ArticleFrontiers in psychology2026
Testing the stress process model in family caregivers of Chinese children and adolescents with depression.
Article in Frontiers in psychology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: Based on the Stress Process Model (SPM), in this study, we examined the impact of caregiver burden on the mental health of family caregivers of Chinese children and adolescents with depression. We also clarified the mediating effects of coping styles and family functioning within this association. Methods: We recruited 309 caregivers of children and adolescents with depression from inpatient wards and outpatient clinics at two tertiary hospitals in Guangdong Province, China, between December 2024 and May 2025. We conducted structural equation modeling (SEM) using AMOS 26.0 to examine a serial multiple mediation model. Results: The total score of caregiver burden was negatively correlated with the scores of the positive coping dimension and the total score of family functioning ( Conclusion: Caregiver burden is directly associated with caregivers' mental health (anxiety and depression), and may also be indirectly linked via the sequential mediating roles of coping styles and family functioning. This study supports the applicability of the SPM among caregivers of Chinese children and adolescents with depression, and provides empirical support and theoretical foundation for promoting the mental health of caregivers in the Chinese context.
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