Alzheimer's aggression: influences on caregiver coping and resilience

This study assessed impact of Alzheimer's patients' aggressive behavior (AD aggression) on caregiver coping strategies (task-, emotion-, and avoidance-focused) and caregiver resilience, and examined whether coping strategy moderated the AD aggression-caregiver resilience relationship. Informal caregivers across Louisiana (N = 419) completed surveys with measures of demographics, AD aggression, caregiver coping strategies, and caregiver resilience. Task-focused coping positively related to resilience. Aggression negatively predicted caregiver resilience. Emotion- and avoidance-focused coping strategies separately interacted with aggression and increased its negative relationship to caregiver resilience. Task-focused coping showed no moderation. Implications for social work professionals are discussed.     

Burden,Coping and Health Status

This study investigates caregiver health, burden and coping strategies of family caregivers to institutionalized and community-dwelling Alzheimer's disease patients. Patient residence was significantly related to caregiver health status, sources of burden and the efficacy of various strategies for reducing burden. Implications for intervention with family caregivers are discussed.     

Imaginary Companions and Young Children's Coping and Competence

Imaginary companions (ICs) are purported to bolster children's coping and self‐competence, but few studies address this claim. We expected that having/not having ICs would distinguish children's coping strategies and competence less than type of companion (i.e., personified object or invisible friend) or quality of child–IC relationship (i.e., egalitarian or hierarchical). We interviewed 72 three‐ to six‐year‐olds and their mothers about children's coping strategies and competence; teachers rated competence. Mothers reported ICs. IC presence and type did not differentiate coping strategies, but children with egalitarian relationships chose more constructive/prosocial coping strategies, and teachers rated them more socially competent than children with hierarchical child–IC relationships. Mothers related ICs to cognitive competence. Findings highlight (1) modest relations between imaginary relationships and coping/competence; (2) distinctions between mothers' perceptions and IC functions; and (3) that ICs parallel real relationships in that different dimensions (presence, type/identity, and relationship quality) might be unique contributors to children's socioemotional development.     

Peer Victimization: The Role of Emotions in Adaptive and Maladaptive Coping

Mediator models were examined in which children's emotional reactions to peer aggression were hypothesized to mediate their selection of coping strategies and subsequent peer victimization and internalizing problems. Self‐report data were collected from 145 ethnically diverse kindergarten through fifth grade children (66 females and 79 males) who attended a predominantly low‐ to middle‐class school. Hypothetical scenarios were used to assess children's anticipated responses to peer aggression. Victims reported more intense negative emotions (e.g., fear and anger) than did nonvictims. Fear emerged as a predictor of advice seeking which, in turn, predicted conflict resolution and fewer internalizing problems. Conflict resolution was associated with reductions in victimization. Anger and embarrassment predicted revenge seeking which, in turn, was associated with increases in victimization. Additional pathways predicting changes in peer victimization across a single academic year as a function of children's emotional and coping responses to peer abuse are discussed.     

Active survival in the lives of unaccompanied minors: coping strategies,resilience, and the relevance of religion

Asylum‐seeking unaccompanied minors contend with numerous challenges as they adjust to living in a new country. Although increasing attention has been paid to their capacity for resilience, little research has been done on the exact manner in which they cope. This paper describes some of the insights gleaned from a qualitative study undertaken with unaccompanied minors living in Ireland. Six different coping strategies are identified, namely: (1) Maintaining continuity in a changed context, (2) Adjusting by learning and changing, (3) Adopting a positive outlook, (4) Suppressing emotions and seeking distraction, (5) Acting independently, and (6) Distrusting. These are described in turn. Particular attention is paid to the role of religion in relation to the participants' coping strategies.     

Marital Conflict and Children's Adjustment: The Mediating and Moderating Role of Children's Coping Strategies

This prospective, longitudinal study examined the role of children's coping strategies in the link between interparental conflict and children's psychological adjustment. Using a sample of 100 parents and children aged 11–14 years, this study investigated children's venting of negative emotion, social support seeking, and problem solving strategies as mediators and moderators of the relationship between marital conflict and child adjustment. Venting negative emotion mediated the long‐term effects of marital conflict on children's psychological adjustment. This coping response also moderated the relationship between marital conflict and children's anxiety‐depression. The role of non‐constructive coping strategies as a mechanism through which marital conflict affects children's psychological well‐being is discussed, together with the need for research to identify intervention strategies aimed at improving children's coping efficacy in the context of interparental conflict.     

Spiritual education programme for primary caregiver parents to build resilience in children with acute anxiety symptoms: A multicity study

This article reports a multicity 1‐year long study on the effect of a customized spiritual education programme (SEP) on parenting and in turn its mediated effect on resilience building for children with acute anxiety symptoms. The treatment group comprised 3,689 primary caregiver parents who participated in the SEP and their children clinically diagnosed with acute anxiety symptoms, from 180 schools across 15 cities. Equal number of primary caregiver parents and children were assigned to the control group. Results showed that post‐test scores of treatment group primary caregiver parents were higher on the parenting style questionnaires, indicating an improved and authoritative parenting style. This positive effect of the SEP on parenting in turn had a mediating effect on resilience of their children, who scored higher on the outcome measures in the post‐treatment phase. Parenting and resilience outcome measures varied due to socio‐economic and SEP‐related variables. Children's perception of post‐treatment parenting influenced their resilience. Findings suggest that SEP could aid positive parenting and hence positive behavioural outcomes in children.     

The Self-Forgiveness Process of Caregivers After the Death of Care-Receivers Diagnosed With Alzheimer's Disease

ABSTRACT

This study explores the relationship of self-forgiveness and adaptive coping, religious/spiritual practices, social support, decreased grief, and mental well-being. 133 caregivers were surveyed. Bivariate analysis and stepwise regression models revealed that decreased grief, adaptive coping, and social support were significant in explaining the variation in self-forgiveness. This is one of the first studies to address self-forgiveness as part of the grieving process of Alzheimer's caregivers. Future directions are explored supporting inclusion of self-forgiveness as an aspect of grief and adaptive coping; which is further enhanced by the level of social support experienced by the caregiver.     

Associations between Sadness and Anger Regulation Coping, Emotional Expression, and Physical and Relational Aggression among Urban Adolescents

This study examined associations between self-reports of sadness and anger regulation coping, reluctance to express emotion, and physical and relational aggression between two cohorts of predominantly African-American fifth (N  =  191; 93 boys and 98 girls) and eighth (N  =  167; 73 boys and 94 girls) graders. Multiple regression analyses indicated unique associations between relational aggression and expressive reluctance and sadness regulation coping. In contrast, physical aggression, but not relational aggression, was associated with anger regulation coping. These relations did not differ across gender, but the strength of the association between anger regulation coping and physical aggression varied by grade. Sadness regulation coping moderated the association between expressive reluctance and relational aggression. Conversely, anger regulation coping moderated the relation between expressive reluctance and physical aggression; however, the strength of this relation differed by gender. These findings have important implications for intervention efforts.     

Inter‐parent Aggression as a Precursor to Disengagement Coping in Emerging Adulthood: The Buffering Role of Friendship Competence

Using multi‐informant data drawn from a prospective study involving 184 youth, mother‐perpetrated and father‐perpetrated partner aggression during early adolescence (the age of 13) was examined as a predictor of five types of disengagement coping strategies in emerging adulthood (the age of 21): behavioral disengagement, mental disengagement, denial, substance use, and restraint. The ability to develop close friendships, or friendship competence, was examined as a moderator of these links. Results suggest that inter‐parent aggression in early adolescence can predict reliance on disengagement coping 8 years later, but that friendship competence can buffer against the reliance on disengagement coping. Moreover, close friendship competence was not directly related to partner aggression by mothers or fathers, suggesting that friendship competence develops along an independent developmental track and thus may truly serve as a buffer for young adults with a history of exposure to inter‐parent aggression.     

The roles of moral sensitivity and father presence on the relationship between violent video game exposure and aggression among left-behind adolescents

This cross-sectional study explored the relationship between violent video game exposure (VVGE) and aggression in left-behind adolescents (LBAs) in China, taking into account the effects of moral sensitivity and father presence. A cluster sampling design was applied in this study; we recruited 615 adolescents (45.85% male, age range 12–18 years, M_age = 14.70 years, SD = 1.66) from China. The results by using SPSS 25.0 and the PROCESS macro showed that VVGE was positively associated with LBAs' trait aggression and its items, and moral sensitivity played a partial mediating role in these relationships. Moreover, father presence moderated VVGE and LBAs' trait aggression, verbal aggression and hostility. Specifically, at a high level of father presence, the direct effect of VVGE on trait aggression was significantly moderated by increasing the level of father presence, whereas this moderating effect was not significant at a low level of father presence. The results were similar for verbal aggression and hostility. Thus, moral sensitivity and father presence should be considered in prevention and intervention strategies aimed at reducing LBAs' aggression.     

Unmet Home Care Service Needs of Rural Older Adults With Alzheimer's Disease: A Perspective of Informal Caregivers

This study assessed unmet service needs of rural older adults with Alzheimer's disease (AD) and identified factors that were related to these needs. Data were collected from 109 informal caregivers of AD patients. Over half of the patients experienced unmet service needs in 1 or more areas of activities of daily functioning. Informal caregiver burden and patient's gender and functional status were significantly related to patients' unmet service needs. Patients' use of formal services was marginally related to their unmet service needs. To better address patients' service needs, a comprehensive needs assessment should be conducted with both patients and their caregivers.     

Contributors to well-being of Chinese left-behind families: A dyadic perspective from family resilience and grandparent–grandchild relationship

There is evidence that grandchildren and grandparents in Chinese left-behind families (CLBF) suffer from immense life stressors. The well-being of both generations is of great concern. Guided by the family adjustment and adaptation response model and ecological model of well-being, the present study aimed to investigate the dyadic associations between family resilience and subjective well-being (SWB) of left-behind grandchildren and grandparents. Furthermore, we explored the extent to which relationship quality accounts for such reciprocal associations. A sample of 130 left-behind grandparent–grandchild (GP–GC) pairs completed self-reported questionnaires. Actor–partner interdependence model (APIM) revealed that both grandchildren's and grandparents' reported family resilience positively associated with their own SWB but not the other's SWB. Grandchildren's and grandparents' perceived relationship quality mediated the association between their perceived family resilience and their own SWB. Moreover, grandchildren-perceived relationship quality mediated the association between grandchildren-perceived family resilience and grandparents' SWB. Meanwhile, grandparent-perceived relationship quality mediated the association between grandparent-perceived family resilience and grandchildren's SWB. The findings highlighted the significance of family resilience and relationship quality in boosting the two generations' SWB in CLBF. The results also suggested that left-behind grandchildren and their grandparents depend on each other. Future intervention programs could be benefitted from integrating the enhancement of family resilience and improvement of grandparent–grandchild relationship quality to promote the well-being of left-behind family members.     

Outcomes of the ON FIRE peer support programme for children and adolescents in families with mental health problems

Children in families with mental health problems may encounter multiple risks to their well‐being. General aims of peer support programmes for these children include fostering resilience and effective coping strategies, and enhancing self‐esteem and social skills. This study aimed to evaluate outcomes from a pilot multi‐site implementation of the ON FIRE peer support programme. The purpose of ON FIRE is to cultivate hope, resilience and well‐being in children and adolescents aged 8–17 years living in families affected by sibling or parental mental health problems. We employed a pre‐post test (baseline and 4 months) evaluation using a suite of outcome measures. The Strengths and Difficulties Questionnaire (SDQ), Children's Hope Scale, Kids Connections Scale and Positive and Negative Affect Scale for Children (PANAS‐C) were completed for 64 child/adolescent participants. At baseline, participants had significantly greater difficulties compared with Australian norms. At 4 months, there were significant differences in children's hope and in connections outside the family. There were no significant differences in the SDQ or the PANAS‐C.     

Research Review: Risk and protection in the context of services for children in need

The paper summarizes the evidence and provides definitions of risk, protective factors, resilience, coping strategies and need in the context of children in need. Definitions are offered for children in need and children's services. The way in which individual interpretation can alter objective assessment of risk is explored. A method for recording evidence relevant to clinical practice on behalf of children in need is offered. Implications for policy and practice are discussed.     

Coping Strategies and Caregiving Outcomes Among Rural Dementia Caregivers

We studied the coping styles by which family caregivers living in rural areas of Alabama deal with the demands of caring for an older relative with dementia. Data were obtained from a sample of 141 caregivers through the random-digit dialing telephone survey. Two coping styles were identified: deliberate coping and avoidance coping. Deliberate coping was related to higher life satisfaction scores and, avoidance coping was related to lower life satisfaction scores and higher caregiver burden scores. Avoidance coping appeared to moderate the effects of caregiver health on caregiver burden. Social workers should pay greater attention to caregivers with dysfunctional coping styles.     

Caregiver Stress and the Elderly: A Familial Perspective

This paper examines the activities and perceptions of 41 spouses and adult daughters seeking psychological and social intervention with a frail spouse/parent. Findings indicate that spouses were involved in more "hands-on" care and identified the marital relationship or their own physical abilities as sources of caregiver stress. Daughters were less involved in direct care, although overall levels of care remained comparable, and identified responsibilities outside the caregiving relationship as their primary source of stress. The significance of the caregiver's familial status in developing treatment strategies that address caregiver stress are examined.     

Alzheimer's Educational/Support Group:

Alzheimer's Disease is a neurological disorder that causes memory and cognitive impairment. The progression of the disease causes distress to the afflicted person and the caregiver. The interactional patterns of family members are severely altered as the disease progresses. An Educational/Support group was formed to assist families in learning more about the disease, community resources, and effective coping strategies. In addition it was an opportunity to share emotional reactions and develop a network with others experiencing a common issue. The findings suggest that awareness of family tasks, pre-planning, time-limited sessions and professional facilitation were important elements in releasing the supportive potcntial of the group members and increasing their adaptive capacities.     

Interplay between Friends' Aggression and Friendship Quality in the Development of Child Aggression during the Early School Years

The aim of this study was to investigate the unique and combined role of friendship quality and friends' aggression in regard to the persistence of young children's physical aggression from kindergarten to grade 2. The sample included 1555 children (808 girls) assessed annually using teacher ratings. Two theoretical perspectives (i.e., the social learning and the social bonding perspectives) served as frameworks to guide the analyses and interpret the results. In line with the social learning perspective, friends' aggression was related to a significant increase in children's physical aggression. However, in line with the social bonding perspective, good friendship quality played both a compensatory and a protective role, by, respectively, reducing children's initial level of physical aggression and by mitigating, albeit marginally, the associations between friends' and children's physical aggression. These results suggest that fostering a positive relationship between friends in the early school years may decrease physical aggression even if the friends are aggressive.     

Children's Disclosure and Secrecy: Links to Maternal Parenting Characteristics and Children's Coping Skills

The relations between maternal parenting characteristics, child disclosure and secrecy, and child outcomes (positive and negative strategies for coping with distress), were examined in a study of 140 children (10–12‐year‐olds) and their mothers. Child disclosure and secrecy were shown to be distinct but related constructs with authoritativeness predictive of disclosure and dispositional anger predictive of secrecy. These relations held even when child compliance was included as a control variable. Mothers' authoritative parenting predicted disclosure which in turn predicted children's use of positive coping strategies. Mothers' dispositional anger predicted secrecy which mediated the relation between maternal anger and children's use of negative coping strategies. Results are discussed in terms of parent–child communication and opportunities for mothers to use knowledge gained from child disclosure to teach children successful ways of dealing with distress.