The relationships between coping strategies, social support and depression: an investigation among Turkish care-givers of patients with dementia

Coping strategies and adherence in people with mood disorder: a cross-sectional study

Introduction

Non-adherence to treatment recommendations is a significant problem, as it contributes to the progression of the disease and to the exacerbation of distressing symptoms. Failure to cope with the disease and elevated levels of stress, in turn, influence the choice of strategy for coping with a difficult situation, and thus adherence to recommendations.

Objectives

The purpose of our study was to evaluate the impact of the subjects' stress coping styles on therapeutic adherence, life satisfaction, disease acceptance and quality of life (QoL) in people with mood disorders.

Methods

This survey-based study included 102 respondents diagnosed with mood disorders, living in the West Pomeranian Voivodeship. It was performed using the sociodemographic questionnaire and standardized tools: The Coping Inventory for Stressful Situations (CISS), The Satisfaction with Life Scale (SWLS), The Short Form-36 (SF-36) Health Survey, The Adherence to Refills and Medication Scale (ARMS), and The Acceptance of Illness Scale (AIS).

Results

Some 47.06% of the respondents suffered from depressive disorders, while 34.31% had depression or mixed anxiety disorder. Patients who made greater use of an emotion-focused style were found to have significantly lower life satisfaction than other patients. Moreover, this style was related to such SF-36 domains as general health, social functioning, role emotional, vitality, and mental health, as well as to physical component summary (PCS) and mental component summary (MCS).

Conclusion

Treatment non-adherence is a serious challenge in the treatment of patients with mood disorders. Individuals who do not adequately follow treatment recommendations often resort to alternative activities as a mechanism for coping with difficult situations. Patients who predominantly adopt an emotion-oriented coping style tend to experience lower life satisfaction and greater difficulty accepting their condition compared to their peers. Conversely, patients who adopt a task-oriented coping style report better quality of life than those who rely on emotion-oriented coping or alternative activities.

Association between Social Support and Depressive Symptoms in Informal Caregivers of Adult and Older Dependents: A Systematic Review and Meta-Analysis

Social support is an important determinant of a carer's mental health. In recent decades, despite many studies reporting on the relationship between social support and depressive symptoms in informal caregivers of adult and older dependents, there are no systematic reviews synthesizing the available evidence. The purpose of the present study was to perform a systematic review and meta-analysis on the relationship between social support and depressive symptoms in informal caregivers of adults and older dependent people. We searched PubMed, CINAHL (EBSCO), PsycINFO (ProQuest), and Scopus, up to 15 January 2023 for studies. We applied no date or language limits to our search. A random-effects model was used to pool effect estimates. The included studies were also independently assessed for quality. Publication bias was evaluated by funnel plots, Egger's regression test, and the Trim and Fill method. Ninety-three studies were included in the review, reporting on a total of 15,431 informal caregivers. We found a moderate negative association between perceived social support and caregiver depressive symptoms (78 studies; r = -0.35, 95% CI = -0.39, -0.31; low heterogeneity and low risk of publications bias) and a small negative association between received social support and caregiver self-reported depressive symptoms (12 studies; r = -0.14, 95% CI = -0.20, -0.07; low heterogeneity and low risk of publications bias). Our results indicate that social support is a clinically relevant construct for carer well-being and an important protective factor for depressive symptoms in informal caregivers of adult and older dependents.

Social interaction matters to job search over the long haul

Based on social cognitive, reasoned action, and basic needs theories, this study examines whether co-rumination with others about the job search mediates the positive relation between state negative affect and job search intentions. In addition, we looked at how this positive indirect effect interacts with the social support received from different sources (such as friends, family, and significant others) at the beginning and six months after the initial job search process. Using a sample of 87 graduates (job seekers) from a Portuguese masters program, we used multilevel modeling to test this moderated mediation. Ages ranged from 22 to 53 years old (M = 29.45; SD = 7.60). Data were collected using measures to assess negative affect, co-rumination, perceived social support, and job search intentions. We found an indirect effect of state negative affect on job search intentions; when job seekers perceive higher levels of social support from significant others at the beginning of the job search, the positive, mediating role of co-rumination in this relationship is increased. Further, for a sub-sample of six-month job seekers, this positive indirect effect increased when there was also an increased perception of social support from family. Discussion focuses on implications for theory and practice and the role of co-rumination for unemployed people during job search.

Examining the mediating effect of psychosocial resources on the relationship between ambivalent feelings and depression among Israeli Arab family caregivers of people with dementia

Objectives

Providing care for family members of individuals with dementia can be accompanied by a myriad of emotions, usually involving negative as well as positive feelings, or “ambivalent feelings.” Recent studies conducted among family caregivers of people with dementia have shown ambivalent feelings to be associated with serious psychological consequences, such as increased depression. However, little is known about the path leading from ambivalent feelings to depression. Thus, the aim of this study was to examine the interplay of ambivalent feelings and depression with family caregivers’ psychosocial resources—that is, their coping strategies and social support.

Methods

A cross-sectional study using face-to-face interviews (via structured questionnaire) was conducted with 175 Israeli Arab family caregivers (adult children and spouses) of elderly people with Alzheimer’s disease (87.4% female; 72% adult children; mean age = 54.28).

Results

Overall, the participants reported a mild level of depression (mean = 7.93; SD = 4.30; range 0–15) and a moderate level of ambivalent feelings (mean = 1.63; SD = 1.04; range 0–3). Additionally, as expected, ambivalent feelings made a unique—although modest—contribution, adding an additional 6% ( p < 0.001) to the explanation of depression ( R2 = 0.56, p<0.001). Whereas, neither problem-focused coping nor emotion-focused coping played a significant role in mediating the relationship between ambivalent feelings and depression, social support did mediate the relationship between these variables.

Conclusions

Our findings show that strengthening and expanding social networks among Israeli caregivers of people with Alzheimer’s disease can minimize the impact of experiences of emotional feelings on depression.

Receipt of Emotional Support among Rural South African Adults

As the world undergoes rapid ageing, informal support from friends and relatives is becoming especially important among older adults in middle and low income countries, where formalized social protections may be limited. We use new data from a cohort of adults ages 40 and older in rural South Africa to explore how receipt of emotional support differs by gender and marital status. Our findings suggest that women are more likely to get emotional support than men and have more sources of support. Moreover, women are more likely to get emotional support from relatives, whereas men are more likely to get support from friends. In regard to marital status, married people are more likely to get emotional support and have more sources of support than people who are not married. However, separated/divorced and widowed people are more likely to get emotional support from relatives and have more sources of non-spousal support than married people. These findings point toward gaps in informal systems of support, and the particular importance of considering men and unmarried (especially never married) people when designing policies to offer social protections to older populations.

Adult Children's Perceptions of Maternal Favoritism During Caregiving: Comparisons Between Turkey and the United States

This study explores cross-cultural variations in adult children's perceptions of maternal favoritism during caregiving in Turkey and the United States. Qualitative analysis of interview data from two siblings in each of 14 Turkish and 14 American families revealed differences in adult children's perceptions of and explanations for maternal favoritism. Most Turkish children perceived that their mothers favored sons because of higher filial expectations from sons. Conversely, most American children perceived that their mothers favored daughters and explained mothers' preferences as based on socioemotional factors. Furthermore, perceptions of maternal favoritism had detrimental consequences for sibling relationships in both contexts but differently. Turkish daughters reported conflicts over their favored brothers' lack of cooperation. American daughters perceived themselves as favored and felt obligated to undertake most of the caregiving burden which fueled sibling conflict. Taken together, this study highlights the importance of cultural context for understanding the within-family differences in sibling relationships during caregiving.