ArticleBMC nursing2025
The relationship between psychological resilience and caregiver burden among caregivers of patients with bipolar disorder: the mediating role of coping styles.
Article in BMC nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
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8 authors.
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Abstract
backgroundBipolar disorder (BD) causes ongoing stress for family caregivers due to its recurring nature. Resilience can reduce stress but may also lead to excessive coping efforts, causing chronic strain. Coping styles, reflecting resilience, can both mitigate immediate stress and worsen long-term fatigue. Current research overlooks how BD-specific factors like aggression influence the "resilience-coping-burden" relationship. This study examines how coping styles mediate these effects to guide targeted interventions.
methodsA cross-sectional and descriptive study was conducted among 176 family caregivers of hospitalized bipolar disorder patients from Renmin Hospital of Wuhan University in China using a random sampling method. Data were collected through validated scales, including the Connor-Davidson Resilience Scale, Simplified Coping Style Questionnaire, and Zarit Burden Interview. Analysis involved SPSS and PROCESS Model 4 to assess mediation effects.
resultsThe study revealed that psychological resilience positively influenced coping styles (β = 0.223) and negatively influenced caregiver burden (β=-0.189). However, coping styles were positively associated with caregiver burden (β = 0.351), demonstrating a mediating effect. The total effect of psychological resilience on caregiver burden, mediated by coping styles, was - 0.110.
conclusionsPsychological resilience exerts dual effects on burden through coping styles - directly reducing burden while potentially increasing chronic stress via excessive active coping. Clinical interventions should integrate resilience enhancement with adaptive coping strategies.
trial registrationClinical trial number: not applicable.
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