title: Endorsement of proactively aggressive caregiving strategies moderates the relation between caregiver mental health and potentially harmful caregiving behavior.
abstract: This research tested the proposition that the oft-reported relation between caregiver mental health outcomes (i.e., resentment, depression) and potentially harmful caregiver behavior (PHB) would be mediated or moderated by caregiver endorsement of proactively aggressive caregiving strategies (PA). Caregiver resentment was the strongest predictor of PHB in the sample of 417 informal caregivers who resided with their care recipients; in fact, resentment mediated the impact of caregiver depression, thus suggesting that depressed affect was associated with PHB only if depressed caregivers resented their caregiving burdens. As predicted, caregiver endorsement of PA moderated the relation between resentment and PHB, such that links between these two constructs were strongest when caregivers were high in both resentment and PA. Endorsement of PA also mediated the relations between demographic or contextual variables (i.e., income, care recipient dementia) and PHB. Implications of these results for research and intervention are discussed.
authors.affiliation: Department of Psychology, University of Georgia, Athens, GA 30602, USA. dshaffer@uga.edu
authors.forename: David R
authors.initials: DR
authors.lastname: Shaffer
authors.forename: W Keith
authors.initials: WK
authors.lastname: Dooley
authors.forename: Gail M
authors.initials: GM
authors.lastname: Williamson
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001290:Attitude; D017028:Caregivers / Q000523:psychology*; D003068:Coercion; D003220:Conflict, Psychological; D017281:Cost of Illness; D003625:Data Collection; D003866:Depressive Disorder / Q000175:diagnosis / Q000523:psychology*; D004291:Dominance-Subordination; D004552:Elder Abuse / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015233:Models, Statistical; D011340:Problem Solving; D000091402:Prohibitins; D012307:Risk Factors; D013223:Statistics as Topic; D014481:United States