The Impact of Caregiving Burden on Mental Well-Being in Coronary Artery Bypass Graft Surgery Caregivers: The Mediatory Role of Perceived Social Support

Claudio Singh Solorzano, Elizabeth Leigh, Andrew Steptoe, Amy Ronaldson, Tara Kidd, Marjan Jahangiri and Lydia Poole
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Claudio Singh Solorzano: Department of Psychology, Sapienza University, Via dei Marsi 78, 00185 Rome, Italy
Elizabeth Leigh: Department of Epidemiology and Public Health, University College London, 1-19 Torrington Place, London WC1E 6BT, UK
Andrew Steptoe: Department of Epidemiology and Public Health, University College London, 1-19 Torrington Place, London WC1E 6BT, UK
Amy Ronaldson: Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London WC2R 2LS, UK
Tara Kidd: Department of Psychology, Faculty of Health, Liverpool John Moores University, Tom Reilly Building, Byrom Street, Liverpool L3 3AF, UK
Marjan Jahangiri: Department of Cardiac Surgery, St George’s Hospital, University of London, Blackshaw Road, London SW17 0QT, UK
Lydia Poole: Institute of Health Informatics, University College London, 222 Euston Road, London NW1 2DA, UK

IJERPH, 2021, vol. 18, issue 10, 1-17

Abstract: An increase in caregiver burden and a decrease in social support have both been identified as predictors of poor caregiver psychological distress. However, little is known about the role of these factors in coronary artery bypass graft (CABG) caregivers. The purpose of this study was to investigate whether change in perceived social support from pre to post surgery mediated the relationship between change in caregiver burden and caregiver depressive symptoms and subjective well-being post surgery. A sample of 101 caregivers of elective CABG patients were assessed 28 days before and 62 days after patients’ surgery. Caregivers completed the Oberst Burden Scale, the Enhancing Recovery in Coronary Heart Disease (ENRICHD) Social Support Instrument, the Beck Depression Inventory, and the Control, Autonomy, Self-Realisation, and Pleasure (CASP-19) scale. Simple mediation analyses showed that change in social support significantly mediated both the relationship between change in caregiver burden and post-surgery depressive symptoms (unstandardised ? = 0.041, 95% CI (0.005, 0.112)) and the relationship between change in caregiver burden and post-surgery subjective well-being (unstandardised ? = 0.071, 95% CI (0.001, 0.200)). Psychological interventions aimed at the CABG caregiver population should promote social support to deal with the increase of caregivers’ tasks and demands after the patients’ surgery.

Keywords: caregiver burden; social support; depression; well-being; coronary artery bypass graft surgery; caregiving (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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