Page 66 - IJPS-8-1

International Journal of
Population Studies Intergenerational relationships and caregiving burden

(Aung, Aung, Moolphate, et al., 2021; Tramonti, Barsanti, for this systematic review. The PRISMA statement
Ghicopulos, et al., 2013; Ugargol and Bailey, 2018), published in 2009 is a reporting guideline designed to
which may lead to emotional distress (Clyburn, Stones, help systematic reviewers transparently report why the
Hadjistavropoulos, et al., 2000), poor health, and decreased review was done, what the authors did, and what they
quality of life (Iecovich, 2008). found (Moher, Liberati, Tetzlaff, et al., 2009). Over the past

Researchers have recently shown great interest in how decade, advances in systematic review methodology and
the relationship between caregivers and care recipients terminology have necessitated an update to the guideline.
influences family caregivers’ burden. However, most The PRISMA 2020 statement replaces the 2009 statement
studies have focused on spousal caregivers (Liu and Lou, and includes new reporting guidance that reflects advances
2019; Swinkels, Broese van Groenou, de Boer, et al., 2019; in methods to identify, select, appraise, and synthesize
Wagner and Brandt, 2018), whereas fewer studies have studies.
focused on adult-child caregivers and the impacts of A series of literature searches were conducted in June
intergenerational relationships on caregiver burden. 2022 using PsycINFO, Web of Science, and Scopus to
Despite the growing interest in this area, review investigate papers that met our inclusion criteria. Our
studies are sparse. Solomon et al. (2015) reviewed how search terms were [“caregiver” OR “caregiving” OR “carer”
the relationship quality affects the well-being of mother- OR “support provider” OR “caring”] AND [“elder” OR
daughter care dyads. When the relationship quality is “elderly” OR “old age” OR “older” OR “aged” OR “geriatric”
positive, mother-daughter dyads enjoy rewards and OR “aging” OR “seniors”] AND [“burden”] AND
mutuality. When the relationship quality is ambivalent or [“filial” OR “intergenerational” OR “trans-generational”
negative, burden, conflicts, and blames conspire, creating OR “multi-generational” OR “inter-generational” OR
a destructive cycle. A recent systematic review and meta- “child-parent” OR “parent-child”] in either [TITLE] or
analysis paper focused on the relationship between filial [ABSTRACT]. The database search limiters involved being
piety and caregiving burden among adult children (Pan, written in English and published between 2012 and 2022.
Chen, and Yang, 2022). Filial piety is a key Chinese culture 2.2. Inclusion and exclusion criteria
value that determines children’s attitudes and behaviors
toward their parents (Dong, Zhang, and Simon, 2014), Articles were required to meet the following inclusion
and older Chinese tend to have a strong perception of filial criteria: (a) Adult-child caregivers of older adults aged 60
piety, which prescribes that adult children should take the and over were the study population; (b) intergenerational
responsibility of caring for them at home (Tang, Wu, Yeung, relationships within the adult-child caregiver-care recipient
et al., 2009). Filial piety greatly influences people’s behaviors dyads and caregiver burden comprised the focus of the
as well as intergenerational relationships (Kim, Kim, and study; and (c) original quantitative studies were included,
Hurh, 1991). Pan et al. (2022) concluded that stronger but we removed qualitative studies, randomized controlled
filial piety may lessen caregiver burden after analyzing 12 trials, case–control studies, systematic reviews, and meta-
studies. Existing literature indicated that intergenerational analyses. That is because the purpose of this systematic
relationships are related to caregiver burden, unfortunately, review is to clarify (1) the operationalization of caregiver
no review studies are available to provide a systematic burden and intergenerational relationships used in this
and comprehensive review of the empirical studies about field and (2) the effect of intergenerational relationships
the effect of intergenerational relationships on caregiver on caregiving burden among adult children. For this
burden. Therefore, the purpose of this systematic review is purpose, compared to other research designs, quantitative
to clarify (1) the operationalization of caregiver burden and studies can help us get a more specific understanding of the
intergenerational relationships used in this field and (2) operationalization and specific relationship.
the effect of intergenerational relationships on caregiving
burden among adult children. A clearer understanding The results of the systematic search are shown in the
of this relationship may help validate theories and guide PRISMA flow diagram (Moher, Liberati, Tetzlaff, et al.,
future studies in this field. 2009; Page, McKenzie, Bossuyt, et al., 2021) (Figure 1). We
identified a total of 724 records in the initial search, and
2. Methods three additional articles were added through citations and
references from retrieved publications and researchers’
2.1. Search strategy knowledge. After removing 151 duplicates and 513
The Preferred Reporting Items for Systematic Reviews irrelevant records through the title and abstract screening,
and Meta-Analyses (PRISMA) 2020 statement (Page, 63 articles were retained for full-text sorting. Fifty-five full-
McKenzie, Bossuyt, et al., 2021) serves as the framework text articles were excluded for the following reasons: (a) Two

Volume 8 Issue 1 (2022) 60 https://doi.org/10.36922/ijps.v8i1.1320