The impact of COVID-19 pandemic on family caregivers' mental health: a rapid systematic review of the current evidence COVID-19 and family caregivers' mental health

Main Article Content

Federica Dellafiore
Cristina Arrigoni https://orcid.org/0000-0002-1168-8627
Tiziana NANIA
Rosario Caruso
Irene Baroni https://orcid.org/0000-0002-1326-8642
Ida Vangone https://orcid.org/0000-0002-5037-6239
Sara Russo https://orcid.org/0000-0001-5017-2677
Serena Barello

Keywords

Caregiver, Chronic illness, Mental health, COVID-19, Rapid systematic review

Abstract

Background and aim of the work. Older adults, especially in isolation and with cognitive decline/dementia, can become more anxious and stressed during the quarantine. All these symptoms negatively affect the psycho-physical health of their caregivers. This study aimed to synthesize the current evidence on the impact of the COVID-19 pandemic on caregivers' mental health. Methods. A rapid systematic review was conducted using the following databases: Pubmed/Medline, CINAHL, Scopus, and PsycInfo (PROSPERO registration number: CRD42020215485). The ‘PRISMA’ flow chart guided the selection of articles. The search was entirely performed up to September 15th, 2021. Results. The narrative synthesis has brought out two main themes that represent the current debate in literature: "Family caregivers COVID-19 related stress", and "(Mal)adaptive strategies to the "new" normality". Conclusions. This study provides an evidence synthesis of the negative mental health impact experienced by caregivers of older adults during the COVID-19 pandemic.

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References

[1] Sohrabi C, Alsafi Z, O’Neill N, Khan M, Kerwan A, Al-Jabir A, et al. World Health Organization declares global emergency: A review of the 2019 novel coronavirus (COVID-19). Int J Surg 2020;76:71–6. doi:10.1016/j.ijsu.2020.02.034.
[2] Perrin PC, McCabe OL, Everly GS, Links JM. Preparing for an influenza pandemic: Mental health considerations. Prehosp Disaster Med 2009;24:223–30. doi:10.1017/S1049023X00006853.
[3] Pfefferbaum B, North CS. Mental Health and the Covid-19 Pandemic. N Engl J Med 2020;383:510–2. doi:10.1056/NEJMp2008017.
[4] Nania T, Dellafiore F, Caruso R, Barello S. Risk and protective factors for psychological distress among Italian university students during the COVID-19 pandemic: The beneficial role of health engagement. Int J Soc Psychiatry 2020;2076402094. doi:10.1177/0020764020945729.
[5] Dubey S, Biswas P, Ghosh R, Chatterjee S, Dubey MJ, Chatterjee S, et al. Psychosocial impact of COVID-19. Diabetes Metab Syndr Clin Res Rev 2020;14:779–88. doi:10.1016/j.dsx.2020.05.035.
[6] Holmes EA, O’Connor RC, Perry VH, Tracey I, Wessely S, Arseneault L, et al. Multidisciplinary research priorities for the COVID-19 pandemic: a call for action for mental health science. The Lancet Psychiatry 2020;7:547–56. doi:10.1016/S2215-0366(20)30168-1.
[7] Dorn A van, Cooney RE, Sabin ML. COVID-19 exacerbating inequalities in the US. Lancet 2020. doi:10.1016/s0140-6736(20)30893-x.
[8] Adams-Prassl A, Boneva T, Golin M, Rauh C. Inequality in the impact of the coronavirus shock: Evidence from real time surveys. J Public Econ 2020. doi:10.1016/j.jpubeco.2020.104245.
[9] Billings DW, Folkman S, Acree M, Moskowitz JT. Coping and physical health during caregiving: The roles of positive and negative affect. J Pers Soc Psychol 2000. doi:10.1037/0022-3514.79.1.131.
[10] Park SS. Caregivers’ Mental Health and Somatic Symptoms During COVID-19. Journals Gerontol Ser B 2020. doi:10.1093/geronb/gbaa121.
[11] Biagioli V, Belloni S, Albanesi B, Piredda A, Caruso R. Comment on “The experience on coronavirus disease 2019 and cancer from an oncology hub institution in Milan, Lombardy Region” and reflections from the Italian Association of Oncology Nurses. Eur J Cancer 2020;135:8–10. doi:10.1016/j.ejca.2020.05.022.
[12] Aledo-Serrano Á, Mingorance A, Jiménez-Huete A, Toledano R, García-Morales I, Anciones C, et al. Genetic epilepsies and COVID-19 pandemic: Lessons from the caregiver perspective. Epilepsia 2020;61:1312–4. doi:10.1111/epi.16537.
[13] Consonni M, Telesca A, Dalla Bella E, Bersano E, Lauria G. Amyotrophic lateral sclerosis patients’ and caregivers’ distress and loneliness during COVID-19 lockdown. J Neurol 2020:1–4. doi:10.1007/s00415-020-10080-6.
[14] Cohen G, Russo MJ, Campos JA, Allegri RF. Living with dementia: Increased level of caregiver stress in times of COVID-19. Int Psychogeriatrics 2020:1–5. doi:10.1017/S1041610220001593.
[15] Alradhawi M, Shubber N, Sheppard J, Ali Y. Effects of the COVID-19 pandemic on mental well-being amongst individuals in society- A letter to the editor on “The socio-economic implications of the coronavirus and COVID-19 pandemic: A review.” Int J Surg 2020;78:147–8. doi:10.1016/j.ijsu.2020.04.070.
[16] Akbari M, Alavi M, Irajpour A, Maghsoudi J. Challenges of family caregivers of patients with mental disorders in Iran: A narrative review. Iran J Nurs Midwifery Res 2018;23:329–37. doi:10.4103/ijnmr.IJNMR_122_17.
[17] Heng JL, Fan E, Chan EY. Caregiving experiences, coping strategies and needs of foreign domestic workers caring for older people. J Clin Nurs 2019;28:458–68. doi:10.1111/jocn.14619.
[18] Applebaum A. Isolated, invisible, and in-need: There should be no i in caregiver. Palliat Support Care 2013;13:451–416. doi:10.1017/S1478951515000413.
[19] Meichsner F, Köhler S, Wilz G. Moving through predeath grief: Psychological support for family caregivers of people with dementia. Dementia 2019;18:2474–93. doi:10.1177/1471301217748504.
[20] Barello S, Falcó-Pegueroles A, Rosa D, Tolotti A, Graffigna G, Bonetti L. The psychosocial impact of flu influenza pandemics on healthcare workers and lessons learnt for the COVID-19 emergency: a rapid review. Int J Public Health 2020;65:1205–16. doi:10.1007/s00038-020-01463-7.
[21] Tricco AC, Langlois E V, Straus SE. Rapid reviews to stremghten health policy and system: a pratical guide. Geneva: 2017.
[22] Haby MM, Chapman E, Clark R, Barreto J, Reveiz L, Lavis JN. What are the best methodologies for rapid reviews of the research evidence for evidence-informed decision making in health policy and practice: A rapid review. Heal Res Policy Syst 2016;14:83. doi:10.1186/s12961-016-0155-7.
[23] Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gøtzsche PC, Ioannidis JPA, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration. BMJ 2009;339:b2700.
[24] Moher D, Liberati A, Tetzlaff J, Altman DG, PRISMA Group. Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement. PLoS Med 2009;6:e1000097. doi:10.1371/journal.pmed.1000097.
[25] Cooke A, Smith D, Booth A. Beyond PICO: The SPIDER tool for qualitative evidence synthesis. Qual Health Res 2012;22:1435–43. doi:10.1177/1049732312452938.
[26] Nania T, Barello S, Caruso R, Graffigna G, Stievano A, Pittella F, et al. The state of the evidence about the Synergy Model for patient care. Int Nurs Rev 2020:1–12. doi:10.1111/inr.12629.
[27] The Joanna Briggs Institute. The Joanna Briggs Institute Reviewers’ Manual 2014: Methodology for JBI Mixed Methods Systematic Reviews. Joanne Briggs Inst 2014. doi:10.1017/CBO9781107415324.004.
[28] Porritt K, Gomersall J, Lockwood C. JBIʼs Systematic Reviews. AJN, Am J Nurs 2014;114:47–52. doi:10.1097/01.NAJ.0000450430.97383.64.
[29] Greenhalgh T, Robert G, Macfarlane F, Bate P, Kyriakidou O, Peacock R. Storylines of research in diffusion of innovation: a meta-narrative approach to systematic review. Soc Sci Med 2005;61:417–30. doi:10.1016/J.SOCSCIMED.2004.12.001.
[30] Guo L, Wu M, Zhu Z, Zhang L, Peng S, Li W, et al. Effectiveness and influencing factors of online education for caregivers of patients with eating disorders during COVID-19 pandemic in China. Eur Eat Disord Rev 2020;28:816–25. doi:10.1002/erv.2783.
[31] Savla J, Roberto KA, Blieszner R, McCann BR, Hoyt E, Knight AL. Dementia Caregiving During the “Stay-at-Home” Phase of COVID-19 Pandemic. Journals Gerontol Ser B 2020;gbaa129:1–5. doi:10.1093/geronb/gbaa129.
[32] Prasad S, Holla VV, Neeraja K, Surisetti BK, Kamble N, Yadav R, et al. Parkinson’s Disease and COVID-19: Perceptions and Implications in Patients and Caregivers. Mov Disord 2020;35:912–4. doi:10.1002/mds.28088.
[33] Vaitheswaran S, Lakshminarayanan M, Ramanujam V, Sargunan S, Venkatesan S. Experiences and Needs of Caregivers of Persons With Dementia in India During the COVID-19 Pandemic—A Qualitative Study. Am J Geriatr Psychiatry 2020;28:1185–94. doi:10.1016/j.jagp.2020.06.026.
[34] Bidwell JT, Lyons KS, Lee CS. Caregiver Well-being and Patient Outcomes in Heart Failure: A Meta-analysis. J Cardiovasc Nurs 2017;32:372–82. doi:10.1097/JCN.0000000000000350.
[35] Dellafiore F, Chung ML, Alvaro R, Durante A, Colaceci S, Vellone E, et al. The association between mutuality, anxiety, and depression in heart failure patient-caregiver dyads: An actor-partner interdependence model analysis. J Cardiovasc Nurs 2019;34:465–73. doi:10.1097/JCN.0000000000000599.
[36] Vellone E, Lorini S, Ausili D, Alvaro R, Di Mauro S, De Marinis MG, et al. Psychometric characteristics of the caregiver contribution to self-care of chronic illness inventory. J Adv Nurs 2020;76:2434–45. doi:10.1111/jan.14448.
[37] Sun N, Wei L, Shi S, Jiao D, Song R, Ma L, et al. A qualitative study on the psychological experience of caregivers of COVID-19 patients. Am J Infect Control 2020;48:592–598. doi:10.1016/j.ajic.2020.03.018.
[38] Feast A, Moniz-Cook E, Stoner C, Charlesworth G, Orrell M. A systematic review of the relationship between behavioral and psychological symptoms (BPSD) and caregiver well-being. Int Psychogeriatrics 2016;28:1761–74. doi:10.1017/S1041610216000922.
[39] Smith MW, Smith PW, Kratochvil CJ, Schwedhelm S. The Psychosocial Challenges of Caring for Patients with Ebola Virus Disease. Heal Secur 2017;15:104–109. doi:10.1089/hs.2016.0068.
[40] Lee SH, Juang YY, Su YJ, Lee HL, Lin YH, Chao CC. Facing SARS: Psychological impacts on SARS team nurses and psychiatric services in a Taiwan general hospital. Gen Hosp Psychiatry 2005;27:352–8. doi:10.1016/j.genhosppsych.2005.04.007.
[41] Liu Q, Luo D, Haase JE, Guo Q, Wang XQ, Liu S, et al. The experiences of health-care providers during the COVID-19 crisis in China: a qualitative study. Lancet Glob Heal 2020;8:e790–8. doi:10.1016/S2214-109X(20)30204-7.
[42] Guerrero N, De Leon CFM, Evans DA, Jacobs EA. Determinants of trust in health care in an older population. J Am Geriatr Soc 2015;63:553–7. doi:10.1111/jgs.13316.
[43] Caswell G, Pollock K, Harwood R, Porock D. Communication between family carers and health professionals about end-of-life care for older people in the acute hospital setting: A qualitative study. BMC Palliat Care 2015;14. doi:10.1186/s12904-015-0032-0.
[44] Tugade MM, Fredrickson BL, Barrett LF. Psychological resilience and positive emotional granularity: Examining the benefits of positive emotions on coping and health. J Pers 2004;72:1161–1190. doi:10.1111/j.1467-6494.2004.00294.x.
[45] Aarssen LW, Crimi L. Legacy, Leisure and the ‘Work Hard – Play Hard’ Hypothesis. Open Psychol J 2016;9:7–24. doi:10.2174/1874350101609010007.
[46] Moreno C, Wykes T, Galderisi S, Nordentoft M, Crossley N, Jones N, et al. How mental health care should change as a consequence of the COVID-19 pandemic. The Lancet Psychiatry 2020;7:813–24. doi:10.1016/S2215-0366(20)30307-2.
[47] Phillips D, Paul G, Fahy M, Dowling-Hetherington L, Kroll T, Moloney B, et al. The invisible workforce during the COVID-19 pandemic: Family carers at the frontline. HRB Open Res 2020;3. doi:10.12688/hrbopenres.13059.1.
[48] Li X, Krumholz HM, Yip W, Cheng KK, De Maeseneer J, Meng Q, et al. Quality of primary health care in China: challenges and recommendations. Lancet 2020;395:1802–12. doi:10.1016/S0140-6736(20)30122-7.