The Impact of Perceived Stress on Depression Among Caregivers of Children With Enterostomy: The Moderating and Mediating Effects of Resilience and Perceived Social Support.
Bo-Ning Zhang, Xiang-Tong Liu, Qin Yang and 2 others
PMID 41499322WHAT IT FOUND
Caregivers of children with temporary stomas who felt more stress also reported more depression symptoms.
Resilience was linked to part of this connection. Social support was linked to lower depression, but the study cannot show cause.
Key findings
01Caregivers who reported more stress also reported more depressive symptoms; the paper reports an association strength of 0.450.
02Resilience was associated with part of the stress-depression link; the paper reports resilience accounted for 47.20% of the total effect.
03Resilience was more strongly linked to lower depression when caregivers reported low social support than when they reported high social support.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Only associations were measured at one time, so stress, resilience, support, and depression cannot be ordered as causes. Caregivers were recruited by convenience sampling from one hospital in Beijing, and 74.2% were mothers, 64.0% urban, and 68.4% had completed at least a college education, so results may not apply broadly. All outcomes were self-reported, so social desirability or recall bias may affect scores. The social support interaction was a small effect and the study had less power to detect it (power 0.67). No intervention was tested, so it cannot show that building resilience or support would improve outcomes.
Declared interests
The authors reported no conflicts of interest and no funding to report.
The easy way to misread this
Do not conclude that resilience or social support programmes will reduce caregiver depression. This was a cross-sectional survey of self-reported associations, not a test of any intervention.