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The Mental Health of Children Providing Care to their Elderly Parent

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  • Dörte Heger

Abstract

Providing care to a disabled parent can be a psychologically strenuous activity with potential negative consequences for the caregiver's mental health. At the same time, experiencing the declining health of a parent – often the very reason for the parent's care needs – can impact the adult child's mental health negatively. Because both events are usually observed simultaneously, disentangling the “caregiver effect” and the “family effect” remains a challenge. Using longitudinal data of the elderly population in Europe and an instrumental variable approach to address possible endogeneity concerns, this paper separately estimates the effect of caregiving and the decline of a parent's health on adult children's mental health. While I find negative but small caregiver and family effects for the “average” caregiver, the caregiver effect is multiplied for daughters if care provision is triggered by higher parental care needs. Copyright © 2016 John Wiley & Sons, Ltd.

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  • Dörte Heger, 2017. "The Mental Health of Children Providing Care to their Elderly Parent," Health Economics, John Wiley & Sons, Ltd., vol. 26(12), pages 1617-1629, December.
    • Handle: RePEc:wly:hlthec:v:26:y:2017:i:12:p:1617-1629
    DOI: 10.1002/hec.3457
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    1. Young Kyung Do & Edward C. Norton & Sally C. Stearns & Courtney Harold Van Houtven, 2015. "Informal Care and Caregiver's Health," Health Economics, John Wiley & Sons, Ltd., vol. 24(2), pages 224-237, February.
    2. Norma B. Coe & Courtney Harold Van Houtven, 2009. "Caring for mom and neglecting yourself? The health effects of caring for an elderly parent," Health Economics, John Wiley & Sons, Ltd., vol. 18(9), pages 991-1010, September.
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    2. Marie Blaise & Sandrine Juin & Hélène Le Forner & Quitterie Roquebert, 2024. "I care, you clean? Gendered effects of informal care on couple housework and leisure time," LISER Working Paper Series 2024-05, Luxembourg Institute of Socio-Economic Research (LISER).
    3. Gonçalves, Judite & von Hafe, Francisco & Filipe, Luís, 2021. "Formal home care use and spousal health outcomes," Social Science & Medicine, Elsevier, vol. 287(C).
    4. Felix Glaser & Gerald J. Pruckner, 2023. "A hard pill to swallow? Parental health shocks and children's mental health," Health Economics, John Wiley & Sons, Ltd., vol. 32(12), pages 2768-2800, December.
    5. Costa-Font, Joan & Vilaplana-Prieto, Cristina, 2022. "Mental health effects of caregivers respite: Subsidies or Supports?," The Journal of the Economics of Ageing, Elsevier, vol. 23(C).
    6. Kolodziej, Ingo & Coe, Norma B. & Van Houtven, Courtney Harold, 2023. "Intensive informal care and impairments in work productivity and activity," Ruhr Economic Papers 1010, RWI - Leibniz-Institut für Wirtschaftsforschung, Ruhr-University Bochum, TU Dortmund University, University of Duisburg-Essen.
    7. Elisa Labbas & Maria Stanfors, 2023. "Does Caring for Parents Take Its Toll? Gender Differences in Caregiving Intensity, Coresidence, and Psychological Well-Being Across Europe," European Journal of Population, Springer;European Association for Population Studies, vol. 39(1), pages 1-29, December.
    8. Zueras, Pilar & Grundy, Emily, 2024. "Assessing the impact of caregiving for older parents on caregivers' health: Initial health status and trajectories of physical and mental health among midlife caregivers for parents and parents-in-law," Social Science & Medicine, Elsevier, vol. 342(C).
    9. Nafilyan, Vahé & Pabon, Mauricio Avendano & de Coulon, Augustin, 2021. "The Causal Impact of Depression on Cognitive Functioning: Evidence from Europe," IZA Discussion Papers 14049, Institute of Labor Economics (IZA).
    10. Eibich, Peter, 2023. "Instrumental variable estimates of the burden of parental caregiving," The Journal of the Economics of Ageing, Elsevier, vol. 26(C).
    11. André Hajek & Hans-Helmut König, 2018. "Informal caregiving and personality: Results of a population-based longitudinal study in Germany," PLOS ONE, Public Library of Science, vol. 13(9), pages 1-11, September.
    12. Stefan Greß & Klaus Stegmüller & Sabine Strüder & Dörte Heger & Thomas Gerlinger, 2017. "Abschluss der Pflegereform: Ist die Pflegeversicherung zukunftsfest?," ifo Schnelldienst, ifo Institute - Leibniz Institute for Economic Research at the University of Munich, vol. 70(05), pages 03-15, March.
    13. Zwar, Larissa & König, Hans-Helmut & Hajek, André, 2018. "The impact of different types of informal caregiving on cognitive functioning of older caregivers: Evidence from a longitudinal, population-based study in Germany," Social Science & Medicine, Elsevier, vol. 214(C), pages 12-19.
    14. Coe, Norma B. & Goda, Gopi Shah & Van Houtven, Courtney Harold, 2023. "Family spillovers and long-term care insurance," Journal of Health Economics, Elsevier, vol. 90(C).
    15. Le, Duc Dung & Ibuka, Yoko, 2023. "Understanding the effects of informal caregiving on health and well-being: Heterogeneity and mechanisms," Social Science & Medicine, Elsevier, vol. 317(C).
    16. P.L. de Zwart & P. Bakx & E.K.A. van Doorslaer, 2017. "Will you still need me, will you still feed me when I'm 64? The health impact of caregiving to one's spouse," Health Economics, John Wiley & Sons, Ltd., vol. 26(S2), pages 127-138, September.

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