The relationship between psychological resilience and caregiver burden among caregivers of patients with bipolar disorder: the mediating role of coping styles
Abstract Background Bipolar disorder (BD) causes ongoing stress for family caregivers due to its recurring nature. Resilience can reduce stress but may also lead to excessive coping efforts, causing chronic strain. Coping styles, reflecting resilience, can both mitigate immediate stress and worsen l...
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BMC
2025-08-01
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| Online Access: | https://doi.org/10.1186/s12912-025-03693-7 |
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| author | Yanfang Liu Chunhua Sun Yue Sun Zao Zeng Yuan Hu Cong Shu Xiaofen Li Zhiying Wan |
| author_facet | Yanfang Liu Chunhua Sun Yue Sun Zao Zeng Yuan Hu Cong Shu Xiaofen Li Zhiying Wan |
| author_sort | Yanfang Liu |
| collection | DOAJ |
| description | Abstract Background Bipolar disorder (BD) causes ongoing stress for family caregivers due to its recurring nature. Resilience can reduce stress but may also lead to excessive coping efforts, causing chronic strain. Coping styles, reflecting resilience, can both mitigate immediate stress and worsen long-term fatigue. Current research overlooks how BD-specific factors like aggression influence the “resilience-coping-burden” relationship. This study examines how coping styles mediate these effects to guide targeted interventions. Methods A cross-sectional and descriptive study was conducted among 176 family caregivers of hospitalized bipolar disorder patients from Renmin Hospital of Wuhan University in China using a random sampling method. Data were collected through validated scales, including the Connor-Davidson Resilience Scale, Simplified Coping Style Questionnaire, and Zarit Burden Interview. Analysis involved SPSS and PROCESS Model 4 to assess mediation effects. Results The study revealed that psychological resilience positively influenced coping styles (β = 0.223) and negatively influenced caregiver burden (β=-0.189). However, coping styles were positively associated with caregiver burden (β = 0.351), demonstrating a mediating effect. The total effect of psychological resilience on caregiver burden, mediated by coping styles, was − 0.110. Conclusions Psychological resilience exerts dual effects on burden through coping styles - directly reducing burden while potentially increasing chronic stress via excessive active coping. Clinical interventions should integrate resilience enhancement with adaptive coping strategies. Trial registration Clinical trial number: not applicable. |
| format | Article |
| id | doaj-art-ab50fd1355dc4f14a04f27ecb7f5ce6e |
| institution | Kabale University |
| issn | 1472-6955 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | BMC |
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| series | BMC Nursing |
| spelling | doaj-art-ab50fd1355dc4f14a04f27ecb7f5ce6e2025-08-20T03:42:35ZengBMCBMC Nursing1472-69552025-08-0124111010.1186/s12912-025-03693-7The relationship between psychological resilience and caregiver burden among caregivers of patients with bipolar disorder: the mediating role of coping stylesYanfang Liu0Chunhua Sun1Yue Sun2Zao Zeng3Yuan Hu4Cong Shu5Xiaofen Li6Zhiying Wan7Department of Psychiatry,Renmin Hospital of Wuhan UniversityDepartment of Psychiatry,Renmin Hospital of Wuhan UniversityDepartment of Psychiatry,Renmin Hospital of Wuhan UniversityDepartment of Psychiatry,Renmin Hospital of Wuhan UniversityDepartment of Psychiatry,Renmin Hospital of Wuhan UniversityDepartment of Psychiatry,Renmin Hospital of Wuhan UniversityDepartment of Psychiatry,Renmin Hospital of Wuhan UniversityDepartment of Psychiatry,Renmin Hospital of Wuhan UniversityAbstract Background Bipolar disorder (BD) causes ongoing stress for family caregivers due to its recurring nature. Resilience can reduce stress but may also lead to excessive coping efforts, causing chronic strain. Coping styles, reflecting resilience, can both mitigate immediate stress and worsen long-term fatigue. Current research overlooks how BD-specific factors like aggression influence the “resilience-coping-burden” relationship. This study examines how coping styles mediate these effects to guide targeted interventions. Methods A cross-sectional and descriptive study was conducted among 176 family caregivers of hospitalized bipolar disorder patients from Renmin Hospital of Wuhan University in China using a random sampling method. Data were collected through validated scales, including the Connor-Davidson Resilience Scale, Simplified Coping Style Questionnaire, and Zarit Burden Interview. Analysis involved SPSS and PROCESS Model 4 to assess mediation effects. Results The study revealed that psychological resilience positively influenced coping styles (β = 0.223) and negatively influenced caregiver burden (β=-0.189). However, coping styles were positively associated with caregiver burden (β = 0.351), demonstrating a mediating effect. The total effect of psychological resilience on caregiver burden, mediated by coping styles, was − 0.110. Conclusions Psychological resilience exerts dual effects on burden through coping styles - directly reducing burden while potentially increasing chronic stress via excessive active coping. Clinical interventions should integrate resilience enhancement with adaptive coping strategies. Trial registration Clinical trial number: not applicable.https://doi.org/10.1186/s12912-025-03693-7Bipolar disorderPsychological resilienceCaregiver burdenCoping behaviorCaregivers |
| spellingShingle | Yanfang Liu Chunhua Sun Yue Sun Zao Zeng Yuan Hu Cong Shu Xiaofen Li Zhiying Wan The relationship between psychological resilience and caregiver burden among caregivers of patients with bipolar disorder: the mediating role of coping styles BMC Nursing Bipolar disorder Psychological resilience Caregiver burden Coping behavior Caregivers |
| title | The relationship between psychological resilience and caregiver burden among caregivers of patients with bipolar disorder: the mediating role of coping styles |
| title_full | The relationship between psychological resilience and caregiver burden among caregivers of patients with bipolar disorder: the mediating role of coping styles |
| title_fullStr | The relationship between psychological resilience and caregiver burden among caregivers of patients with bipolar disorder: the mediating role of coping styles |
| title_full_unstemmed | The relationship between psychological resilience and caregiver burden among caregivers of patients with bipolar disorder: the mediating role of coping styles |
| title_short | The relationship between psychological resilience and caregiver burden among caregivers of patients with bipolar disorder: the mediating role of coping styles |
| title_sort | relationship between psychological resilience and caregiver burden among caregivers of patients with bipolar disorder the mediating role of coping styles |
| topic | Bipolar disorder Psychological resilience Caregiver burden Coping behavior Caregivers |
| url | https://doi.org/10.1186/s12912-025-03693-7 |
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