{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T23:18:24Z","timestamp":1783639104679,"version":"3.55.0"},"reference-count":50,"publisher":"Springer Science and Business Media LLC","issue":"2","license":[{"start":{"date-parts":[[2025,10,23]],"date-time":"2025-10-23T00:00:00Z","timestamp":1761177600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2025,10,23]],"date-time":"2025-10-23T00:00:00Z","timestamp":1761177600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Behav Health Serv Res"],"published-print":{"date-parts":[[2026,4]]},"DOI":"10.1007\/s11414-025-09976-w","type":"journal-article","created":{"date-parts":[[2025,10,23]],"date-time":"2025-10-23T19:58:09Z","timestamp":1761249489000},"page":"205-220","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["The Impact of Coping and Psychological Flexibility on Young Adult Caregivers\u2019 Mental Health and Quality of Life"],"prefix":"10.1007","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5119-5184","authenticated-orcid":false,"given":"Alice","family":"Ahn","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-7717-217X","authenticated-orcid":false,"given":"Taylor","family":"Eldridge","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4686-9361","authenticated-orcid":false,"given":"Debbie","family":"Torres","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5422-2616","authenticated-orcid":false,"given":"Chelsea","family":"Ratcliff","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,10,23]]},"reference":[{"key":"9976_CR1","unstructured":"AARP, National Alliance for Caregiving. Caregiving in the United States 2020. Washington, DC: AARP. Available at https:\/\/www.aarp.org\/pri\/topics\/ltss\/family-caregiving\/caregiving-in-the-united-states\/, 2020. Accessed 16 March, 2025."},{"key":"9976_CR2","unstructured":"National Research Council (US) Committee on the Role of Human Factors in Home Health Care. The Role of Human Factors in Home Health Care: Workshop Summary. Washington, DC: U.S. Department of Health and Human Services, 2010. Available at https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK210056\/. Accessed 16 March, 2025."},{"key":"9976_CR3","doi-asserted-by":"publisher","unstructured":"Boersma P, Black LI, Ward BW. Prevalence of Multiple Chronic Conditions Among US Adults, 2018. Preventing Chronic Disease. 2020;17(E106). https:\/\/doi.org\/10.5888\/pcd17.200130","DOI":"10.5888\/pcd17.200130"},{"issue":"8","key":"9976_CR4","doi-asserted-by":"publisher","first-page":"2249","DOI":"10.1080\/13548506.2023.2195671","volume":"28","author":"K Darabos","year":"2023","unstructured":"Darabos K, Faust H. Assessing health, psychological distress and financial well-being in informal young adult caregivers compared to matched young adult non-caregivers. Psychology, Health, & Medicine. 2023;28(8):2249-2260. https:\/\/doi.org\/10.1080\/13548506.2023.2195671","journal-title":"Psychology, Health, & Medicine."},{"issue":"4","key":"9976_CR5","doi-asserted-by":"publisher","first-page":"551","DOI":"10.1007\/s11414-016-9526-7","volume":"44","author":"J Greene","year":"2017","unstructured":"Greene J, Cohen D, Siskowski C, et al. The Relationship Between Family Caregiving and the Mental Health of Emerging Young Adult Caregivers. Journal of Behavioral Health Services & Research. 2017;44(4):551-563. https:\/\/doi.org\/10.1007\/s11414-016-9526-7","journal-title":"Journal of Behavioral Health Services & Research."},{"key":"9976_CR6","unstructured":"Arnett JJ (Eds). Chapter 4, Socialization in emerging adulthood: From the family to the wider world, from socialization to self-socialization. In: JE Grusec, PD Hastings (Eds). Handbook of socialization: Theory and research, Second Edition. New York: The Guilford Press, 2015, pp. 85\u2013108."},{"issue":"5","key":"9976_CR7","doi-asserted-by":"publisher","first-page":"426","DOI":"10.1177\/0891988720933348","volume":"34","author":"D Dixit","year":"2021","unstructured":"Dixit D, Spreadbury J, Orlando R, et al. Quality of Life Assessments in Individuals With Young-Onset Dementia and Their Caregivers. Journal of Geriatric Psychiatry and Neurology. 2021;34(5):426-433. https:\/\/doi.org\/10.1177\/0891988720933348","journal-title":"Journal of Geriatric Psychiatry and Neurology."},{"key":"9976_CR8","doi-asserted-by":"publisher","DOI":"10.1016\/j.lanwpc.2021.100257","volume":"15","author":"T King","year":"2021","unstructured":"King T, Singh A, Disney G. Associations between young informal caring and mental health: a prospective observational study using augmented inverse probability weighting. Lancet Regional Health Western Pacific. 2021;15:100257. https:\/\/doi.org\/10.1016\/j.lanwpc.2021.100257","journal-title":"Lancet Regional Health Western Pacific."},{"key":"9976_CR9","doi-asserted-by":"publisher","first-page":"2859","DOI":"10.3389\/fpsyg.2019.02859","volume":"10","author":"BSM Haugland","year":"2019","unstructured":"Haugland BSM, Hysing M, Sivertsen B. The Burden of Care: A National Survey on the Prevalence, Demographic Characteristics and Health Problems Among Young Adult Carers Attending Higher Education in Norway. Frontiers in Psychology. 2019;10:2859. https:\/\/doi.org\/10.3389\/fpsyg.2019.02859","journal-title":"Frontiers in Psychology."},{"issue":"12","key":"9976_CR10","doi-asserted-by":"publisher","first-page":"2345","DOI":"10.1007\/s00127-022-02333-8","volume":"57","author":"L Fleitas Alfonzo","year":"2022","unstructured":"Fleitas Alfonzo L, Singh A, Disney G, et al. Mental health of young informal carers: a systematic review. Social Psychiatry and Psychiatric Epidemiology. 2022;57(12):2345-2358. https:\/\/doi.org\/10.1007\/s00127-022-02333-8","journal-title":"Social Psychiatry and Psychiatric Epidemiology."},{"key":"9976_CR11","doi-asserted-by":"publisher","unstructured":"Tan KP, Ang JK, Koh EBY, et al. Relationship of Psychological Flexibility and Mindfulness to Caregiver Burden, and Depressive and Anxiety Symptoms in Caregivers of People with Dementia. International Journal of Environmental Research and Public Health. 2023; 20(5). https:\/\/doi.org\/10.3390\/ijerph20054232","DOI":"10.3390\/ijerph20054232"},{"issue":"2","key":"9976_CR12","doi-asserted-by":"publisher","first-page":"205510291881065","DOI":"10.1177\/2055102918810659","volume":"5","author":"T Hawken","year":"2018","unstructured":"Hawken T, Turner-Cobb J, Barnett J. Coping and adjustment in caregivers: A systematic review. Health Psychology Open. 2018;5(2):2055102918810659. https:\/\/doi.org\/10.1177\/2055102918810659","journal-title":"Health Psychology Open."},{"issue":"2","key":"9976_CR13","doi-asserted-by":"publisher","first-page":"113","DOI":"10.1037\/0090-5550.51.2.113","volume":"51","author":"KI Pakenham","year":"2006","unstructured":"Pakenham KI, Bursnall S, Chiu J, et al. The psychosocial impact of caregiving on young people who have a parent with an illness or disability: Comparisons between young caregivers and noncaregivers. Rehabilitation Psychology. 2006;51(2):113-126. https:\/\/doi.org\/10.1037\/0090-5550.51.2.113","journal-title":"Rehabilitation Psychology."},{"issue":"7","key":"9976_CR14","doi-asserted-by":"publisher","first-page":"1108","DOI":"10.1182\/bloodadvances.2022008281","volume":"7","author":"HL Amonoo","year":"2023","unstructured":"Amonoo HL, Johnson PC, Nelson AM, et al. Coping in caregivers of patients with hematologic malignancies undergoing hematopoietic stem cell transplantation. Blood Advances. 2023;7(7):1108-1116. https:\/\/doi.org\/10.1182\/bloodadvances.2022008281","journal-title":"Blood Advances."},{"issue":"3","key":"9976_CR15","doi-asserted-by":"publisher","first-page":"287","DOI":"10.1093\/geront\/48.3.287","volume":"48","author":"JH Kim","year":"2008","unstructured":"Kim JH, Knight BG. Effects of caregiver status, coping styles, and social support on the physical health of Korean American caregivers. The Gerontologist. 2008;48(3):287-99. https:\/\/doi.org\/10.1093\/geront\/48.3.287","journal-title":"The Gerontologist."},{"key":"9976_CR16","doi-asserted-by":"publisher","unstructured":"Kim JH, Knight BG, Longmire CV. The role of familism in stress and coping processes among African American and White dementia caregivers: effects on mental and physical health. Health Psychology. 2007;26(5):564\u201376. https:\/\/doi.org\/10.1037\/0278-6133.26.5.564","DOI":"10.1037\/0278-6133.26.5.564"},{"issue":"7","key":"9976_CR17","doi-asserted-by":"publisher","first-page":"865","DOI":"10.1016\/j.cpr.2010.03.001","volume":"30","author":"TB Kashdan","year":"2010","unstructured":"Kashdan TB, Rottenberg J. Psychological flexibility as a fundamental aspect of health. Clinical Psychology Review. Nov 2010;30(7):865-78. https:\/\/doi.org\/10.1016\/j.cpr.2010.03.001","journal-title":"Clinical Psychology Review."},{"key":"9976_CR18","doi-asserted-by":"publisher","first-page":"7","DOI":"10.1016\/j.jcbs.2021.08.003","volume":"22","author":"M Contreras","year":"2021","unstructured":"Contreras M, Mioshi E, Kishita N. Factors predicting quality of life in family carers of people with dementia: The role of psychological inflexibility. Journal of Contextual Behavioral Science. 2021;22:7-12. https:\/\/doi.org\/10.1016\/j.jcbs.2021.08.003","journal-title":"Journal of Contextual Behavioral Science."},{"key":"9976_CR19","doi-asserted-by":"publisher","first-page":"1625","DOI":"10.3389\/fpsyg.2017.01625","volume":"8","author":"JE Jansen","year":"2017","unstructured":"Jansen JE, Haahr UH, Lyse HG, et al. Psychological Flexibility as a Buffer against Caregiver Distress in Families with Psychosis. Frontiers in Psychology. 2017;8:1625. https:\/\/doi.org\/10.3389\/fpsyg.2017.01625","journal-title":"Frontiers in Psychology."},{"key":"9976_CR20","doi-asserted-by":"publisher","first-page":"129","DOI":"10.1016\/j.jcbs.2021.04.005","volume":"20","author":"P Lappalainen","year":"2021","unstructured":"Lappalainen P, Keinonen K, Pakkala I, et al. The role of thought suppression and psychological inflexibility in older family caregivers\u2019 psychological symptoms and quality of life. Journal of Contextual Behavioral Science. 2021;20:129-136. https:\/\/doi.org\/10.1016\/j.jcbs.2021.04.005","journal-title":"Journal of Contextual Behavioral Science."},{"key":"9976_CR21","doi-asserted-by":"publisher","first-page":"201","DOI":"10.1016\/j.jcbs.2022.10.001","volume":"26","author":"A Avsec","year":"2022","unstructured":"Avsec A, Eisenbeck N, Carreno DF, et al. Coping styles mediate the association between psychological inflexibility and psychological functioning during the COVID-19 pandemic: A crucial role of meaning-centered coping. Journal of Contextual Behavioral Science. 2022;26:201-209. https:\/\/doi.org\/10.1016\/j.jcbs.2022.10.001","journal-title":"Journal of Contextual Behavioral Science."},{"issue":"1","key":"9976_CR22","doi-asserted-by":"publisher","first-page":"8688","DOI":"10.1038\/s41598-022-12262-w","volume":"12","author":"R Tindle","year":"2022","unstructured":"Tindle R, Hemi A, Moustafa AA. Social support, psychological flexibility and coping mediate the association between COVID-19 related stress exposure and psychological distress. Scientific Reports. 2022;12(1):8688. https:\/\/doi.org\/10.1038\/s41598-022-12262-w","journal-title":"Scientific Reports."},{"issue":"4","key":"9976_CR23","doi-asserted-by":"publisher","first-page":"344","DOI":"10.1016\/j.jclinepi.2007.11.008","volume":"61","author":"E von Elm","year":"2008","unstructured":"von Elm E, Altman DG, Egger M, et al. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. Journal of Clinical Epidemiology. 2008;61(4):344-9. https:\/\/doi.org\/10.1016\/j.jclinepi.2007.11.008","journal-title":"Journal of Clinical Epidemiology."},{"key":"9976_CR24","doi-asserted-by":"publisher","unstructured":"Hays RD, Spritzer KL, Schalet BD, et al. PROMIS((R))-29 v2.0 profile physical and mental health summary scores. Quality of Life Research. 2018;27(7):1885\u20131891. https:\/\/doi.org\/10.1007\/s11136-018-1842-3","DOI":"10.1007\/s11136-018-1842-3"},{"issue":"5 Suppl 1","key":"9976_CR25","doi-asserted-by":"publisher","first-page":"S3","DOI":"10.1097\/01.mlr.0000258615.42478.55","volume":"45","author":"D Cella","year":"2007","unstructured":"Cella D, Yount S, Rothrock N, et al. The Patient-Reported Outcomes Measurement Information System (PROMIS): progress of an NIH Roadmap cooperative group during its first two years. Medical Care. 2007;45(5 Suppl 1):S3-S11. https:\/\/doi.org\/10.1097\/01.mlr.0000258615.42478.55","journal-title":"Medical Care."},{"issue":"7","key":"9976_CR26","doi-asserted-by":"publisher","first-page":"873","DOI":"10.1007\/s11136-009-9496-9","volume":"18","author":"RD Hays","year":"2009","unstructured":"Hays RD, Bjorner JB, Revicki DA, et al. Development of physical and mental health summary scores from the patient-reported outcomes measurement information system (PROMIS) global items. Quality of Life Research. 2009;18(7):873-80. https:\/\/doi.org\/10.1007\/s11136-009-9496-9","journal-title":"Quality of Life Research."},{"issue":"4","key":"9976_CR27","doi-asserted-by":"publisher","first-page":"676","DOI":"10.1016\/j.beth.2011.03.007","volume":"42","author":"FW Bond","year":"2011","unstructured":"Bond FW, Hayes SC, Baer RA, et al. Preliminary psychometric properties of the Acceptance and Action Questionnaire-II: a revised measure of psychological inflexibility and experiential avoidance. Behavior Therapy. 2011;42(4):676-88. https:\/\/doi.org\/10.1016\/j.beth.2011.03.007","journal-title":"Behavior Therapy."},{"issue":"1","key":"9976_CR28","doi-asserted-by":"publisher","first-page":"92","DOI":"10.1207\/s15327558ijbm0401_6","volume":"4","author":"CS Carver","year":"1997","unstructured":"Carver CS. You want to measure coping but your protocol's too long: consider the brief COPE. International Journal of Behavioral Medicine. 1997;4(1):92-100. https:\/\/doi.org\/10.1207\/s15327558ijbm0401_6","journal-title":"International Journal of Behavioral Medicine."},{"issue":"3","key":"9976_CR29","doi-asserted-by":"publisher","first-page":"253","DOI":"10.1007\/s10865-011-9358-0","volume":"35","author":"SA Eisenberg","year":"2012","unstructured":"Eisenberg SA, Shen BJ, Schwarz ER, et al. Avoidant coping moderates the association between anxiety and patient-rated physical functioning in heart failure patients. Journal of Behavioral Medicine. 2012;35(3):253-61. https:\/\/doi.org\/10.1007\/s10865-011-9358-0","journal-title":"Journal of Behavioral Medicine."},{"key":"9976_CR30","doi-asserted-by":"publisher","unstructured":"Harris H, Horst SJ. A Brief Guide to Decisions at Each Step of the Propensity Score Matching Process. Practical Assessment, Research, and Evaluation. 2016;21(1). https:\/\/doi.org\/10.7275\/yq7r-4820","DOI":"10.7275\/yq7r-4820"},{"key":"9976_CR31","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2023.115721","volume":"321","author":"C Costi","year":"2023","unstructured":"Costi C, Hollingsworth B, O'Sullivan V, et al. Does caring for others affect our mental health? Evidence from the COVID-19 pandemic. Social Science & Medicine. 2023;321:115721. https:\/\/doi.org\/10.1016\/j.socscimed.2023.115721","journal-title":"Social Science & Medicine."},{"issue":"1","key":"9976_CR32","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1521\/suli.35.1.3.59263","volume":"35","author":"J Kisch","year":"2005","unstructured":"Kisch J, Leino EV, Silverman MM. Aspects of suicidal behavior, depression, and treatment in college students: results from the spring 2000 national college health assessment survey. Suicide and Life-Threateaning Behavior. 2005;35(1):3-13. https:\/\/doi.org\/10.1521\/suli.35.1.3.59263","journal-title":"Suicide and Life-Threateaning Behavior."},{"key":"9976_CR33","doi-asserted-by":"publisher","first-page":"196","DOI":"10.1016\/j.jad.2018.10.084","volume":"244","author":"Y Liu","year":"2019","unstructured":"Liu Y, Zhang N, Bao G, et al. Predictors of depressive symptoms in college students: A systematic review and meta-analysis of cohort studies. Journal of Affective Disorders. 2019;244:196-208. https:\/\/doi.org\/10.1016\/j.jad.2018.10.084","journal-title":"Journal of Affective Disorders."},{"issue":"7","key":"9976_CR34","doi-asserted-by":"publisher","first-page":"860","DOI":"10.5498\/wjp.v12.i7.860","volume":"12","author":"XQ Liu","year":"2022","unstructured":"Liu XQ, Guo YX, Zhang WJ, et al. Influencing factors, prediction and prevention of depression in college students: A literature review. World Journal of Psychiatry. 2022;12(7):860-873. https:\/\/doi.org\/10.5498\/wjp.v12.i7.860","journal-title":"World Journal of Psychiatry."},{"issue":"5","key":"9976_CR35","doi-asserted-by":"publisher","first-page":"275","DOI":"10.1177\/17579139221104973","volume":"143","author":"HW Mak","year":"2023","unstructured":"Mak HW, Bu F, Fancourt D. Mental health and wellbeing among people with informal caring responsibilities across different time points during the COVID-19 pandemic: a population-based propensity score matching analysis. Perspectives in Public Health. 2023;143(5):275-284. https:\/\/doi.org\/10.1177\/17579139221104973","journal-title":"Perspectives in Public Health."},{"key":"9976_CR36","doi-asserted-by":"publisher","DOI":"10.1016\/j.archger.2021.104531","volume":"98","author":"Y Taniguchi","year":"2022","unstructured":"Taniguchi Y, Miyawaki A, Tsugawa Y, et al. Family caregiving and changes in mental health status in Japan during the COVID-19 pandemic. Archives of Gerontology and Geriatrics. 2022;98:104531. https:\/\/doi.org\/10.1016\/j.archger.2021.104531","journal-title":"Archives of Gerontology and Geriatrics."},{"issue":"3","key":"9976_CR37","doi-asserted-by":"publisher","first-page":"167","DOI":"10.1177\/1742395313506947","volume":"10","author":"R Trivedi","year":"2014","unstructured":"Trivedi R, Beaver K, Bouldin ED, et al. Characteristics and well-being of informal caregivers: Results from a nationally-representative US survey. Chronic Illness. 2014;10(3):167-79. https:\/\/doi.org\/10.1177\/1742395313506947","journal-title":"Chronic Illness."},{"issue":"3","key":"9976_CR38","doi-asserted-by":"publisher","first-page":"169","DOI":"10.1023\/A:1020363010465","volume":"2","author":"DB Rubin","year":"2001","unstructured":"Rubin DB. Using Propensity Scores to Help Design Observational Studies: Application to the Tobacco Litigation. Health Services and Outcomes Research Methodology. 2001;2(3):169-188. https:\/\/doi.org\/10.1023\/A:1020363010465","journal-title":"Health Services and Outcomes Research Methodology."},{"issue":"1","key":"9976_CR39","doi-asserted-by":"publisher","first-page":"78","DOI":"10.1186\/s12874-017-0338-0","volume":"17","author":"TL Nguyen","year":"2017","unstructured":"Nguyen TL, Collins GS, Spence J, et al. Double-adjustment in propensity score matching analysis: choosing a threshold for considering residual imbalance. BMC Medical Research Methodology. 2017;17(1):78. https:\/\/doi.org\/10.1186\/s12874-017-0338-0","journal-title":"BMC Medical Research Methodology."},{"key":"9976_CR40","unstructured":"Hayes AF (1st Eds.). Introduction to Mediation, Moderation, and Conditional Process Analysis: A Regression-Based Approach. New York, NY: Guilford Press; 2013. Accessed 24 June, 2025"},{"issue":"8","key":"9976_CR41","doi-asserted-by":"publisher","first-page":"1760","DOI":"10.1177\/07334648231156858","volume":"42","author":"E Van Hout","year":"2023","unstructured":"Van Hout E, Contreras ML, Mioshi E, et al. Does Avoiding Distressing Thoughts and Feelings Influence the Relationship between Carer Subjective Burden and Anxiety Symptoms in Family Carers of People with Dementia? Journal of Applied Gerontology. 2023;42(8):1760-1769. https:\/\/doi.org\/10.1177\/07334648231156858","journal-title":"Journal of Applied Gerontology."},{"key":"9976_CR42","doi-asserted-by":"publisher","first-page":"119","DOI":"10.1016\/j.jcbs.2020.07.005","volume":"17","author":"N Kishita","year":"2020","unstructured":"Kishita N, Contreras ML, West J, et al. Exploring the impact of carer stressors and psychological inflexibility on depression and anxiety in family carers of people with dementia. Journal of Contextual Behavioral Science. 2020;17:119-125. https:\/\/doi.org\/10.1016\/j.jcbs.2020.07.005","journal-title":"Journal of Contextual Behavioral Science."},{"issue":"2","key":"9976_CR43","doi-asserted-by":"publisher","first-page":"117","DOI":"10.1007\/s12160-008-9058-3","volume":"36","author":"TS Kershaw","year":"2008","unstructured":"Kershaw TS, Mood DW, Newth G, et al. Longitudinal analysis of a model to predict quality of life in prostate cancer patients and their spouses. Annals of Behavioral Medicine. 2008;36(2):117-28. https:\/\/doi.org\/10.1007\/s12160-008-9058-3","journal-title":"Annals of Behavioral Medicine."},{"issue":"1","key":"9976_CR44","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.jad.2011.05.055","volume":"139","author":"R Li","year":"2012","unstructured":"Li R, Cooper C, Bradley J, et al. Coping strategies and psychological morbidity in family carers of people with dementia: a systematic review and meta-analysis. Journal of Affective Disorders. 2012;139(1):1-11. https:\/\/doi.org\/10.1016\/j.jad.2011.05.055","journal-title":"Journal of Affective Disorders."},{"issue":"1","key":"9976_CR45","doi-asserted-by":"publisher","first-page":"71","DOI":"10.1186\/s12955-017-0634-8","volume":"15","author":"M Rodriguez-Perez","year":"2017","unstructured":"Rodriguez-Perez M, Abreu-Sanchez A, Rojas-Ocana MJ, et al. Coping strategies and quality of life in caregivers of dependent elderly relatives. Health and Quality of Life Outcomes. 2017;15(1):71. https:\/\/doi.org\/10.1186\/s12955-017-0634-8","journal-title":"Health and Quality of Life Outcomes."},{"issue":"10","key":"9976_CR46","doi-asserted-by":"publisher","first-page":"1788","DOI":"10.1007\/s00415-011-6013-1","volume":"258","author":"J van Andel","year":"2011","unstructured":"van Andel J, Westerhuis W, Zijlmans M, et al. Coping style and health-related quality of life in caregivers of epilepsy patients. Journal of Neurology. 2011;258(10):1788-94. https:\/\/doi.org\/10.1007\/s00415-011-6013-1","journal-title":"Journal of Neurology."},{"issue":"1","key":"9976_CR47","doi-asserted-by":"publisher","first-page":"102","DOI":"10.1037\/0002-9432.72.1.102","volume":"72","author":"M Dempsey","year":"2002","unstructured":"Dempsey M. Negative coping as mediator in the relation between violence and outcomes: inner-city African American youth. American Journal of Orthopsychiatry. 2002;72(1):102-9. https:\/\/doi.org\/10.1037\/0002-9432.72.1.102","journal-title":"American Journal of Orthopsychiatry."},{"key":"9976_CR48","doi-asserted-by":"publisher","first-page":"312","DOI":"10.1016\/j.jad.2015.07.031","volume":"186","author":"J Herres","year":"2015","unstructured":"Herres J. Adolescent coping profiles differentiate reports of depression and anxiety symptoms. Journal of Affective Disorders. 2015;186:312-9. https:\/\/doi.org\/10.1016\/j.jad.2015.07.031","journal-title":"Journal of Affective Disorders."},{"issue":"1","key":"9976_CR49","doi-asserted-by":"publisher","first-page":"28","DOI":"10.1177\/0091415018822040","volume":"90","author":"M Nieto","year":"2020","unstructured":"Nieto M, Romero D, Ros L, et al. Differences in Coping Strategies Between Young and Older Adults: The Role of Executive Functions. The International Journal of Aging and Human Development. 2020;90(1):28-49. https:\/\/doi.org\/10.1177\/0091415018822040","journal-title":"The International Journal of Aging and Human Development."},{"issue":"3","key":"9976_CR50","doi-asserted-by":"publisher","first-page":"829","DOI":"10.1215\/00703370-11383976","volume":"61","author":"KEM Miller","year":"2024","unstructured":"Miller KEM, Hart JL, Useche Rosania M, Coe NB. Youth Caregivers of Adults in the United States: Prevalence and the Association Between Caregiving and Education. Demography. 2024;61(3):829-847. https:\/\/doi.org\/10.1215\/00703370-11383976.","journal-title":"Demography."}],"container-title":["The Journal of Behavioral Health Services & Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11414-025-09976-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11414-025-09976-w","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11414-025-09976-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T14:47:01Z","timestamp":1777906021000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s11414-025-09976-w"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,23]]},"references-count":50,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["9976"],"URL":"https:\/\/doi.org\/10.1007\/s11414-025-09976-w","relation":{},"ISSN":["1094-3412","1556-3308"],"issn-type":[{"value":"1094-3412","type":"print"},{"value":"1556-3308","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,23]]},"assertion":[{"value":"24 June 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"27 September 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"23 October 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study was approved by the Institutional Review Boards of Sam Houston State university (Protocol #: IRB-2020\u2013216). Written informed consent forms were obtained from all individual participants who completed the study.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics Approval and Consent to Participate"}},{"value":"There are no competing interests to declare.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}