Abstract
While the literature has shown some positive effects of receiving social support, the benefits of offering support and helping others have also been emphasized recently. Based on this perspective, our research focuses on the effects of the ability to care for others on reducing stress perception. In addition, studies continue to suggest that factors comprising caring ability indispensably serve to build individual resilience. However, it is less clear how these factors contribute to individual resilience and relieve psychological stress. Thus, the present study aims to investigate the effect of caring ability on stress perception mediated by resilience at a factor level. A total of 295 Chinese graduate, undergraduate, and college students (221 females, 74 males; mean age = 21.67, SD = 1.91) completed the Caring Ability Inventory (CAI), the Connor-Davidson Resilience Scale (CD-RISC), and the Perceived Stress Scale-14 (PSS-14). A structural equation modeling (SEM) analysis with the maximum likelihood estimation procedure was used to examine the proposed model. Path coefficients indicated that knowing and courage in the CAI predicted less stress perception while patience in the CAI produced an opposite effect. A mediation analysis revealed that resilience successfully mediated the relationship between knowing as well as between courage and perceived stress. The results suggest that a higher degree of knowing and courage relate to a higher degree of resilience, which could reduce distressful feelings and enhance stress coping skills. Our findings provide specific insights into the roles of knowing, courage, and resilience in alleviating perceived stress and could inspire stress prevention or intervention practices in the future.
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The data that support the findings of this study are available from the corresponding author, upon reasonable request.
References
American Psychological Association (2016). The road to resilience. Retrieved November 5, 2020, from http://www.apa.org/helpcenter/road-resilience.aspx
Bal, S., Crombez, G., Oost, P., & Debourdeaudhuij, I. (2003). The role of social support in well-being and coping with self-reported stressful events in adolescents. Child Abuse & Neglect., 27, 1377–1395. https://doi.org/10.1016/j.chiabu.2003.06.002
Barbosa-Leiker, C., Kostick, M., Lei, M., McPherson, S., Roper, V., Hoekstra, T., et al. (2013). Measurement invariance of the perceived stress scale and latent mean differences across gender and time. Stress and Health, 29, 253–260. https://doi.org/10.1002/smi.2463
Benson, G., Martin, L., Ploeg, J., & Wessel, J. (2012). Longitudinal study of emotional intelligence, leadership, and caring in undergraduate nursing students. Journal of Nursing Education, 51(2), 95–101. https://doi.org/10.3928/01484834-20120113-01
Berkes, F. (2007). Understanding uncertainty and reducing vulnerability: Lessons from resilience thinking. Natural Hazards, 41(2), 283–295. https://doi.org/10.1007/s11069-006-9036-7
Brown, S., & L., Nesse, R. M., Vinokur, A. D., & Smith, D. M. . (2003). Providing social support may be more beneficial than receiving it: Results from a prospective study of mortality. Psychological Science, 14, 320–327. https://doi.org/10.1111/1467-9280.14461
Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24, 386–396. https://doi.org/10.2307/2136404
Cohen, S., & Wills, T. A. (1985). Stress, social support, and the buffering hypothesis. Psychological Bulletin, 98, 310–357. https://doi.org/10.1037/0033-2909.98.2.310
Connor, K. M., & Davidson, J. R. (2003). Development of a new resilience scale: The Connor-Davidson Resilience Scale (CD-RISC). Depression and Anxiety, 18(2), 76–82. https://doi.org/10.1002/da.10113
Coppetti, L., de Carli, G.-P., Oliveira, N. M., Andolhe, R., Silva, L. M., & Caetano da, Dapper, SteffaniNikoli, & Noro, Elissa. . (2019). Caring ability, burden, stress and coping of family caregivers of people in cancer treatment. Revista Brasileira De Enfermagem, 72(6), 1541–1546. https://doi.org/10.1590/0034-7167-2018-0605
Downey, L. A., Johnston, P. J., Hansen, K., Birney, J., & Stough, C. (2010). Investigating the mediating effects of emotional intelligence and coping on problem behaviours in adolescents. Australian Journal of Psychology, 62(1), 20–29. https://doi.org/10.1080/00049530903312873
Dunn, E. W., Aknin, L. B., & Norton, M. I. (2008). Spending money on others promotes happiness. Science, 319(5870), 1687–1688. https://doi.org/10.1126/science.1150952
Eley, D., Cloninger, C. R., Walters, L., Laurence, C., Synnott, R., & Wilkinson, D. (2013). The relationship between resilience and personality traits in doctors: Implications for enhancing well being. PeerJ, 1, 1–16. https://doi.org/10.7717/peerj.216
Fletcher, D., & Fletcher, J. (2005). A meta-model of stress, emotions and performance: Conceptual foundations, theoretical framework, and research directions [Abstract]. Journal of Sports Sciences, 23, 157–158. https://doi.org/10.1080/02640410512331334413
Fletcher, D., & Sarkar, M. (2013). Psychological resilience: A review and critique of definitions, concepts, and theory. European Psychologist, 18(1), 12–23. https://doi.org/10.1027/1016-9040/a000124
Floyd, K., Mikkelson, A. C., Tafoya, M. A., Farinelli, L., La Valley, A. G., Judd, J., Davis, K. L., Haynes, M. T., & Wilson, J. (2007). Human Affection Exchange: XIV. Relational Affection Predicts Resting Heart Rate and Free Cortisol Secretion During Acute Stress. Behavioral Medicine, 32(4), 151–156. https://doi.org/10.3200/BMED.32.4.151-156
García-Izquierdo, M., Ríos-Risquez, M. I., Carrillo-García, C., & Sabuco-Tebar, E. D. L. Á. (2018). The moderating role of resilience in the relationship between academic burnout and the perception of psychological health in nursing students. Educational Psychology, 38(8), 1068–1079. https://doi.org/10.1080/01443410.2017.1383073
Golden-Kreutz, D. M., Browne, M. W., Frierson, G. M., & Andersen, B. L. (2004). Assessing stress in cancer patients: A second-order factor analysis model for the perceived stress scale. Assessment, 11, 216–223. https://doi.org/10.1177/1073191104267398
Gruenewald, T. L., Liao, D. H., & Seeman, T. E. (2012). Contributing to others, contributing to oneself: Perceptions of generativity and health in later life. Journals of Gerontology Series b: Psychological Sciences and Social Sciences, 67(6), 660–665. https://doi.org/10.1093/geronb/gbs034
Hammervold, R., & Olsson, U. H. (2012). Testing structural equation models: The impact of error variances in the data generating process. Quality & Quantity, 46(5), 1547–1570. https://doi.org/10.1007/s11135-011-9466-5
Heinrichs, M., & Domes, G. (2008). Neuropeptides and social behaviour: effects of oxytocin and vasopressin in humans. Progress in Brain Research, 170, 337–350. https://doi.org/10.1016/S0079-6123(08)00428-7.
Hou, J. M., & Skovholt, T. M. (2020). Characteristics of highly resilient therapists. Journal of Counseling Psychology, 67(3), 386–400. https://doi.org/10.1037/cou0000401
House, J. S., Landis, K. R., & Umberson, D. (1988). Social relationships and health. Science, 241, 540–545. https://doi.org/10.1126/science.3399889
Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6(1), 1–55. https://doi.org/10.1080/10705519909540118
Inagaki, T. K., & Eisenberger, N. I. (2012). Neural correlates of giving support to a loved one. Psychosomatic Medicine, 74, 3–7. https://doi.org/10.1097/PSY.0b013e3182359335
Inagaki, T. K., & Eisenberger, N. I. (2016). Giving support to others reduces sympathetic nervous system-related responses to stress. Psychophysiology, 53, 427–435. https://doi.org/10.1111/psyp.12578
Kato, T. (2013). Assessing coping with interpersonal stress: Development and validation of the Interpersonal Stress Coping Scale in Japan. International Perspectives in Psychology: Research, Practice, Consultation, 2(2), 100. https://doi.org/10.1037/ipp0000002
Kenneth, R. G. (2006). A parent’s guide to building resilience in children and teens: Giving your child roots and wings. American Academy of Pediatrics.
Lepore, S. J., Evans, G. W., & Schneider, M. L. (1991). Dynamic role of social support in the link between chronic stress and psychological distress. Journal of Personality and Social Psychology, 61, 899–909. https://doi.org/10.1037/0022-3514.61.6.899
Liu, X., Zhao, Y., Li, J., Dai, J., Wang, X., & Wang, S. (2020). Factor Structure of the 10-Item Perceived Stress Scale and Measurement Invariance Across Genders Among Chinese Adolescents. Frontiers in Psychology, 11, 537. https://doi.org/10.3389/fpsyg.2020.00537
Masten, A. S., & Reed, M. G. J. (2002). Resilience in development. In C. R. Snyder & S. J. Lopez (Eds.), Handbook of positive psychology (pp. 74–88). Oxford University Press.
Mayeroff, M. (1971). On caring. Perennial Library Harper and Row.
Mohammadi, M., Peyrovi, H., & Mahmoodi, M. (2017). The relationship between professional quality of life and caring ability in critical care nurses. Dimensions of Critical Care Nursing, 36(5), 273–277. https://doi.org/10.1097/DCC.0000000000000263
Morrison, P., & Barnard, P. (1997). Caring and Communicating: Facilitators’ Manual: Interpersonal Relationship in Nursing. London: Palgrave Macmillan. pp. 6–17. https://doi.org/10.1111/j.1365-2648.1989.tb03419.x
Nelson, S. K., Layous, K., Cole, S. W., & Lyubomirsky, S. (2016). Do unto others or treat yourself? The effects of prosocial and self-focused behavior on psychological flourishing. Emotion, 16, 850–861. https://doi.org/10.1037/emo0000178
Nkongho, N. (1990). The Caring Ability Inventory. In O. L. Strickland & C. F. Waltz (Eds.), Measurement of nursing outcomes: Measuring client self-care and coping skills (Vol.4), (pp.3–16). New York: Springer Publishing Co.
Ortiz-Funea, C., Kanterb, J. W., & Ariasc, M. F. (2020). Burnout in Mental Health Professionals: The Roles of Psychological Flexibility, Awareness, Courage, and Love. Clínica y Salud, 31(2), 85–90. https://doi.org/10.5093/clysa2020a8
Petrie, S. M. (2010). The Relationship Between Perceived Stress and Resilience Among Adolescents with Cystic Fibrosis (Unpublished doctoral dissertation). University of Wisconsin.
Piferi, R. L., & Lawler, K. A. (2006). Social support and ambulatory blood pressure: An examination of both receiving and giving. International Journal of Psychophysiology, 62, 328–336. https://doi.org/10.1016/j.ijpsycho.2006.06.002
Por, J., Barriball, L., Fitzpatrick, J., & Roberts, J. (2011). Emotional intelligence: Its relationship to stress, coping, well-being and professional performance in nursing students. Nurse Education Today, 31(8), 855–860. https://doi.org/10.1016/j.nedt.2010.12.023
Preston, S. D. (2013). The origins of altruism in offspring care. Psychological Bulletin, 139(6), 1305. https://doi.org/10.1037/a0031755.
Qodariah, S., & Puspitasari, N. R. (2016). Correlation between patience and coping strategy of mothers with autistic children. International Journal of Social Science and Humanity, 6(12), 919.
Raposa, E. B., Laws, H. B., & Ansell, E. B. (2016). Prosocial behavior mitigates the negative effects of stress in everyday life. Clinical Psychological Science, 4(4), 691–698. https://doi.org/10.1177/2167702615611073
Roberti, J. W., Harrington, L. N., & Storch, E. A. (2006). Further psychometric support for the 10−item version of the perceived stress scale. Journal of College Counseling, 9, 135–147. https://doi.org/10.1002/j.2161-1882.2006.tb00100.x
Sadler, J. (2003). A pilot study to measure the caring efficacy of baccalaureate nursing students. Nursing Education Perspectives, 24(6), 295–299.
Sarrionandia, A., Ramos-Díaz, E., & Fernández-Lasarte, O. (2018). Resilience as a mediator of emotional intelligence and perceived stress: A cross-country study. Frontiers in Psychology, 9, 2653. https://doi.org/10.3389/fpsyg.2018.02653
Schnitker, S. A. (2012). An examination of patience and well-being. The Journal of Positive Psychology, 7(4), 263–280. https://doi.org/10.1080/17439760.2012.697185
Siedlecki, K. L., Salthouse, T. A., Oishi, S., & Jeswani, S. (2014). The Relationship Between Social Support and Subjective Well-Being Across Age. Social Indicators Research, 117, 561–576. https://doi.org/10.1007/s11205-013-0361-4
Solomon, O. (2013). Exploring the relationship between resilience, perceived stress and academic achievement (Unpublished undergraduate thesis). Manchester Metropolitan University.
Steinhardt, M., & Dolbier, C. (2008). Evaluation of a resilience intervention to enhance coping strategies and protective factors and decrease symptomatology. Journal of American College Health, 56(4), 445–453. https://doi.org/10.3200/JACH.56.44.445-454
Taylor, S. E., Klein, L. C., Lewis, B. P., Gruenewald, T. L., Gurung, R. A., & Updegraff, J. A. (2000). Biobehavioral responses to stress in females: Tend-and-befriend, not fight-or-flight. Psychological Review, 107(3), 411. https://doi.org/10.1037/0033-295X.107.3.411
Trigueros, R., Aguilar-Parra, J. M., Cangas, A. J., Bermejo, R., Ferrandiz, C., & López-Liria, R. (2019). Influence of emotional intelligence, motivation and resilience on academic performance and the adoption of healthy lifestyle habits among adolescents. International Journal of Environmental Research and Public Health, 16(16), 2810. https://doi.org/10.3390/ijerph16162810
Trigueros, R., Padilla, A. M., Aguilar-Parra, J. M., Rocamora, P., Morales-Gázquez, M. J., & López-Liria, R. (2020). The Influence of Emotional Intelligence on Resilience, Test Anxiety, Academic Stress and the Mediterranean Diet. A Study with University Students. International Journal of Environmental Research and Public Health, 17(6), 2071.
Ungar, M. (2004). A constructionist discourse on resilience: Multiple contexts, multiple realities among at-risk children and youth. Youth & Society, 35(3), 341–365. https://doi.org/10.1177/0044118X03257030
Werner, E. E. (1989). Vulnerability and resiliency: A longitudinal perspective. Children at risk: Assessment, longitudinal research, and intervention, 158-172. https://doi.org/10.1515/9783110860153
Wong, P. T., & Wong, L. C. (2012). A meaning-centered approach to building youth resilience. The Human Quest for Meaning: Theories, Research, and Applications, 2, 585–617.
Wu, B. (2016). The localization revising and evaluation on caring ability inventory (Unpublished master thesis). School of Nursing Xinxiang Medical University.
Yang, T., & Huang, H. (2003). An epidemiological study on stress among urban residents in social transition period. Chinese Journal of Epidemiology, 24(9), 760–764.
Yu, X., & Zhang, J. (2007). Factor analysis and psychometric evaluation of the Connor-Davidson Resilience Scale (CD-RISC) with Chinese people. Social Behavior and Personality: An International Journal, 35(1), 19–30.
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Deng, Q., Mikami, K. & Ambo, H. The Effect of Caring Ability on Perceived Stress Mediated by Resilience. Curr Psychol 42, 12335–12346 (2023). https://doi.org/10.1007/s12144-021-02347-6
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DOI: https://doi.org/10.1007/s12144-021-02347-6