Family carers of people with dementia in Japan, Spain, and the UK: A cross-cultural comparison of the relationships between experiential avoidance, cognitive fusion, and carer depression

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Kishita, Naoko ORCID: https://orcid.org/0000-0001-8453-2714, Morimoto, Hiroshi, Márquez-González, María, Barrera-Caballero, Samara, Vara-García, Carlos, Van Hout, Elien ORCID: https://orcid.org/0000-0002-2956-7575, Contreras, Milena and Losada-Baltar, Andrés (2023) Family carers of people with dementia in Japan, Spain, and the UK: A cross-cultural comparison of the relationships between experiential avoidance, cognitive fusion, and carer depression. Journal of Geriatric Psychiatry and Neurology, 36 (3). pp. 254-264. ISSN 0891-9887

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Abstract

This study investigated whether the relationship between experiential avoidance and carer depression is mediated by cognitive fusion using path analysis and whether this model differs between family carers from Japan, Spain, and the UK using multi-group path analysis. The whole sample model (N=745) showed a good fit to the data. The direct effect of experiential avoidance on carer depression (β=.10) and its indirect effect on carer depression through cognitive fusion (β=.15) were significant. Examined variables accounted for 45% of the variance of depression. Multi-group path analysis confirmed the same pattern of indirect path across three countries, while the direct path was no longer significant in Spanish and UK samples. These findings suggest that targeting cognitive fusion may be particularly critical in culturally diverse carers and pre-emptive efforts to reduce experiential avoidance using psychological techniques may be beneficial among family carers prone to cognitive fusion regardless of cultural differences.

Item Type: Article
Additional Information: Funding information: This work was supported by the Japan Society for the Promotion of Science [grant number 21K03094]; the Institute for Psychological Research, Meiji Gakuin University [grant number 2021S003]; the Spanish Ministry of Science and Innovation [grants PID2019-106714RB-C21 and PID2019-106714RB-C22]; Samara Barrera-Caballero was supported by an FPU grant FPU17/02548 from the Spanish Ministry of Education; and the National Institute for Health and Care Research (NIHR) under its Research for Patient Benefit (RfPB) Programme [Grant Reference Number PB-PG-0418-20001].
Uncontrolled Keywords: acceptance and commitment therapy,alzheimer's disease,caregivers,cultural-comparison,depression,clinical neurology,geriatrics and gerontology,psychiatry and mental health ,/dk/atira/pure/subjectarea/asjc/2700/2728
Faculty \ School: Faculty of Medicine and Health Sciences > School of Health Sciences
UEA Research Groups: Faculty of Medicine and Health Sciences > Research Groups > Dementia & Complexity in Later Life
Faculty of Medicine and Health Sciences > Research Centres > Lifespan Health
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Depositing User: LivePure Connector
Date Deposited: 13 Sep 2022 10:30
Last Modified: 19 Oct 2023 03:25
URI: https://ueaeprints.uea.ac.uk/id/eprint/88214
DOI: 10.1177/08919887221130269

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