Mindfulness and rumination: stress pathways for caregivers of persons living with dementia.
Background and Objectives Family caregivers of persons living with dementia face caregiving demands that heighten risk for anxiety, depressive symptoms, and perceived stress. Although caregiving distress is well documented, less is known about the cognitive processes that link anxiety to psychologic...
| Publicado en: | Gerontologist Vol. 66; no. 7; pp. 1 - 12 |
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| Autores principales: | , , , , , |
| Formato: | Artículo |
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Oxford University Press / USA
Jul2026
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=195281431&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 195281431 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00169013 GET jtl: Gerontologist issn: 00169013 maglogo: N pubinfo: dt: Jul2026 vid: 66 iid: 7 pid: 622 pub: Oxford University Press / USA artinfo: ui: 195281431 10.1093/geront/gnag103 ppf: 1 ppct: 11 formats: tig: atl: Mindfulness and rumination: stress pathways for caregivers of persons living with dementia. aug: au: Savla, Jyoti Mansoor, Marrium Kim, Nahyun Hagemann, Lauren Luci, Katherine Sapra, Mamta affil: Department of Human Development and Family Science, Virginia Tech, Blacksburg, Virginia, United StatesCenter for Gerontology, Virginia Tech, Blacksburg, Virginia, United States Department of Human Development and Family Science, Virginia Tech, Blacksburg, Virginia, United States Center for Aging and Neurocognitive Services, VA Salem Health Care System, Salem, Virginia, United States Center for Aging and Neurocognitive Services, VA Salem Health Care System, Salem, Virginia, United StatesDepartment of Psychiatry and Behavioral Medicine, Virginia Tech Carilion School of Medicine, Roanoke, Virginia, United States su: Psychological distress Mindfulness Veterans Psychology of caregivers Anxiety disorders Cognition Mental depression Research funding Secondary analysis Questionnaires Rumination (Cognition) Structural equation modeling Descriptive statistics Chi-squared test Burden of care Neuropsychological tests Dementia Factor analysis Data analysis software Confidence intervals sug: subj: Psychological distress Mindfulness Veterans Psychology of caregivers Anxiety disorders Cognition Mental depression Administration of Veterans' Affairs Research funding Secondary analysis Questionnaires Rumination (Cognition) Structural equation modeling Descriptive statistics Chi-squared test Burden of care Neuropsychological tests Dementia Factor analysis Data analysis software Confidence intervals keyword: anxiety caregiver burden caregivers Cognitive mechanisms copyrightHolder:The Gerontological Society of America copyrightYear:2026 dementia Dementia caregiving depressive disorders https://dx.doi.org/10.1093/geront/gnag103 inLanguage:en mindfulness publisher:Oxford University Press rumination sameAs:https://pubmed.ncbi.nlm.nih.gov/42159557/ stress veterans anxiety caregiver burden caregivers Cognitive mechanisms copyrightHolder:The Gerontological Society of America copyrightYear:2026 dementia Dementia caregiving depressive disorders https://dx.doi.org/10.1093/geront/gnag103 inLanguage:en mindfulness publisher:Oxford University Press rumination sameAs:https://pubmed.ncbi.nlm.nih.gov/42159557/ stress veterans ab: Background and Objectives Family caregivers of persons living with dementia face caregiving demands that heighten risk for anxiety, depressive symptoms, and perceived stress. Although caregiving distress is well documented, less is known about the cognitive processes that link anxiety to psychological distress, or whether mindfulness-based interventions affect these processes. This study examined rumination as a cognitive mediator linking anxiety with these outcomes and tested whether mindfulness training moderated this association. Research Design and Methods Using data from a randomized controlled trial comparing the Practice of Awareness, Acceptance, and Compassion in Caregiving (PAACC) program with Resources for Enhancing All Caregivers Health Veterans Affairs Program, we conducted a secondary mechanistic analysis using structural equation models (N = 133). Models tested whether post-intervention rumination mediated associations between post-intervention anxiety and depressive symptoms, perceived stress, and caregiver burden, while adjusting for baseline variables, and whether the anxiety–rumination association differed by intervention group. Results Rumination mediated associations between anxiety and both depressive symptoms and perceived stress, but not caregiver burden. Mindfulness moderated the anxiety–rumination association, with stronger coupling at higher anxiety in PAACC participants. No direct group differences in post-intervention outcomes emerged. Alternate model specifications showed weaker fit than the hypothesized model. Discussion and Implications Findings highlight rumination as a cognitive process linking anxiety with psychological distress and suggest that mindfulness training may influence how anxiety is cognitively elaborated, rather than uniformly reducing distress. Future research in diverse caregiver populations and with longer timeframes can clarify temporal ordering and variability in responsiveness to mindfulness-based approaches. Clinical Trial Registration Number NCT03447860. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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