2022
DOI: 10.1093/geronb/gbac031
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The Impact of Care Intensity and Work on the Mental Health of Family Caregivers: Losses and Gains

Abstract: Objectives We estimate the causal impact of intensive caregiving, defined as providing at least 80 hours of care per month, and work, on the mental health of caregivers while considering possible sources of endogeneity in these relationships. Methods We use two linked data sources from the U.S. by matching caregivers in the National Study of Caregiving (NSOC) with corresponding care recipients in the National Health and Aging… Show more

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Cited by 12 publications
(6 citation statements)
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“…While family caregivers may experience benefits due to caregiving, family caregiving can also result in burden with regards to finances, stressors, and work productivity. [14][15][16] Rural family caregivers are more likely to experience financial strain associated with caregiving and report barriers to accessing caregiver supports and respite than the average caregiver. 17 Thus, rural family caregivers may experience increasing adverse effects due to caregiving due to the increased financial strain and lack of access to robust support services.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…While family caregivers may experience benefits due to caregiving, family caregiving can also result in burden with regards to finances, stressors, and work productivity. [14][15][16] Rural family caregivers are more likely to experience financial strain associated with caregiving and report barriers to accessing caregiver supports and respite than the average caregiver. 17 Thus, rural family caregivers may experience increasing adverse effects due to caregiving due to the increased financial strain and lack of access to robust support services.…”
Section: Discussionmentioning
confidence: 99%
“…First, our findings of disproportionate reliance on family caregivers for rural older adults are concerning given existing disparities in caregiver burden and access to caregiver supports by rurality. While family caregivers may experience benefits due to caregiving, family caregiving can also result in burden with regards to finances, stressors, and work productivity 14–16 . Rural family caregivers are more likely to experience financial strain associated with caregiving and report barriers to accessing caregiver supports and respite than the average caregiver 17 .…”
Section: Discussionmentioning
confidence: 99%
“…This PHQ-4 measure has been used to screen for anxiety and depression symptoms in caregiving studies. 35,36…”
Section: Methodsmentioning
confidence: 99%
“…This PHQ-4 measure has been used to screen for anxiety and depression symptoms in caregiving studies. 35,36 Caregiver outcomes (dependent variables measures). Caregiving burden was measured by the 12-item, 5-point Likerttype scale Zarit Burden Interview, version 12 (ZBI-12).…”
Section: Measures For Research Question 1 (Quantitative Variables)mentioning
confidence: 99%
“…Furthermore, intensive caregiving can significantly impact family relationships and dynamics. For example, devoting large amounts of time and energy to one child requiring complex care can cause feelings of guilt for parents with multiple children as they may feel that they are providing inadequate attention to the other children [19,36]. Furthermore, the siblings of a child with complex medical needs may also experience feelings of trauma as they witness their brother/sister's clinical symptoms and medical procedures at home [37][38][39].…”
Section: Effect Of Complex Care On the Caregiver's Mental Health And ...mentioning
confidence: 99%