Sense of coherence, burden and mental health in caregiving: A systematic review and meta-analysis

Journal of Affective Disorders
Rafael Del-Pino-CasadoVasiliki Orgeta

Abstract

Informal caregiving is associated with a number of negative effects on carers' physical and psychological well-being. The salutogenic theory argues that sense of coherence (SOC) is an important factor in psychological adjustment to stress. The main aim of this study was to systematically review current evidence on the association between SOC, burden and mental health outcomes in informal carers. A systematic search was carried out up to September 2017 in the following databases: PubMed, CINAHL (EBSCO), PsychInfo (OVID) and Scopus. Studies were included if they evaluated the relationship between sense of coherence and subjective caregiver burden and/or mental health outcomes, specifically symptoms of depression and anxiety. Meta-analyses were performed and subgroup analyses were carried out to explore if methodological factors influenced findings. Thirty-five studies were included in the meta-analysis, which provided 40 independent samples with 22 independent comparisons for subjective caregiver burden, 26 for symptoms of depression and 7 for symptoms of anxiety. Higher levels of SOC were associated with lower levels of subjective caregiver burden and better mental health outcomes. Publication bias did not change the estimate of...Continue Reading

Citations

Oct 12, 2019·International Journal of Environmental Research and Public Health·Catalina López-MartínezRafael Del-Pino-Casado
Mar 29, 2020·International Journal of Environmental Research and Public Health·Nina KindMarc Schmid
Jan 16, 2020·International Journal of Environmental Research and Public Health·Yanchun Cao, Fan Yang
Apr 29, 2020·Stress and Health : Journal of the International Society for the Investigation of Stress·Sarah K SchäferTanja Michael
Jul 28, 2020·International Journal of Environmental Research and Public Health·Katarina WijkDavid M Hallman
Jul 24, 2020·International Journal of Environmental Research and Public Health·David Feligreras-AlcaláRafael Del-Pino-Casado
Sep 19, 2020·International Journal of Geriatric Psychiatry·Manuel Gonçalves-PereiraRaimundo Mateos
Jan 22, 2021·International Journal of Mental Health Systems·Ausrine KontrimieneLina Jaruseviciene
Nov 14, 2020·International Journal of Geriatric Psychiatry·Catalina López-MartínezRafael Del-Pino-Casado
Apr 4, 2021·International Journal of Environmental Research and Public Health·David Feligreras-AlcaláAntonio Frías-Osuna
Apr 13, 2021·Journal of Nursing Management·Sara Domínguez-SalasCarlos Ruiz-Frutos
Sep 7, 2021·Aging & Mental Health·Maria J MarquesUNKNOWN Actifcare Consortium
Sep 28, 2021·Journal of Clinical Nursing·Kay SundbergAnn Langius-Eklöf
Jul 6, 2021·Acta Neurologica Scandinavica·Michaela KarlstedtElisabeth Winnberg
Aug 19, 2020·Psychotherapy and Psychosomatics·Sarah K SchäferTanja Michael

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