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. 2020 Aug 26;20:304. doi: 10.1186/s12877-020-01708-3

Table 2.

Synthesis of determinants of caregiver burden: comparison between Adelman et al. (2014) [21] and the current review

Adelman et al. (2014)a [21] Current review
Hypothesis ASMb (support found, no support found) Categorisation Risk Factors Determinants Categorisation (ASM)b Hypothesis ASMb
(support found, no support found)
H1 (direct relation) Demographics Female sex Female sex Background characteristic H1 (direct relation)
Low education
Cohabitation with care recipient Cohabitation/Living distance Miscellaneous factor Inconclusive
H1 (direct relation) Psychosocial Coping strategies Coping strategies Moderators

H1 (direct relation)

H5 partially supported: no moderation of coping strategies

Social Support H5 partially supported: moderation of social support
Depression and depressive symptoms

Global (self-esteem)

Situational (loss of self, competence)

Intrapsychic stressors

H1 (direct relation)

H4 (mediation) not supported

Perceived patient distress
H1 (direct relation) Caregiving context Social isolation and decreased social activity

Role conflict

(Restriction of social life)

Role stressors

H1 (direct relation)

H3 (mediator between duration of caregiving and caregiver burden)

Inability to continue regular employment Role overload
Financial stress
Lack of choice
Caregiving time and effort Duration of caregiving General stressors

H1 (direct relation)

H3 (mediated by role stressors)

Specific Illness
Dependency levels, both physically as mentally
Care demands
Problematic behavior

aRefers to risk factors of caregiver burden in Table 1 “The Epidemiology of Caregiver Burden” p1054 Adelman et al. (2014) [21]

bThe Adapted Stress Model (ASM) is based on stress theories, notably the transactional model of stress and coping (Lazarus, 1984) [28] and the stress process model (Pearlin, 1990) [29], as well as role theory (Biddle, 1986) [30]