Impact of Role Discrepancies on Caregiver Burden Among Spouses
Abstract
Using caregiver identity theory, the authors investigated whether role discrepancies mediated the relationships between illness-related stressors (activities of daily living [ADLs] limitations and problem behaviors) and burden (stress, relationship, and objective burden) for spouse caregivers. Participants completed measures of identity standards for spouse and caregiver roles and behaviors, burden, assistance with ADLs, and problem behaviors. Structural equation modeling analyses revealed that role discrepancies completely mediated the relationships between ADLs and stress and relationship burden. Although role discrepancies mediated the relationships between problem behaviors and all forms of burden, there were direct relationships between problem behaviors and burden. Finally, participants who exceeded their relationship identity standards experienced greater burden. Supporting caregiver identity theory, the results suggest that ADL assistance is burdensome for caregivers when it highlights inconsistencies between their behaviors and their relationship expectations. However, unpredictable stressors such as problem behaviors are both inherently burdensome and highlight role discrepancies.
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Caregivers feel distress when they perceive themselves as exceeding the expectations of their relationship identity.
“A study by Savundranayagam and Montgomery showed that caregivers experience distress when they perceive they are going beyond and above their expectations of the relationship identity.16”
From The Unique Experience of Spouses in Early-Onset Dementia (2013) · cites this paper as [16]
The impact of role discrepancies on spouse caregiver burden has been documented.
“The impact of such role discrepancies on spouse caregiver burden, that is, the extent to which the standards of the relationship identity are inconsistent with the behavior of spouse caregivers has been documented in the study by Savundranayagam and Montgomery.16”
From The Unique Experience of Spouses in Early-Onset Dementia (2013) · cites this paper as [16]
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Self-citation
- Authors
- Savundranayagam, M. Y., & Montgomery, R. J. V.
- Affiliations
- University of Wisconsin–Milwaukee (US)
- Corresponding author
- Savundranayagam, Marie Y.
- Venue
- Research on Aging
- Publisher
- SAGE Publications
- Published
- 2009-11-13
- Volume
- 32
- Issue
- 2
- Pages
- 175-199
- ISSN
- 0164-0275 (ISSN-L)
- 1552-7573
- OpenAlex
- W2019506619
- Cited by
- 58
- References
- 34
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 4 · 2023: 2 · 2022: 5 · 2021: 3 · 2020: 4 · 2019: 3 · 2018: 6 · 2017: 5 · 2016: 3 · 2015: 4 · 2014: 7 · 2013: 4 · 2012: 1
- FWCI
- 4.98
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Research on Aging (publishedVersion)
- Scholarship@Western (Western University) (submittedVersion)
- Topics
- Health Sciences › Health Professions › Pharmacy › Nursing care and research
- Social Sciences › Sociology and Political Science › Intergenerational Family Dynamics and Caregiving
- Social Sciences › Psychology › Social Psychology › Attachment and Relationship Dynamics
- Keywords
- caregiver burden, spousal caregivers, activities of daily living, behavioral problems, stress burden, objective burden, identity standards, mediation
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