ArticleBMC psychiatry2025
The relationship between caregiver burden and anxiety in family caregivers of adolescents with depression: the mediating role of psychological resilience.
Article in BMC psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.
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Who cites it
5 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Caregiver burden among caregivers of patients with depression: a systematic review and meta-analysis.Frontiers in psychiatry · 2026Pooled it
- The Relationship Between Preoperative COVID-19 Fear and Anxiety Level Undergoing Elective Surgery Patients: A Cross-Sectional Study.Nursing open · 2026Observational
- Psychological capital in cancer patients and family caregivers: determinants, measurement, outcomes, and intervention strategies.Frontiers in psychology · 2026Review
- Testing the stress process model in family caregivers of Chinese children and adolescents with depression.Frontiers in psychology · 2026Article
- Associations between exercise motivation and self-efficacy through leisure satisfaction and psychological resilience in college students: a PLS-SEM study.Frontiers in public health · 2026Article
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Authors and funding
4 authors.
Funding
Abstract
backgroundAdolescent depressive patients generally have clinical manifestations such as emotional depression and cognitive decline, and family caregivers play an irreplaceable and important role in the disease management and rehabilitation process. Despite the heavy burden of caring for adolescent depressed patients, it is possible that family caregivers are also experiencing anxiety, which may increase their burden, and previous research has reported that psychological resilience plays an important role in reducing the physical and mental burden on caregivers.
objectiveThis study aims to assess the current status of caregiver burden, psychological resilience, and anxiety among family caregivers of adolescents with depression and to explore whether psychological resilience mediates the relationship between caregiver burden and anxiety.
methodsA cross-sectional study design was employed to recruit 256 family caregivers of adolescents with depression. The caregivers completed questionnaires, including general demographic information, the Zarit Caregiver Burden Scale, the Self-Rating Anxiety Scale, and the Psychological Resilience Scale. Data analysis was performed via SPSS 26.0.
resultsThere was a significant positive correlation between care burden and anxiety (r = 0.561, P < 0.01), psychological resilience and care burden and anxiety showed a significant negative correlation (r = -0.895, -0.556, P < 0.01), and psychological resilience played a partial mediating role between care burden and anxiety (β = 0.198, P < 0.01), and the indirect effect accounted for 42.95%.
conclusionPerceived resilience plays a mediating role in the association between caregiving burden and anxiety among family caregivers of adolescent patients with depression, and it can be considered as a longitudinal follow-up or intervention study in the future. IMPLICATIONS FOR CLINICAL PRACTICE: This study emphasizes that caregiver burden is associated with higher anxiety levels, and psychological resilience may play a moderating role in this association, suggesting that clinicians need to include resilience assessment in routine screening and implement hierarchical interventions based on the "burden-resilience" combined risk: priority is given to providing structured psychological support to high-burden-low resilience groups. The final realization: (1) reduce the burden on caregivers (2) improve the quality of care.
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