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41/100

✓ Peer-reviewed alzhub usefulness score 41 out of 100. Caregiving

Topic: Risk, prevention and care in population studies

The model showed excellent fit. Caregiver burden had a significant direct effect on anxiety (59.1% of the total effect), while indirect effects accounted for 40.9%. Cognitive fusion was the only significant mediator between caregiver burden and anxiety, accounting for 20.8% of the total effect. Additionally, experiential avoidance - both alone and when preceded by cognitive fusion - significantly mediated the relationship between caregiver burden and reduced engagement in values-driven actions. These findings highlight cognitive fusion as a key mechanism linking caregiver burden to anxiety. Furthermore, both cognitive fusion followed by experiential avoidance and experiential avoidance alone appear to influence the relationship between caregiver burden and values-driven actions. Clinicians may consider implementing skills training targeting cognitive fusion and experiential avoidance to mitigate the negative impact of caregiver burden on anxiety and values-driven actions.

Cite this study APA, Vancouver, BibTeX · download .bib or .ris

APA 7th

Han, A., Lee, H. K., & Hong, I. (2025). Relationships Among Caregiver Burden, Psychological Flexibility Processes, and Anxiety in Family Caregivers of People with Dementia. Clinical Gerontologist. https://doi.org/10.1080/07317115.2025.2464868

Vancouver

Han A, Lee HK, Hong I. Relationships Among Caregiver Burden, Psychological Flexibility Processes, and Anxiety in Family Caregivers of People with Dementia. Clinical Gerontologist. 2025. doi:10.1080/07317115.2025.2464868. PMID: 39924726.

BibTeX

@article{han2025-39924726,
  author  = {Han, Areum and Lee, Ho Kyung and Hong, Ickpyo},
  title   = {{Relationships Among Caregiver Burden, Psychological Flexibility Processes, and Anxiety in Family Caregivers of People with Dementia}},
  journal = {Clinical Gerontologist},
  year    = {2025},
  doi     = {10.1080/07317115.2025.2464868},
  pmid    = {39924726},
  url     = {https://doi.org/10.1080/07317115.2025.2464868}
}

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Key findings

Caregiver burden had a significant direct effect on anxiety (59.1% of the total effect), while indirect effects accounted for 40.9%.
Cognitive fusion was the only significant mediator between caregiver burden and anxiety, accounting for 20.8% of the total effect.
Additionally, experiential avoidance - both alone and when preceded by cognitive fusion - significantly mediated the relationship between caregiver burden and reduced engagement in values-driven actions.
These findings highlight cognitive fusion as a key mechanism linking caregiver burden to anxiety.
Furthermore, both cognitive fusion followed by experiential avoidance and experiential avoidance alone appear to influence the relationship between caregiver burden and values-driven actions.

Why it matters

This cross-sectional study found that caregiver burden had a significant direct effect on anxiety, with cognitive fusion as the only significant mediator, and that experiential avoidance mediated the relationship between burden and reduced values-driven actions. The authors suggest skills training targeting cognitive fusion and experiential avoidance, but the study does not address treating, curing, or preventing Alzheimer's disease.

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Study details

Study designcross-sectional
Effect size59.1%; or 40.9; or 20.8
Evidence strengthLow

How this study scored 41/100

Published in a peer-reviewed journal, and it is a snapshot of people at one point in time. Scored zero for sample size, studied in people and randomised / blinded because the record does not state it.

Component	Points	Why
Journal tier	7 / 10	Tier 3 — peer-reviewed journal (Clinical Gerontologist)
Journal's citation record	0 / 4	Clinical Gerontologist: journal h-index 66 (OpenAlex, 2026-10-29)
Study design	4 / 12	A snapshot of people at one point in time
Strength of evidence	1 / 5	Rated “low” in our summary
Peer-review validation	10 / 10	Peer-reviewed. Published as an article in a named peer-reviewed journal.
How recent	4 / 5	2025 — within 3 year(s) of the newest study here
Sample size	0 / 4	Participant count not stated — scores zero (not stated in the record — scored 0)
Effect reported	2 / 3	Effect reported as a number, without an interval or test
Studied in people	0 / 3	Not stated whether this was studied in people — scores zero (not stated in the record — scored 0)
Randomised / blinded	0 / 2	No randomisation or blinding stated — scores zero (not stated in the record — scored 0)
Times cited	1 / 7	Cited 4 times (OpenAlex, 2026-10-10)
Citations per year	1 / 5	1.3 citations a year over 3 year(s) since 2025
Impact for its field and year	3 / 6	Cited 4.7× the average for papers of its field and year (OpenAlex FWCI)
Cited by studies here	0 / 6	No other study in this library cites it
Still being cited	1 / 4	Cited 4 times in 2024–2026 (2026 still in progress; OpenAlex)
Senior author's track record	1 / 4	Last-listed author Ickpyo Hong: h-index 15 (OpenAlex, whole career)
Institution's track record	1 / 3	University of Alabama at Birmingham: institution h-index 1,118 (OpenAlex)
Multi-centre collaboration	1 / 3	OpenAlex lists 3 institution(s) in 2 countries
Indexed in PubMed	2 / 2	Indexed in PubMed (PMID 39924726)
Free to read	2 / 2	Free to read
Total	41 / 100	—

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