Blessing or curse: the role of authoritarian filial piety and self-efficacy in caregiver gains among Chinese family caregivers caring for physically impaired older adults
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Background: This study investigated the effects of authoritarian filial piety (AFP) and caregiver self-efficacy on the caregiving experience of adult children of physically impaired older adults. Socio-cultural stress and coping model was applied to test the influence of AFP on caregiver gains. Methods: A total of 601 Chinese adult children caregivers and care-recipient dyads participated in this cross-sectional study in 2021. Four instruments were used to collect data: the 4-item Zarit Burden Interview, Positive Aspects of Caregiving Scale, Caregiver Task Inventory Scale, and Authoritarian Filial Piety Scale. All mediation and moderated mediation effects were estimated using SPSS 26.0. Results: Caregiver self-efficacy was found to not only mediate but also help family caregivers convert their burden into positive gains. AFP moderates the association between caregiver burden and self-efficacy, as well as between caregiver burden and caregiver gains. Conclusions: This study provides valuable insights into filial piety, elucidating AFP’s comprehensive impact on cognitive appraisals of caregiving. Culturally sensitive psychoeducational therapy, addressing AFP expectations and boosting caregiver self-efficacy, is recommended to enhance positive caregiving outcomes.
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These coping strategies often reflected deeply rooted Confucian values, particularly filial piety and familial obligation, framing caregiving as a moral responsibility rather than merely a personal burden.
“These strategies often reflected deeply rooted Confucian values, particularly filial piety and familial obligation, framing caregiving as a moral responsibility rather than merely a personal burden.”
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Cites
Self-efficacy: Toward a unifying theory of behavioral change
Bandura, A. (1977) · Psychological Review · doi:10.1037/0033-295x.84.2.191 · Cited by 43,925 · see citing works
Self-efficacy: Toward a unifying theory of behavioral change
Bandura, A. (1978) · Advances in Behaviour Research and Therapy · doi:10.1016/0146-6402(78)90002-4 · Cited by 10,586 · see citing works
Bédard, M., Molloy, D. W., Squire, L., Dubois, S., Lever, J. A., & O'Donnell, M. (2001) · The Gerontologist · doi:10.1093/geront/41.5.652 · Cited by 1,691 · see citing works
Informal Caregiving and Its Impact on Health: A Reappraisal From Population-Based Studies
Roth, D. L., Fredman, L., & Haley, W. E. (2015) · The Gerontologist · doi:10.1093/geront/gnu177 · Cited by 965 · see citing works
Caregiver burden: A concept analysis
Liu, Z., Heffernan, C., & Tan, J. (2020) · International Journal of Nursing Sciences · doi:10.1016/j.ijnss.2020.07.012 · Cited by 749 · see citing works
Gain in the Caregiving Experience: Where Are We? What Next?
Kramer, B. J. (1997) · The Gerontologist · doi:10.1093/geront/37.2.218 · Cited by 668 · see citing works
A Two-factor Model of Caregiving Appraisal and Psychological Well-Being
Lawton, M. P., Moss, M. S., Kleban, M. H., Glicksman, A., & Rovine, M. J. (1991) · Journal of Gerontology · doi:10.1093/geronj/46.4.p181 · Cited by 662 · see citing works
Aranda, M., & Knight, B. G. (1997) · The Gerontologist · doi:10.1093/geront/37.3.342 · Cited by 595 · see citing works
Cultural values and caregiving: The updated sociocultural stress and coping model
Knight, B. G., & Sayegh, P. (2010) · The Journals of Gerontology Series B: Psychological Sciences and Social Sciences · doi:10.1093/geronb/gbp096 · Cited by 585 · see citing works
The Revised Scale for Caregiving Self-Efficacy: Reliability and Validity Studies
Steffen, A. M., McKibbin, C. L., Zeiss, A. M., Gallagher-Thompson, D. E., & Bandura, A. (2002) · The Journals of Gerontology Series B · doi:10.1093/geronb/57.1.p74 · Cited by 488 · see citing works
Unravelling positive aspects of caregiving in dementia: An integrative review of research literature
Yu, D. S. F., Cheng, S.-T., & Wang, J. (2018) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2017.10.008 · Cited by 457 · see citing works
Stajduhar, K., Funk, L. M., Toye, C. M., Grande, G., Aoun, S. M., & Todd, C. J. (2010) · Palliative Medicine · doi:10.1177/0269216310371412 · Cited by 410 · see citing works
Family and Gender Values in China
Hu, Y., & Scott, J. (2014) · Journal of Family Issues · doi:10.1177/0192513x14528710 · Cited by 322 · see citing works
Filial Piety, Caregiving Appraisal, and Caregiving Burden
Lai, D. W. L. (2010) · Research on Aging · doi:10.1177/0164027509351475 · Cited by 273 · see citing works
Caregiver Burden and Depressive Symptoms
Sherwood, P. R., Given, C. W., Given, B. A., & von Eye, A. (2005) · Journal of Aging and Health · doi:10.1177/0898264304274179 · Cited by 241 · see citing works
Culture, Caregiving, and Health: Exploring the Influence of Culture on Family Caregiver Experiences
Pharr, J. R., Francis, C. D., Terry, C., & Clark, M. C. (2014) · ISRN Public Health · doi:10.1155/2014/689826 · Cited by 209 · see citing works
Positive experiences of caregiving in stroke: a systematic review
Mackenzie, A., & Greenwood, N. (2012) · Disability and Rehabilitation · doi:10.3109/09638288.2011.650307 · Cited by 181 · see citing works
Devlieger, I., & Rosseel, Y. (2017) · Methodology · doi:10.1027/1614-2241/a000130 · Cited by 154 · see citing works
Evolution of the Conceptualization of Filial Piety in the Global Context: From Skin to Skeleton
Bedford, O., & Yeh, K.-H. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.570547 · Cited by 146 · see citing works
The Burden and Benefits of Caregiving: A Latent Class Analysis
Pristavec, T. (2018) · The Gerontologist · doi:10.1093/geront/gny022 · Cited by 135 · see citing works
Cheng, S., Lam, L. C. W., Kwok, T. C. Y., Ng, N. S. S., & Fung, A. W. T. (2012) · The Gerontologist · doi:10.1093/geront/gns062 · Cited by 134 · see citing works
Xu, L., Liu, Y., He, H., Fields, N. L., Ivey, D. L., & Kan, C. (2021) · Archives of Gerontology and Geriatrics · doi:10.1016/j.archger.2020.104334 · Cited by 99 · see citing works
Conceptualization and Measurement of Doing Family Caregiving Well
Schumacher, K. L., Stewart, B. J., & Archbold, P. G. (1998) · Journal of Nursing Scholarship · doi:10.1111/j.1547-5069.1998.tb01238.x · Cited by 98 · see citing works
Positive aspects of caregiving (PAC): Scale validation among Chinese dementia caregivers (CG)
LOU, V. W. Q., Lau, B. H. P., & Cheung, S. L. K. (2014) · Archives of Gerontology and Geriatrics · doi:10.1016/j.archger.2014.10.019 · Cited by 90 · see citing works
Cultural Predictors of Caregiving Burden of Chinese-Canadian Family Caregivers
Lai, D. W. L. (2007) · Canadian Journal on Aging / La Revue canadienne du vieillissement · doi:10.3138/cja.26.suppl_1.133 · Cited by 73 · see citing works
Hsiao, C. (2010) · Journal of Clinical Nursing · doi:10.1111/j.1365-2702.2010.03315.x · Cited by 67 · see citing works
Yang, Z., Tian, Y., Fan, Y., Liu, L., Luo, Y., Zhou, L., & Yu, H. (2019) · Journal of Affective Disorders · doi:10.1016/j.jad.2019.05.064 · Cited by 66 · see citing works
Predictors of the personal benefits and positive aspects of informal caregiving
Pendergrass, A., Mittelman, M. S., Graessel, E., Özbe, D., & Karg‐Hefner, N. (2018) · Aging & Mental Health · doi:10.1080/13607863.2018.1501662 · Cited by 61 · see citing works
Park, M., Choi, S., Lee, S. J., Kim, S. H., Kim, J., Go, Y., & Lee, D. Y. (2017) · International Psychogeriatrics · doi:10.1017/s104161021700196x · Cited by 58 · see citing works
Does filial piety decrease depression among family caregivers?
Khalaila, R., & Litwin, H. (2011) · Aging & Mental Health · doi:10.1080/13607863.2011.569479 · Cited by 55 · see citing works
Lee, R., & Mok, E. (2011) · Journal of Clinical Nursing · doi:10.1111/j.1365-2702.2011.03729.x · Cited by 55 · see citing works
Pakenham, K. I., & Cox, S. D. (2008) · British Journal of Health Psychology · doi:10.1348/135910707x250848 · Cited by 50 · see citing works
Flexible mindset in the family: Filial piety, cognitive flexibility, and general mental health
Jen, C.-H., Chen, W.-W., & Wu, C. (2018) · Journal of Social and Personal Relationships · doi:10.1177/0265407518770912 · Cited by 48 · see citing works
Chenoweth, L., Stein‐Parbury, J., White, D., McNeill, G., Jeon, Y., & Zaratan, B. (2016) · BMC Health Services Research · doi:10.1186/s12913-016-1410-x · Cited by 40 · see citing works
Wu, C., & Yeh, K. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.661335 · Cited by 20 · see citing works
Smaling, H. J. A., Joling, K. J., Achterberg, W. P., Francke, A. L., & van der Steen, J. T. (2021) · Geriatrics and gerontology international/Geriatrics & gerontology international · doi:10.1111/ggi.14210 · Cited by 16 · see citing works
Meaning Through Caregiving: A Qualitative Study of the Experiences of Informal Carers
Chan, C. K., Vickers, T., & Barnard, A. (2019) · The British Journal of Social Work · doi:10.1093/bjsw/bcz039 · Cited by 15 · see citing works
Losada‐Baltar, A., Vara‐García, C., Pedroso‐Chaparro, M. D. S., Cabrera, I., Jiménez‐Gonzalo, L., Fernándes-Pires, J., Huertas‐Domingo, C., Barrera‐Caballero, S., Gallego‐Alberto, L., Romero‐Moreno, R., et al. (2022) · Journal of Women & Aging · doi:10.1080/08952841.2022.2052705 · Cited by 11 · see citing works
Vara-García, C., Romero-Moreno, R., Barrera-Caballero, S., Pedroso-Chaparro, M. D. S., Cabrera, I., Márquez-González, M., Olazarán, J., & Losada, A. (2021) · Aging & Mental Health · doi:10.1080/13607863.2020.1821169 · Cited by 10 · see citing works
Yan, Z., Zhang, J., & Sun, X. (2023) · The British Journal of Social Work · doi:10.1093/bjsw/bcad184 · Cited by 5 · see citing works
Self-citation
Flagged first, then by citations
Research works printed but not linked: 3
- [23]Pristavec T Pruchno R The burden and benefits of caregiving: a latent class analysis Gerontologist 2019 59 1078 1091 10.1093/geront/gny022 29659788 PMC6858826 · DOI
- [35]Yu DSF Cheng ST Wang J Unravelling positive aspects of caregiving in dementia: An integrative review of research literature Int J Nurs Stud 2018 79 1 26 10.1016/j.ijnurstu.2017.10.008 29128685 · DOI · Paper page
- [45]Hayes AF. Introduction to mediation, moderation, and Ccnditional process analysis: a regression-based approach. New York: Guilford Press; 2017.
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Sorted by citations
Yan, Z., & Sun, X. (2025) · Ageing and Society · doi:10.1017/s0144686x25000091 · Cited by 5 · see citing works
Self-citationChung, K. L., Tan, C., Phua, S. J. Y., & Tang, S. T. (2024) · The Journal of Psychology · doi:10.1080/00223980.2024.2420268 · Cited by 5 · see citing works
Suo, S., Jiao, J., Li, Y., Gu, J., Guo, S., Liu, C., Wang, S., Wang, P., & Wang, P. (2025) · BMC Nursing · doi:10.1186/s12912-025-03452-8 · Cited by 4 · see citing works
Mo, Y., Chan, H. Y.-L., Zhou, Y., Chen, L., Tang, G., Bone, A. E., Maddocks, M. M., & Evans, C. (2025) · BMC Geriatrics · doi:10.1186/s12877-025-06272-2 · Cited by 5 · see citing works
Ngo, Q. A., Huy, P. T., & Tran, T. M. P. (2024) · Journal of Population Research · doi:10.1007/s12546-024-09335-0 · Cited by 3 · see citing works
Liu, Y. P., Li, X., & Li, W. (2025) · Frontiers in Psychology · doi:10.3389/fpsyg.2025.1643644 · Cited by 3 · see citing works
He, Y., Li, R., Jiao, T., Liu, C., Chen, Y., & Li, L. (2026) · Patient Preference and Adherence · doi:10.2147/ppa.s564683 · Cited by 3 · see citing works
Kong, L., Liu, D., Yang, J., Yang, L., & Hu, P. (2026) · Frontiers in Public Health · doi:10.3389/fpubh.2026.1844907 · Cited by 3 · see citing works
Chen, F., Pan, S., Jing, M., Ding, X., & Sun, H. (2025) · Clinical Gerontologist · doi:10.1080/07317115.2025.2526629 · Cited by 2 · see citing works
Chen, L., & Ma, S. (2026) · The Journals of Gerontology Series B · doi:10.1093/geronb/gbag027 · Cited by 2 · see citing works
Lin, X., Liu, J., Chen, J., Tang, J., Huang, Z., Wang, Y., & Shi, S. (2026) · Asia-Pacific Journal of Oncology Nursing · doi:10.1016/j.apjon.2025.100850 · Cited by 1 · see citing works
Yang, M., Zhang, J., Liu, X., Ma, Y., Jiang, Q., Chen, S., & Zhang, S. D. (2026) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2026.1724514 · Cited by 1 · see citing works
Self-citationXu, X., Wu, C.-M., Liu, W., Cao, J., & Xu, Q. (2026) · Social Science & Medicine · doi:10.1016/j.socscimed.2026.119422 · Cited by 1 · see citing works
Zhang, Z. F., Zhang, H., Shi, Y., Yang, J., Yang, Q., Deng, T., & Xia, L. (2026) · Clinical Gerontologist · doi:10.1080/07317115.2026.2678300 · Cited by 1 · see citing works
Yang, Z., Zhao, L., Lam, L., Aung, M. N., Sun, F., & Guo, Y. (2025) · Healthcare and Rehabilitation · doi:10.1016/j.hcr.2025.100049 · Cited by 1 · see citing works
Development and preliminary validation of the post-intensive care syndrome-family assessment scale
Yu, W., Bao, Z., Sha, R., Zheng, Y., Tan, Y., Guan, X., Hu, R., Huang, Y., Liu, Y., Ma, X., et al. (2026) · Frontiers in Psychology · doi:10.3389/fpsyg.2026.1758100 · Cited by 1 · see citing works
Ma, X., Deng, H., Chen, C., & hao, X. (2024) · Research Square · doi:10.21203/rs.3.rs-5364212/v1
Chen, X., Sun, Y., Xue, M., Song, C., & Chen, W. (2025) · Geriatric Nursing · doi:10.1016/j.gerinurse.2025.103567
Li, N., Zhang, Y., Gao, Y., Qin, J., Liao, Y., Rong, X., & Yu, H. (2026) · BMC Geriatrics · doi:10.1186/s12877-026-07249-5
Bai, X., Guo, S., Niu, Y., Lou, T., Zengzhen, Y., Cheng, Z., Li, X., & Wang, A. (2026) · International Journal of Older People Nursing · doi:10.1111/opn.70077
Xu, J., Cai, J., & Yao, L. (2026) · BMC Geriatrics · doi:10.1186/s12877-026-07781-4
Ge, L., Yip, W. F., Ho, A. H. Y., Chua, E., Chieh, P. P., Leong, I. Y. O., Ho, R. M.-H., & Tan, W. S. (2026) · BMJ Public Health · doi:10.1136/bmjph-2025-003917
Alqahtani, A. M., Hawash, M. M., Ali, M., Arrab, M. M., Mohieldin, A., Muzammil, K., Kamel, W. W., Khan, M., & Dawria, A. (2026) · BMJ Open · doi:10.1136/bmjopen-2025-112946
Cheng, L., Chen, Y., Chen, X., & Xie, Y. (2026) · Journal of Religion and Health · doi:10.1007/s10943-026-02735-x
Chen, Z., Li, Z., Yue, P., An, Y., Shen, Q., & Kan, Y. (2026) · BMC Palliative Care · doi:10.1186/s12904-026-02226-6
Haldorai, K., Kim, W. G., & Li, J. J. (2026) · International Journal of Hospitality Management · doi:10.1016/j.ijhm.2026.104834
Xv, F., Zhang, Y., Yan, J., Kang, Z., Wei, Y., Guo, X., Liu, Y., Chen, J. M., & Ding, D. (2026) · PeerJ · doi:10.7717/peerj.21527
Andrés-Pérez, F., Bru-Luna, L. M., Hidalgo-Fuentes, S., & Vilar, M. M. (2026) · Healthcare · doi:10.3390/healthcare14152267
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Zhang, X., Zhang, Y., Su, X., Wei, W., Bai, Y., & Ma, F. (2026) · Frontiers in Psychology · doi:10.3389/fpsyg.2026.1882861
Chen, C., Zhang, Y., & Liu, P. (2026) · Frontiers in Public Health · doi:10.3389/fpubh.2026.1918294
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Lee, M. M.-S., Lo, E. M.-K., Kwan, H. H.-C., Chow, R. H.-T., Oo, S. M. C., Wang, Y., & Wong, E. L. (2026) · Social Sciences · doi:10.3390/socsci15080529
Yang, Z., Wei, K., Wang, C., Liu, Y., Gao, Y., Zhao, M., Lu, F., & Zhong, Y. (2026) · Frontiers in Psychology · doi:10.3389/fpsyg.2026.1852506
Ding, Y., Yang, C. K., & Deng, R. (2026) · Nutrients · doi:10.3390/nu18162687
Chang, W., Chang, S., Yen, W., & Ma, W. (2026) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.70249
Wang, M., Wang, J., Shi, X., & Wang, H. (2026) · International Journal of Nursing Studies Advances · doi:10.1016/j.ijnsa.2026.100672
- Authors
- Zhang, J., Sun, X., & Yan, Z.
- Affiliations
- East China Normal University (CN)
- Fudan University (CN)
- Waseda University (JP)
- Corresponding author
- Yan, Zi
- Venue
- BMC Geriatrics
- Published
- 2024-02-16
- Volume
- 24
- Issue
- 1
- Pages
- 163-163
- ISSN
- 1471-2318 (ISSN-L)
- PMC
- PMC10870663
- OpenAlex
- W4391883422
- Cited by
- 33
- References
- 40
- Citations by year
- 2026: 22 · 2025: 8 · 2024: 3
- FWCI
- 23.67
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- BMC Geriatrics (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Funders
- Chinese National Social Science Fund General Project “Research on the Path to Enhance Family Care Ability from the Perspective of Aging Society Governance” (22BRK039)
- Chinese Ministry of Education Youth Fund Project: Research on policy embedding and synergistic mechanism of social support for family caregivers (21YJCZH210)
- Fundamental Research Funds for the Central Universities (2022ECNU-HWCBFBLW009)
- Topics
- Social Sciences › Sociology and Political Science › Intergenerational Family Dynamics and Caregiving
- Health Sciences › Health Professions › Pharmacy › Nursing care and research
- Health Sciences › Health Professions › General Health Professions › Aging, Elder Care, and Social Issues
- Keywords
- authoritarian filial piety, caregiver self-efficacy, family caregivers, caregiver burden, positive aspects of caregiving, caregiver experiences, Chinese culture, filial piety, mediating and moderating effects
- MeSH terms
- Aged, alpha-Fetoproteins, China, Cross-Sectional Studies, Humans, Caregivers, Self Efficacy
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