Evidence map›Paper›PMID 41489224›Full record

ArticleNursing open2026

Gender Difference in the Caregiving Burden and Psychological Distress of Family Caregivers of Liver Transplant Recipients.

Chun-Hui Liao, Wei-Chen Lee, Yi-Wen Wang, Li-Chueh Weng

Abstract read
In one paragraph

Article in Nursing open, 2026. 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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1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Chun-Hui LiaoDepartment of Nursing, New Taipei Municipal TuCheng Hospital (Built and Operated Chang Gung Medical Foundation), New Taipei City, Taiwan.
Wei-Chen LeeDepartment of General Surgery and Liver Transplantation, Chang Gung Medical Foundation, Linkuo Medical Center, Taoyuan, Taiwan.
Yi-Wen WangSchool of Nursing, College of Medicine, Chang Gung University, Taoyuan, Taiwan.
Li-Chueh WengDepartment of General Surgery and Liver Transplantation, Chang Gung Medical Foundation, Linkuo Medical Center, Taoyuan, Taiwan.ORCID https://orcid.org/0000-0002-6926-988X

Funding

National Science and Technology Council 111-2314-B182-011-MY3National Science and Technology Council NMRPD1M0331-3REDACTED
6 · The paper itself

Abstract

aimTo analyse the extent of caregiver burden and psychological stress experienced by caregivers of liver transplant recipients, the relationship between caregiver burden and psychological distress, and whether gender moderates this relationship.

designThis was a descriptive correlational cross-sectional study.

methodsConvenience sampling was performed to recruit participants between February and September 2020. The Chinese version of the "Zarit Burden Interview Family Caregiver Burden Scale" was used to measure caregiving burden, and the Chinese version of the "Depression Anxiety Stress Scales-21" was used to measure psychological distress. Finally, the PROCESS moderation model was used to analyse the moderating effect of gender.

resultsNinety-one caregivers participated in this study. Their median age was 50.88 years (interquartile range [IQR] = 18), and 73 patients were women (80.2%). Caregiver burden scores ranged from 0 to 40 (median = 20, IQR = 11), whereas depression scores ranged from 0 to 20 (median = 14.00, IQR = 8), anxiety scores from 0 to 28 (median = 14.00, IQR = 6), and stress scores from 0 to 34 (median = 14.00, IQR = 6). Male caregivers experienced a lower caregiver burden than their female counterparts, whereas female caregivers experienced higher levels of depression, anxiety, and stress than male caregivers. Further, gender's moderating effect on caregiver burden was significant for depression (coefficient = 0.480, p = 0.021) and stress (coefficient = 0.429, p = 0.040). With every 1-point increase in caregiver burden, depression increased by 0.48, and stress increased by 0.429 in men compared to women. Finally, the correlation between caregiver burden and anxiety did not differ between genders.

conclusionsThe results of this study indicate that although women have a higher care burden and psychological distress when the care burden increases, the psychological distress experienced by men increases more than that experienced by women. Hence, healthcare professionals should be sensitive to the different demands of caregivers of different genders. CLINICAL RELEVANCE: The impact of caregiver burden on psychological distress differed by gender. Therefore, healthcare professionals should provide gender-friendly care. The priority and suitability of transplant care tasks for family caregivers should be tuned according to the different demands of care to reduce care burden, provide skills readiness, enhance stress relaxation skills, and seek resources.

Indexed as

Caregiver BurdenCaregiversLiver TransplantationPsychological DistressStress, PsychologicalAdultAnxietyChinaCost of IllnessCross-Sectional StudiesDepressionFemaleHumansMaleMiddle AgedSex Factorsburdencaregiverdepressionliver transplant recipientnursing

Identifiers

PMID41489224
PMCPMC12766704

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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.