Journal List > J Korean Acad Nurs > v.45(1) > 1003136

Oh and Kim: Structural Equation Model for Caregiving Experience of Families Providing Care for Family Members with Mental Disorders

Abstract

Purpose

This study was done to develop and test a structural model for caregiving experience including caregiving satisfaction and caregiving strain in families providing care for family members with a mental disorder.

Methods

The Stress-appraisal-coping model was used as the conceptual framework and the structural equation model to confirm the path that explains what and how variables affect caregiving experience in these families. In this hypothesis model, exogenous variables were optimism, severity of illness and uncertainty. The endogenous variables were self efficacy, social support, caregiving satisfaction and caregiving strain. Data were collected using structured questionnaires.

Results

Optimism and caregiving self-efficacy had significant direct and indirect effects on caregiving satisfaction. Optimism, severity of illness and uncertainty had significant direct and indirect effects on caregiving strain. The modified path model explained effects of optimism on caregiving self-efficacy with social support in the path structure as a mediator. Also, there were direct and indirect effects of optimism and uncertainty on caregiving satisfaction with social support and caregiving self-efficacy in the path structure as a mediators.

Conclusion

Results suggest the need to improve caregiving self-efficacy of these families, establish support systems such as a mental health professional support programs for caregiving self-efficacy. Optimism, severity of illness and uncertainty perceived by families need to be considered in the development of support programs in order to increase their effectiveness.

Figures and Tables

Figure 1

Conceptual framework.

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Figure 2

Path of modified model.

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Table 1

Demographic Characteristics of Subjects (N=200)

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Table 2

Comparison of Model Fit of Modified Model to Hypothetical Model

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GFI=Goodness of Fit Index; AGFI=Adjusted Goodness of Fit Index; NFI=Normal Fit Index; CFI=Comparative Fit Index; RMSEA=Root Mean Square Error of Approximation.

Table 3

Standardized Estimate of Modified Model

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*p<.05; p<.01; p<.001; SMC=Squared multiple correlations.

Notes

This article is a condensed form of the first author's doctoral thesis from Yonsei University.

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