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Map Kolkata for Orbell and Gillies , which may include what Wallander and Varni refer to as resistance factors’. Resistance factors include intrapersonal factors such as personality and motivation, socio-ecological factors such as the caregiver’s family environment and support resources, and stress-processing factors, which include an individual’s cognitive appraisals of a situation and their coping responses akin to Lazarus’s theory, Chapter The role of caregiver appraisal in predicting caregiver stress was highlighted in one of the few prospective studies of caregiver health carried out with family caregivers of persons with Alzheimer’s disease in this sample, improvements in caregiver physical or mental health were not directly associated with a reduction in caring demands but with the caregiver’s appraisal of the stressors as benign, with approach rather than avoidant coping, and with greater levels of the personal resource of social support Goode et al Cross-sectional support for the role of appraisal comes from a rare study of parent and spouse caregivers of individuals with traumatic brain injury primarily following a vehicle accident Chronister and Chan They found that caregiver quality of life could be best explained by perceived burden negative and perceived mastery positive. They did not, however, find any association between the third appraisal assessed, that of perceived caregiving satisfaction and caregiver QoL, and they propose that QoL is perhaps mediated by factors such as coping strategies satisfaction was positively associated with emotion-focused coping and negatively associated with avoidant coping, and the appraisals of burden and mastery also had strong links with coping. Perceptions of the illness itself, rather than of caregiving, also play a role as shown by McClenahan and Weinman where caregivers who had a chronic perceived timeline for the illness showed greater caregiver distress see Chapter for full discussion of illness perceptions. Hagedoorn et al. , in a comparison of male and female caregivers of a partner with cancer, found that elevated distress among female caregivers was found only in those who reported low levels of caregiver efficacy not believing in one’s ability to care effectively and perceived challenges to their role identity resulting from a perception of not caring well’. U se of social support Shewchuck et al. Map Kolkata 2016.