Coping strategies of the sandwich generation in the care process: a qualitative study

Abstract Objective The sandwich generation refers to individuals who are simultaneously responsible for caring for their aging parents and their own children. Research shows that the number of sandwich generation caregivers is increasing, and they face significant physical, psychological, social, an...

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Main Authors: Hakime Pashazade, Masoomeh Maarefvand, Yadollah Abolfathi Momtaz, Kianoush Abdi
Format: Article
Language:English
Published: BMC 2024-12-01
Series:BMC Public Health
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Online Access:https://doi.org/10.1186/s12889-024-20327-w
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author Hakime Pashazade
Masoomeh Maarefvand
Yadollah Abolfathi Momtaz
Kianoush Abdi
author_facet Hakime Pashazade
Masoomeh Maarefvand
Yadollah Abolfathi Momtaz
Kianoush Abdi
author_sort Hakime Pashazade
collection DOAJ
description Abstract Objective The sandwich generation refers to individuals who are simultaneously responsible for caring for their aging parents and their own children. Research shows that the number of sandwich generation caregivers is increasing, and they face significant physical, psychological, social, and economic challenges. Therefore, it is crucial for these caregivers to develop effective coping strategies. This study aimed to identify the coping mechanisms used by sandwich generation caregivers. Methods In 2022, during the COVID-19 pandemic, we conducted a qualitative study involving semi-structured interviews with 18 sandwich generation caregivers in Tehran, Iran, who were responsible for both elderly parents and their own children. These interviews were conducted either in person or by telephone. Subsequently, the collected data were analyzed using the inductive content analysis method within the MAXQDA software (2018 version). Results Data analysis revealed three categories of coping strategies: “distancing from the situation”, “self-soothing” (including sub categories of spiritual matters, establishing relationships, emotional outlet, and engaging in favorite activities), and “diversifying responses to needs” (including transferring responsibility to the family members, prioritizing needs for responsiveness, utilizing available community services, mediating to reduce conflict, and remote monitoring of the older adult). Conclusion Sandwich generation caregivers use various coping strategies, each with different outcomes. This study found that self-care and using social resources can greatly reduce caregiving burdens. Therefore, providing these caregivers with training in problem-solving and self-care skills is recommended to better prepare them for their responsibilities.
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spelling doaj-art-17c38a434d1845dcb6a6a4f25dba1d252025-08-20T02:20:38ZengBMCBMC Public Health1471-24582024-12-0124111510.1186/s12889-024-20327-wCoping strategies of the sandwich generation in the care process: a qualitative studyHakime Pashazade0Masoomeh Maarefvand1Yadollah Abolfathi Momtaz2Kianoush Abdi3Department of Social Work, School of Social Health, University of Social Welfare and Rehabilitation SciencesDepartment of Social Work, School of Social Health, University of Social Welfare and Rehabilitation SciencesIranian Research Center on Aging, University of Social Welfare and Rehabilitation SciencesDepartment of Rehabilitation Management, University of Social Welfare and Rehabilitation SciencesAbstract Objective The sandwich generation refers to individuals who are simultaneously responsible for caring for their aging parents and their own children. Research shows that the number of sandwich generation caregivers is increasing, and they face significant physical, psychological, social, and economic challenges. Therefore, it is crucial for these caregivers to develop effective coping strategies. This study aimed to identify the coping mechanisms used by sandwich generation caregivers. Methods In 2022, during the COVID-19 pandemic, we conducted a qualitative study involving semi-structured interviews with 18 sandwich generation caregivers in Tehran, Iran, who were responsible for both elderly parents and their own children. These interviews were conducted either in person or by telephone. Subsequently, the collected data were analyzed using the inductive content analysis method within the MAXQDA software (2018 version). Results Data analysis revealed three categories of coping strategies: “distancing from the situation”, “self-soothing” (including sub categories of spiritual matters, establishing relationships, emotional outlet, and engaging in favorite activities), and “diversifying responses to needs” (including transferring responsibility to the family members, prioritizing needs for responsiveness, utilizing available community services, mediating to reduce conflict, and remote monitoring of the older adult). Conclusion Sandwich generation caregivers use various coping strategies, each with different outcomes. This study found that self-care and using social resources can greatly reduce caregiving burdens. Therefore, providing these caregivers with training in problem-solving and self-care skills is recommended to better prepare them for their responsibilities.https://doi.org/10.1186/s12889-024-20327-wChildrenCoping skillsFamily caregiverOlder adultsSandwich generation
spellingShingle Hakime Pashazade
Masoomeh Maarefvand
Yadollah Abolfathi Momtaz
Kianoush Abdi
Coping strategies of the sandwich generation in the care process: a qualitative study
BMC Public Health
Children
Coping skills
Family caregiver
Older adults
Sandwich generation
title Coping strategies of the sandwich generation in the care process: a qualitative study
title_full Coping strategies of the sandwich generation in the care process: a qualitative study
title_fullStr Coping strategies of the sandwich generation in the care process: a qualitative study
title_full_unstemmed Coping strategies of the sandwich generation in the care process: a qualitative study
title_short Coping strategies of the sandwich generation in the care process: a qualitative study
title_sort coping strategies of the sandwich generation in the care process a qualitative study
topic Children
Coping skills
Family caregiver
Older adults
Sandwich generation
url https://doi.org/10.1186/s12889-024-20327-w
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AT yadollahabolfathimomtaz copingstrategiesofthesandwichgenerationinthecareprocessaqualitativestudy
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