Factors associated with family caregiver stress related to behavioral and psychological symptoms of dementia: A stress process modelbased path analysis.

Purpose: Family caregivers of people living with dementia (PLWD) may experience mental and physical health issues. The purpose of this study was to examine factors associated with family caregiver outcomes and to describe their interrelationships. Methods: Grounded in the stress process model, path...

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Publicado en:Journal of Korean Gerontological Nursing Vol. 28; no. 2; pp. 134 - 148
Autores principales: Kim, Eunkyo, Yang, Minhee
Formato: research tables/charts Journal Article
Publicado: Korean Gerontological Nursing Society May2026
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: Journal of Korean Gerontological Nursing
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      dt: May2026
      vid: 28
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      pub: Korean Gerontological Nursing Society
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        10.17079/jkgn.2025.00367
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        atl: Factors associated with family caregiver stress related to behavioral and psychological symptoms of dementia: A stress process modelbased path analysis.
      aug:
        au:
          Kim, Eunkyo
          Yang, Minhee
        affil: Doctoral Student, College of Nursing · Brain Korea 21 FOUR Project, Yonsei University, Seoul, Korea.
      sug:
        subj:
          Dementia Psychosocial Factors
          Dementia Patients Psychosocial Factors
          Behavioral Symptoms
          Family Psychosocial Factors
          Caregivers Psychosocial Factors
          Caregiver Burden Risk Factors
          Stress, Psychological Risk Factors
          Risk Assessment
          Human
          Male
          Female
          Funding Source
          Middle Age
          Aged
          Aged, 80 and Over
          South Korea
          Descriptive Research
          Correlational Studies
          Secondary Analysis
          Path Analysis
          Cross Sectional Studies
          Scales
          Descriptive Statistics
          Data Analysis Software
          Confidence Intervals
          Cognition
          Activities of Daily Living
          Depression
          Agitation
          Severity of Illness Indices
          Psychological Tests
          Health Status
          Economic Status
          Sex Factors
          Age Factors
          Socioeconomic Factors
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Purpose: Family caregivers of people living with dementia (PLWD) may experience mental and physical health issues. The purpose of this study was to examine factors associated with family caregiver outcomes and to describe their interrelationships. Methods: Grounded in the stress process model, path analysis was conducted using secondary data from 178 dyads of community-dwelling PLWD and family caregivers in Korea. Caregiver outcome was assessed through caregivers’ health status and stress due to behavioral and psychological symptoms of dementia (BPSD). Agitation and depression were specified as primary stressors, and PLWD factors were included as background factors associated with BPSD, with separate symptom models. Results: Agitation and depression showed the strongest associations with family caregiver stress related to BPSD. Agitation explained 45.1% of caregiver stress related to BPSD variance (β=.66, p<.001), while depression explained 41.5% (β=.63, p<.001). Agitation and depression were related to caregiver health status (β=.17, p=.006; β=.18, p=.017). In both agitation and depression models, female caregivers (β=.19, p=.008, in both models), older age (β=.21, p=.007, in both models), and lower economic status (β=.32, p<.001, in both models) were associated with poorer caregiver health status. Dementia severity and patient age showed indirect associations with caregiver stress related to BPSD through agitation and depression. Conclusion: Agitation and depression were associated with caregiver stress related to BPSD, while caregiver characteristics were associated with health status. These findings highlight the need for tailored interventions to address BPSD and support caregivers. Family-centered and system-level approaches are essential for improving outcomes for PLWD and their families.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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