Page 27 - JCBP-1-2

Journal of Clinical and
Basic Psychosomatics Psychological control, sense of benefit, and burden on caregivers

significant impact on the care burden. Caregivers with own primary evaluation, secondary evaluation, and
higher monthly family income tend to have a lower re-evaluation, allowing individuals to maintain a balanced
caring load level, while those with lower monthly mentality and positive coping style in the aftermath of the
family income feel a higher care burden . In the sense crisis. The cognitive regulation theory of stress highlights
[25]
of psychological control, a negative relationship was the importance of various factors, which include self-
observed between the sense of psychological control resources, status attribution, cognitive evaluation, and
and the care burden, indicating that a higher sense coping strategies, in affecting the adaptive outcome of
[30]
of psychological control is associated with a lower individuals . Moreover, cognitive evaluation and coping
care burden. The sense of benefit also demonstrated processes are regarded as important mediating factors
a significant negative relationship with the care affecting the outcome of stressful events.
burden . This implies that higher levels of the sense Based on the cognitive regulation theory of stress
[26]
of benefit are linked to lower levels of care burden . and the results of the present study, it becomes evident
[27]
(iv). The functional mechanisms of the sense of psychological that enhancing caregivers’ beneficial and controllability
control, the sense of benefit, and the burden of care evaluations regarding stressful events can effectively
are as follows: The sense of benefit reduces the level reduce their care burden and boost their confidence in
of the care burden while promoting the sense of facing diseases and stressful events. Therefore, the present
psychological control. In other words, the sense of study focuses on examining the characteristics of children
benefit plays a partial mediating role between the sense with congenital bone malformations and their caregivers.
of psychological control and the care burden . Focusing on the influence of the sense of psychological
[28]
The findings of the present study show that in addition to control and the sense of benefit on the care burden, an
negative emotions, negative psychology, and care burden, intervention model based on the stress coping regulation
caregivers of children with congenital bone malformations theory was initially constructed, as shown in Figure 3.
can also find a sense of benefit from stressful events in
the process of caring, thus strengthening the sense of 5.1. Change the cognitive perspective and improve
psychological control over stressful events, enhancing the sense of disease benefit
their ability to face difficulties, and producing positive At present, most studies on caregivers, both at home and
cognitive evaluation and coping styles. In summary, stress abroad, focus on measuring negative psychological emotions
levels can be reduced by changing perspectives on stress and stress assessment, among other factors. However, an
and strengthening self-efficacy. excessive emphasis on negative psychological emotions

5. Research recommendations may lead caregivers to become overly fixated on negative
psychological attitudes, ultimately aggravating the harm of
The stress and coping theory was proposed by Lazarus these negative psychological emotions on their well-being.
and Folkman in the 1980s . According to this theory, Compared with negative emotions, sense of benefit can lead
[29]
after coping with a shock event, individuals will generally caregivers to focus on the positive attitudes behind negative
make relative responses to the crisis event through their events, such as family relationships, social relationships,

Intervention A sense of Intervention
entry point Primary benefit goal
evaluation
Cognitive Take care of
appraisal Second Psychological the burden
evaluation control
Stress events
Intervention study

• Change the cognitive perspective and enhance the
sense of disease benefit
• Strengthen the self-efficacy, enhance the sense of
psychological control
• Strengthen family support and share caregiver stress
Figure 3. Intervention mode.

Volume 1 Issue 2 (2023) 8 https://doi.org/10.36922/jcbp.1041