ArticleBMJ open2025
Mediating and moderating roles of individual resilience, caring ability and social support: a cross-sectional study on the association between family resilience and caregiving burden among primary family caregivers of cancer patients in China.
Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Assessment of quality of life and associated factors among primary caregivers of cancer patients in Palestine: a cross-sectional study.BMC psychology · 2026Article
- Article
- The impact of caregiver burden on benefit finding: exploring the mediating role of psychological resilience in family caregivers of hip fracture patients.Scientific reports · 2026Article
- Quality of life and burden in family caregivers of advanced cancer patients in the Grand Duchy of Luxembourg: results from a single-centre study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
- The burden and needs of primary caregivers in home-based palliative care: a qualitative study based on social-ecological systems theory.BMC palliative care · 2026Article
- Applying the Timing It Right Framework to Caregiver Experiences and Needs in Adult Percutaneous Endoscopic Gastrostomy: A Longitudinal Qualitative Study.Patient preference and adherence · 2025Article
- The mediating effect of family resilience between readiness for hospital discharge and self-management efficacy among breast cancer patients.Frontiers in psychology · 2025Article
- Effectiveness of a group intervention to enhance resilience and improve the well-being of family caregivers of dementia patients.Frontiers in psychiatry · 2025Article
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Authors and funding
12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThis study aimed to evaluate the caregiving burden among primary caregivers of cancer patients, clarify the relationship between family resilience and caregiving burden, and explore the mediation and moderation effects.
designA cross-sectional study design was used.
settingThe study was conducted at a specialised tumour hospital in Harbin, China.
participantsThe study included a sample of 402 primary family caregivers of patients with cancer. Ultimately, 367 participants completed valid questionnaires, yielding a response rate of 91.2%. OUTCOME MEASURES: Participants completed scales evaluating caregiving burden, caring abilities, individual resilience, family resilience and social support. We performed structural equation modelling to analyse mediation and moderation effects.
resultsOut of 367 responses, approximately 50% of primary family caregivers reported moderate to severe caregiving burden. Family resilience was found to reduce caregiving burden (β=-0.386, p=0.005), while individual resilience fully mediated the relationship between family resilience and caregiving burden (95% CI -0.659 to -0.161). Caring ability moderated both the first and second halves of the mediating path. Furthermore, social support doubly moderated the moderating role of caring ability in both the first and second halves of the mediating path.
conclusionsThis study demonstrated the mediating role of individual resilience and the moderating roles of caring ability and social support in the relationship between family resilience and caregiving burden. We suggest that medical institutions should enhance caregiving training and psychological counselling services. Additionally, the government should collaborate with medical institutions and social organisations to improve social welfare policies and the medical insurance system.
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