Abstract：
Subjective caregiver burden is highly prevalent in family caregivers. Despite several studies investigating the relationship between subjective caregiver burden and coping strategies, results remain inconsistent. The aim of our study was to systematically review current literature on the relationship between subjective caregiver burden and coping in family carers of dependent adults and older people. A secondary objective was to analyse possible sources of heterogeneity in the estimated effect. The study design was a systematic review with meta-analysis following Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement (PRISMA) guidelines. We searched several international databases (CINAHL, LILACS, PsycINFO and PubMed) up to February 2024. We performed several subgroup analyses to examine whether study design, methodological quality or care recipient dependency influenced results. Of the 1064 records identified in our search, a total of 80 studies met inclusion criteria. We found a significant association between greater use of dysfunctional coping and higher levels of subjective caregiver burden ( r ‾ $\\overline{r}$ = 0.400; 95% CI = 0.315, 0.478); higher use of second-order active coping was significantly associated with lower caregiver burden ( r ‾ $\\overline{r}$ = -0.213; 95% CI = -0.316, -0.105). Problem-focused coping showed no statistically significant association with levels of subjective burden; emotion-focused coping was associated with caregiver burden only after controlling for confounding variables ( r ‾ $\\overline{r}$ = -0.258; 95% CI = -0.441, -0.055); several individual strategies of this dimension such as acceptance ( r ‾ $\\overline{r}$ = -0.135; 95% CI = -0.238, -0.028), positive reappraisal ( r ‾ $\\overline{r}$ = -0.178; 95% CI = -0.255, -0.099) and religious coping ( r ‾ $\\overline{r}$ = -0.083; 95% CI = -0.162, -0.002), were associated with lower burden. We found that several dimensions of coping strategies are significantly associated with levels of subjective caregiver burden experienced by carers. These results can inform future research evaluating the effectiveness of interventions aimed at improving carers\' mental health.
摘要：
主观照顾者负担在家庭照顾者中非常普遍。尽管有几项研究调查了主观照顾者负担与应对策略之间的关系，结果仍然不一致。我们研究的目的是系统地回顾有关依赖成年人和老年人的家庭照顾者的主观照顾者负担与应对之间关系的最新文献。次要目标是分析估计效果中异质性的可能来源。研究设计是系统评价和荟萃分析，遵循系统评价和荟萃分析声明（PRISMA）指南的首选报告项目。我们搜索了几个国际数据库(CINAHL，LILACS,PsycINFO和PubMed）至2024年2月。我们进行了几个亚组分析，以检查研究设计是否，方法学质量或护理接受者依赖性影响了结果。在我们搜索的1064条记录中,共有80项研究符合纳入标准.我们发现，更多使用功能失调应对与更高水平的主观照顾者负担之间存在显着关联（r$\\overline{r}$=0.400；95％CI=0.315，0.478）；更多使用二级主动应对与更低的照顾者负担显着相关（r$\\overline{r}$=-0.213；95％CI=-0.316，-0.105）。以问题为中心的应对与主观负担水平没有统计学上的显着关联；以情绪为中心的应对仅在控制了混杂变量之后才与照顾者负担相关（r$\\overline{r}$=-0.258；95％CI=-0.441，-0.055）；该维度的几种个人策略，例如接受（r$\\overline{r}$=-0.135；95％CI=-0.238积极的重新评估(r$\\overline{r}$=-0.178；95%CI=-0.255，-0.099)和宗教应对(r$\\overline{r}$=-0.083；95%CI=-0.162，-0.002)，与较低的负担有关。我们发现，应对策略的几个维度与照顾者所经历的主观照顾者负担水平显着相关。这些结果可以为未来的研究提供信息，评估旨在改善护理人员心理健康的干预措施的有效性。
