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Care-giving activities, positive and negative care-giving appraisals, and care-giver psychological wellbeing during the Covid-19 pandemic

Bibliographic Data

ID7146294
AuthorsYuqi Yan (0000-0001-8185-1007, Renmin University of China), Nan Lu (0000-0001-5452-3366, Renmin University of China, corresponding author), Liqing Cai (0000-0002-6229-7984, University of Hong Kong)
Year2025
Volume45
Issue8
Pages1563-1584
Publication date2025-08-01
Open AccessYes
TypeARTICLE
VenueAgeing and Society (JOURNAL)
Journal identifiersISSN: 0144-686X • E-ISSN: 1469-1779
PublisherCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/s0144686x24000321
OpenAlexW4405262072
LanguageEN
References cited49

Public health crises like Covid-19 profoundly influence informal care-givers of older adults with functional health limitations. This study deepens existing understanding of care-giving processes during the pandemic to uncover insights useful for developing effective care-giving interventions for the post-pandemic era and future public health crises. Specifically, it examined (1) how care-giving activities during the pandemic impacted care-giver psychological wellbeing by affecting caregiving burden and the positive aspects of caregiving and (2) the moderating effect of pandemic-specific factors (i.e., care recipients’ unmet health-care needs due to the pandemic). Multiple-group analyses were conducted on data on 906 informal care-givers of older adults with functional health limitations, obtained from the Covid-19 Supplement and Round 10 Survey of the National Health and Aging Trends Study conducted in the United States. The mean age of participants was approximately 60 years, and most were white women. Positive aspects of care-giving significantly mediated the relationships between providing assistance in activities of daily living (ADL), instrumental ADL, and emotional support and positive affect. Care-giving burden significantly mediated the relationship between assistance in ADL and positive and negative affect. Care recipients’ unmet health-care needs moderated the relationships between assistance in ADL and burden, assistance in ADL and negative affect, and emotional support and positive affect. In sum, this study underscores the positive aspects of care-giving as well as care-giving burden and demonstrates that greater attention should be paid to care-givers caring for individuals with unmet health-care needs during public health crises. The results suggest that more-effective responses to public health crises must be developed, especially within health-care systems

Activities of daily living · Affect (linguistics) · Coronavirus disease 2019 (COVID-19) · Disease · Health care · Pandemic · Political science · Psychiatry · Psychological intervention · Public health · Geriatric Care and Nursing Homes · Health disparities and outcomes · Intergenerational Family Dynamics and Caregiving · Medicine · Nursing · Psychology · Gerontology

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