The Effects Of Burden On Depressive Symptoms Among Caregivers Of Older Adults In Country:The Mediating Role Of Recovery Experience

Objective: This study aims to assess depressive symptoms of caregivers in country who are giving care to older adults and explore the associated factors,and focuses on the relationship among burden,recovery experience and depressive symptoms.According to the results,provide theoretical evidence for improving their mental health.Methods: In this study,caregivers of older adults in country in Dalian Pulandian district a subdistrict office of Liaoning province were selected by convenience sampling to complete self-administered questionnaires which included general characteristics questionnaire,Patient Health Questionnaire-9(PHQ-9),Zarit Caregiver Burden Interview(ZBI)?and recovery experience questionnaire-Chinese(REQ-C)to assess the general characteristics,burden,depressive symptoms and recovery experience of rural caregivers of older adults.Out of 290 questionnaires,260 effective questionnaires were collected,with an effective rate of 89.7%.SPSS 17.0 and Indirect.sbs were performed to data analysis.The analysis methods included:internal consistency test,descriptive analysis,univariate analysis,correlation analysis,multiple regression analysis and model fitting.Results: The average score of PHQ-9 of caregivers who are giving care to older adults in country was 7.12±5.7,of which 162(62.3%)caregivers were shown to have depressive symptoms.Alternate nursing and transportation assistance might be the influencing factors of depressive symptoms in caregivers.Burden have a direct positive predictive effect on depressive symptoms,psychological detachment,relaxation experiences and control experiences have a direct negative predictive effect on depressive symptoms;psychological detachment and control experiences play a part of the mediating role in the relationship between burden with depressive symptoms.Conclusion: Recovery experience were an important positive psychological resource to promote caregivers' depressive symptoms.Health authorities should take measures according to the basic situation of rural caregivers,attach importance to the crucial effect of psychological detachment and control experiences on depressive symptoms of rural caregivers and make caregivers master positive coping strategies to improve the level of recovery experience of caregivers to alleviate depressive symptoms...