients and their family caregivers. Psycho-Oncology, 22(11), 2529–2536.PubMed Han, Y., Yuan, J., Luo, Z., Zhao, J., Wu, J., Liu, R., & Lopez, V. (2013). Determinants of hopelessness and depression among Chinese hospitalized esophageal cancer patients and their family caregivers. Psycho-Oncology, 22(11), 2529–2536.PubMed
go back to reference Heffernan, M., Quinn Griffin, M. T., McNulty, S. R., & Fitzpatrick, J. J. (2010). Self-compassion and emotional intelligence in nurses. International Journal of Nursing Practice, 16(4), 366–373.PubMed Heffernan, M., Quinn Griffin, M. T., McNulty, S. R., & Fitzpatrick, J. J. (2010). Self-compassion and emotional intelligence in nurses. International Journal of Nursing Practice, 16(4), 366–373.PubMed
go back to reference Higginson, R. J., Gao, W., Jackson, D., Murray, J., & Harding, R. (2010). Short-form Zarit caregiver burden interviews were valid in advanced conditions. Journal of Clinical Epidemiology, 63(5), 535–542.PubMed Higginson, R. J., Gao, W., Jackson, D., Murray, J., & Harding, R. (2010). Short-form Zarit caregiver burden interviews were valid in advanced conditions. Journal of Clinical Epidemiology, 63(5), 535–542.PubMed
go back to reference Kayser, K., Watson, L. E., & Andrade, J. T. (2007). Cancer as a “we-disease”: examining the process of coping from a relational perspective. Families, Systems & Health, 25(4), 404–418. Kayser, K., Watson, L. E., & Andrade, J. T. (2007). Cancer as a “we-disease”: examining the process of coping from a relational perspective. Families, Systems & Health, 25(4), 404–418.
go back to reference Kemper, K. J., Mo, X., & Khayat, R. (2015). Are mindfulness and self-compassion associated with sleep and resilience in health professionals? Journal of Alternative & Complementary Medicine, 21(8), 496–503. Kemper, K. J., Mo, X., & Khayat, R. (2015). Are mindfulness and self-compassion associated with sleep and resilience in health professionals? Journal of Alternative & Complementary Medicine, 21(8), 496–503.
go back to reference Ko, K. T., Yip, P. K., Liu, S. L., & Huang, C. R. (2008). Chinese version of the Zarit caregiver burden interview: a validation study. The American Journal of Geriatric Psychiatry, 16(6), 513–518.PubMed Ko, K. T., Yip, P. K., Liu, S. L., & Huang, C. R. (2008). Chinese version of the Zarit caregiver burden interview: a validation study. The American Journal of Geriatric Psychiatry, 16(6), 513–518.PubMed
go back to reference Körner, A., Coroiu, A., Copeland, L., Gomez-Garibello, C., Albani, C., Zenger, M., & Brähler, E. (2015). The role of self-compassion in buffering symptoms of depression in the general population. PLoS One, 10(10), 1–14. Körner, A., Coroiu, A., Copeland, L., Gomez-Garibello, C., Albani, C., Zenger, M., & Brähler, E. (2015). The role of self-compassion in buffering symptoms of depression in the general population. PLoS One, 10(10), 1–14.
go back to reference Kurtz, M. E., Kurtz, J. C., Given, C. W., & Givern, B. (2005). A randomized, controlled trial of a patient/caregiver symptom control intervention: effects on depressive symptomatology of caregivers of cancer patients. Journal of Pain and Symptom Management, 30(2), 112–122.PubMedPubMedCentral Kurtz, M. E., Kurtz, J. C., Given, C. W., & Givern, B. (2005). A randomized, controlled trial of a patient/caregiver symptom control intervention: effects on depressive symptomatology of caregivers of cancer patients. Journal of Pain and Symptom Management, 30(2), 112–122.PubMedPubMedCentral
go back to reference Lambert, S. D., Girgis, A., Lecathelinais, C., & Stacey, F. (2013). Walking a mile in their shoes: anxiety and depression among partners and caregivers of cancer survivors at 6 and 12 months post-diagnosis. Supportive Care in Cancer, 21(1), 75–85.PubMed Lambert, S. D., Girgis, A., Lecathelinais, C., & Stacey, F. (2013). Walking a mile in their shoes: anxiety and depression among partners and caregivers of cancer survivors at 6 and 12 months post-diagnosis. Supportive Care in Cancer, 21(1), 75–85.PubMed
go back to reference Lazarus, R. S. (1993). From psychological stress to the emotions: a history of a changing outlook. Annual Review of Psychology, 44, 1–21.PubMed Lazarus, R. S. (1993). From psychological stress to the emotions: a history of a changing outlook. Annual Review of Psychology, 44, 1–21.PubMed
go back to reference Lei, Z., Xu, R., Deng, S., & Luo, Y. (2011). Reliability and validity of the Chinese version of State-Trait Depression Scale in college students. Chinese Mental Health Journal, 25(2), 136–140. Lei, Z., Xu, R., Deng, S., & Luo, Y. (2011). Reliability and validity of the Chinese version of State-Trait Depression Scale in college students. Chinese Mental Health Journal, 25(2), 136–140.
go back to reference Li, Q., & Loke, A. Y. (2014). A literature review on the mutual impact of the spousal caregiver–cancer patients dyads:‘communication’,‘reciprocal influence’, and ‘caregiver–patient congruence’. European Journal of Oncology Nursing, 18(1), 58–65. Li, Q., & Loke, A. Y. (2014). A literature review on the mutual impact of the spousal caregiver–cancer patients dyads:‘communication’,‘reciprocal influence’, and ‘caregiver–patient congruence’. European Journal of Oncology Nursing, 18(1), 58–65.
go back to reference Liu, Y., Yang, J., Huo, D., Fan, H., & Gao, Y. (2018). Disclosure of cancer diagnosis in China: the incidence, patients’ situation, and different preferences between patients and their family members and related influence factors. Cancer Management and Research, 10, 2173–2181.PubMedPubMedCentral Liu, Y., Yang, J., Huo, D., Fan, H., & Gao, Y. (2018). Disclosure of cancer diagnosis in China: the incidence, patients’ situation, and different preferences between patients and their family members and related influence factors. Cancer Management and Research, 10, 2173–2181.PubMedPubMedCentral
go back to reference Lloyd, J., Muers, J., Patterson, T. G., & Marczak, M. (2019). Self-compassion, coping strategies, and caregiver burden in caregivers of people with dementia. Clinical Gerontologist, 42(1), 47–59.PubMed Lloyd, J., Muers, J., Patterson, T. G., & Marczak, M. (2019). Self-compassion, coping strategies, and caregiver burden in caregivers of people with dementia. Clinical Gerontologist, 42(1), 47–59.PubMed
go back to reference Lu, L., Pan, B., Sun, W., Cheng, L., Chi, T., & Wang, L. (2010). Quality of life and related factors among cancer caregivers in China. Psychiatry and Clinical Neurosciences, 64, 505–513.PubMed Lu, L., Pan, B., Sun, W., Cheng, L., Chi, T., & Wang, L. (2010). Quality of life and related factors among cancer caregivers in China. Psychiatry and Clinical Neurosciences, 64, 505–513.PubMed
go back to reference Lu, B., Liu, X., & Piggott, J. (2015). Informal long term care in China and population ageing: evidence and policy implications. Population Review, 54(2), 28–41. Lu, B., Liu, X., & Piggott, J. (2015). Informal long term care in China and population ageing: evidence and policy implications. Population Review, 54(2), 28–41.
go back to reference Lutz, A., Brefczynski-Lewis, J., Johnstone, T., & Davidson, R. J. (2008). Regulation of the neural circuitry of emotion by compassion meditation: effects of meditative expertise. PLoS One, 3(3), 1–10. Lutz, A., Brefczynski-Lewis, J., Johnstone, T., & Davidson, R. J. (2008). Regulation of the neural circuitry of emotion by compassion meditation: effects of meditative expertise. PLoS One, 3(3), 1–10.
go back to reference MacBeth, A., & Gumley, A. (2012). Exploring compassion: a meta-analysis of the association between self-compassion and psychopathology. Clinical Psychology Review, 32(6), 545–552.PubMed MacBeth, A., & Gumley, A. (2012). Exploring compassion: a meta-analysis of the association between self-compassion and psychopathology. Clinical Psychology Review, 32(6), 545–552.PubMed
go back to reference Milbury, K., Badr, H., Fossella, F., Pisters, K. M., & Carmack, C. L. (2013). Longitudinal associations between caregiver burden and patient and spouse distress in couples coping with lung cancer. Supportive Care in Cancer, 21(9), 2371–2379.PubMedPubMedCentral Milbury, K., Badr, H., Fossella, F., Pisters, K. M., & Carmack, C. L. (2013). Longitudinal associations between caregiver burden and patient and spouse distress in couples coping with lung cancer. Supportive Care in Cancer, 21(9), 2371–2379.PubMedPubMedCentral
go back to reference National Bureau of Statistics of China. (2005). China statistical yearbook, 2010. Beijing: China Statistics Press. National Bureau of Statistics of China. (2005). China statistical yearbook, 2010. Beijing: China Statistics Press.
go back to reference Neff, K. D. (2003a). The development and validation of a scale to measure self-compassion. Self & Identity, 2(3), 223–250. Neff, K. D. (2003a). The development and validation of a scale to measure self-compassion. Self & Identity, 2(3), 223–250.
go back to reference Neff, K. D. (2003b). Self-compassion: an alternative conceptualization of a healthy attitude toward oneself. Self & Identity, 2(2), 85–101. Neff, K. D. (2003b). Self-compassion: an alternative conceptualization of a healthy attitude toward oneself. Self & Identity, 2(2), 85–101.
go back to reference Neff, K. D., & Dahm, K. A. (2015). Self-compassion: what it is, what it does, and how it relates to mindfulness. In B. D. Ostafin, M. D. Robinson, & B. P. Meier (Eds.), Handbook of mindfulness and self-regulation (pp. 121–137). New York: Springer New York. Neff, K. D., & Dahm, K. A. (2015). Self-compassion: what it is, what it does, and how it relates to mindfulness. In B. D. Ostafin, M. D. Robinson, & B. P. Meier (Eds.), Handbook of mindfulness and self-regulation (pp. 121–137). New York: Springer New York.
go back to reference Podsakoff, P. M., MacKenzie, S. B., Lee, J. Y., & Podsakoff, N. P. (2003). Common method biases in behavioral research: a critical review of the literature and recommended remedies. Journal of Applied Psychology, 88(5), 879–903. Podsakoff, P. M., MacKenzie, S. B., Lee, J. Y., & Podsakoff, N. P. (2003). Common method biases in behavioral research: a critical review of the literature and recommended remedies. Journal of Applied Psychology, 88(5), 879–903.
go back to reference Raab, K. (2014). Mindfulness, self-compassion, and empathy among health care professionals: a review of the literature. Journal of Health Care Chaplaincy, 20(3), 95–108.PubMed Raab, K. (2014). Mindfulness, self-compassion, and empathy among health care professionals: a review of the literature. Journal of Health Care Chaplaincy, 20(3), 95–108.PubMed
go back to reference Radloff, L. S. (1977). The CES-D scale: a self-report depression scale for research in the general population. Applied Psychological Measurement, 1(3), 385–401. Radloff, L. S. (1977). The CES-D scale: a self-report depression scale for research in the general population. Applied Psychological Measurement, 1(3), 385–401.
go back to reference Raveis, V. H., Karus, D. G., & Siegel, K. (1998). Correlates of depressive symptomatology among adult daughter caregivers of a parent with cancer. Cancer, 83, 1652–1663.PubMed Raveis, V. H., Karus, D. G., & Siegel, K. (1998). Correlates of depressive symptomatology among adult daughter caregivers of a parent with cancer. Cancer, 83, 1652–1663.PubMed
go back to reference Romito, F., Goldzweig, G., Cormio, C., Hagedoorn, M., & Andersen, B. L. (2013). Informal caregiving for cancer patients. Cancer, 119(S11), 2160–2169.PubMed Romito, F., Goldzweig, G., Cormio, C., Hagedoorn, M., & Andersen, B. L. (2013). Informal caregiving for cancer patients. Cancer, 119(S11), 2160–2169.PubMed
go back to reference Sherwood, P. R., Given, B. A., Donovan, H., Baum, A., Given, C. W., Bender, C. M., & Schulz, R. (2008). Guiding research in family care: a new approach to oncology caregiving. Psycho-Oncology, 17(10), 986–996.PubMed Sherwood, P. R., Given, B. A., Donovan, H., Baum, A., Given, C. W., Bender, C. M., & Schulz, R. (2008). Guiding research in family care: a new approach to oncology caregiving. Psycho-Oncology, 17(10), 986–996.PubMed
go back to reference Shonin, E., Van Gordon, W., Compare, A., Zangeneh, M., & Griffiths, M. D. (2015). Buddhist-derived loving-kindness and compassion meditation for the treatment of psychopathology: a systematic review. Mindfulness, 6(5), 1161–1180. Shonin, E., Van Gordon, W., Compare, A., Zangeneh, M., & Griffiths, M. D. (2015). Buddhist-derived loving-kindness and compassion meditation for the treatment of psychopathology: a systematic review. Mindfulness, 6(5), 1161–1180.
go back to reference Siminoff, L. A., Wilson-Genderson, M., & Baker Jr., S. (2010). Depressive symptoms in lung cancer patients and their family caregivers and the influence of family environment. Psycho-Oncology, 19(12), 1285–1293.PubMedPubMedCentral Siminoff, L. A., Wilson-Genderson, M., & Baker Jr., S. (2010). Depressive symptoms in lung cancer patients and their family caregivers and the influence of family environment. Psycho-Oncology, 19(12), 1285–1293.PubMedPubMedCentral
go back to reference Sklenarova, H., Krümpelmann, A., Haun, M. W., Friederich, H.-C., Huber, J., Thomas, M., Winkler, E., Herzog, W., & Hartmann, M. (2015). When do we need to care about the caregiver? Supportive care needs, anxiety, and depression among informal caregivers of patients with cancer and cancer survivors. Cancer, 121(9), 1513–1519. Sklenarova, H., Krümpelmann, A., Haun, M. W., Friederich, H.-C., Huber, J., Thomas, M., Winkler, E., Herzog, W., & Hartmann, M. (2015). When do we need to care about the caregiver? Supportive care needs, anxiety, and depression among informal caregivers of patients with cancer and cancer survivors. Cancer, 121(9), 1513–1519.
go back to reference van Ryn, M., Sanders, S., Kahn, K., van Houtven, C., Griffin, J. M., Martin, M., Atienza, A., Phelan, S., Finstad, D., & Rowland, J. (2011). Objective burden, resources, and other stressors among informal cancer caregivers: a hidden quality issue? Psycho-Oncology, 20(1), 44–52.PubMedPubMedCentral van Ryn, M., Sanders, S., Kahn, K., van Houtven, C., Griffin, J. M., Martin, M., Atienza, A., Phelan, S., Finstad, D., & Rowland, J. (2011). Objective burden, resources, and other stressors among informal cancer caregivers: a hidden quality issue? Psycho-Oncology, 20(1), 44–52.PubMedPubMedCentral
go back to reference Wang, G., Cheng, Q., Wang, Y., Deng, Y. L., Ren, R. J., Xu, W., Zeng, J., Bai, L., & Chen, S. D. (2008). The metric properties of Zarit caregiver burden scale: validation study of a Chinese version. Alzheimer Disease & Associated Disorders: An international Journal, 22(4), 321–326. Wang, G., Cheng, Q., Wang, Y., Deng, Y. L., Ren, R. J., Xu, W., Zeng, J., Bai, L., & Chen, S. D. (2008). The metric properties of Zarit caregiver burden scale: validation study of a Chinese version. Alzheimer Disease & Associated Disorders: An international Journal, 22(4), 321–326.
go back to reference Wu, Q., Chi, P., Lin, X., & Du, H. (2018). Child maltreatment and adult depressive symptoms: roles of self-compassion and gratitude. Child Abuse & Neglect, 80, 62–69. Wu, Q., Chi, P., Lin, X., & Du, H. (2018). Child maltreatment and adult depressive symptoms: roles of self-compassion and gratitude. Child Abuse & Neglect, 80, 62–69.
go back to reference Wu, Q., Chi, P., Zeng, X., Lin, X., & Du, H. (2019). Roles of anger and rumination in the relationship between self-compassion and forgiveness. Mindfulness, 10(2), 272–278. Wu, Q., Chi, P., Zeng, X., Lin, X., & Du, H. (2019). Roles of anger and rumination in the relationship between self-compassion and forgiveness. Mindfulness, 10(2), 272–278.
go back to reference Yang, X., Wang, L., He, J., Ge, C., Chang, Y., Fu, J., Wei, J., Pattaramongkolar, E., & Zhou, Y. (2012). Factors related to depressive symptoms among Chinese caregivers of cancer patients. Psycho-Oncology, 21(10), 1063–1070.PubMed Yang, X., Wang, L., He, J., Ge, C., Chang, Y., Fu, J., Wei, J., Pattaramongkolar, E., & Zhou, Y. (2012). Factors related to depressive symptoms among Chinese caregivers of cancer patients. Psycho-Oncology, 21(10), 1063–1070.PubMed
go back to reference Zhou, L., Chen, G., Jiang, Y., Liu, L., & Chen, L. (2017). Self-compassion and Confucian coping as a predictor of depression and anxiety in impoverished Chinese undergraduates. Psychological Reports, 120(4), 627–638. Zhou, L., Chen, G., Jiang, Y., Liu, L., & Chen, L. (2017). Self-compassion and Confucian coping as a predictor of depression and anxiety in impoverished Chinese undergraduates. Psychological Reports, 120(4), 627–638.
go back to reference Zhou, M., Zhao, L., Kong, N., Campy, K. S., & Qu, S. (2018). What caused serious shortage of Chinese nurses? Iranian Journal of Public Health, 47(7), 1065. Zhou, M., Zhao, L., Kong, N., Campy, K. S., & Qu, S. (2018). What caused serious shortage of Chinese nurses? Iranian Journal of Public Health, 47(7), 1065.
Metagegevens
Titel
Caregiver Burden and Depression Among Chinese Family Caregivers: the Role of Self-compassion
Auteurs
Shuo Xu
Huiping Zhang
Jingxin Wang
Publicatiedatum
21-04-2020
Uitgeverij
Springer US
Gepubliceerd in
Mindfulness / Uitgave 7/2020
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI
https://doi.org/10.1007/s12671-020-01378-7