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Appraisal
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Determining whether event is relevant to caregiver or patient’s well-being
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Threat
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Event poses a threat to patient or caregiver well-being that may be outside of caregiver’s capacity to address
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Challenge
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Event poses a potentially surmountable obstacle within caregiver’s capacity
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Harm
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Event leads to direct harm to patient or caregiver
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Benign
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Event is unlikely to change patient or caregiver status or may improve it
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Irrelevant
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Event has no bearing on patient or caregiver status
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Coping
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Problem-focused coping
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Acting on oneself or the environment, such as seeking information
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Emotion-focused coping
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Changing the relationship to the environment, or changing the relational meaning of the experience to avoid stress
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Event Outcome
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Favourable resolution
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Outcome is consistent with goals and values
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Unfavourable resolution
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Outcome is contrary to goals and values, such as harm
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No resolution
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Situation persists without opportunity for change
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Emotion Outcome
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Positive emotion
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Favourable resolution leads to satisfaction, end of coping
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Distress
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Unfavourable resolution of event leads to distress
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Meaning-based coping
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Unfavourable or no resolution leads to adapting one’s mental state to be able to respond to an event
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Positive reappraisal
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Finding meaning in the event based on beliefs and values
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Revised goals
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Adjusting goals for situation to obtain control
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Spiritual beliefs
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Activating spiritual beliefs to fuel emotion- or problem-based functions
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Positive events
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A satisfactory outcome to the event leads to positive appraisal
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Variables
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Preparedness
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How ready the caregiver perceives being, regardless of actual skill or knowledge
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Mastery
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Sense of control and enhanced self-esteem through overcoming a stressor, development of new abilities, very broadly (not task-specific)
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Competence
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Perception of self as adequate at caregiving specifically
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Self-efficacy
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Belief in one’s own ability to manage a situation. Not an inherent trait but event- and task-specific
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Anxiety, depression and distress
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Negative psychological effects of ongoing caregiving demands
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Social support
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Interactions with friends, family, coworkers. Can be positive or negative, or absent.
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Information
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Seeking information to assess problems and solutions. Successful information seeking facilitates more effective coping.
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Rewards
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Satisfaction, positive emotional gains from caregiving, such as receiving love from patient, seeing patient content, feeling accomplished
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Meaningfulness
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Caregiver sees role as worthwhile investment or challenge
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Positive emotions
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Feelings of happiness, satisfaction, recognition as opposed to stress
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Optimism
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Inherent trait that buffers caregiver against strains of caregiving
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Mutuality
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Gratitude and meaning and idea of reciprocity in relationship with patient, closeness
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Respite
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Activities or interactions outside of caregiving that reduce stress and allow caregiver to recognise his/her own needs and interests
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Cultural factors
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Expectations about familial roles that shape expectations of caregiving and influence stress and coping (e.g., duty or honour to care for spouse or parent)
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Caregiver burden and health
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Physical, emotional, psychological, financial, or social problems related to caregiving (e.g., lack of sleep, numbed emotions, isolation)
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Choice and commitment
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Making a conscious choice to take on caregiving role
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Patient’s disease, dependency, and illness duration
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Patient’s physical needs, psychological aspects of illness, and own recognition and outlook on illness
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Caregiver age, gender, socioeconomic status
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Unclear but possible relationships in response to caregiving based on relationship status, age (physical ability), economics
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Additional codes
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External influences
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Legal, economic, or other structural factors that shape the environment in which care is provided overall and the caregiver’s options for providing care (e.g., insurance, sick leave)
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Grief
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Anticipatory or posthumous grieving
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