Online first
Research paper
Published online: 2024-04-23
The mental health of family caregivers: do the complementary roles of personality trait, social support, and resilience matter?
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DOI: 10.5603/pmp.99443
Abstract
Background: Caregivers form an integral informal workforce that is usually overlooked, undervalued, and faces challenges such as maintaining optimal well-being and caring roles. This present study investigated the roles of personality, social support, and resilience in the mental health of family caregivers.
Participants and methods: The study based on self-report measures of the Big Five Personality Inventory, Social Support Scale, Resilience Scale, and General Health Questionnaire adopted a descriptive cross-sectional design. The participants in the study were 250 caregivers. Hierarchical multiple regression was used for data analysis.
Results: Results showed that the dimensions of the big five personality traits neuroticism (β = −0.15, p < 0.05), extraversion (β = 0.16, p < 0.05), openness to experience (β = 0.17, p < 0.05), conscientiousness (β = 0.15, p < 0.05) and agreeableness (β = 0.13, p < 0.05) significantly associated with family caregivers’ mental health. In addition, social support (β = 0.13, p < 0.05) and resilience (β = 0.13, p < 0.05) were positively associated with the mental health of caregivers.
Conclusions: Families, providers of health care, hospital management, and policymakers in the health care sector should take cognizance of these endogenous and exogenous factors (e.g., social support, personality traits, and resilience) in the development of intervention and support services for both existing and potential health caregivers. This is pertinent since their mental health is dependent on the positive correlation among these variables of interest.
Keywords: personality traitssocial supportresiliencefamily caregivers
References
- O'Reilly D, Rosato M, Maguire A. Caregiving reduces mortality risk for most caregivers: a census-based record linkage study. Int J Epidemiol. 2015; 44(6): 1959–1969.
- Fairfax A, Brehaut J, Colman I, et al. A systematic review of the association between coping strategies and quality of life among caregivers of children with chronic illness and/or disability. BMC Pediatr. 2019; 19(1): 215–237.
- Czaja SJ, Lee CC, Perdomo D, et al. Community REACH: an implementation of an evidence-based caregiver program. Gerontologist. 2018; 58(2): e130–e137.
- Monin JK, Levy B, Doyle M, et al. The impact of both spousal caregivers' and care recipients' health on relationship satisfaction in the Caregiver Health Effects Study. J Health Psychol. 2019; 24(12): 1744–1755.
- Capistrant B. Caregiving for older adults and the caregivers’ health: an epidemiologic review. Curr Epidemiol Rep. 2016; 3(1): 72–80.
- Udoh EE, Omorere DE, Sunday O, et al. Psychological distress and burden of care among family caregivers of patients with mental illness in a neuropsychiatric outpatient clinic in Nigeria. PLoS One. 2021; 16(5): e0250309.
- Roth DL, Fredman L, Haley WE. Informal caregiving and its impact on health: a reappraisal from population-based studies. Gerontologist. 2015; 55(2): 309–319.
- Schulz R. The intersection of family caregiving and work: labor force participation, productivity, and caregiver well-being. Curr Emerg Trends Aging Work. 2019: 399–413.
- Schulz R, Beach SR, Friedman EM, et al. Changing structures and processes to support family caregivers of seriously ill patients. J Palliat Med. 2018; 21(S2): S36–S42.
- Ebimgbo S, Atama C, Igboeli E, et al. Community versus family support in caregiving of older adults: implications for social work practitioners in South-East Nigeria. Commun Work Family. 2021; 25(2): 152–173.
- Iwuagwu AO, Ugwu LO, Ugwuanyi CC, et al. Family caregivers' awareness and perceived access to formal support care services available for older adults in Enugu State, Nigeria. African J Soc Work. 2022; 12(2): 12–27.
- Boettcher J, Denecke J, Barkmann C, et al. Quality of life and mental health in mothers and fathers caring for children and adolescents with rare diseases requiring long-term mechanical ventilation. Int J Environ Res Public Health. 2020; 17(23): 8975.
- Oladeji D. Family care, social services, and living arrangements factors influencing psychosocial well-being of elderly from selected households in Ibadan, Nigeria. Edu Res Intern. 2011: 1–6.
- Chukwu N, Agwu P, Ajibo H, et al. Challenges faced by informal caregivers of patients in a Nigerian hospital and implications for social work. J Soc Work. 2022; 22(5): 1189–1206.
- Zarit SH, Bangerter LR, Liu Y, et al. Exploring the benefits of respite services to family caregivers: methodological issues and current findings. Aging Ment Health. 2017; 21(3): 224–231.
- Singh G, Dubey A. Mental health and well-being of caregivers: a review of the literature. Intern J Indian Psychol. 2016; 3(4): 98–105.
- Hernández-Torrano D, Ibrayeva L, Sparks J, et al. Mental health and well-being of university students: a bibliometric mapping of the literature. Front Psychol. 2020; 11: 1226.
- Zwar L, König HH, Hajek A. Consequences of different types of informal caregiving for mental, self-rated, and physical health: longitudinal findings from the German Ageing Survey. Qual Life Res. 2018; 27(10): 2667–2679.
- Cheng M, Yang H, Yu Q. Impact of informal caregiving on caregivers' subjective well-being in China: a longitudinal study. Arch Public Health. 2023; 81(1): 209–227.
- Kumagai N. Distinct impacts of high intensity caregiving on caregivers' mental health and continuation of caregiving. Health Econ Rev. 2017; 7(1): 15.
- Kang W, Steffens F, Pineda S, et al. Personality traits and dimensions of mental health. Sci Rep. 2023; 13(1): 7091.
- Mitchell LL, Zmora R, Finlay JM, et al. Do big five personality traits moderate the effects of stressful life events on health trajectories? Evidence from the health and retirement study. J Gerontol B Psychol Sci Soc Sci. 2021; 76(1): 44–55.
- Yu Y, Zhao Y, Li D, et al. The relationship between big five personality and social well-being of chinese residents: the mediating effect of social support. Front Psychol. 2020; 11: 613659.
- McCrae RR, Costa PT. Personality in adulthood. Guilford Press. 2003.
- Kansiime R, Mutto M, Rukundo GZ, et al. Personality and psychological well-being among cancer caregivers at the Uganda cancer institute and mbarara regional referral hospital. African J Soc Sci Human Res. 2022; 5(3): 62–75.
- Rostami M, Ahmadboukani S, Saleh Manijeh H. Big five personality traits and predicting mental health among Iranian older adults. Gerontol Geriatr Med. 2022; 8(2): 1–10.
- Löckenhoff CE, Duberstein PR, Friedman B, et al. Five-factor personality traits and subjective health among caregivers: the role of caregiver strain and self-efficacy. Psychol Aging. 2011; 26(3): 592–604.
- Branje SJT, van Lieshout CFM, van Aken MAG. Relations between big five personality characteristics and perceived support in adolescents' families. J Pers Soc Psychol. 2004; 86(4): 615–628.
- Day L, Hanson K, Maltby J, et al. Hope uniquely predicts objective academic achievement above intelligence, personality, and previous academic achievement. J Res Personal. 2010; 44(4): 550–553.
- Muñoz-Bermejo L, Adsuar JC, Postigo-Mota S, et al. Relationship of perceived social support with mental health in older caregivers. Int J Environ Res Public Health. 2020; 17(11): 3886.
- Melrose K, Brown G, Wood A. When is received social support related to perceived support and well-being? When it is needed. Personal Individ Differ. 2015; 77: 97–105.
- Guo M, Li S, Liu J, et al. Family relations, social connections, and mental health among Latino and Asian older adults. Res Aging. 2015; 37(2): 123–147.
- Shiba K, Kondo N, Kondo K. Informal and formal social support and caregiver burden: the AGES caregiver survey. J Epidemiol. 2016; 26(12): 622–628.
- Kort-Butle LA. Social support theory: The encyclopaedia of juvenile delinquency and justice. Wiley Blackwell. 2017: 819–823.
- Litwin H, Stoeckel KJ, Schwartz E. Social networks and mental health among older Europeans: are there age effects? Eur J Ageing. 2015; 12(4): 299–309.
- Tyler CM, Henry RS, Perrin PB, et al. Structural equation modeling of parkinson's caregiver social support, resilience, and mental health: a strength-based perspective. Neurol Res Int. 2020: 7906547.
- Whitley DM, Kelley SJ, Lamis DA. Depression, social support, and mental health: a longitudinal mediation analysis in African American custodial grandmothers. Int J Aging Hum Dev. 2016; 82(2–3): 166–187.
- Biswas B, Kumar P, Ahmad S, et al. Resilience level, its determinants and its effect on psychological well-being: A cross-sectional evaluation among school-going adolescents of Patna, Bihar, India. Niger Postgrad Med J. 2022; 29(1): 29–35.
- Block JH, Block J. The role of ego control and ego resiliency in the organization of behavior. In: Collins WA. ed. The Minnesota symposium on child psychology. Development of cognition, affect, and social relations, Hillsdale NJ 1980: 89–101.
- Feldman R. Social behavior as a transdiagnostic marker of resilience. Ann Rev Clin Psychol. 2021; 17(1): 153–180.
- Zauszniewski JA, Bekhet AK, Suresky MJ. Indicators of resilience in family members of adults with serious mental illness. Psychiatr Clin North Am. 2015; 38(1): 131–146.
- Raosoft. Raosoft Sample Size Calculator. Raosoft, Inc. 2004: Seattle, WA, USA. http://www.raosoft.com/samplesize.html (30.11.2023).
- John OP, Srivastava S. The Big Five trait taxonomy: history, measurement, and theoretical perspectives. In: Pervin LA, John OP. ed. Handbook of personality: theory and research. 2nd ed. Guilford, New York 1999: 102–138.
- Okwaraji F, Aguwa E, Onyebueke G, et al. Gender differences, personality traits and mental health among secondary school adolescents in Enugu, South East Nigeria. Intern Neuropsych Dis J. 2015; 4(41): 83–146.
- Zimet G, Dahlem N, Zimet S, et al. The multidimensional scale of perceived social support. J Personal Ass. 1988; 52(1): 30–41.
- Akosile CO, Banjo TO, Okoye EC, et al. Informal caregiving burden and perceived social support in an acute stroke care facility. Health Qual Life Outcomes. 2018; 16(1): 57.
- Wagnild GM, Young HM. Development and psychometric evaluation of the resilience scale. J Nurs Meas. 1993; 1(2): 165–178.
- Ndata CW, Maduka AU. Role of resilience and quality of life among caregivers of intellectually challenged children and adolescents in a dwindling economy. J Resourcefuland Distinction. 2019; 17(1): 1–15.
- Lukat J, Margraf J, Lutz R, et al. Psychometric properties of the positive mental health scale (PMH-Scale). BMC Psychol. 2016; 4(8): 27–39.
- Gelaye H, Andualem A. Quality of life and associated factors among family caregivers of individuals with psychiatric illness at DRH, South Wollo, Ethiopia, 2020. Sci Rep. 2022; 12(1): 18550.
- Mendenhall, W, Beaver RJ, Beaver, B.M (2009). Introduction to probability and statistics. Belmont, CA: Brooks/Cole, Cengage Learning 2009.
- McCrae RR, Costa PT. The five-factor theory of personality. In: John OP, Robins RW, Pervin LA. ed. Handbook of personality: Theory and research 2008; 3rd ed. Guilford Press 2008: 159–181.
- Gallant MP, Connell CM. Neuroticism and depressive symptoms among spouse caregivers: do health behaviors mediate this relationship? Psychol Aging. 2003; 18(3): 587–592.
- Rassart J, Luyckx K, Goossens E, et al. Personality traits, quality of life and perceived health in adolescents with congenital heart disease. Psychol Health. 2013; 28(3): 319–335.
- Taylor MD, Whiteman MC, Fowkes GR, et al. Five Factor Model personality traits and all-cause mortality in the Edinburgh Artery Study cohort. Psychosom Med. 2009; 71(6): 631–641.
- Lewis EG, Cardwell JM. The big five personality traits, perfectionism and their association with mental health among UK students on professional degree programmes. BMC Psychol. 2020; 8(1): 54.
- Ryan RM, Deci EL. Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. Am Psychol. 2000; 55(1): 68–78.
- Harandi TF, Taghinasab MM, Nayeri TD. The correlation of social support with mental health: a meta-analysis. Electron Physician. 2017; 9(9): 5212–5222.
