The role of resources and appraisals in predicting burden among Latina and non-Hispanic white female caregivers: a test of an expanded socio-cultural model of stress and coping
Abstract
OBJECTIVES: The goal of this study is to propose and evaluate an expanded socio-cultural model of stress and coping that examines the role of culturally situated factors, such as coping abilities and the caregiver's self-efficacy beliefs, as mediators of outcomes among Latina and non-Hispanic white female caregivers. METHODS: Using baseline data from 89 Latina and 96 non-Hispanic white female caregivers enrolled in an intervention study in the San Francisco area, exogenous and mediating factors were regressed on levels of burden among self-identified caregivers of older adults with Alzheimer's disease or another form of dementia. RESULTS: Results from structural equation modeling provided empirical evidence for a model in which the effects of ethnicity and other background variables are mediated through coping resources and appraisals of self-efficacy for managing care. CONCLUSION: This study adds to the existing literature that underscores the importance of evaluating the role of culturally mediated values for their impact on mental health outcomes. This influence is not only due to structural factors that reflect the disadvantaged minority status of ethnically diverse caregivers (e.g. socioeconomic status), but also to their coping resources and their appraisal of being able to meet caregiving demands, as shaped by their perceptions about caregiving. Future research is encouraged to explore the role of other culturally mediated factors that may affect mental health outcomes among caregivers of relatives with dementia.
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It is unclear how findings are generalizable across various cultures, as cultural beliefs play an important role, potentially affecting the impact of interventions.
“Therefore, it is unclear how findings are generalizable across various culture as cultural beliefs play an important role, potentially, affecting the impact of interventions (Losada et al. , 2006; Montoro-Rodriguez and Gallagher-Thompson, 2009).”
From Which interventions work for dementia family carers?: an updated systematic review of randomized controlled trials of carer interventions. (2018) · cites this paper as Montoro-Rodriguez and Gallagher-Thompson, 2009
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BackgroundWhat Can Be Done to Improve Outcomes for Caregivers of Patients With Serious Illness?
Waldrop, D. P., & Kutner, J. S. (2012) · Elsevier eBooks · doi:10.1016/b978-1-4377-3796-7.00073-2 · Cited by 2 · see citing works
Montoro‐Rodríguez, J., Reeve, C. L. L., Gallagher-Thompson, D. E., Ramsey, J. L., Bilbrey, A. C., & Kajiyama, B. (2025) · The Gerontologist · doi:10.1093/geront/gnaf020 · Cited by 1 · see citing works
Self-citationPoe, A. A., Bibriescas, N., Xiao, C., & Puga, F. (2025) · Western Journal of Nursing Research · doi:10.1177/01939459251343736 · Cited by 1 · see citing works
“10,11 This dynamic may disproportionately impact women caregivers, who are expected to assume primary caregiving roles within multigenerational households.”
InfluentialLim, J., Andel, R., Puga, F., Aranda, M. P., Rivera‐Hernandez, M., Dávila-Roman, A., & Crowe, M. G. (2026) · The Journals of Gerontology Series B · doi:10.1093/geronb/gbag014 · Cited by 1 · see citing works
“…Hispanic dementia caregivers demonstrated higher self-efficacy in managing upsetting thoughts related to caregiving compared to non-Hispanic White caregivers, which served as a significant mediator of lower caregiver burden in the Hispanic caregivers (Montoro-Rodriguez & Gallagher-Thompson, 2009).”
Correlations among Coping Skills and Life Satisfaction in Ethnic Older Caregivers
de la Osa, D. (2013) · doi:10.25148/etd.fi13080510 · Cited by 1 · see citing works
de Figueiredo, D. M. P. (2016) · Springer eBooks · doi:10.1007/978-981-287-080-3_351-1 · Cited by 1 · see citing works
The Experience of Family Caregivers Living with Advanced Cancer Patients
Albert, W. K. G., Hatta, Z. A., & Fahrudin, A. (2017) · Asian Social Work Journal · doi:10.47405/aswj.v2i1.14
Beard, R. L., & O’Connor, M. K. (2016) · IGI Global eBooks · doi:10.4018/978-1-5225-0778-9.ch031
Current awareness in geriatric psychiatry
(2010) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.2392
Montoro‐Rodríguez, J., Reeve, C. L. L., Gallagher-Thompson, D. E., Ramsey, J., Bilbrey, A. C., Kajiyama, B., & Quiñones-Cordero, M. M. (2026) · The Gerontologist · doi:10.1093/geront/gnag029
Self-citationParkinson's Disease, Cognitive Status and Caregiver Outcomes.
Jones, A. J. (2013) · UC Research Repository (University of Canterbury) · doi:10.26021/5095
Lokensgard, C. L. (2015) · UST Research Online (University of St. Thomas - Minnesota)
- Authors
- Montoro-Rodriguez, J., & Gallagher-Thompson, D.
- Affiliations
- a California State University San Bernardino, Sociology , San Bernardino , California , United States
- Stanford Medicine (US)
- Venue
- Aging & Mental Health
- Publisher
- Informa UK Limited
- Published
- 2009-09
- Volume
- 13
- Issue
- 5
- Pages
- 648-658
- ISSN
- 1360-7863 (ISSN-L)
- 1364-6915
- OpenAlex
- W2083063534
- Cited by
- 65
- References
- 38
- Citations by year
- 2026: 3 · 2025: 6 · 2024: 1 · 2023: 2 · 2022: 2 · 2021: 9 · 2020: 7 · 2019: 1 · 2018: 2 · 2017: 2 · 2016: 4 · 2015: 5 · 2014: 8 · 2013: 4 · 2012: 5
- FWCI
- 7.47
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Aging & Mental Health (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › Pharmacy › Nursing care and research
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Social Sciences › Sociology and Political Science › Intergenerational Family Dynamics and Caregiving
- Keywords
- caregiver burden, coping resources, self-efficacy, ethnicity, dementia caregiving, Alzheimer's disease, caregiver mental health, mediation
- MeSH terms
- Adaptation, Psychological, Attitude to Health, Cross-Cultural Comparison, Female, Hispanic or Latino, Humans, Middle Aged, Models, Psychological, Socioeconomic Factors, Stress, Psychological, Cohort Studies, Caregivers, Cost of Illness, White People
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