Evidence map›Paper›PMID 41153171›Full record

ArticleBehavioral sciences (Basel, Switzerland)2025

Exploring the Mediating Role of Self-Efficacy in the Relationship Between Caregiver Contribution and Resilience in Inflammatory Bowel Disease.

Mattia Bozzetti, Ilaria Marcomini, Alessio Lo Cascio, Maria Rosaria Magurano, Eleonora Ribaudi, Monica Petralito, Ilaria Milani, Simone Amato, Nicoletta Orgiana, Simone Parello and 5 more

Abstract read
In one paragraph

Article in Behavioral sciences (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Caregiver contribution to patient self‑care and quality of life among informal carers of adult patients with inflammatory bowel disease: a cross‑sectional study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
    Article
  3. Article
  4. Review
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Mattia BozzettiDirection of Health Professions, ASST Cremona, 26100 Cremona, Italy.ORCID 0000-0002-1644-2108
Ilaria MarcominiCenter for Nursing Research and Innovation, Faculty of Medicine and Surgery, Vita-Salute San Raffaele University, 20132 Milan, Italy.ORCID 0000-0001-8096-0199
Alessio Lo CascioDepartment of Nursing Research and Management, La Maddalena Cancer Center, 90146 Palermo, Italy.ORCID 0000-0001-5581-4114
Maria Rosaria MaguranoClinical Psychology Unit, Fondazione Policlinico Gemelli IRCCS, 00168 Rome, Italy.
Eleonora RibaudiCEMAD-Fondazione Policlinico Gemelli IRCCS, 00168 Rome, Italy.ORCID 0009-0009-4698-0845
Monica PetralitoSchool of Nursing, Azienda Socio-Sanitaria Territoriale Sacco-Fatebenefratelli, 20157 Milan, Italy.ORCID 0009-0003-0732-7751
Ilaria MilaniSchool of Nursing, Ospedale San Giuseppe-Gruppo MultiMedica, 20123 Milan, Italy.ORCID 0000-0002-8828-9296
Simone AmatoCardiac Intensive Care Unit, Heart Transplant Centre and ECMO, Azienda Ospedaliera San Camillo Forlanini, 00152 Rome, Italy.ORCID 0009-0003-8296-710X
Nicoletta OrgianaCut-Fondazione Policlinico Gemelli IRCCS, 00168 Rome, Italy.ORCID 0009-0007-3883-5045
Simone ParelloCEMAD-Fondazione Policlinico Gemelli IRCCS, 00168 Rome, Italy.ORCID 0009-0001-5788-4068
Pierluigi PucaCEMAD-Fondazione Policlinico Gemelli IRCCS, 00168 Rome, Italy.ORCID 0000-0003-0935-8853
Franco ScaldaferriCEMAD-Fondazione Policlinico Gemelli IRCCS, 00168 Rome, Italy.ORCID 0000-0001-8334-7541
Marianna MazzaDepartment of Neuroscience, Section of Psychiatry, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy.ORCID 0000-0002-3007-8162
Giuseppe MaranoDepartment of Neuroscience, Section of Psychiatry, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy.ORCID 0000-0001-7058-4927
Daniele NapolitanoCEMAD-Fondazione Policlinico Gemelli IRCCS, 00168 Rome, Italy.ORCID 0000-0003-2481-5354

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Inflammatory bowel disease (IBD) affects not only patients but also their informal caregivers. Enhancing caregiver resilience may improve both caregiver well-being and patient outcomes. This study aimed to assess resilience levels in caregivers of individuals with IBD and identify key psychological and contextual predictors, including caregiver contributions to self-care, self-efficacy, and perceived care load. A multicentre cross-sectional study was conducted across nine IBD outpatient clinics in Italy. Caregiver resilience was measured using the Connor-Davidson Resilience Scale (CD-RISC 25). Additional tools included the Caregiver Contribution to Self-Care of Chronic Illness Inventory (CC-SC-CII) and Caregiver Self-Efficacy in Contributing to Patient Self-Care Scale (CSE-CSC). Robust regression models identified predictors of total resilience and its subdomains. Among 275 caregivers (median age 53; 58.2% female) CD-RISC-25 levels were moderately high (median = 74 [IQR = 65-84]), with no significant differences between those caring for patients with Crohn's disease or ulcerative colitis. SEM analyses showed that self-efficacy significantly predicted contributions to disease monitoring and management, but not maintenance. In turn, the management dimension was significantly associated with higher levels of resilience across four of five domains (trust, control, acceptance of change, and spirituality), while maintenance was uniquely associated with personal competence. Predictors including education and employment status showed no significant direct or indirect effects on CC-SC-CII. In conclusion, caregiver resilience in IBD is positively associated with self-efficacy and active engagement in disease management. Targeted support strategies may strengthen caregiver resources and promote sustainable care.

Indexed as

caregiver burdencaregiver resiliencechronic illnessinflammatory bowel diseasepsychological predictorsself-care contributionself-efficacy

Identifiers

PMID41153171
PMCPMC12561742

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.