Caring for an elderly parent, while also raising children, presents unique challenges. This study explores how filial piety—respect for elders—affects the stress of such caregivers, focusing on their caregiving self-efficacy, or confidence in their abilities. Surveying 202 caregivers, a link was found between filial piety and higher self-efficacy, leading to a sense of competence in caregiving tasks. However, this confidence did not uniformly reduce caregiver burden; it depended on the caregiving aspect. Confidence in handling emotional stress and securing breaks correlated with less burden, while dealing with disruptive behaviors correlated with more. These nuances highlight the complex role of self-efficacy in caregiver well-being, emphasizing the need for targeted support for the sandwich generation in various caregiving scenarios.
NgRIndranN.Societal narratives on caregivers in Asia. Int J Environ Res Public Health. 2021;18(21):11241. doi:10.3390/ijerph182111241
2.
CharenkovaJ.“Parenting my parents”: perspectives of adult children on assuming and remaining in the caregiver’s role. Front Public Health. 2023;11:1059006. doi:10.3389/fpubh.2023.1059006
3.
CummingsJLFrankJCCherryD, et al. Guidelines for managing Alzheimer’s disease: Part I. Assessment. Am Fam Physician. 2002;65(11):2263-2272.
4.
LiuZHeffernanCTanJ.Caregiver burden: a concept analysis. Int J Nurs Sci. 2020;7(4):438-445. doi:10.1016/j.ijnss.2020.07.012
5.
BedfordOYehK-H.The history and the future of the psychology of filial piety: Chinese norms to contextualized personality construct. Front Psychol. 2019;10:100. doi:10.3389/fpsyg.2019.00100
6.
ZarzyckiMSeddonDMorrisonV.Informal caregiver motivations, values, challenges and gains: a photovoice and interpretative phenomenological analysis of interrelationships. J Health Psychol. 2023;28(6):568-582. doi:10.1177/13591053221124647
7.
LaiDWL. Filial piety, caregiving appraisal, and caregiving burden. Res Aging. 2010;32(2):200-223. doi:10.1177/0164027509351475
8.
PanYChenRYangD.The relationship between filial piety and caregiver burden among adult children: a systematic review and meta-analysis. Geriatr Nurs. 2022;43:113-123. doi:10.1016/j.gerinurse.2021.10.024
9.
SteffenAMMcKibbinCZeissAMGallagher-ThompsonDBanduraA.The revised scale for caregiving self-efficacy: reliability and validity studies. J Gerontol B Psychol Sci Soc Sci. 2002;57(1):P74-P86. doi:10.1093/geronb/57.1.p74
10.
TanGTHYuanQDeviF, et al. Factors associated with caregiving self-efficacy among primary informal caregivers of persons with dementia in Singapore. BMC Geriatr. 2021;21(1):13. doi:10.1186/s12877-020-01951-8
11.
FarmerHXuHDupreME. Self-efficacy. In: Gu D and Dupre ME, eds. Encyclopedia of Gerontology and Population Aging. Springer; 2022:4410-4413.
12.
Pei-BoonOWan JaafarWMChin-SiangANee-NeeC.Psychometric properties of the sources of counseling self efficacy in a sample of malaysian secondary school counselors. Sage Open. 2020;10(1):2158244020902076. doi:10.1177/2158244020902076
13.
BanduraA. Self-efficacy: The exercise of control. W. H. Freeman and Company; 1997.
SchwarzerRJerusalemM.Generalized self-efficacy scale. J Weinman, S Wright, & M Johnston, Measures in health psychology: A user’s portfolio Causal and control beliefs. 1995;35(37):82-003.
16.
LumTYYanECHoAH, et al. Measuring filial piety in the 21st century: development, factor structure, and reliability of the 10-item Contemporary Filial Piety Scale. J Appl Gerontol. 2016;35(11):1235-1247. doi:10.1177/0733464815570664
17.
SemiatinAMO’ConnorMK.The relationship between self-efficacy and positive aspects of caregiving in Alzheimer’s disease caregivers. Aging Ment Health. 2012;16(6):683-688. doi:10.1080/13607863.2011.651437
18.
RainaPO’DonnellMSchwellnusH, et al. Caregiving process and caregiver burden: conceptual models to guide research and practice. BMC Pediatr. 2004;4:1. doi:10.1186/1471-2431-4-1
19.
Thomas HebdonMCCoombsLAReedPCraneTEBadgerTA.Self-efficacy in caregivers of adults diagnosed with cancer: an integrative review. Eur J Oncol Nurs. 2021;52:101933. doi:10.1016/j.ejon.2021.101933
20.
AngC-SYuenAZ-D. A qualitative study of dementia caregivers’ lived experiences in Singapore. Home Health Care Serv Q. 2023;42(2):124-141. doi:10.1080/01621424.2022.2164540
21.
SteinerAMFletcherPC.Sandwich generation caregiving: a complex and dynamic role. J Adult Dev. 2017;24(2):133-143. doi:10.1007/s10804-016-9252-7
22.
TeoY.Shaping the Singapore family, producing the state and society. Econ Soc. 2010;39(3):337-359. doi:10.1080/03085147.2010.486215
23.
VisariaAMalhotraRChanA.Changes in the profile of older Singaporeans: Snapshots from 2009 and 2016-2017. 2019;
24.
PodsakoffPMMacKenzieSBLeeJYPodsakoffNP.Common method biases in behavioral research: a critical review of the literature and recommended remedies. J Appl Psychol. 2003;88(5):879-903. doi:10.1037/0021-9010.88.5.879
25.
HairJF.Multivariate Data Analysis. Prentice Hall; 2009.
26.
HayesAF.Partial, conditional, and moderated moderated mediation: quantification, inference, and interpretation. Commun Monogr. 2018;85(1):4-40. doi:10.1080/03637751.2017.1352100
27.
YakubuYASchutteDW.Caregiver attributes and socio-demographic determinants of caregiving burden in selected low-income communities in Cape Town, South Africa. J Compassionate Health Care. 2018;5(1):3. doi:10.1186/s40639-018-0046-6
28.
PhillipsRDurkinMEngwardHCableGIancuM.The impact of caring for family members with mental illnesses on the caregiver: a scoping review. Health Promot Int. 2023;38(3):daac049. doi:10.1093/heapro/daac049
29.
CohenJ.Statistical power analysis. Curr Dir Psychol Sci. 1992;1(3):98-101. doi:10.1111/1467-8721.ep10768783
30.
Huisinhet VeldJVerkaikRvan MeijelB, et al. Self-management by family caregivers to manage changes in the behavior and mood of their relative with dementia: an online focus group study. BMC Geriatrics. 2016/05/03 2016;16(1):95. doi:10.1186/s12877-016-0268-4
31.
AngCS.Testing a mediation model of dispositional optimism, mindful self-care, and subjective well-being. Psychol Rep. Published online July 30, 2024. doi:10.1177/00332941241269548
32.
ChengS-TMakEPMFungHHKwokTLeeDTFLamLCW. Benefit-finding and effect on caregiver depression: a double-blind randomized controlled trial. J Consult Clin Psychol. 2017;85(5):521-529. doi:10.1037/ccp0000176
33.
ChengSTLamLCKwokTNgNSFungAW.Self-efficacy is associated with less burden and more gains from behavioral problems of Alzheimer’s disease in Hong Kong Chinese caregivers. Gerontologist. 2013;53(1):71-80. doi:10.1093/geront/gns062
