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Transcultural Psychiatry, Vol. 41, No. 4, 497-513 (2004)
DOI: 10.1177/1363461504047932

Family Burdens, Chinese Health Beliefs, and the Mental Health of Chinese Caregivers in Hong Kong

Daniel Fu Keung Wong

Helen Kam Pui Tsui

Veronica Pearson

Eric Yu Hai Chen

Siu Ning Chiu

University of Hong Kong

This study explored the types of family burdens, mental health and Chinese health beliefs of Chinese caregivers with relatives suffering from a serious mental illness. It also examined the impacts of these beliefs on caregivers’ burdens and mental health. A structured questionnaire was administered to 125 Chinese caregivers in out-patient clinics in Hong Kong. Measures included distress (General Health Questionnaire), family burdens and belief in traditional Chinese medicine. Family burdens exerted a significant impact on the mental health of caregivers. Significant differences were found between believers and non-believers of traditional Chinese medical beliefs in terms of financial burdens, disruptions to family interactions and decline in physical health. However, a moderating effect of Chinese health beliefs on family burdens andmental health was found. The lack of a moderating effect of health belief on family burdens may be related to care-givers’ changes in perspectives from a traditional Chinese cultural perspective to a psychosocial and personality perspective. Implications for research and service development are discussed.

Key Words: Chinese caregivers • Chinese health beliefs • family burdens • mental health • mental illness


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