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May 19, 2021International Journal of Environmental Research and Public Health14 citationsOpen Access

The Impact of Caregiving Burden on Mental Well-Being in Coronary Artery Bypass Graft Surgery Caregivers: The Mediatory Role of Perceived Social Support

CSClaudio Singh SolorzanoELElizabeth LeighASAndrew Steptoe

Key Result

Change in perceived social support significantly mediated the relationship between change in caregiver burden and post-surgery depressive symptoms (β=0.041; 95% CI 0.005-0.112) in CABG caregivers.

Study Design

Type

Observational (n=101)

Structured PICO

Does perceived social support mediate the relationship between caregiver burden and mental well-being in CABG caregivers?

P
Population
101 caregivers of elective CABG patients assessed 28 days before and 62 days after the patients' surgery.
E
Exposure
Change in caregiver burden and perceived social support from pre to post surgery
O
Outcome
Caregiver depressive symptoms (measured by Beck Depression Inventory) and subjective well-being (measured by CASP-19 scale) post surgerypatient reported

In caregivers of CABG patients, perceived social support mediates the negative impact of caregiver burden on depressive symptoms and subjective well-being, highlighting the need for psychological interventions promoting social support.

Main Result

Effect estimate: unstandardised β 0.041 (95% CI 0.005, 0.112)

Abstract

An increase in caregiver burden and a decrease in social support have both been identified as predictors of poor caregiver psychological distress. However, little is known about the role of these factors in coronary artery bypass graft (CABG) caregivers. The purpose of this study was to investigate whether change in perceived social support from pre to post surgery mediated the relationship between change in caregiver burden and caregiver depressive symptoms and subjective well-being post surgery. A sample of 101 caregivers of elective CABG patients were assessed 28 days before and 62 days after patients' surgery. Caregivers completed the Oberst Burden Scale, the Enhancing Recovery in Coronary Heart Disease (ENRICHD) Social Support Instrument, the Beck Depression Inventory, and the Control, Autonomy, Self-Realisation, and Pleasure (CASP-19) scale. Simple mediation analyses showed that change in social support significantly mediated both the relationship between change in caregiver burden and post-surgery depressive symptoms (unstandardised β = 0.041, 95% CI (0.005, 0.112)) and the relationship between change in caregiver burden and post-surgery subjective well-being (unstandardised β = 0.071, 95% CI (0.001, 0.200)). Psychological interventions aimed at the CABG caregiver population should promote social support to deal with the increase of caregivers' tasks and demands after the patients' surgery.

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Cite This Study

Solorzano et al. (2021) conducted an observational in Caregivers of elective CABG patients (n=101). Change in caregiver burden was evaluated on Post-surgery depressive symptoms (unstandardised β 0.041, 95% CI 0.005, 0.112). Change in perceived social support significantly mediated the relationship between change in caregiver burden and post-surgery depressive symptoms (β=0.041; 95% CI 0.005-0.112) in CABG caregivers.

synapsesocial.com/papers/6a229b04a58d8b2b280df5b8https://doi.org/10.3390/ijerph18105447
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