{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T10:05:46Z","timestamp":1784282746032,"version":"3.55.0"},"reference-count":65,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2026,1,4]],"date-time":"2026-01-04T00:00:00Z","timestamp":1767484800000},"content-version":"vor","delay-in-days":2,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["R01AG054004"],"award-info":[{"award-number":["R01AG054004"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R00AG073473"],"award-info":[{"award-number":["R00AG073473"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000118","name":"Office of Behavioral and Social Sciences Research","doi-asserted-by":"publisher","award":["U01AG032947"],"award-info":[{"award-number":["U01AG032947"]}],"id":[{"id":"10.13039\/100000118","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100008309","name":"Johns Hopkins Bloomberg School of Public Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008309","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,2,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Family and unpaid caregivers are mainstays of help with daily activities when older adults experience health problems; caregivers can also be relied on as confidants for discussing important matters. It remains unclear what characteristics of caregiving relationships may underlie caregivers\u2019 confidant status, how serving this additional role affects their psychological well-being, and whether these associations vary by the presence of dementia in older adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We used data from the 2017 National Health and Aging Trends Study and the National Study of Caregiving. Participants included 1,694 family or other unpaid caregivers of 1,126 older adults receiving self-care, mobility, or household help due to health and functioning. We estimated logistic regression models for being nominated as a confidant and linear regression models for caregivers\u2019 psychological well-being.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Caregivers who were spouses or children and who reported more positive relationships with the older adults they provided care for were more likely to be nominated as confidants; yet the association involving relationship quality was moderated by older adults\u2019 dementia status. Being a confidant was associated with better well-being among caregivers of older adults without dementia, but not for caregivers of older adults with dementia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Caregivers of older adults with dementia tend to also be a confidant, but serving these multiple roles is only associated with positive psychological well-being for those caring for older adults without dementia. We call for more research to better understand the unique stressors that caregivers experience when serving as confidants for older adults with dementia.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/geronb\/gbaf273","type":"journal-article","created":{"date-parts":[[2025,12,30]],"date-time":"2025-12-30T12:35:45Z","timestamp":1767098145000},"source":"Crossref","is-referenced-by-count":0,"title":["Caregivers serving as confidants: relationship correlates and well-being by care-recipients\u2019 dementia status"],"prefix":"10.1093","volume":"81","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0060-1151","authenticated-orcid":false,"given":"Meng","family":"Huo","sequence":"first","affiliation":[{"name":"Department of Human Ecology, University of California, Davis , Davis, California,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0860-6317","authenticated-orcid":false,"given":"Fei","family":"Wang","sequence":"additional","affiliation":[{"name":"College of Social Work, The University of Tennessee, Knoxville , Knoxville, Tennessee,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7343-8132","authenticated-orcid":false,"given":"Yongxin","family":"Shang","sequence":"additional","affiliation":[{"name":"Brooks School of Public Policy, Cornell University , Ithaca, New York,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5040-7576","authenticated-orcid":false,"given":"Sarah E","family":"Patterson","sequence":"additional","affiliation":[{"name":"Institute for Social Research, University of Michigan , Ann Arbor, Michigan,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,1,2]]},"reference":[{"key":"2026071705270850100_gbaf273-B1","doi-asserted-by":"publisher","first-page":"e5905","DOI":"10.1002\/gps.5905","article-title":"Navigating the COVID-19 pandemic together: Discussions between persons with early-stage dementia and their adult children","volume":"38","author":"Ali","year":"2023","journal-title":"International Journal of Geriatric Psychiatry"},{"key":"2026071705270850100_gbaf273-B2","doi-asserted-by":"publisher","first-page":"3708","DOI":"10.1002\/alz.14809","article-title":"2024 Alzheimer\u2019s disease facts and figures","volume":"20","author":"Alzheimer\u2019s Association","year":"2024","journal-title":"Alzheimer\u2019s & Dementia"},{"key":"2026071705270850100_gbaf273-B3","doi-asserted-by":"publisher","first-page":"641","DOI":"10.1177\/0898264316687623","article-title":"Informal care networks in the context of multimorbidity: Size, composition, and associations with recipient psychological well-being","volume":"30","author":"Andersson","year":"2018","journal-title":"Journal of Aging and Health"},{"key":"2026071705270850100_gbaf273-B4","volume-title":"Profiles in caregiving: The unexpected career","author":"Aneshensel","year":"1995"},{"key":"2026071705270850100_gbaf273-B5","doi-asserted-by":"publisher","first-page":"82","DOI":"10.1093\/geront\/gnt118","article-title":"The convoy model: Explaining social relations from a multidisciplinary perspective","volume":"54","author":"Antonucci","year":"2014","journal-title":"The Gerontologist"},{"key":"2026071705270850100_gbaf273-B6","doi-asserted-by":"publisher","first-page":"S158","DOI":"10.1093\/geronb\/57.3.S158","article-title":"Neighbors, friends, and other nonkin caregivers of community-living dependent elders","volume":"57","author":"Barker","year":"2002","journal-title":"The Journals of Gerontology. 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