Evidence map›Paper›PMID 34563936›Full record

ArticleArchives of gerontology and geriatrics

Family caregiving and changes in mental health status in Japan during the COVID-19 pandemic.

Yuta Taniguchi, Atsushi Miyawaki, Yusuke Tsugawa, Hiroshi Murayama, Nanako Tamiya, Takahiro Tabuchi

Open access · bronzeAbstract read
In one paragraph

Article in Archives of gerontology and geriatrics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
3.1field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 30 citations in OpenAlex.

  1. The role of household composition in social isolation and anxiety: evidence from adults in South Africa during the COVID-19 pandemic.The journals of gerontology. Series B, Psychological sciences and social sciences · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 2 countries.

Yuta TaniguchiGraduate School of Comprehensive Human Sciences, University of Tsukuba, Ibaraki, Japan; Health Services Research and Development Center, University of Tsukuba, Ibaraki, Japan.
Atsushi MiyawakiHealth Services Research and Development Center, University of Tsukuba, Ibaraki, Japan; Department of Public Health, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan; Division of General Internal Medicine and Health Services Research, UCLA David Geffen School of Medicine, Los Angeles, CA, USA. Electronic address: amiyawaki-tky@umin.ac.jp.
Yusuke TsugawaDivision of General Internal Medicine and Health Services Research, UCLA David Geffen School of Medicine, Los Angeles, CA, USA; Department of Health Policy and Management, UCLA Fielding School of Public Health, Los Angeles, CA, USA.
Hiroshi MurayamaResearch Team for Social Participation and Community Health, Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan.
Nanako TamiyaHealth Services Research and Development Center, University of Tsukuba, Ibaraki, Japan; Department of Health Services Research, Faculty of Medicine, University of Tsukuba, Ibaraki, Japan.
Takahiro TabuchiCancer Control Center, Osaka International Cancer Institute, Osaka, Japan.
University of Tsukuba · JPOsaka Medical Center for Cancer and Cardiovascular Diseases · JPTokyo Metropolitan Institute of Gerontology · JPUCLA Health · USUniversity of California, Los Angeles · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe coronavirus disease 2019 (COVID-19) pandemic has had a widespread significant impact on mental health. However, the effect of providing care to family members (informal caregiving) on changes in mental health status during the pandemic remains unclear.

methodsUsing cross-sectional data from a large internet survey conducted between August and September 2020, we investigated the association of informal caregiving status with the incidence of mental health deterioration (increased loneliness, self-reported deterioration in mental health, and new suicidal ideation) in Japan during the COVID-19 pandemic.

resultsAmong 25,482 participants (mean age 48.8 [standard deviation 17.3]; 50.3% women), 2,500 (9.8%) were providing informal care during the pandemic. After adjusting for potential confounders, informal caregivers were more likely than non-caregivers to experience increased loneliness (adjusted odds ratio [aOR] 2.16; 95% confidence interval [CI] 1.70-2.76), self-reported deterioration in mental health (aOR 1.54; 95% CI 1.14-2.08), and new incidence of suicidal ideation (aOR 3.65; 95% CI 1.92-6.92). The degree of mental health deterioration depended on the intensity of care. For example, the incidence rates of new suicidal ideation were 15.0%, 5.2%, and 3.6% for individuals who provided high-intensity caregiving, those who provided low-intensity caregiving, and non-caregivers, respectively (p-for-trend<0.001). The stratified analysis by gender showed that informal caregiving was associated with self-reported deterioration in mental health status among women (aOR 2.19; 95% CI 1.49-3.21) but not men (aOR 1.08; 95% CI 0.75-1.56).

conclusionInformal caregivers were more likely to experience mental health deterioration than non-caregivers during the COVID-19 pandemic.

Indexed as

COVID-19CaregiversCross-Sectional StudiesFemaleHealth StatusHumansJapanMalePandemicsSARS-CoV-2CaregiversCOVID-19Informal caregivingJapanLonelinessMental healthSuicidal ideation

Identifiers

PMID34563936
PMCPMC8497176
OpenAlexW3201177047

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.