ArticleFrontiers in psychology2026
Psychological resilience as a mediator between caring attitudes and abuse risk in Chinese dementia family caregivers: a cross-sectional study.
Article in Frontiers in psychology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Family caregivers of people with dementia face an elevated risk of abusive behaviors. However, the psychological association linking caring attitudes to abuse risk-specifically the indirect role of resilience-remains underexplored in non-Western contexts. This cross-sectional study examined whether psychological resilience shows an indirect association in this relationship among Chinese dementia family caregivers. Method: This cross-sectional study recruited 133 family caregivers from a dementia research center in central China (June 2023-May 2024). Participants completed measures of resilience, caring attitudes, and abuse risk. Data were analyzed using correlations, binomial logistic regression, and mediation analysis (PROCESS Macro, Model 4; 5,000 bootstrap samples). Results: 66.2% of caregivers screened positive for abuse risk. More positive caring attitudes and higher resilience were each significantly correlated with lower abuse risk ( Conclusion: Psychological resilience shows a significant partial and differential indirect association between caring attitudes and abuse risk. These findings suggest a dual-focus intervention-addressing acute distress while building resilience-as a hypothesis-generating strategy for abuse prevention in China's filial-piety-based dementia care.
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