{
  "abstract": "Background\n\nCaregiving burden and depressive symptoms are common among family caregivers of children and young people (CYP) with mental illness, but the interplay among psychosocial and coping resources are not well understood. This cross-sectional study aimed to assess the relationship between caregiving burden and depressive symptoms and the roles of social support, hope, and mastery in this relationship among Chinese family caregivers of CYP with mental illness.Methods\n\nTotally 333 Chinese family caregivers of CYP with mental illness were recruited, who completed the 12-item Zarit Burden Interview, the 9-item Patient Health Questionnaire, Oslo 3-item Social Support Scale, the Herth Hope Index, and the Pearlin Mastery Scale between September 2024 and February 2025. Descriptive analysis, correlation analysis, and the PROCESS Macro model 6 in regression analysis were applied.Results\n\nResults showed that 63.7% of participants reported caregiving burden and 48.0% reported moderate to severe depressive symptoms. Moreover, caregiving burden (r = 0.652, p < 0.001), social support (r = -0.392, p < 0.001), mastery (r = -0.500, p < 0.001), and hope (r = -0.507, p < 0.001) were related to depressive symptoms. Importantly, social support, hope, and mastery formed multiple indirect pathways between caregiving burden and depressive symptoms.Conclusion\n\nMental healthcare workers should be aware that majority of family caregivers experience caregiving burden and depressive symptoms, and that programs enhancing family caregivers' social support, hope, and mastery should be considered to support these family caregivers.",
  "abstract_shown": true,
  "affiliations": [
    "Xiangya School of Nursing, Central South University, 172 Tongzipo Road Yuelu District, Changsha, Hunan, 410013, China.",
    "Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China. haoyao@vip.163.com.",
    "Mind China, Shanghai, China.",
    "Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.",
    "Shenzhen East & West Social Work Service, Shenzhen, China.",
    "The Nueva School, 131 E 28th Ave, San Mateo, CA, 94403, USA.",
    "Department of Psychology, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, China.",
    "Department of Psychological Medicine, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.",
    "Shanghai Key Laboratory of Emotions and Affective Disorders, Shanghai Jiao Tong University School of Medicine, Shanghai, China."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 10,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Ziyao Guan"
    },
    {
      "affs": [
        1
      ],
      "name": "Hao Yao"
    },
    {
      "affs": [
        2
      ],
      "name": "Kunmei Li"
    },
    {
      "affs": [
        3
      ],
      "name": "Wanqi Sun"
    },
    {
      "affs": [
        4
      ],
      "name": "Yandan Peng"
    },
    {
      "affs": [
        5
      ],
      "name": "Jing Yang Catherine Chen"
    },
    {
      "affs": [
        3,
        6
      ],
      "name": "Enzhao Cong"
    },
    {
      "affs": [
        3,
        7,
        8
      ],
      "name": "Wenhong Cheng"
    },
    {
      "affs": [
        3
      ],
      "name": "Jianhua Chen"
    },
    {
      "affs": [
        3
      ],
      "name": "Yifeng Xu"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/bw093nxx84k9k.bib",
  "cited_by": 0,
  "doi": "10.1186/s12888-026-08493-0",
  "fulltext_url": "https://europepmc.org/articles/PMC13721497",
  "id": "bw093nxx84k9k",
  "issns": [
    "1471-244X"
  ],
  "landing_url": "https://europepmc.org/article/MED/42958140",
  "language": "eng",
  "licence": "CC-BY-NC-ND",
  "licence_label": "CC BY-NC-ND",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Research"
    ],
    [
      "openalex",
      "3203|Family Caregiving in Mental Illness"
    ]
  ],
  "openalex": "W7172283772",
  "pdf_url": "https://europepmc.org/articles/PMC13721497?pdf=render",
  "pmcid": "PMC13721497",
  "pmid": "42958140",
  "published": "2026-08-03",
  "publisher": "BMC",
  "ris": "https://research.draconitic.com/paper/bw093nxx84k9k.ris",
  "sources": [
    {
      "first_seen": "2026-10-31T12:21:29Z",
      "native_id": "MED:42958140",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42958140"
    },
    {
      "first_seen": "2026-11-03T12:22:11Z",
      "native_id": "PMC13721497",
      "source": "pmc",
      "url": "https://doi.org/10.1186/s12888-026-08493-0"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:3203|Family Caregiving in Mental Illness",
      "subfield": "psychiatry"
    }
  ],
  "title": "Associations among caregiving burden, social support, hope, mastery, and depressive symptoms in family caregivers of children and young people with mental illness: a chain mediation analysis.",
  "title_text": "Associations among caregiving burden, social support, hope, mastery, and depressive symptoms in family caregivers of children and young people with mental illness: a chain mediation analysis.",
  "type": "peer-reviewed",
  "updated_at": "2026-11-03T12:22:11Z",
  "url": "https://research.draconitic.com/paper/bw093nxx84k9k",
  "venue": "BMC psychiatry",
  "versions": []
}