Cross-National Analysis of the Associations Between Familism and Self-Efficacy in Family Caregivers of People With Dementia: Effects on Burden and Depression.

Publication Type	Academic Article
Authors	Losada-Baltar A, Falzarano F, Hancock D, Márquez-González M, Pillemer K, Huertas-Domingo C, Jiménez-Gonzalo L, Fernandes-Pires J, Czaja S
Journal	J Aging Health
Volume	36
Issue	7-8
Pagination	403-413
Date Published	08/10/2023
ISSN	1552-6887
Keywords	Self Efficacy, Caregivers, Dementia, Depression
Abstract	Objectives: To examine the cross-national associations between familism and self-efficacy dimensions, and levels of burden and depression. Methods: Sociodemographic, familism, self-efficacy, depressive symptoms, and burden variables were measured in 349 dementia family caregivers from the US and Spain. Results: US sample: greater support from family was positively related to self-efficacy for obtaining respite and self-efficacy for controlling upsetting thoughts and behaviors. Both self-efficacy constructs were negatively related to depression. Similar findings were obtained for burden. Spanish sample: higher scores on family as referents were associated with lower scores on self-efficacy for obtaining respite; lower scores on self-efficacy for obtaining respite were associated with higher depressive symptomatology. Discussion: Study findings suggest that a significant interplay exists between the various facets of familism and self-efficacy, leading to differential caregiving outcomes. Unique cultural contexts and values derived from each country may exert distinct influences on how the caregiving role is perceived and appraised.
DOI	10.1177/08982643231193579
PubMed ID	37585806
PubMed Central ID	PMC10858290