Page 28 - JCBP-1-2
P. 28

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



            personal growth, and health behaviors . By improving   avoidance of negativity, or other emotional states, they
                                            [31]
            the sense of benefit, caregivers can boost their confidence   can be guided to manage and express emotions, accept the
            in coping with the challenges posed by diseases, leading to   negative impact of stressful events, and then help them
            the experience of positive emotions. Furthermore, it can   build a meaningful life and enhance their ability to cope
            foster the development of beneficial psychological qualities,   with pressure. Research shows that family empowerment
            empowering caregivers to better manage emergencies and   interventions are effective measures to enhance caregivers’
            expedite their recovery and adaptation processes.  self-efficacy . Motivational interviews can also improve
                                                                        [36]
              Therefore, in the intervention for child caregivers, we   the self-efficacy level of caregivers of children, reduce
            can help them recognize the protective factors of care   their anxiety level, and effectively alleviate the disease of
                                                               children . Furthermore, enabling health education can
                                                                      [37]
            burden and the resources brought about by traumatic
            events by combing the advantageous perspective to enhance   effectively alleviate caregivers’ negative psychological state
            their sense of benefit and reduce their care burden. First of   through positive evaluation and empowerment, improve
            all, we should evaluate the benefit of caregivers in coping   their self-efficacy level, enable them to understand their
                                                               own health, and foster a positive attitude in patients .
                                                                                                        [38]
            with stressful events in a timely and effective manner.
            According to their level of disease benefit, personalized   5.3. Strengthen family support and share caregiver
            intervention measures should be provided to improve their   pressure
            level of disease benefit. Second, caregivers can be guided to
            reflect positively on the disease and the caregiving process   Studies have shown that many important physical,
            and attach importance to cognitive reconstruction. For   psychological, social, and economic problems are closely
            example, caregivers can be guided to identify the positive   related to family  dysfunction and  family relationship
                                                                        [39]
            aspects of the disease, attach importance to the meaning   breakdown . The results of the present study reveal that
            of  surrounding  life  and feeling,  and  effectively use their   caregivers’ caring pressure primarily originates from their
                                                               worries about the children and the family’s future. Caregivers
            resources to promote the improvement of the caregiver’s
            sense of benefit from the disease. Many studies have   with low care burdens often receive enough support from
            demonstrated that psychological interventions such   the  family,  thereby  reducing  the  caregiver’s  caring  load.
                                                   [33]
            as cognitive-behavioral management , yoga , and    The survey indicates that the caring pressure on a single
                                           [32]
            mindfulness-based cognitive therapy  can effectively   caregiver is often higher than that on multiple caregivers
                                           [34]
                                                               because multiple caregivers can effectively share the pressure
            improve individuals’ sense of benefit from disease.
                                                               of caregiving, providing support in terms of economy, time,
            5.2. Strengthen self-efficacy and enhance the sense   and energy, among other supports. On the other hand, older
            of psychological control                           caregivers experience higher caring pressure than younger
                                                               caregivers, mainly because younger caregivers can share the
            The results of the present study demonstrate that the sense   caring pressure with the help of other family members. In
            of psychological control, as a positive psychological quality,   contrast, older caregivers tend to be single caregivers.
            reflects the individual’s ability to maintain self-control and
            represents good psychological resilience. As a consequence,   Therefore,  the  family  support  system  for  family
            it can effectively reduce the caregiver’s care burden. When   caregivers plays an important role in reducing the stress
            caregivers possess a sense of positive psychological control,   of caregiving. The family support system can support the
            it helps them establish good self-cognition and self-  family in carrying out normal activities and help them
            evaluation, encouraging individuals to take positive coping   self-regulate to adapt to external environment changes and
            measures to address stressful events . On the other hand,   internal conflicts. Medical social workers can help clients
                                        [35]
            the presence of a negative sense of psychological control   make reasonable use of the family support system, evaluate
            in caregivers indicates feelings of powerlessness and   the cooperative relationship among family members, and
            meaninglessness, which leads the individual to employ   strengthen the division of labor and cooperation among
            negative coping measures when faced with stressful events.  family members. For families with weak family support,
                                                               strengthening social support can be beneficial.
              Therefore, attention should be paid to helping caregivers
            identify and make use of their existing or potential   Acknowledgments
            internal and external resources, strengthen self-efficacy,
            give full play to their own subjective initiative, strengthen   None.
            caregivers’  positive  psychological  control,  and  enhance   Funding
            individuals’ ability to control themselves and cope with
            stressful events.  If caregiver has  a  sense  of helplessness,   None.


            Volume 1 Issue 2 (2023)                         9                        https://doi.org/10.36922/jcbp.1041
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