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Updated: May 23, 2025

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Published on: January 17, 2025
Association and interaction between resilience and psychological distress in disabled elderly-caregiver dyads: An
Zhiyao Xiong1, Xuyi Wu1, Jie Yang1
1Rehabilitation Medicine Center and Institute of Rehabilitation Medicine, West China Hospital, Sichuan University/West China School of Nursing,Sichuan University, Chengdu, China; Key Laboratory of Rehabilitation Medicine in Sichuan Province, West China Hospital, Sichuan University, Chengdu, China.
Objectives:
This study examined the association and interaction between resilience and psychological distress in disabled elderly-caregiver dyads.
Methods:
A total of 246 disabled elderly individuals and their family caregivers were studied using the Resilience Scale and the Distress Thermometer and Problem List. The data analysis employed the actor-partner interdependence model (APIM) method based on structural equation modelling.
Results:
APIM revealed a mixed model. Resilience of disabled elderly individuals and caregivers is negatively associated with their psychological distress (association-actor effect), and the psychological distress of other member in the dyad (interaction-partner effect). Furthermore, the actor effect is twice as large as the partner effect.
Conclusion:
This mixed model suggests that increased resilience and decreased psychological distress in caregivers may be associated with decreased psychological distress in disabled elderly individuals. Health professionals should design dyadic interventions focusing on resilience and interactions between disabled elderly individuals and caregivers to improve their mental health.
Patient Or Public Contribution:
Heighten public awareness of the interaction between resilience and psychological distress among disabled elderly-caregiver dyads. Based on these insights, advocate for enhanced mental health resources and improved policies to strengthen resilience and more effectively address psychological distress within this vulnerable community.
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