
Caregiver Support and Mental Health Outcomes in Older Adults
By Bhavya Gupta, Sanjna & Siddhii Abstract Caregiving for older adults, particularly those with chronic illnesses, often leads to significant physical, emotional, and financial strain, called caregiver burden. The burden has an inherent connection with social isolation, emotional discomfort, and the deterioration of physical health, further impacting the quality of care given. This article discusses how interventions like caregiver training, telehealth services (Tele-MANAS), and community-based programs (Atmiyata) can alleviate this burden. Addressing caregiver stress through emotional and instrumental support and policy measures such as financial aid and awareness campaigns is essential to improve outcomes for caregivers and older adults. Introduction Caregiver is referred to as someone who provides support and adheres to the needs of someone who is not fully independent, individuals such as an infants, disabled and elderly are usually in need of assistance (American Psychological Association, 2023). Support for caregivers is a key intervention to enhance the care of older adults and thereby reduce the mental health risk to caregivers. It has been observed that mental health conditions, such as depression and anxiety, among older adults are common because of the impact of chronic illnesses (G. & V., 2022). A high-risk group, owing to stress and mental health issues, is caregivers themselves, who can also suffer from caregiver burnout (Boisvert et al., 2022). Proper caregiver support may mitigate stress and improve caregivers’ and care recipients’ mental health outcomes (Hall et al., 2022). Areas of focus for support include resource provision, care for the caregiver, and respite-any of these would be critical in promoting the caregiver’s well-being (Hall et al., 2024). Many caregivers, however, are left without support, which ultimately corrupts their mental health and delivers a poor-quality service for older adults. Therefore, addressing these gaps is vital for the improved health of caregivers and care recipients alike. Impact of Caregiver’s Support Emotional Support For human beings, a social species, social relations are crucial to ensure safety, reproductive success, and survival. From an evolutionary perspective, social relations with a mate or a tribe improve the chances of survival in hostile environments (Reinwarth et al., 2024). Emotional support is the key to improving the conditions of older adults who live in a community with a lack of emotional support (Devkota et al., 2023). Along with a lack of emotional support, older adults live with a lack of financial aid, which makes them ineligible for healthcare use. Due to this older adults not only suffer financially but suffer psychologically. According to a study by Yon and colleagues (2017), it is estimated that 5.7% of individuals aged 60 years and older are victims of EA (elder abuse). Additionally, 28.5% of this population experiences loneliness in their last years of life, and 28.4% suffer from depression. Social isolation and loneliness are significant health risks for older adults and due to the COVID-19 pandemic, the number of social isolations among older adults has increased. This not only destroys the mental health of older adults but their physical health also deteriorates (Czaja et al., 2021). Social relationships are important aspects of one ‘s personal life. As age increases the depressive symptoms are most common in older adults. Factors like loneliness, physical illness, and lack of purpose affect older adult’s mental health. Studies indicate that older adults experience illness and low levels of happiness. Mental health issues in older adults require attention and support. Research conducted in China examined the impact of social activities on the mental health of older adults. Participants engaged in various activities, such as joining clubs, visiting friends, and playing games, which positively influenced their mental well-being (Gao et al., 2024). Such activities help lessen loneliness and foster a sense of belonging. Consistent emotional support from family members, peers, and caregivers can play a crucial part in diminishing depressive episodes and can help enhance resilience (Upasen et al., 2024c) Instrumental Support Instrumental support or Tangible support refers to the assistance that is provided by caregivers to help older adults carry out essential day-to-day activities (Schultz et al., 2022). These activities include: Bathing Toileting Eating Preparing meals throughout the day Medical Care Transportation Research findings indicate that anticipated instrumental support from various sources significantly reduces the odds of depressive symptoms. Specifically, anticipated support from spouses and children lowers the risk by 52% and 46%, respectively, compared to those without such anticipation (Fu et al., 2024c). Along with psychological stressors, older adults also face numerous challenges such as physical weakness, and chronic illness, which make them dependent on others. Instrumental support therefore helps to elevate such problems (Fu et al., 2024c): Encourage self-governance: Caregivers assist older adults, fostering independence and control over their lives, ultimately reducing the risk of future psychological issues. Strengthening Relationships: Support systems, such as emotional and instrumental support, can strengthen the connection and bond between caregivers and older adults. Helps in reducing the daily hassles: Providing support for older adults in managing their daily activities, including medication management, significantly enhances their overall quality of life. Caregiver Burden and Mental Health Outcomes Caregiver burden is a concept of understanding the physical, emotional and financial strain or stress experienced by caregivers, while they care for patients with chronic diseases or disabilities. It is manifested in different forms such as social isolation, psychological distress and physical health deterioration that further affects the quality of care that is provided to the patient (Bakkali & Renzulli, 2023; Parvizi & Ay, 2024). Standardized tools such as the Zarit Burden Inventory and the Burden Scale for Family Caregivers are often used in the assessment of caregiver burden and quantify their impact on caregivers, by helping in its measurement (Baysal & Corabay, 2024). Caregiver burden comprises different dimensions such as objective, subjective, and social burdens. All of them are quite relevant and affect caregivers’ lives, as well as the effectiveness of their caregiving. Objective Burden: The objective burden is all about objective things associated with the process of caregiving. These may include: Time Expenditure: Time expenditure has been identified as the most significant burden reported by care partners in