The effects of familism and cultural justification on the mental and physical health of family caregivers

Sayegh, Philip and Knight, Bob G. (2011) The effects of familism and cultural justification on the mental and physical health of family caregivers. Journals of Gerontology Series B: Psychological Sciences, 66B (1). pp. 3-14. ISSN 1079-5014


Objectives: We aimed to examine the effects of 2 factors of familism (Familial Obligations and Expected Support from the Family) and Cultural Justification on caregivers’ mental and physical health as mediated by coping style.

Methods: We used a probability sample of 95 African American and 65 White family caregivers for people with dementia to test hypotheses based on the updated sociocultural stress and coping model using path analysis. Main outcome measures included depressive symptomatology, various psychological symptoms, and subjective physical health.

Results: Both Familial Obligations and Cultural Justification had an indirect effect on poor mental health and subjective physical health via avoidant coping. Expected Support from the Family had no effect on caregivers’ health outcomes.

Discussion: These findings suggest that feelings of obligation may be accounting for a significant proportion of the negative effects of familism on caregivers’ mental and subjective physical health. Expectations of familial social support may be relatively inconsequential in this process.

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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: Permanent restricted access to published version in accordance with the copyright policy of the publisher.
Faculty / Department / School: Historic - Faculty of Sciences - Department of Psychology
Date Deposited: 11 May 2016 23:52
Last Modified: 09 Feb 2017 05:18
Uncontrolled Keywords: caregiver burden; caregiving; culture; ethnicity; familism; stress and coping
Fields of Research : 11 Medical and Health Sciences > 1103 Clinical Sciences > 110308 Geriatrics and Gerontology
16 Studies in Human Society > 1608 Sociology > 160899 Sociology not elsewhere classified
17 Psychology and Cognitive Sciences > 1701 Psychology > 170106 Health, Clinical and Counselling Psychology
Socio-Economic Objective: C Society > 92 Health > 9202 Health and Support Services > 920202 Carer Health
Identification Number or DOI: 10.1093/geronb/gbq061

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