Caregiver well-being and formal support: assessing service utilization impacts and the embedded strain.

Objectives: We examine the association between formal support and caregiver well-being. The extant literature indicates that formal support often correlates with worse caregiver mental health outcomes. We tested whether timing of formal support use, rather than the services themselves explain prior...

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Publicado en:Aging & Mental Health Vol. 30; no. 8; pp. 1930 - 1942
Autores principales: Svec, Joseph, Meinertz, Naomi, Lee, Jeongeun
Formato: Artículo
Publicado: Taylor & Francis Ltd Aug2026
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2026
      vid: 30
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      pub: Taylor & Francis Ltd
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        196267185
        10.1080/13607863.2026.2624555
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        atl: Caregiver well-being and formal support: assessing service utilization impacts and the embedded strain.
      aug:
        au:
          Svec, Joseph
          Meinertz, Naomi
          Lee, Jeongeun
        affil:
          Department of Social Sciences, Saint Joseph's University, Patchogue, NY, USA
          Department of Human Development and Family Science, Extension Health & Human Sciences, University of Missouri, Columbia, MO, USA
          Department of Human Development and Family Studies, Iowa State University, Ames, IA, USA
      su:
        Mental health
        Anxiety
        Psychology of caregivers
        Mental depression
        Employees' workload
        Research funding
        Services for caregivers
        Descriptive statistics
        Burden of care
        Surveys
      sug:
        subj:
          Mental health
          Anxiety
          Psychology of caregivers
          Mental depression
          Employees' workload
          Offices of Mental Health Practitioners (except Physicians)
          Research funding
          Services for caregivers
          Descriptive statistics
          Burden of care
          Surveys
      keyword:
        caregiver burnout and demand
        depression and anxiety
        Formal support
        selection bias
        timing of services
        caregiver burnout and demand
        depression and anxiety
        Formal support
        selection bias
        timing of services
      ab: Objectives: We examine the association between formal support and caregiver well-being. The extant literature indicates that formal support often correlates with worse caregiver mental health outcomes. We tested whether timing of formal support use, rather than the services themselves explain prior findings. Method: Using National Study of Caregivers data (NSOC 2015, 2017, & 2021), we analyzed the association between formal support utilization and caregiver mental health. We employed linear regression and Two-Stage Least Squares (N = 3,963) approach to address endogeneity and unobserved caregiver demand. Results: The results indicated positive or non-significant associations between formal support and mental health outcomes. However, formal support is negatively associated with depressive symptoms (β = −0.40) and generalized anxiety (β = −0.44) when instrumentalizing formal support as a function of caregiver demand for services. When strain on a caregiver is high (i.e. high overload, working, and high frequency caregiving activity), there is a higher propensity for utilizing formal support. Caregivers with high strain showed higher propensity for formal support utilization. Conclusion: The results highlight that underlying demand functions are important mental health predictors as the negative impacts of caregiver strain may limit the efficacy of formal support services.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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