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

Journal of Korean Academy of Nursing 2015; 45(1): 97-106.

Published online: 27 February 2015

DOI: https://doi.org/10.4040/jkan.2015.45.1.97

Structural Equation Model for Caregiving Experience of Families Providing Care for Family Members with Mental Disorders

In Ohg Oh1, Sunah Kim2

1National Health Insurance Service Ilsan Hospital, Goyang, Korea.

2College of Nursing, Yonsei University · Nursing Policy Research Institute, College of Nursing, Yonsei University, Seoul, Korea.

Address reprint requests to: Kim, Sunah. College of Nursing, Yonsei University, 50-1 Yonsei-ro, Seodaemun-gu, Seoul 120-752, Korea. Tel: +82-2-2228-3275, Fax: +82-2-392-5440, PSY0962@yuhs.ac

Received 22 July 2014       Revised 10 August 2014       Accepted 31 December 2014

© 2015 Korean Society of Nursing Science

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

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.

Keywords: Structural model, Family caregivers, Mental disorders

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

jkan-45-97-i003

*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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