Potential Harmful Behavior Toward Older Family Members: Applying a Double-ABCX Model to Examine Problematic Family Caregiving.

Grounded in Lin and Giles' communication model of elder abuse and neglect and McCubbin and Patterson's double-ABCX model of family stress, this study examined whether caregiver self-efficacy and perceptions of positive caregiving outcomes predicted caregivers' lowered tendency to engage in potential harmful behaviors (PHB) toward care receiver directly or indirectly through lowered reports of care receivers' problem behaviors and negative coping strategy (i.e., communication neglect coupled with expressed anger). These expectations were tested through structural equation modeling of survey responses of 339 family caregivers in the U.S. Model results identified "negative coping strategy" as a strong mediating variable for the effects of reports of care receivers' problem behaviors on PHB. A serial mediation path from higher caregiver self-efficacy to lowered reports of care receivers' problem behavior, to reduced use of "negative coping strategy" and finally to reduced PHB was significant. Perceptions of positive caregiving outcomes did not yield similar results.