Coping Strategy and Caregiver Burden Among Caregivers of Patients With Dementia
Open accessAbstract
Background: This study aims to examine whether coping strategies employed by caregivers are related to distinct symptoms of patients with dementia and to investigate the associations between burden and coping among caregivers of patients with dementia. Methods: A cross-sectional study design was used. A total of 57 caregivers of patients with dementia were enrolled. Coping strategies were assessed using the Ways of Coping Checklist, and burden was assessed using the Chinese version of Caregiver Burden Inventory. Correlations between coping and patients’ behavior or memory problems were examined. Severities of behavior and memory problems were adjusted to examine the correlations between caregiver burden and coping strategies. Results: The patients’ disruptive behavior problems were associated with avoidance, and depression problems were associated with avoidance and wishful thinking. After adjusting for severity of behavior problems, coping strategies using avoidance were positively correlated with caregiver burden. Conclusions: Emotion-focused coping strategies are a marker of caregiver burden.
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The implementation of effective and adaptable coping strategies serves as a protective measure to alleviate the distress experienced by caregivers due to the burden of caring.
“The implementation of effective and adaptable coping strategies serves as a protective measure to alleviate the distress experienced by caregivers due to the burden of caring [6,7].”
From Coping strategies among family caregivers of community-dwelling older adults in Lebanon amid the economic crisis (2026) · cites this paper as [6]
The Results report that problem-focused coping was negatively correlated with caregiver burden, which supports a possible protective association. But that association did not remain in the adjusted analysis, and this cross-sectional study did not show that implementing coping strategies alleviates distress. The Conclusion recommends supportive interventions to reduce burden rather than reporting their effectiveness. (LLM, conf=0.87)
Experimental — accuracy not yet measuredProblem-focused coping strategies, social-emotional support coping strategies, and acceptance are significantly associated with a lower level of burden, anxiety, and depressive symptoms among dementia caregivers.
“It is well established that problem-focused coping strategies, social-emotional support coping strategies, and acceptance are significantly associated with a lower level of burden, anxiety, and depressive symptoms among dementia caregivers [59,60,61,62].”
From Relationship of Psychological Flexibility and Mindfulness to Caregiver Burden, and Depressive and Anxiety Symptoms in Caregivers of People with Dementia (2023) · cites this paper as [60]
The Results (page unavailable) report that problem-focused coping was significantly associated with lower caregiver burden before adjustment, but not in the adjusted analysis. Seeking social support was not associated with burden; the paper does not report acceptance coping or associations of these strategies with caregivers’ anxiety or depressive symptoms. Its references to depression in care recipients do not establish the claimed caregiver outcome. (LLM, conf=0.88)
Experimental — accuracy not yet measuredA cross-sectional study among 57 caregivers of patients with dementia found that caregivers sometimes resort to avoidance or wishful thinking when coping with disruptive behaviors or depressive issues.
“A cross-sectional study conducted among 57 caregivers of patients with dementia found that when coping with disruptive behaviors or depressive issues of dementia patients, caregivers sometimes resort to avoidance or wishful thinking28.”
From Examining burden among caregivers of community-dwelling older adults in Lebanon (2025) · cites this paper as [28]
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Cites
Eysenck, H. J. (1985) · Behaviour Research and Therapy · doi:10.1016/0005-7967(85)90087-7 · Cited by 32,026 · see citing works
Caregiving and the stress process: an overview of concepts and their measures
Pearlin, L. I., Mullan, J. T., Semple, S. J., & Skaff, M. M. (1990) · The Gerontologist · doi:10.1093/geront/30.5.583 · Cited by 4,810 · see citing works
Caregiver Weil-Being: A Multidimensional Examination of Family Caregivers of Demented Adults
George, L. K., & Gwyther, L. P. (1986) · The Gerontologist · doi:10.1093/geront/26.3.253 · Cited by 1,393 · see citing works
Application of a multidimensional caregiver burden inventory
Novak, M., & Guest, C. (1989) · The Gerontologist · doi:10.1093/geront/29.6.798 · Cited by 1,205 · see citing works
Assessment of behavioral problems in dementia: the revised memory and behavior problems checklist.
Teri, L., Truax, P., Logsdon, R., Uomoto, J., Zarit, S., & Vitaliano, P. P. (1992) · Psychology and Aging · doi:10.1037/0882-7974.7.4.622 · Cited by 1,162 · see citing works
Assessment of behavioral problems in dementia: The Revised Memory and Behavior Problems Checklist.
Teri, L. L., Truax, P. A., Logsdon, R. G., Uomoto, J. M., Zarit, S., & VITALIANO, P. P. (1992) · Psychology and Aging · doi:10.1037//0882-7974.7.4.622 · Cited by 1,117 · see citing works
The Ways of Coping Checklist: Revision and Psychometric Properties
VITALIANO, P. P., Russo, J. E., Carr, J. E., Maiuro, R. D., & Becker, J. (1985) · Multivariate Behavioral Research · doi:10.1207/s15327906mbr2001_1 · Cited by 1,099 · see citing works
Families Caring for Elders in Residence: Issues in the Measurement of Burden
Poulshock, S. W., & Deimling, G. T. (1984) · Journal of Gerontology · doi:10.1093/geronj/39.2.230 · Cited by 582 · cited 1× · see citing works
“Caring for patients with dementia is stressful, even more so than caring for physically dependent patients.(1,2) Caregivers with burden reported higher frequencies of physical disease or mood disturbances.”
BackgroundHaley, W. E., Roth, D. L., Coleton, M. I., Ford, G. R., West, C. A. C., Colllins, R. P., & Isobe, T. L. (1996) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.64.1.121 · Cited by 444 · see citing works
Haley, W. E., Roth, D. L., Coleton, M. I., Ford, G. R., West, C. A. C., Colllins, R. P., & Isobe, T. L. (1996) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.64.1.121 · Cited by 444 · cited 1× · see citing works
“Our results were compatible with those of a previous study reporting that avoidance coping was associated with burden,(23) increased depression, and lower life satisfaction.(24) Escape avoidance can be a specific target for psychosocial interventions for caregivers.”
ResultProfiles In Caregiving The Unexpected Career
Junker, J. (2016) · Choice Reviews Online · doi:10.5860/choice.33-5748 · Cited by 332 · see citing works
A Comparison of Caregivers for Elderly Stroke and Dementia Victims
Draper, B., Poulos, C. J., Cole, A. M. D., Poulos, R. G., & Ehrlich, F. M. (1992) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1992.tb01986.x · Cited by 251 · see citing works
Psychosocial Effects on Carers of Living with Persons with Dementia
Brodaty, H., & Hadži-Pavlović, D. (1990) · Australian & New Zealand Journal of Psychiatry · doi:10.3109/00048679009077702 · Cited by 232 · see citing works
Huang, S., Lee, M., Liao, Y., Wang, W., & Lai, T. (2011) · Archives of Gerontology and Geriatrics · doi:10.1016/j.archger.2011.04.009 · Cited by 226 · see citing works
Matsumoto, N., Ikeda, M., Fukuhara, R., Shinagawa, S., Ishikawa, T., Mori, T., Toyota, Y., Matsumoto, T., Adachi, H., Hirono, N., et al. (2007) · Dementia and Geriatric Cognitive Disorders · doi:10.1159/000099472 · Cited by 217 · see citing works
Anxiety and depressive disorders in adult children caring for demented parents.
Dura, J. R., Stukenberg, K. W., & Kiecolt‐Glaser, J. K. (1991) · Psychology and Aging · doi:10.1037//0882-7974.6.3.467 · Cited by 193 · see citing works
Anxiety and depressive disorders in adult children caring for demented parents.
Dura, J. R., Stukenberg, K. W., & Kiecolt-Glaser, J. K. (1991) · Psychology and Aging · doi:10.1037/0882-7974.6.3.467 · Cited by 193 · see citing works
The Reliability and Validity of the Chinese Version of the Caregiver Burden Inventory
Chou, K., Jiann-Chyun, L., & Chu, H. (2002) · Nursing Research · doi:10.1097/00006199-200209000-00009 · Cited by 175 · see citing works
Coping and caregivers of people with dementia
Kneebone, I., & Martin, P. R. (2003) · British Journal of Health Psychology · doi:10.1348/135910703762879174 · Cited by 166 · see citing works
Positive aspects of caregiving as a moderator of treatment outcome over 12 months.
Hilgeman, M. M., Allen, R. S., DeCoster, J., & Burgio, L. D. (2007) · Psychology and Aging · doi:10.1037/0882-7974.22.2.361 · Cited by 155 · see citing works
The Influence of Ethnicity and Culture on Dementia Caregiving
Sun, F., Ong, R., & Burnette, D. (2012) · American Journal of Alzheimer s Disease & Other Dementias® · doi:10.1177/1533317512438224 · Cited by 152 · see citing works
Impact of Parent-Caring on Women
Archbold, P. G. (1983) · Family Relations · doi:10.2307/583977 · Cited by 144 · see citing works
Harper, S., & Lund, D. A. (1990) · The International Journal of Aging and Human Development · doi:10.2190/9ble-fed4-brac-rpx3 · Cited by 121 · see citing works
Measuring the wellbeing of family caregivers using the time trade-off technique
Mohide, E. A., Torrance, G. W., Streiner, D. L., Pringle, D. M., & Gilbert, R. (1988) · Journal of Clinical Epidemiology · doi:10.1016/0895-4356(88)90049-2 · Cited by 115 · see citing works
Almberg, B., Grafström, M., & Winblad, B. G. (1997) · Journal of Advanced Nursing · doi:10.1046/j.1365-2648.1997.00392.x · Cited by 103 · see citing works
Relationship of severity of dementia to caregiving stressors.
Haley, W. E., & Pardo, K. M. (1989) · Psychology and Aging · doi:10.1037//0882-7974.4.4.389 · Cited by 102 · see citing works
Mausbach, B. T., Aschbacher, K., Patterson, T. L., Ancoli‐Israel, S., von Känel, R., Mills, P. J., Dimsdale, J. E., & Grant, I. (2006) · American Journal of Geriatric Psychiatry · doi:10.1097/01.jgp.0000192492.88920.08 · Cited by 86 · see citing works
Relationship of severity of dementia to caregiving stressors.
Haley, W. E., & Pardo, K. M. (1989) · Psychology and Aging · doi:10.1037/0882-7974.4.4.389 · Cited by 82 · see citing works
Prevalence of dementia in an urban area in taiwan.
Liu, C. K., Lin, R., Chen, Y. F., Tai, C., Yen, Y.-C., & Howng, S. L. (1996) · PubMed · Cited by 76 · see citing works
Alzheimer's Aggression: Influences on Caregiver Coping and Resilience
Wilks, S. E., Little, K. G., Gough, H. R., & Spurlock, W. R. (2011) · Journal of Gerontological Social Work · doi:10.1080/01634372.2010.544531 · Cited by 72 · see citing works
García‐Alberca, J. M., Cruz, B., Lara, J. P., Garrido, V., Gris, E., Lara, A., & Castilla, C. (2011) · Journal of Affective Disorders · doi:10.1016/j.jad.2011.09.026 · Cited by 61 · see citing works
Coping and Caregiver Well-Being: The Impact of Maladaptive Strategies
Wright, S. D., Lund, D. A., Caserta, M. S., & Pratt, C. C. (1991) · Journal of Gerontological Social Work · doi:10.1300/j083v17n01_07 · Cited by 44 · see citing works
Correlates of consequences of intergenerational caregiving in Taiwan
Lee, M. (2007) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2007.04274.x · Cited by 20 · see citing works
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Feast, A., Moniz-Cook, E., Stoner, C., Charlesworth, G., & Orrell, M. (2016) · International Psychogeriatrics · doi:10.1017/s1041610216000922 · Cited by 290 · see citing works
Chen, H., Huang, M., Yeh, Y., Huang, W., & Chen, C. (2015) · Psychogeriatrics · doi:10.1111/psyg.12071 · Cited by 158 · see citing works
Self-citationBalbim, G. M., Marques, I. G., Cortez, C., Magallanes, M., Rocha, J., & Marquez, D. X. (2019) · Journal of Cross-Cultural Gerontology · doi:10.1007/s10823-019-09390-8 · Cited by 37 · see citing works
Owokuhaisa, J., Kamoga, R., Musinguzi, P., Muwanguzi, M., Natukunda, S., Mubangizi, V., Asiime, K., & Rukundo, G. Z. (2023) · BMC Geriatrics · doi:10.1186/s12877-023-04129-0 · Cited by 33 · see citing works
Tan, K. P., Ang, J. K., Koh, E. B. Y., Pang, N. T. P., & Mat Saher, Z. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20054232 · Cited by 23 · see citing works
Karacan, Y., Akkus, Y., Ozcelik, E. T., & Ali, R. (2021) · Asia-Pacific Journal of Oncology Nursing · doi:10.4103/apjon.apjon_53_20 · Cited by 7 · see citing works
Examining burden among caregivers of community-dwelling older adults in Lebanon
Barakat, Z., Sacre, H., Khatib, S., Hajj, A., Bou Malham, C., Haddad, C., Akel, M., M. Zeenny, R., Abou Abbas, L., Barakat, M., et al. (2025) · Scientific Reports · doi:10.1038/s41598-025-05626-5 · Cited by 7 · see citing works
Barakat, Z., Sacre, H., El Khatib, S., Abou Abbas, L., Barakat, M., Salameh, P., & Rachidi, S. (2026) · PLOS One · doi:10.1371/journal.pone.0340972 · Cited by 2 · see citing works
“The implementation of effective and adaptable coping strategies serves as a protective measure to alleviate the distress experienced by caregivers due to the burden of caring [6,7].”
- Authors
- Huang, M.-F., Huang, W.-H., Su, Y.-C., Hou, S.-Y., Chen, H.-M., Yeh, Y.-C., & Chen, C.-S.
- Affiliations
- Kaohsiung Medical University (TW)
- Department of Nursing, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan
- Corresponding author
- Chen, Cheng-Sheng
- Venue
- American Journal of Alzheimer's Disease & Other Dementias®
- Publisher
- SAGE Publications
- Published
- 2013-06-29
- Volume
- 30
- Issue
- 7
- Pages
- 694-698
- ISSN
- 0888-4897 (ISSN-L)
- 1533-3175
- 1938-2731
- PMC
- PMC10852617
- OpenAlex
- W1998874121
- Cited by
- 70
- References
- 33
- Citations by year
- 2026: 6 · 2025: 4 · 2024: 8 · 2023: 5 · 2022: 20 · 2021: 7 · 2020: 2 · 2019: 6 · 2018: 4 · 2017: 4 · 2016: 2 · 2015: 1 · 2014: 1
- FWCI
- 0.95
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Alzheimer s Disease & Other Dementias® (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Kaohsiung Medical University
- Kaohsiung Medical University Chung-Ho Memorial Hospital
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Health Professions › Pharmacy › Nursing care and research
- Social Sciences › Psychology › Clinical Psychology › Family Caregiving in Mental Illness
- Keywords
- dementia caregivers, coping strategies, caregiver burden, avoidance coping, wishful thinking, disruptive behavior problems, depression, memory impairment, emotion-focused coping, Alzheimer's disease
- MeSH terms
- Adaptation, Psychological, Adult, Aged, Cross-Sectional Studies, Dementia, Depression, Female, Humans, Male, Middle Aged, Caregivers, Cost of Illness
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