A Study on the Subject-Object Mediating Effect of Dyadic Coping in the Relationship Between Psychological Resilience and Caregiving Burden Among Parents of Children with Hearing Loss

doi:10.12104/j.issn.1674-4748.2025.08.003

Abstract：Objective: To construct a subject-object mediating model of dyadic coping among parents of children with hearing loss, exploring the impact of parents' own psychological resilience on their own caregiving burden, as well as the mediating effects of their own dyadic coping and their spouse's dyadic coping. Methods: A convenience sampling method was used to select 348 pairs of parents of children with hearing loss from Jiangxi Provincial Children's Hospital. Data were collected using a general information questionnaire, a translated version of the Dyadic Coping Inventory, the Chinese version of the Psychological Resilience Scale, and the Chinese version of the Zarit Caregiver Burden Interview. Results: There were statistically significant differences in dyadic coping scores, psychological resilience scores, and caregiver burden scores between the parents (all P < 0.05). Father's caregiving burden was negatively correlated with his own dyadic coping, his own psychological resilience, mother's dyadic coping, and mother's psychological resilience (r values were -0.222, -0.236, -0.240, -0.259, all P < 0.01). Mother's caregiving burden was negatively correlated with her own dyadic coping, her own psychological resilience, father's dyadic coping, and father's psychological resilience (r values were -0.210, -0.296, -0.222, -0.197, all P < 0.01). The subject-object mediation effects between parents were not equal (P < 0.2). In the mother's subject effect, mother's dyadic coping played a partial mediating role in the relationship between her own psychological resilience and caregiving burden [β = -0.027, 95% CI (-0.001, -0.067), P < 0.05]. In the father's subject effect, mother's dyadic coping played a partial mediating role in the relationship between mother's psychological resilience and father's caregiving burden [β = -0.015, 95% CI (-0.001, -0.043), P < 0.05], and father's dyadic coping played a partial mediating role in the relationship between his own psychological resilience and caregiving burden [β = -0.019, 95% CI (-0.012, -0.054), P < 0.05]. In the father's object effect, father's dyadic coping played a partial mediating role in the relationship between mother's psychological resilience and father's caregiving burden [β = -0.037, 95% CI (-0.010, -0.078), P < 0.05]. In the mother's object effect, mother's dyadic coping played a complete mediating role in the relationship between father's psychological resilience and mother's caregiving burden [β = -0.010, 95% CI (0.000, -0.072), P < 0.05]. Conclusion: This study suggests that in clinical research on interventions for caregiving burden among parents of children with hearing loss, it is necessary not only to consider the impact of parents' own psychological resilience on caregiving burden but also to take into account the mediating role of dyadic coping between them.