When caring comes at a cost: Psychological wellbeing of unpaid and paid carers and the role of social expenditure.

This study examines whether, and under what conditions, unpaid and paid care work are associated with reduced psychological wellbeing. The article begins by laying out a shared theoretical framework for understanding the psychological consequences of care among both unpaid and paid carers. It then tests the empirical implications of this framework, conducting multi-level model analysis of European Quality of Life Survey and European Social Survey data and: (1) disaggregating care work based on (a) the care recipient - i.e., adults or children - for unpaid carers and (b) the level of occupational professionalization for paid carers; and (2) examining the potential intervening role of social expenditure. Findings demonstrate that unpaid caring for adults (though not children) is associated with a marginal decrease in psychological wellbeing, but that this dynamic is limited to countries with smaller welfare states. Among paid care workers, only paraprofessionals are found to have lower levels of psychological wellbeing than comparable non-care workers - but here again increased social expenditure appears to have a significant buffering effect. Together, results reinforce the need for robust social spending to mitigate negative psychological consequences of care, while adding important nuance regarding the relevance of the type of care work being performed.