A cross-cultural validation of coping strategies and their associations with caregiving distress
Abstract
Coping strategies were compared among family caregivers of Alzheimer's disease patients in Shanghai, China (n = 110) and San Diego, California (n = 139). Four coping factors were reliably consistent in both samples, supporting their widespread relevance to life adversity; behavioral confronting, behavioral distancing/social support, cognitive confronting, and cognitive distancing. Shanghai and San Diego caregivers endorsed similar rates of coping, but Shanghai caregivers reported fewer symptoms of depression and anxiety. Although coping strategies were similar, cultural ideals promoting family interdependence, veneration of elderly family members, and acceptance of traditional family roles may have reduced the psychological impacts of caregiving in the Shanghai sample.
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- Authors
- Shaw, W. S., Patterson, T. L., Semple, S. J., Grant, I., Yu, E. S. H., Zhang, M. Y., He, Y., & Wu, W. Y.
- Affiliations
- San Diego State University (US)
- University of California San Diego (US)
- Shanghai Mental Health Center (CN)
- Corresponding author
- Patterson, T. L.
- Semple, S. J.
- Grant, I.
- Venue
- The Gerontologist
- Publisher
- Oxford University Press (OUP)
- Published
- 1997-08-01
- Volume
- 37
- Issue
- 4
- Pages
- 490-504
- ISSN
- 0016-9013 (ISSN-L)
- 1758-5341
- OpenAlex
- W2102547493
- Cited by
- 58
- References
- 40
- Citations by year
- 2026: 2 · 2025: 1 · 2021: 2 · 2020: 1 · 2019: 1 · 2018: 2 · 2016: 1 · 2015: 3 · 2014: 4 · 2013: 4 · 2012: 2
- FWCI
- 1.15
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Gerontologist (publishedVersion)
- PubMed (publishedVersion)
- Funders
- U.S. Public Health Service (42840)
- National Institute of Mental Health
- Sam and Rose Stein Institute for Research on Aging
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Health Professions › Pharmacy › Nursing care and research
- Social Sciences › Sociology and Political Science › Intergenerational Family Dynamics and Caregiving
- Keywords
- coping strategies, family caregivers, Alzheimer's disease, caregiver distress, cross-cultural validation, cultural values, family interdependence, traditional family roles, depression, anxiety, Shanghai, San Diego
- MeSH terms
- Adaptation, Psychological, Aged, Alzheimer Disease, Analysis of Variance, Asian, California, China, Cross-Cultural Comparison, Factor Analysis, Statistical, Female, Humans, Male, Middle Aged, Case-Control Studies, Caregivers
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Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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