AccScience Publishing / IJPS / Volume 8 / Issue 1 / DOI: 10.18063/ijps.v8i1.1320
REVIEW

Intergenerational relationships and caregiving burden among family caregivers of older adults: A systematic review

Xiachun Ke1 Yuanyuan Fu1*
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1 School of Social Development and Public Policy, Beijing Normal University, Beijing, China
IJPS 2022, 8(1), 63–74; https://doi.org/10.18063/ijps.v8i1.1320
© Invalid date by the Authors. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution -Noncommercial 4.0 International License (CC BY-NC 4.0) ( https://creativecommons.org/licenses/by-nc/4.0/ )
Abstract

Although intergenerational relationships play a significant role in maintaining the well-being of both caregivers and care recipients, few studies have examined how intergenerational relationships influence caregiving burden, especially for adult-child caregivers. A systematic search of electronic databases, including Scopus, Web of Science, and PsycINFO, was conducted across quantitative studies published in English in 2012 – 2022 to provide a summary of (1) the operationalization of caregiver burden and intergenerational relationships used in this field and (2) the effect of intergenerational relationships on caregiver burden. Intergenerational relationships are rarely defined, and they are operationalized in multiple and diverging ways. The eight included papers showed varying results but generally indicated that intergenerational relationships exert a great influence on caregiver burden. Further examination of the impact of intergenerational relationships on caregiver burden is an indispensable prerequisite for interventions that could positively influence the health outcome of adult-child caregivers.

Keywords
Adult-child caregivers
Caregiver burden
Caregiving burden
China
Intergenerational relationship
Older adults
Systematic review
References
[1]

Aires M, Mocellin D, Fengler FL, et al. (2017). Association between filial responsibility when caring for parents and the caregivers overload. Revista Brasileira de Enfermagem, 70(4):767-774. https://doi.org/10.1590/0034-7167-2017-0133

[2]

Aung T, Aung MN, Moolphate S, et al. (2021). Caregiver burden and associated factors for the respite care needs among the family caregivers of community dwelling senior citizens in Chiang Mai, Northern Thailand. International Journal of Environmental Research and Public Health, 18(11):5873. https://doi.org/10.3390/ijerph18115873

[3]

Bai X. (2018). Development and validation of a multidimensional intergenerational relationship quality scale for aging Chinese parents. The Gerontologist, 58(6):e338-e348. https://doi.org/10.1093/geront/gnx156

[4]

Burns DD, Sayers SL, and Moras K. (1994). Intimate relationships and depression: is there a causal connection? Journal of Consulting and Clinical Psychology, 62(5):1033-1043. https://doi.org/10.1037//0022-006x.62.5.1033

[5]

Clyburn LD, Stones MJ, Hadjistavropoulos T, et al. (2000). Predicting caregiver burden and depression in Alzheimer’s disease. The Journals of Gerontology Series B, Psychological Sciences and Social Sciences, 55(1):S2-S13. https://doi.org/10.1093/geronb/55.1.s2

[6]

del-Pino-Casado R, Millán-Cobo MD, Palomino-Moral PA, et al. (2014). Cultural correlates of burden in primary caregivers of older relatives: A cross-sectional study. Journal of Nursing Scholarship, 46(3):176-186. https://doi.org/10.1111/jnu.12070

[7]

Dong X, Zhang M, and Simon MA. (2014). The expectation and perceived receipt of filial piety among Chinese older adults in the Greater Chicago area. Journal of Aging and Health, 26(7):1225-1247. https://doi.org/10.1177/0898264314541697

[8]

Enright J, O’Connell M, Branger C, et al. (2020). Identity, relationship quality, and subjective burden in caregivers of persons with dementia. Dementia, 19(6):1855-1871. https://doi.org/10.1177/1471301218808607

[9]

Heyman RE, Sayers SL, and Bellack AS. (1994). Global marital satisfaction versus marital adjustment: An empirical comparison of three measures. Journal of Family Psychology, 8(4):432-446. https://doi.org/10.1037/0893-3200.8.4.432

[10]

Hobfoll SE. (1989). Conservation of resources. A new attempt at conceptualizing stress. The American Psychologist, 44(3):513-524. https://doi.org/10.1037//0003-066x.44.3.513

[11]

Hoffmann F and Rodrigues R. (2010). Informal Carers: Who takes care of them? European Centre for Social Welfare Policy and Research. Available from https://www.euro.centre.org/downloads/detail/1256 [Last accessed on 2022 Jul 24].

[12]

Iecovich E. (2008). Caregiving burden, community services, and quality of life of primary caregivers of frail elderly persons. Journal of Applied Gerontology, 27(3):309-330. https://doi.org/10.1177/0733464808315289

[13]

Ikels C. (2004). Filial Piety: Practice and Discourse in Contemporary East Asia. Redwood City, California: Stanford University Press.

[14]

Kim KC, Kim S, and Hurh WM. (1991). Filial piety and intergenerational relationship in Korean immigrant families. The International Journal of Aging and Human Development, 33(3): 233-245. https://doi.org/10.2190/Y91P-UNGR-X5E1-175K

[15]

Lawton MP, Kleban MH, Moss M, et al. (1989). Measuring caregiving appraisal. Journal of Gerontology, 44(3):P61-P71. https://doi.org/10.1093/geronj/44.3.p61

[16]

Lawton MP, Moss M, Kleban MH, et al. (1991). A two-factor model of caregiving appraisal and psychological well-being. Journal of Gerontology, 46(4):P181-P189. https://doi.org/10.1093/geronj/46.4.p181

[17]

Lin WF, Chen LH, and Li TS. (2012). Adult children’s caregiver burden and depression: The moderating roles of parent-child relationship satisfaction and feedback from others. Journal of Happiness Studies, 14(2):673-687. http://doi.org/10.1007/s10902-012-9348-0

[18]

Liu H and Lou VW. (2019). Transitioning into spousal caregiving: Contribution of caregiving intensity and caregivers’ multiple chronic conditions to functional health. Age Ageing, 48(1):108-114. https://doi.org/10.1093/ageing/afy098

[19]

Liu J and Bern-Klug M. (2016). “I should be doing more for my parent:” Chinese adult children’s worry about performance in providing care for their oldest-old parents. International Psychogeriatrics, 28(2):303-315. https://doi.org/10.1017/S1041610215001726

[20]

Lopez-Anuarbe M and Kohli P. (2019). Understanding male caregivers’ emotional, financial, and physical burden in the United States. Healthcare, 7(2):72. https://doi.org/10.3390/healthcare7020072

[21]

Moher D, Liberati A, Tetzlaff J, et al. (2009). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. Annals of Internal Medicine, 151(4):264-269. https://doi.org/10.7326/0003-4819-151-4-200908180-00135

[22]

Novak M and Guest C. (1989). Application of a multidimensional caregiver burden inventory. The Gerontologist, 29(6):798-803. https://doi.org/10.1093/geront/29.6.798

[23]

Page MJ, McKenzie JE, Bossuyt PM, et al. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. Systematic Reviews, 10(1):1-11. https://doi.org/10.1186/s13643-021-01626-4

[24]

Pan Y, Chen R, and Yang D. (2022). The relationship between filial piety and caregiver burden among adult children: A systematic review and meta-analysis. Geriatric Nursing, 43:113-123. https://doi.org/10.1016/j.gerinurse.2021.10.024

[25]

Pearlin LI, Lieberman MA, Menaghan EG, et al. (1981). The stress process. Journal of Health and Social Behavior, 22(4):337-356. https://doi.org/10.2307/2136676

[26]

Pearlin LI, Mullan JT, Semple SJ, et al. (1990). Caregiving and the stress process: An overview of concepts and their measures. The Gerontologist, 30(5):583-594. https://doi.org/10.1093/geront/30.5.583

[27]

Pearlin LI. (1999). The stress process revisited. In: CS Aneshensel and JC Phelan (eds.). Handbook of the Sociology of Mental Health. Boston, MA: Springer, p. 395-415. https://doi.org/10.1007/0-387-36223-1_19

[28]

Queluz FNF, de Santis L, de Fatima Kirchner L, et al. (2022). The influence of the quality of filial relationship on the mental health of children caregivers. Trends in Psychology, 30(3):455-467. https://doi.org/10.1007/s43076-022-00140-3

[29]

Reinhard SC and Horwitz AV. (1995). Caregiver burden: Differentiating the content and consequences of family caregiving. Journal of Marriage and the Family, 57(3):741-750. https://doi.org/10.2307/353928

[30]

Robinson BC. (1983). Validation of a caregiver strain index. Journal of Gerontology, 38(3):344-348. https://doi.org/10.1093/geronj/38.3.344

[31]

Sebern MD and Whitlatch CJ. (2007). Dyadic relationship scale: A measure of the impact of the provision and receipt of family care. The Gerontologist, 47(6):741-751. https://doi.org/10.1093/geront/47.6.741

[32]

Solomon DN, Hansen L, Baggs JG, et al. (2015). Relationship quality in non-cognitively impaired mother-daughter care dyads: A systematic review. Journal of Family Nursing, 21(4):551-578. https://doi.org/10.1177/1074840715601252

[33]

Stenberg U, Ruland CM, and Miaskowski C. (2010). Review of the literature on the effects of caring for a patient with cancer. Psychooncology, 19(10):1013-1025. https://doi.org/10.1002/pon.1670

[34]

Swinkels JC, van Groenou MIB, de Boer A, et al. (2019). Male and female partner-caregivers’ burden: Does it get worse over time? Gerontologist, 59(6):1103-1111. https://doi.org/10.1093/geront/gny132

[35]

Tang CS, Wu AMS, Yeung D, et al. (2009). Attitudes and intention toward old age home placement: A study of young adult, middle-aged, and older Chinese. Ageing International, 34(4):237-251. https://doi.org/10.1007/s12126-009-9047-2

[36]

Tramonti F, Barsanti I, Ghicopulos I, et al. (2013). Family functioning and caregiver burden in Alzheimer’s disease. Family Science, 4(1):161-168. https://doi.org/10.1080/19424620.2013.871741

[37]

Ugargol AP and Bailey A. (2018). Family caregiving for older adults: Gendered roles and caregiver burden in emigrant households of Kerala, India. Asian Population Studies, 14(2):194-210. https://doi.org/10.1080/17441730.2017.1412593

[38]

United Nations. (2022). World Population Prospects 2022. New York: The United Nations. Available from: https://www.un.org/ development/desa/pd/content/publications [Last accessed on 2022 Jul 24].

[39]

Wagner M and Brandt M. (2018). Long-term care provision and the well-being of spousal caregivers: An analysis of 138 European regions. The Journals of Gerontology Series B, Psychological Sciences and Social Sciences, 73(4):e24-e34. https://doi.org/10.1093/geronb/gbx133

[40]

Wu Y, Liu Y, Cao X, et al. (2021). Burden of caregivers who care for oldest-old parents with disability: A cross-sectional study. Geriatric Nursing, 42(4):792-798. https://doi.org/10.1016/j.gerinurse.2021.04.013

[41]

Yates ME, Tennstedt S, and Chang BH. (1999). Contributors to and mediators of psychological well-being for informal caregivers. The Journals of Gerontology Series B, Psychological Sciences and Social Sciences, 54(1):P12-P22. https://doi.org/10.1093/geronb/54b.1.p12

[42]

Zarit S, Orr NK, and Zarit JM. (1985). The Hidden Victims of Alzheimer’s Disease: Families under Stress. New York: New York University Press.

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International Journal of Population Studies, Electronic ISSN: 2424-8606 Print ISSN: 2424-8150, Published by AccScience Publishing