Resilience in the Context of Informal Caregiving: A Scoping Study

Main Article Content

Xiaohua Zhao Kyunghwa Lee Brenda Baney Janice Penrod Jane R. Schubart

Abstract

To examine the state of the science surrounding the concept of resilience as used in the context of informal caregiving. This study was designed as a scoping study consisting of a five stage process to investigate the extent, range and nature of research activity related to resilience and informal caregiving. Data consisted of peer-reviewed articles in the scientific literature. One database (PubMed) was determined to be most relevant to this study. Search terms included “family caregiver and resilience” or “informal caregiver and resilience.” The date of publication was restricted from January 2003 to May 2014. Forty articles were included in the analysis. The analytic technique included developing a codebook, coding all articles using 13 categories of interest, and compiling descriptive characteristics attributed to the concept of resilience. Content and thematic analytic techniques were used. The initial search yielded 178 citations, of which 137 were read by multiple team members. The final data set included 40 articles that reported 41 studies. Twenty-two studies applied quantitative approaches, 5 were purely qualitative work, 7 used a mixed methods approach and 7 were reviews. Resilience was found to be a concept relevant to multiple disciplinary perspectives and interdisciplinary co-authorship was prevalent in the literature. Typically, the context of caregiving was framed by health conditions that impact the care recipient’s capability to perform the activities associated with daily living. Spousal caregivers were the most dominant relationship studied, followed by parental relationship. Age of caregivers care recipients varied widely. Studies conceptualized resilience in various ways, with 19 using theoretical or conceptual framework to various degrees; only 12 reported the measures of resilience. Across studies, resilience emerged as a protective factor for the burdens of caregiving. This scoping study revealed that the concept of resilience may have important implications in understanding the complex trajectories of end-of-life caregiving.

Article Details

How to Cite
ZHAO, Xiaohua et al. Resilience in the Context of Informal Caregiving: A Scoping Study. Medical Research Archives, [S.l.], v. 4, n. 6, oct. 2016. ISSN 2375-1924. Available at: <https://esmed.org/MRA/mra/article/view/690>. Date accessed: 17 nov. 2024.
Keywords
informal caregiving; resilience; review; scoping
Section
Research Articles

References

Amzel, A., Toska, E., Lovich, R., Widyono, M., Patel, T., Foti, C., . . . Children. (2013). Promoting a combination approach to paediatric HIV psychosocial support. AIDS, 27 Suppl 2, S147-157. [PubMed: 24361624]

Arskey, H., & O'Malley, L. (2005). Scoping studies: towards a methodological framework. International Journal of Social Research Methodology Theory & Practice, 8, 19-32. DOI:10.1080/1364557032000119616

Bartone, P. T., Ursano, R. J., Wright, K. M., & Ingraham, L. H. (1989). The impact of a military air disaster on the health of assistance workers. A prospective study. The Journal of Nervous and Mental Disease, 177(6), 317-328. [PubMed: 2723619]

Bayat, M. (2007). Evidence of resilience in families of children with autism. Journal of Intellectual Disabilility Research: JIDR, 51(Pt 9), 702-714. [PubMed: 17845239]

Bekhet, A. K., Johnson, N. L., & Zauszniewski, J. A. (2012). Effects on resilience of caregivers of persons with autism spectrum disorder: the role of positive cognitions. Journal of the American Psychiatric Nurses Association, 18(6), 337-344. [PubMed: 23139377]

Bergeman, C. S., & Wallace, K. A. (1999). Resiliency in later life. In T. L. Whitman, T. V. Merluzzi & R. D. White (Eds.), Life-span Perspectives on Health and Illness (pp. 207-225). Mahwah, NJ: Erlbaum.

Boelen, P. A., van den Hout, M., & van den Bout, J. (2006). A cognitive-behavioural conceptualisation of complicated grief. Clinical Psychology: Science and Practice, 13(2), 109-128. DOI: 10.1111/j.1468-2850.2006.00013.x

Bonanno, G. A. (2010). The Other Side of Sadness: What the New Science of Bereavement Tells us About Life After Loss. New York, NY: Basic Books.

Bonanno, G. A., Moskowitz, J. T., Papa, A., & Folkman, S. (2005). Resilience to loss in bereaved spouses, bereaved parents, and bereaved gay men. Journal of Personality and Social Psychology, 88(5), 827-843. [PubMed: 15898878]

Bull, M. J. (2014). Strategies for sustaining self used by family caregivers for older adults with dementia. Journal of Holistic Nursing: Official Journal of the American Holistic Nurses' Association, 32(2), 127-135. [PubMed: 24227181]

Cassidy, T. (2013). Benefit finding through caring: the cancer caregiver experience. Psychology & Health, 28(3), 250-266. [PubMed: 22928621]

Cassidy, T., Giles, M., & McLaughlin, M. (2014). Benefit finding and resilience in child caregivers. British Joournal of Health Psychology, 19(3), 606-618. [PubMed: 23869796]

Chappell, N. L., & Dujela, C. (2008). Caregiving: predicting at-risk status. Canadian Journal of Aging, 27(2), 169-179. [PubMed: 18845512]

Chen, H. Y., & Boore, J. R. (2009). Living with a relative who has a spinal cord injury: a grounded theory approach. Journal of Clinical Nursing, 18(2), 174-182. [PubMed: 19120747]

Connor, K. M. (2006). Assessment of resilience in the aftermath of trauma. The Journal of Clinical Psychiatry, 67 Suppl 2, 46-49. [PubMed: 16602815]

Connor, K. M., & Davidson, J. R. (2003). Development of a new resilience scale: the Connor-Davidson Resilience Scale (CD-RISC). Depression and Anxiety, 18(2), 76-82. [PubMed: 12964174]

Davis, K., Drey, N., & Gould, D. (2009). What are scoping studies? A review of the nursing literature. International Journal of Nursing Studies, 46(10), 1386-1400. [PubMed: 19328488]

Dyer, J. G., & McGuinness, T. M. (1996). Resilience: analysis of the concept. Archives of Psychiatric Nursing, 10(5), 276-282. [PubMed: 8897710]

Eggerman, M., & Panter-Brick, C. (2010). Suffering, hope, and entrapment: resilience and cultural values in Afghanistan. Social Science and Medicine, 71(1), 71-83. [PubMed: 2045211]

Fraser, E., & Pakenham, K. I. (2009). Resilience in children of parents with mental illness: relations between mental health literacy, social connectedness and coping, and both adjustment and caregiving. Psychology, Health and Medicine, 14(5), 573-584. [PubMed: 19844836]

Gaugler, J. E., Kane, R. L., & Newcomer, R. (2007). Resilience and transitions from dementia caregiving. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 62(1), P38-44. [PubMed: 17284556]

Giesbrecht, M., Wolse, F., Crooks, V. A., & Stajduhar, K. (2015). Identifying socio-environmental factors that facilitate resilience among Canadian palliative family caregivers: a qualitative case study. Palliative and Supportive Care, 13(3), 555-565. [PubMed: 24477169]

Hall, H., Cote, J., McBean, A., & Purden, M. (2012). The experiences of patients with pulmonary arterial hypertension receiving continuous intravenous infusion of epoprostenol (Flolan) and their support persons. Heart & Lung, 41(1), 35-43. [PubMed: 21784527]

Harmell, A. L., Chattillion, E. A., Roepke, S. K., & Mausbach, B. T. (2011). A review of the psychobiology of dementia caregiving: a focus on resilience factors. Current Psychiatry Reports, 13(3), 219-224. [PubMed: 21312008]

Heppenstall, C. P., Wilkinson, T. J., Hanger, H. C., Dhanak, M. R., & Keeling, S. (2013). Impacts of the emergency mass evacuation of the elderly from residential care facilities after the 2011 Christchurch earthquake. Disaster Medicine and Public Health Preparedness, 7(4), 419-423. [PubMed: 24229527]

Hernandez, M., Barrio, C., & Yamada, A. M. (2013). Hope and burden among Latino families of adults with schizophrenia. Family Process, 52(4), 697-708. [PubMed: 24329411]

House, L. A., Russell, H. F., Kelly, E. H., Gerson, A., & Vogel, L. C. (2009). Rehabilitation and future participation of youth following spinal cord injury: caregiver perspectives. Spinal Cord, 47(12), 882-886. [PubMed: 19528994]

Kramer, B. J. (1997). Gain in the caregiving experience: where are we? What next? The Gerontologist, 37(2), 218-232. [PubMed: 9127978]

Lamis, D. A., Wilson, C. K., Tarantino, N., Lansford, J. E., & Kaslow, N. J. (2014). Neighborhood disorder, spiritual well-being, and parenting stress in African American women. Journal of Family Psychology : JFP: Journal of the Division of Family Psychology of the American Psychological Association (Division 43), 28(6), 769-778. [PubMed: 24707802]

Lavretsky, H., Siddarth, P., & Irwin, M. R. (2010). Improving depression and enhancing resilience in family dementia caregivers: a pilot randomized placebo-controlled trial of escitalopram. The American Journal of Geriatric Psychiatry, 18(2), 154. [PubMed: 20104071]

Leve, L. D., Fisher, P. A., & Chamberlain, P. (2009). Multidimensional treatment foster care as a preventive intervention to promote resiliency among youth in the child welfare system. Journal of Personality, 77(6), 1869-1902. [PubMed: 19807861]

Lim, S., Zoellner, J. M., Ajrouch, K. J., & Ismail, A. I. (2011). Overweight in childhood: the role of resilient parenting in African-American households. American Journal of Preventive Medicine, 40(3), 329-333. [PubMed: 21335265]

Lin, F. Y., Rong, J. R., & Lee, T. Y. (2013). Resilience among caregivers of children with chronic conditions: a concept analysis. Journal of Multidisciplinary Healthcare, 6, 323-333. [PubMed: 24039436]

Luthar, S. S., Cicchetti, D., & Becker, B. (2000). The construct of resilience: a critical evaluation and guidelines for future work. Child Development, 71(3), 543-562. [PubMed: 10953923]

McCubbin, H. I., & Patterson, J. M. (1983). The family stress process: the double ABCX model of adjustment and adaptation. Marriage and Family Review, 6(1-2), 7-37.

McCubbin, M. A., & McCubbin, H. I. (1993). Families coping with illness: the resiliency model of family stress, adjustment and adaptation. In C. B. Danielson, B. H. Bissell & P. W. Fry (Eds.), Families, Health & Illness: Perspectives on Coping and Intervention (pp. 21-63). St. Louis, MO: Mosby Year Book, Inc.

Merriam-Webster. (n. d.). Resilence. Retrieved January 20, 2016, from http://www.merriam-webster.com/dictionary/resilience

Morse, J. M. (1997). Considering theory derived from qualitative research. In J. M. Morse (Ed.), Completing a Qualitative Project (pp. 163-188). Thousand Oaks, CA: Sage.

Morse, J. M., & Penrod, J. (1999). Linking concepts of enduring, uncertainty, suffering, and hope. Image –The Journal of Nursing Scholarship, 31(2), 145-150. [PubMed: 10380390]

Nabors, L. A., Kichler, J. C., Brassell, A., Thakkar, S., Bartz, J., Pangallo, J., . . . Lundy, H. (2013). Factors related to caregiver state anxiety and coping with a child's chronic illness. Family Systems Health, 31(2), 171-180. [PubMed: 23795628]

Neill, J. T., & Dias, K. L. (2001). Adventure education and resilience: a double-edged sword. Journal of Adventure Education and Outdoor Learning, 1, 35-42.

O'Dwyer, S., Moyle, W., & van Wyk, S. (2013). Suicidal ideation and resilience in family carers of people with dementia: a pilot qualitative study. Aging & Mental Health, 17(6), 753-760. [PubMed: 23611756]

O'Rourke, N., Kupferschmidt, A. L., Claxton, A., Smith, J. Z., Chappell, N., & Beattie, B. L. (2010). Psychological resilience predicts depressive symptoms among spouses of persons with Alzheimer disease over time. Aging & Mental Health, 14(8), 984-993. [PubMed: 21069604]

Patterson, J. M. (1988). Families experiencing stress: the family adapatation and response model. Family Systems Medicine, 5(2), 202-237.

Patterson, J. M. (2002). Integrating family resilience and family stress theory. Journal of Marriage and the Family, 64, 349-360.

Pearlin, L. I., & Skaff, M. M. (1995). Stress and adaptation in late life Emerging Issues in Mental Health and Aging. Washington, DC: American Psychological Association.

Penrod, J., Baney, B. L., & McGhan, G. E. (2012, September 13, 2012). Theoretical integration using methods of template comparison. Paper presented at the 2012 State of the Science Congress on Nursing Research, Washington, DC.

Penrod, J., Hupcey, J. E., Baney, B. L., & Loeb, S. J. (2011). End-of-life caregiving trajectories. Clinical Nursing Research, 20(1), 7-24. [PubMed: 20876553]

Penrod, J., Hupcey, J. E., Shipley, P. Z., Loeb, S. J., & Baney, B. (2012). A model of caregiving through the end of life: seeking normal. Western Journal of Nursing Research, 34(2):174-93. [PubMed: 21403056]

Polk, L. V. (1997). Toward a middle-range theory of resilience. ANS. Advances in Nursing Science, 19(3), 1-13. [PubMed: 9055026]

Richardson, G. E. (2002). The metatheory of resilience and resiliency. Journal of Clinical Psychology, 58(3), 307-321. [PubMed: 11836712]

Rolland, J. S., & Walsh, F. (2006). Facilitating family resilience with childhood illness and disability. Current Opinions in Pediatrics, 18(5), 527-538. [PubMed: 16969168]

Rosenberg, A. R., Baker, K. S., Syrjala, K. L., Back, A. L., & Wolfe, J. (2013). Promoting resilience among parents and caregivers of children with cancer. Journal of Palliative Medicine, 16(6), 645-652. [PubMed: 23646887]

Ruiz-Robledillo, N., De Andres-Garcia, S., Perez-Blasco, J., Gonzalez-Bono, E., & Moya-Albiol, L. (2014). Highly resilient coping entails better perceived health, high social support and low morning cortisol levels in parents of children with autism spectrum disorder. Research in Developmental Disabilities, 35(3), 686-695. [PubMed: 24405793]

Rutter, M. (2006). Implications of resilience concepts for scientific understanding. Annals of the New York Academy of Sciences, 1094, 1-12. [PubMed: 17347337]

Sandelowski, M. (2000). Combining qualitative and quantitative sampling, data collection, and analysis techniques in mixed-method studies. Research in Nursing & Health, 23(3), 246-255. [PubMed: 10871540]

Sandler, I. N., Wolchik, S. A., Ayers, T. S., Tein, J. Y., & Luecken, L. (2013). Family Bereavement Program (FBP) approach to promoting resilience following the death of a parent. Family Science, 4(1). [PubMed: 24273631]

Shin, S. H., Choi, H., Kim, M. J., & Kim, Y. H. (2010). Comparing adolescents' adjustment and family resilience in divorced families depending on the types of primary caregiver. Journal of Clinical Nursing, 19(11-12), 1695-1706. [PubMed: 20345833]

Shuter, P., Beattie, E., & Edwards, H. (2014). An exploratory study of grief and health-related quality of life for caregivers of people with dementia. American Journal of Alzheimer's Disease and Other Dementias, 29(4), 379-385. [PubMed: 24381138]

Simpson, G., & Jones, K. (2013). How important is resilience among family members supporting relatives with traumatic brain injury or spinal cord injury? Clinical Rehabilitation, 27(4), 367-377. [PubMed: 23012693]

Sinclair, V. G., & Wallston, K. A. (2004). The development and psychometric evaluation of the Brief Resilient Coping Scale. Assessment, 11(1), 94-101. [PubMed: 14994958]

Smith, B. W., Dalen, J., Wiggins, K., Tooley, E., Christopher, P., & Bernard, J. (2008). The brief resilience scale: assessing the ability to bounce back. Intertional Journal of Behavioral Medicine, 15(3), 194-200. [PubMed: 18696313]

Svanberg, E., Stott, J., & Spector, A. (2010). 'Just helping': Children living with a parent with young onset dementia. Aging & Mental Health, 14(6), 740-751. [PubMed: 20686983]

Turner, S. (2001). Resilience and social work practice: three case studies. Families in Society, 82(5), 441-450.

Wagnild, G. M., & Collins, J. A. (2009). Assessing resilience. Journal of Psychosocial Nursing and Mental Health Services, 47(12), 28-33. [PubMed: 20000280]

Wagnild, G. M., & Young, H. M. (1993). Development and psychometric evaluation of the Resilience Scale. Journal of Nursing Measurement, 1(2), 165-178. [PubMed: 7850498]

Wagnild, G., & Young, H. M. (1990). Resilience among older women. Image –The Journal of Nursing Scholarship, 22(4), 252-255. [PubMed: 2292448]

Walsh, F. (2003). Family resilience: a framework for clinical practice. Family Process, 42(1), 1-18. [PubMed: 12698595]

Wilks, S. E. (2008a). Psychometric evaluation of the shortened resilience scale among Alzheimer's caregivers. American Journal of Alzheimer's Disease and Other Demenentias, 23(2), 143-149. [PubMed: 18198238]

Wilks, S. E. (2008b). Psychometric evaluation of the shortened resilience scale among Alzheimer's caregivers. American Journal of Alzheimer's Disease and Other Demenentias, 23(2), 143-149. [PubMed: 18198238]

Wilks, S. E., & Croom, B. (2008). Perceived stress and resilience in Alzheimer's disease caregivers: testing moderation and mediation models of social support. Aging & Mental Health, 12(3), 357-365. [PubMed: 18728949]

Wilks, S. E., Little, K. G., Gough, H. R., & Spurlock, W. J. (2011). Alzheimer's aggression: influences on caregiver coping and resilience. Journal of Gerontological Social Work, 54(3), 260-275. [PubMed: 21462058]

Wilks, S. E., & Vonk, M. E. (2008). Private prayer among Alzheimer's caregivers: mediating burden and resiliency. Journal of Gerontological Social Work, 50(3-4), 113-131.[PubMed: 18510194]

Yeh, P. M., & Bull, M. (2012). Use of the resiliency model of family stress, adjustment and adaptation in the analysis of family caregiver reaction among families of older people with congestive heart failure. International Journal of Older People Nursing, 7(2), 117-126. [PubMed: 21631886]

Zauszniewski, J. A., Bekhet, A. K., & Suresky, M. J. (2009). Effects on resilience of women family caregivers of adults with serious mental illness: the role of positive cognitions. Archives of Psychiatric Nursing, 23(6), 412-422. [PubMed: 19926023]

Zauszniewski, J. A., Bekhet, A. K., & Suresky, M. J. (2010). Resilience in family members of persons with serious mental illness. The Nursing Clinics of North America, 45(4), 613-626, vii. [PubMed: 20971340]

Zhang, B., El-Jawahri, A., & Prigerson, H. G. (2006). Update on bereavement research: evidence-based guidelines for the diagnosis and treatment of complicated bereavement. Journal of Palliative Medicine, 9(5), 1188-1203. [PubMed: 17040157]