Publication: Social support and subjective burden in caregivers of adults and older adults: A meta-analysis
Authors
Pino Casado, Rafael del ; Frías Osuna, Antonio ; Palomino Moral, Pedro A. ; Ruzafa Martínez, María ; Ramos Morcillo, Antonio Jesús
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Publisher
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DOI
https://doi.org/10.1371/journal.pone.0189874
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info:eu-repo/semantics/article
Description
©2018. This manuscript version is made available under the CC-BY 4.0 license http://creativecommons.org/licenses/by/4.0/
This document is the Published,, version of a Published Work that appeared in final form in PLoS ONE. To access the final edited and published work see https://doi.org/10.1371/journal.pone.0189874
Abstract
Background
Despite the generally accepted belief that social support improves caregiver adjustment in
general and subjective burden in particular, the literature shows mixed findings, and a recent
review concluded that the predictive strength of caregiver social support in determining
caregiver burden is less evident, due to the conceptual diversity of this determinant.
Objective
The purpose of this review is to analyse the relationship of perceived and received social
support with subjective burden among informal caregivers of an adult or older adult.
Methods
A systematic search was carried out up to September 2017 in the following databases:
MEDLINE (PubMed), CINAHL, EMBASE, PsycINFO), Scopus and ISI Proceedings, and a
meta-analysis was performed with the results of the selected and included studies.
Results
Fifty-six studies were included in the meta-analysis, which provided 46 independent com parisons for perceived support and 16 for received support. Most of these studies were
cross-sectional. There was a moderate, negative association of perceived social support on
subjective burden (r = -0.36; CI 95% = -0.40, -0.32) and a very small, negative association of
received support on subjective burden (r = -0.05; CI 95% = -0.095, -0.001).
Conclusions
1) perceived and received support are not redundant constructs, 2) the relationships
between social support and subjective burden depend on whether the social support is mea sured as perceived or received, 3) the relationship of perceived social support with subjec tive burden has a bigger effect size than that of received social support, the relation between received support and subjective burden being clinically irrelevant, 4) perceived social sup port may be a good predictor of subjective burden.
Implications of key findings
Our findings broadly support interventions promoting social support in caregivers to prevent
or alleviate subjective burden, and specifically, to intervene on the promotion of perceived
social support more than on the promotion of received social support when preventing or
alleviating burden
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Citation
PLoS ONE
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