Patient-family communication mediates the relation between family hardiness and caregiver positivity: exploring the moderating role of caregiver depression and anxiety
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Date
Authors
Shin, Joo Yeon
Steger, Michael F.
Shin, Dong Wook
Kim, So Young
Yang, Hyung-Kook
Journal Title
Journal ISSN
Volume Title
Publisher
Taylor & Francis
Abstract
Purpose: Despite the theoretical and empirical significance of positive aspects of caregiving in caregiver well-being, relatively little is known regarding family-related predictors of caregiver positivity. This study examines whether patient-family communication (p-f communication) mediates the relation between family hardiness and caregiver positivity and whether the mediating effects of p-f communication are moderated by the levels of caregiver depression and anxiety.
Design/Sample: This study used secondary data obtained from a large-scale cross-sectional national survey conducted in South Korea. Participants were 544 spousal cancer patient-caregiver dyads recruited from the National Cancer Center and nine government-designated regional cancer centers in South Korea.
Methods: To test the hypotheses, a simple mediation model and two moderated mediation tests were conducted using the PROCESS macro for SPSS.
Findings: Higher family hardiness was related to higher p-f positive communication and higher caregiver positivity. The effects of family hardiness were partially mediated by p-f communication, controlling for caregiver sex, education, health status, depression and anxiety, time spent caregiving, and patient depression and anxiety, cancer stage, and time since diagnosis. The mediating effects of p-f communication were not significantly moderated by caregiver depression and anxiety.
Conclusions/Implications: Health care professionals could consider p-f communication as a reasonable target of intervention to increase caregiver positivity, even for caregivers with heightened depression and anxiety
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Citation
Shin, J.Y. et al. 2019. Patient-family communication mediates the relation between family hardiness and caregiver positivity: exploring the moderating role of caregiver depression and anxiety. Journal of psychosocial oncology, 37(5): 557-572. [https://doi.org/10.1080/07347332.2019.1566808]