{"doi":"10.1016/j.inpsyc.2025.100158","title":"Social support, self-efficacy, and distress on health-related quality of life in Chinese dementia caregivers: A serial multiple mediation analysis","abstract":null,"journal":"International Psychogeriatrics","year":2026,"id":629329,"datarank":0.20794415416798362,"base_score":1.3862943611198906,"endowment":1.3862943611198906,"self_citation_contribution":0.20794415416798362,"citation_network_contribution":0.0,"self_endowment_contribution":0.20794415416798362,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":3,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1629756,"name":"Lily Xiao","orcid":"0000-0002-4631-2443","position":1,"is_corresponding":false},{"id":576970,"name":"Yao Wang","orcid":"0000-0003-3199-3802","position":2,"is_corresponding":false},{"id":461809,"name":"Jing Wang","orcid":"0000-0002-2670-719X","position":3,"is_corresponding":false},{"id":291338,"name":"Huali Wang","orcid":"0000-0002-3213-6493","position":4,"is_corresponding":false},{"id":1211902,"name":"Chia-Chi Chang","orcid":"0009-0003-8726-6302","position":5,"is_corresponding":false},{"id":242506,"name":"Timothy Kwok","orcid":"0000-0001-9253-3549","position":6,"is_corresponding":false},{"id":1629757,"name":"Mingxia Zhu","orcid":null,"position":7,"is_corresponding":false},{"id":1280729,"name":"Shahid Ullah","orcid":"0000-0003-0010-2640","position":8,"is_corresponding":false},{"id":1629758,"name":"Julie Ratcliffe","orcid":"0000-0001-7365-1988","position":9,"is_corresponding":false},{"id":226596,"name":"Henry Brodaty","orcid":"0000-0001-9487-6617","position":10,"is_corresponding":false},{"id":1629759,"name":"Bianca Brijnath","orcid":"0000-0002-0536-6859","position":11,"is_corresponding":false},{"id":1629761,"name":"Hui-Chen (Rita) Chang","orcid":null,"position":12,"is_corresponding":false},{"id":1629762,"name":"Bel Wong","orcid":null,"position":13,"is_corresponding":false},{"id":1629764,"name":"Yunrui Zhou","orcid":null,"position":14,"is_corresponding":false},{"id":1629765,"name":"Jinjie He","orcid":null,"position":15,"is_corresponding":false},{"id":1629767,"name":"Mengmeng Xia","orcid":null,"position":16,"is_corresponding":false},{"id":1629768,"name":"Jhih-Yang Hong","orcid":null,"position":17,"is_corresponding":false},{"id":1629769,"name":"Shirley Che","orcid":"0000-0002-5580-2815","position":18,"is_corresponding":false},{"id":1629755,"name":"Xiajun Guo","orcid":null,"position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"Social support, self-efficacy, and distress on health-related quality of life in Chinese dementia caregivers: A serial multiple mediation analysis","abstract":"BACKGROUND: Little is known about the psychosocial pathways linking social support to health-related quality of life (HRQoL) in family caregivers of people with dementia (PwD). This study aimed to explore how self-efficacy and caregiver distress mediate the relationship between social support and caregivers' HRQoL. METHODS: This study utilized baseline data from a randomized controlled trial involving 266 Chinese dementia caregivers recruited from China and Australia. Four self-report scales were used: the Chinese version of the Carers of Older People in Europe Index-Quality of Social Support, the Revised Scale for Caregiving Self-efficacy, the Revised Memory and Behavior Problem Checklist and the 12-Item Short-Form Health Survey. Structural equation modeling was conducted using AMOS 26.0 to examine the mediating roles of self-efficacy and caregiver distress in mediating the relationship between social support and HRQoL. RESULTS: Social support was significantly associated with HRQoL. It also indirectly predicted physical HRQoL through caregiving self-efficacy (β = 0.062) and caregiver distress (β = 0.070), accounting for 38.88 % of the total effect. Besides, social support indirectly predicted mental HRQoL through self-efficacy (β = 0.182) and caregiver distress (β = 0.041), contributing to 58.1 % of the total effect. Self-efficacy and caregiver distress functioned as sequential mediators in this association. CONCLUSION: Social support was positively associated with HRQoL, both directly and indirectly, through the serial mediating role of self-efficacy and caregiver distress among family caregivers of PwD. Our findings highlight the importance of providing psychosocial interventions to improve HRQoLfor dementia caregivers.","is_dataset_classified":null,"base_score":1.3862943611198906,"endowment":1.3862943611198906,"datacite_reuse_total":0,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"41130900","pmcid":null,"openalex_id":"https://openalex.org/W4415454654","authors":[],"funders":[{"funder_name":"China Medical Board","grant_id":"19-344","title":null},{"funder_name":"National Foundation for Australia-China Relations","grant_id":"","title":null}],"total_grants":2,"fwci":2.4244,"citation_percentile":0.90034301,"influential_citations":0,"citation_trend":[{"year":2026,"count":3}],"oa_status":"gold","license":"cc-by","oa_locations":[{"url":"https://www.intpsychogeriatrics.org/article/S1041-6102(25)00396-5/pdf","host_type":"journal"},{"url":"https://www.intpsychogeriatrics.org/article/S1041-6102(25)00396-5/pdf","host_type":"publisher"},{"url":"https://api.elsevier.com/content/article/PII:S1041610225003965?httpAccept=text/xml","host_type":"publisher"},{"url":"https://api.elsevier.com/content/article/PII:S1041610225003965?httpAccept=text/plain","host_type":"publisher"},{"url":"https://doi.org/10.1016/j.inpsyc.2025.100158","host_type":"journal"},{"url":"https://pubmed.ncbi.nlm.nih.gov/41130900","host_type":"repository"},{"url":"https://doaj.org/article/f8b4f02be4434816a1123a8250e89604","host_type":"repository"}],"fields_of_study":["Dementia and Cognitive Impairment Research","Family Caregiving in Mental Illness","Intergenerational Family Dynamics and Caregiving","Humans","Self Efficacy","Social Support","Quality of Life","Caregivers","Dementia","Female","Male","Aged","China","Middle Aged","Mediation Analysis","Stress, Psychological","Aged, 80 and over","Australia","Psychological Distress","Surveys and Questionnaires"],"mesh_terms":["Psychological Distress","Mediation Analysis","Aged","Aged, 80 and over","Australia","China","Dementia","Female","Humans","Male","Middle Aged","Quality of Life","Surveys and Questionnaires","Social Support","Stress, Psychological","Caregivers","Self Efficacy"],"keywords":["Dementia","Distress","Psychosocial","Mediation","Psychological intervention","Quality of life (healthcare)","Quality of life","Social Support","Caregivers","Self-efficacy"],"sdg_mappings":[],"linked_datasets":[],"clinical_trials":[],"software_tools":[],"database_accessions":[],"source":"live","citation_network_status":"fetched"},"created_at":"2026-08-05T18:07:28.715294Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}