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Clinical rehabilitation · Mar 2017
Caregiving demands and caregivers' psychological outcomes: the mediating role of perceived injustice.
- Somayyeh Mohammadi, Maaike J de Boer, Robbert Sanderman, and Mariët Hagedoorn.
- 1 Health Psychology Department, University Medical Centre Groningen, University of Groningen, Groningen, The Netherlands.
- Clin Rehabil. 2017 Mar 1; 31 (3): 403-413.
ObjectivesThis study hypothesized that higher caregiving demands are related to higher perceived injustice. Furthermore, this study investigated the mediating role of perceived injustice in the link between caregiving demands and caregivers' psychological well-being.DesignA cross-sectional design.SettingThe Pain Centre of the university medical centre.SubjectsParticipants were 184 family caregivers of patients with chronic musculoskeletal pain.Main MeasuresParticipants completed questionnaires that assessed caregiving demands (i.e. The Dutch Objective Burden Inventory), perceived injustice (i.e. The Injustice Experience Questionnaire), how much they considered different sources responsible for the injustice they experienced (i.e. A newly developed inventory), perceived burden (i.e. The Zarit Burden Interview), distress (i.e. The Depression, Anxiety, and Stress Scale), and anger (i.e. The Hostility subscale of the Symptom Checklist-90-Revised).ResultsThe findings showed that caregiving demands are significantly related to perceived injustice in family caregivers (r = .44; P < .001). Only a small group of family caregivers considered the patient or themselves responsible, but more than half of the caregivers considered healthcare providers at least somewhat responsible for the unjust situation. Finally, perceived injustice mediated the association between caregiving demands and burden (b = .11, CI: .04-.23) and distress (b = .05, CI: .006-.12), but not anger (b = .008, CI: -.01-.06).ConclusionThe findings suggest that perceived injustice plays an important role in the well-being of family caregivers and caregivers' well-being may be improved by changing their perceptions about their caregiving tasks and their condition.
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