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Caregiver burden, work-family conflict, family-work conflict, and mental health of caregivers: A mediational longitudinal study
Open accessAbstract
Caregivers are responsible for the care of another, such as a young adult, disabled child, elderly parent, or sick spouse. Individuals who have caregiving responsibilities must blend the often-contradictory behavioral expectations from the different roles in which they reside. Building on the theoretical foundations of Conservation of Resources theory, this study tests a mediational model explicating the process through which caregiver burden impacts mental health through work-family conflict among a community sample of 1,007 unpaid caregivers in the greater Chicago area who responded to a mail survey at three time points. Structural equation modeling analyses indicate strain-based conflict as being a consistent mediator between caregiver burden and mental health at baseline and two years later. These findings can inform practice and policy for workers with caregiving responsibilities.
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“Individuals who assume caregiving responsibilities inevitably face conflicting demands arising from the different roles they occupy (26).”
From Caring alone: older adult care burdens, practices, and structural imbalances among China's one-child generation (2025) · cites this paper as [26]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
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“In this context, they face increasingly complex—and at times conflicting—roles (25, 26).”
From Caring alone: older adult care burdens, practices, and structural imbalances among China's one-child generation (2025) · cites this paper as [26]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
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“Role conflict generates stress, as resources become scarce or depleted while trying to balance multiple roles. This can negatively affect caregivers’ psychological well-being, physical health, and financial stability (26, 46, 47).”
From Caring alone: older adult care burdens, practices, and structural imbalances among China's one-child generation (2025) · cites this paper as [26]
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“Caregivers who strive to balance these responsibilities are likely to exit the labor market, which for them means financial loss and interrupted personal development; for employers, it results in higher employee turnover and increased organizational costs; and for the country, it leads to a significant portion of the working-age population (26, 62, 63).”
From Caring alone: older adult care burdens, practices, and structural imbalances among China's one-child generation (2025) · cites this paper as [26]
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Metadata
- Authors
- Kayaalp, A., Page, K. J., & Rospenda, K. M.
- Affiliations
- South Dakota State University (US)
- American Family Insurance, Madison, WI, USA
- University of Illinois Chicago (US)
- Corresponding author
- Kayaalp, Alper
- Venue
- Work & Stress
- Publisher
- Informa UK Limited
- Published
- 2020-10-14
- Volume
- 35
- Issue
- 3
- Pages
- 217-240
- ISSN
- 0267-8373 (ISSN-L)
- 1464-5335
- PMC
- PMC8412180
- OpenAlex
- W3092860244
- Cited by
- 177
- References
- 91
- Citations by year
- 2026: 39 · 2025: 54 · 2024: 34 · 2023: 33 · 2022: 11 · 2021: 6
- FWCI
- 16.72
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Work & Stress (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Alcohol Abuse and Alcoholism
- NIAAA
- Topics
- Social Sciences › Sociology and Political Science › Work-Family Balance Challenges
- Social Sciences › Sociology and Political Science › Intergenerational Family Dynamics and Caregiving
- Health Sciences › Nursing › Research and Theory › Nursing care and research
- Keywords
- caregiver burden, work-family conflict, family-work conflict, mental health, informal caregivers, conservation of resources theory, strain-based conflict, mediation, role conflict, community caregivers
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