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. 2024 Oct;19(4):241-249.
doi: 10.2185/jrm.2023-037. Epub 2024 Oct 1.

The mediating roles of psychological resilience and psychological well-being of caregivers for the older adults

Hiroko Kukihara  1 , Michiyo Ando  2 , Kayoko Koga  3 , Midori Nishio  4 , Fumiko Nakashima  1 , Niwako Yamawaki  5
Affiliations

The mediating roles of psychological resilience and psychological well-being of caregivers for the older adults

Hiroko Kukihara et al. J Rural Med. 2024 Oct.

Abstract

Objective: This study aimed to investigate the mediating effects of psychological resilience and psychological well-being for caregivers at nursing homes on the relationship between insomnia and elder maltreatment. As the world is aging quickly and the number of older individuals cared for by formal caregivers has been increasing, this study's results could help create intervention programs to minimize the occurrence of older people's maltreatment.

Materials and methods: A total of 431 care workers who met all criteria, from 21 care service centers for older adults in Fukuoka, Japan, completed the Conditions of Maltreatment Scale, Caregivers' Belief in Ideal Care, Insomnia Severity Index, WHO-5 Well-Being Index, and Connor-Davidson Resilience Scale-10.

Results: A multivariate analysis of variance revealed that participants with no insomnia had greater resilience, higher psychological well-being, and greater belief in ideal care and to treated older clients less roughly compared to participants with insomnia. Psychological resilience and well-being were significant mediators in the relationship between insomnia, rough care, and beliefs in ideal care.

Conclusion: As formal caregivers are in urgent demand, society should take care of them. The most effective and successful intervention for improving their physical and psychological well-being should be initiated at the individual and organizational levels.

Keywords: caregivers’ beliefs in ideal care; elder maltreatment; insomnia; psychological resilience; psychological well-being.

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Conflict of interest statement

The authors declare that there are no conflicts of interest.

Figures

Figure 1
Figure 1
Mediation analysis.
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