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Family caregiving and changes in mental health status in Japan during the COVID-19 pandemic
BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic has had a widespread significant impact on mental health. However, the effect of providing care to family members (informal caregiving) on changes in mental health status during the pandemic remains unclear. METHODS: Using cross-sectional...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier B.V.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8497176/ https://www.ncbi.nlm.nih.gov/pubmed/34563936 http://dx.doi.org/10.1016/j.archger.2021.104531 |
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author | Taniguchi, Yuta Miyawaki, Atsushi Tsugawa, Yusuke Murayama, Hiroshi Tamiya, Nanako Tabuchi, Takahiro |
author_facet | Taniguchi, Yuta Miyawaki, Atsushi Tsugawa, Yusuke Murayama, Hiroshi Tamiya, Nanako Tabuchi, Takahiro |
author_sort | Taniguchi, Yuta |
collection | PubMed |
description | BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic has had a widespread significant impact on mental health. However, the effect of providing care to family members (informal caregiving) on changes in mental health status during the pandemic remains unclear. METHODS: Using cross-sectional data from a large internet survey conducted between August and September 2020, we investigated the association of informal caregiving status with the incidence of mental health deterioration (increased loneliness, self-reported deterioration in mental health, and new suicidal ideation) in Japan during the COVID-19 pandemic. RESULTS: Among 25,482 participants (mean age 48.8 [standard deviation 17.3]; 50.3% women), 2,500 (9.8%) were providing informal care during the pandemic. After adjusting for potential confounders, informal caregivers were more likely than non-caregivers to experience increased loneliness (adjusted odds ratio [aOR] 2.16; 95% confidence interval [CI] 1.70–2.76), self-reported deterioration in mental health (aOR 1.54; 95% CI 1.14–2.08), and new incidence of suicidal ideation (aOR 3.65; 95% CI 1.92–6.92). The degree of mental health deterioration depended on the intensity of care. For example, the incidence rates of new suicidal ideation were 15.0%, 5.2%, and 3.6% for individuals who provided high-intensity caregiving, those who provided low-intensity caregiving, and non-caregivers, respectively (p-for-trend<0.001). The stratified analysis by gender showed that informal caregiving was associated with self-reported deterioration in mental health status among women (aOR 2.19; 95% CI 1.49–3.21) but not men (aOR 1.08; 95% CI 0.75–1.56). CONCLUSION: Informal caregivers were more likely to experience mental health deterioration than non-caregivers during the COVID-19 pandemic. |
format | Online Article Text |
id | pubmed-8497176 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Elsevier B.V. |
record_format | MEDLINE/PubMed |
spelling | pubmed-84971762021-10-08 Family caregiving and changes in mental health status in Japan during the COVID-19 pandemic Taniguchi, Yuta Miyawaki, Atsushi Tsugawa, Yusuke Murayama, Hiroshi Tamiya, Nanako Tabuchi, Takahiro Arch Gerontol Geriatr Article BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic has had a widespread significant impact on mental health. However, the effect of providing care to family members (informal caregiving) on changes in mental health status during the pandemic remains unclear. METHODS: Using cross-sectional data from a large internet survey conducted between August and September 2020, we investigated the association of informal caregiving status with the incidence of mental health deterioration (increased loneliness, self-reported deterioration in mental health, and new suicidal ideation) in Japan during the COVID-19 pandemic. RESULTS: Among 25,482 participants (mean age 48.8 [standard deviation 17.3]; 50.3% women), 2,500 (9.8%) were providing informal care during the pandemic. After adjusting for potential confounders, informal caregivers were more likely than non-caregivers to experience increased loneliness (adjusted odds ratio [aOR] 2.16; 95% confidence interval [CI] 1.70–2.76), self-reported deterioration in mental health (aOR 1.54; 95% CI 1.14–2.08), and new incidence of suicidal ideation (aOR 3.65; 95% CI 1.92–6.92). The degree of mental health deterioration depended on the intensity of care. For example, the incidence rates of new suicidal ideation were 15.0%, 5.2%, and 3.6% for individuals who provided high-intensity caregiving, those who provided low-intensity caregiving, and non-caregivers, respectively (p-for-trend<0.001). The stratified analysis by gender showed that informal caregiving was associated with self-reported deterioration in mental health status among women (aOR 2.19; 95% CI 1.49–3.21) but not men (aOR 1.08; 95% CI 0.75–1.56). CONCLUSION: Informal caregivers were more likely to experience mental health deterioration than non-caregivers during the COVID-19 pandemic. Elsevier B.V. 2022 2021-09-17 /pmc/articles/PMC8497176/ /pubmed/34563936 http://dx.doi.org/10.1016/j.archger.2021.104531 Text en © 2021 Elsevier B.V. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active. |
spellingShingle | Article Taniguchi, Yuta Miyawaki, Atsushi Tsugawa, Yusuke Murayama, Hiroshi Tamiya, Nanako Tabuchi, Takahiro Family caregiving and changes in mental health status in Japan during the COVID-19 pandemic |
title | Family caregiving and changes in mental health status in Japan during the COVID-19 pandemic |
title_full | Family caregiving and changes in mental health status in Japan during the COVID-19 pandemic |
title_fullStr | Family caregiving and changes in mental health status in Japan during the COVID-19 pandemic |
title_full_unstemmed | Family caregiving and changes in mental health status in Japan during the COVID-19 pandemic |
title_short | Family caregiving and changes in mental health status in Japan during the COVID-19 pandemic |
title_sort | family caregiving and changes in mental health status in japan during the covid-19 pandemic |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8497176/ https://www.ncbi.nlm.nih.gov/pubmed/34563936 http://dx.doi.org/10.1016/j.archger.2021.104531 |
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