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Gender differences in caregiving among family - caregivers of people with mental illnesses
Open accessAbstract
All over the world women are the predominant providers of informal care for family members with chronic medical conditions or disabilities, including the elderly and adults with mental illnesses. It has been suggested that there are several societal and cultural demands on women to adopt the role of a family-caregiver. Stress-coping theories propose that women are more likely to be exposed to caregiving stressors, and are likely to perceive, report and cope with these stressors differently from men. Many studies, which have examined gender differences among family-caregivers of people with mental illnesses, have concluded that women spend more time in providing care and carry out personal-care tasks more often than men. These studies have also found that women experience greater mental and physical strain, greater caregiver-burden, and higher levels of psychological distress while providing care. However, almost an equal number of studies have not found any differences between men and women on these aspects. This has led to the view that though there may be certain differences between male and female caregivers, most of these are small in magnitude and of doubtful clinical significance. Accordingly, caregiver-gender is thought to explain only a minor proportion of the variance in negative caregiving outcomes. A similar inconsistency characterizes the explanations provided for gender differences in caregiving such as role expectations, differences in stress, coping and social support, and response biases in reporting distress. Apart from the equivocal and inconsistent evidence, there are other problems in the literature on gender differences in caregiving. Most of the evidence has been derived from studies on caregivers of elderly people who either suffer from dementia or other physical conditions. Similar research on other mental illnesses such as schizophrenia or mood disorders is relatively scarce. With changing demographics and social norms men are increasingly assuming roles as caregivers. However, the experience of men while providing care has not been explored adequately. The impact of gender on caregiving outcomes may be mediated by several other variables including patient-related factors, socio-demographic variables, and effects of kinship status, culture and ethnicity, but these have seldom been considered in the research on gender differences. Finally, it is apparent that methodological variations in samples, designs and assessments between studies contribute a great deal to the observed gender differences. This review highlights all these issues and concludes that there is much need for further research in this area if the true nature of gender differences in family-caregiving of mental illnesses is to be discerned.
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In the citing paper
“the burgeoning recent literature on informal caregiving has highlighted that this role is mostly assumed by females in a wide array of conditions including advanced cancer [28,29,30,31].”
From Failures in Reflective Functioning and Reported Symptoms of Anxiety and Depression in Bereaved Individuals: A Study on a Sample of Family Caregivers of Palliative Care Patients (2022) · cites this paper as [30]
Experimental — accuracy not yet measuredIn the citing paper
“Prior research suggests that female carers tend to spend more time in caregiving and often have to play multiple conflicting roles 57 resulting in greater psychological distress compared to male carers 11,58,59 .”
From Anxiety in Informal Dementia Carers: A Meta-Analysis of Prevalence (2020) · cites this paper as [57]
In the citing paper
“The current literature also highlights that there may be some other potential factors which may have an impact on psychological difficulties experienced by carers such as the time spent on caregiving, role conflicts (e.g., being mother, employee, and carer), and types of caregiving tasks involved (i.e., the level of impairment and independence) 57 .”
From Anxiety in Informal Dementia Carers: A Meta-Analysis of Prevalence (2020) · cites this paper as [57]
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Clustering of Socioeconomic Data in Hong Kong for Planning Better Community Health Protection
Huang, Z., Chan, E. Y. Y., Wong, C. S., & Zee, B. C.-Y. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph182312617 · Cited by 3
“sex ratio (ratio of males to females) Chappell, Dujela, & Smith [11]; Sharma, Chakrabarti & Grover [12]”
BackgroundCorrelation between Fatique and Stress among Female in Caring for the Elderly at Hospitals
Tumanggor, R. D., Kasfi, A., Nurbaiti, N., & Nasution, D. L. (2021) · Jurnal Keperawatan Padjadjaran · doi:10.24198/jkp.v9i3.1669 · Cited by 5
Kłosińska, U., & Leszko, M. (2022) · Journal of Drug Issues · doi:10.1177/00220426221145019 · Cited by 3
“This is consistent with previous studies as, across the world, women are the predominant providers of informal care for older adults (Mucha, Leszko, & Potemkowski, 2021; Sharma, Chakrabarti, & Grover, 2016).”
ResultCoping Strategies and Resiliency of Informal Caregivers
Cordova, M. A., & Sia, A. D. (2020) · Philippine Social Science Journal · doi:10.52006/main.v2i2.79 · Cited by 3
“%) were females (Varona et al., 2007; Sharma et al., 2016; Alvarez et al., 2017; Kipp et al., 2007; Sequeira, 2013 &Qiu et al., 2017).”
BackgroundInfluentialComfort Level in Caregivers of Palliative Care Patients and Affecting Factors: What Should We Know?
Kasar, K. S., Yıldırım, Y., & Bulut, Ü. (2021) · OMEGA - Journal of Death and Dying · doi:10.1177/00302228211014779 · Cited by 3
“Socio-culturally, women are generally seen as primary caregivers and women see themselves as responsible for family care (Sharma et al., 2016).”
BackgroundBurden and Coping Mechanisms among Caregiver for Old Adult with advanced illness.
Ahmed, N., Saif, M., & Hamedy, S. (2021) · NILES Journal forGeriatric and Gerontology/NILES Journal for Geriatric and Gerontology · doi:10.21608/niles.2021.175321 · Cited by 3
Quality Of Life Satisfaction Among Caregivers Of Schizophrenic Patients
Usman, R., Haider, A., Ramzan, Z., & Mansoori, S. (2021) · ANNALS OF ABBASI SHAHEED HOSPITAL AND KARACHI MEDICAL & DENTAL COLLEGE · doi:10.58397/ashkmdc.v26i2.466 · Cited by 3
“3) Marital Status (n=147) Single 23 (16) 6 (4.”
Missing piece: the imperative of gender-disaggregated data in unraveling health inequity
Shirzad, M., & Kaufman, M. R. (2025) · BMJ Global Health · doi:10.1136/bmjgh-2024-018266 · Cited by 3
Park, M. K., Cheon, J. H., & McPherson, R. (2023) · Journal of Social Service Research · doi:10.1080/01488376.2023.2226170 · Cited by 2
“Currently, women are primarily responsible for providing informal care for family members with chronic medical conditions, such as dementia (Sharma et al., 2016) and female caregivers report higher levels of depressive symptoms (Cuijpers, 2005; Gallicchio et al., 2002; Knight et al., 2007;…”
BackgroundHealth Related Quality of Life of Family Caregivers of Dependent Elderly
Aly, E. Z., Yousef, F. M. A., & elhameed, R. A. (2023) · Sohag Medical Journal · doi:10.21608/smj.2023.234839.1411 · Cited by 2
Johnson, K., Hartwig, K. A., Maisano, K., Crusan, A. C., Biggs, J., & DiSpirito, K. (2024) · Child Care Health and Development · doi:10.1111/cch.13232 · Cited by 2
Bremmers, L. G. M., Fabbricotti, I. N., Gräler, E. S., Groot, C. A. U., & Roijen, L. H. (2024) · Health Psychology Open · doi:10.1177/20551029241262883 · Cited by 4
“Gender is generally accepted as an important quality of life predictor, despite inconsistent documentation for informal caregivers of persons with mental disorders (Sharma et al., 2016).”
BackgroundAKÇAM, M., & Sarıkaya, N. A. (2025) · Scandinavian Journal of Caring Sciences · doi:10.1111/scs.13318 · Cited by 2
Self-care experiences of male spouses of people with dementia: a descriptive phenomenological study
Jung, S., & Song, J. (2025) · Aging & Mental Health · doi:10.1080/13607863.2025.2481968 · Cited by 2
“…to people with dementia due to traditional beliefs that caregiving is their responsibility, but men are increasingly becoming care-givers for family members with dementia, and they account for about 30% of family caregivers (Alzheimer’s Association, 2023; Sharma et al., 2016; Wimo et al., 2018).”
Mapping the gender gradient in posttraumatic stress disorder prevalence: A machine learning approach
Kimerling, R. E., Ward, R. N., Leder, S., Tamayo, G. C., & Lockett, M. (2025) · Journal of Traumatic Stress · doi:10.1002/jts.23153 · Cited by 2
“Female gender role socialization is consistent with parenting and other caregiving roles (Lee & Tang, 2015; Sharma et al., 2016), and women spend more time on unpaid care-giving tasks relative to men (García Román & Gracia, 2022; Sharma et al., 2016).”
RETRACTED: Family Members’ Perspectives on Mental Illness Stigma: A Community Study
Adu, J., Oudshoorn, A., Anderson, K. K., Marshall, C. A., Stuart, H. L., & Owusu, M. F. (2025) · Canadian Journal of Nursing Research · doi:10.1177/08445621251343167 · Cited by 3
RetractedWu, P., Dai, Y., Ruan, W., Xiao, Y., & Wu, J. (2025) · Communications in computer and information science · doi:10.1007/978-3-031-94162-7_23 · Cited by 2
Hu, S., Yao, H., Li, K., Li, C., Wang, L., Shi, Y., Liu, H., Huang, Z., Zhang, F., Zhao, Y., et al. (2025) · Archives of Psychiatric Nursing · doi:10.1016/j.apnu.2025.151929 · Cited by 2
Fenton, M. P., Swacil, K., Striley, C. W., Cottler, L. B., Eder, M., Cohen, I. P., & Lopez‐Quintero, C. (2025) · Preventive Medicine · doi:10.1016/j.ypmed.2025.108356 · Cited by 2
Caregiving Network Characteristics and Mental Health Care Utilization by Older Adults
Wyman, M. F., Jacobs, J., Stalter, L. N., Venkatesh, M., TRIVEDI, R. B., & Byers, A. L. (2025) · Journal of the American Geriatrics Society · doi:10.1111/jgs.70082 · Cited by 2
“Further examination of facilitators and barriers to MH use is urgently needed, especially in light of the aging of the global population [8].”
Assessing Mental Health Literacy Among Undergraduate Nursing Students in South Africa
Peresu, E., Kigozi, G., & Engelbrecht, M. (2025) · Nursing Reports · doi:10.3390/nursrep15090337 · Cited by 2
“This pattern contributes to the broader understanding of gender differences in MHL. Previous research suggests that women traditionally assume caregiving roles [39], which may increase their engagement with health information.”
Cobbinah, J. E., & Yamoah, M. (2025) · Journal of Early Childhood Teacher Education · doi:10.1080/10901027.2025.2582171 · Cited by 2
Adaptation and validation of the Chinese version of the Fear of Alzheimer’s Disease Scale
Lin, R. S. Y., Su, J. J., Chan, T. W., & Kwan, R. Y. C. (2025) · Aging & Mental Health · doi:10.1080/13607863.2025.2585493 · Cited by 2
“This may reflect both traditional cultural expectations, where women are commonly regarded as primary caregivers (Huang et al., 2022, Sharma et al., 2016), and sex-specific patterns in neurocognitive functioning reported in neurodegenerative disease populations (Chen et al., 2021).”
Tejakum, W., Truesdale, M., Melville, C. A., & Cairns, D. (2025) · Journal of Applied Research in Intellectual Disabilities · doi:10.1111/jar.70165 · Cited by 2
Sacchetti, A., Berube, M., Pison, C. M., Gagnon, M., & Bellier, A. (2026) · European Journal of General Practice · doi:10.1080/13814788.2026.2613495 · Cited by 3
“…being female and caring for vulnerable peoples, in accordance with previous research highlighting gendered patterns in caregiving professions and activities [65,66]. this is particularly relevant given that nursing remains predominantly female, with 92% of the canadian workforce being women [67].”
The unheard path: carer loneliness and epistemic injustice in critical and historical view
Cooper, F. (2026) · Humanities and Social Sciences Communications · doi:10.1057/s41599-026-07113-2 · Cited by 2
“Carers are not, of course, a homogeneous group, and are subject to a raft of intersecting injustices and abandonments along lines of race, class, health, disability, sexuality, and particularly — as the majority of carers are women — gender (Greenwood et al. 2015; Sharma et al. 2016).”
Dutchak, O., Fedyuk, O., & Oksiutovych, A. (2026) · Social Inclusion · doi:10.17645/si.12060 · Cited by 2
“Gender inequality in the distribution of care responsibilities is well documented, including recently in Ukraine (Strelnyk, 2026), as mentioned above, and women represent between 57% and 81% of in‐family carers, depending on the country (Sharma et al., 2016).”
Knight, M., Bienhoff, K., Bhoomadevi, A., Ababneh, H. S., Abbasi, M., Dolatabadi, Z. A., Abbasifard, M., ElHafeez, S. A., Abdalla, A. N., Abdel-Hameed, R., et al. (2026) · The Lancet Public Health · doi:10.1016/s2468-2667(26)00145-3 · Cited by 5
The Intricate Web of Fatigue in Women
Mathis, B. J. (2021) · Women · doi:10.3390/women1040023 · Cited by 4
Au, T. H., Willis, C., Reblin, M., Peters, K. B., Nghiemphu, P. L., Taylor, J. W., Colman, H., Cohen, A. L., Ormond, D. R., Neil, E. C., et al. (2023) · Future Oncology · doi:10.2217/fon-2022-0904 · Cited by 2
Elhawy, L. L., AbdAllah, A., Bayomi, M., & El-Maghawry, H. A. (2023) · The Egyptian Journal of Community Medicine · doi:10.21608/ejcm.2023.194887.1248 · Cited by 2
Bonsu, A. S., Yendork, J. S., & Antwi, O.-A. (2023) · Journal of Psychosocial Rehabilitation and Mental Health · doi:10.1007/s40737-023-00349-0 · Cited by 2
“More females and parents participating in the present study is consistent with the findings of studies on gender disparities among family caregivers of persons living with mental disorders, and where the majority of parent caregivers were also women (Rammohan et al. 2002; Sharma et al. 2016).”
Ecologies of sustainable development goals: a mid-term perspective
Mustafa, D., Matson, P., Roberts, E., & Sharpe, J. (2023) · International Development Planning Review · doi:10.3828/idpr.2023.12 · Cited by 2
Wrotek, M., & Kalbarczyk, M. (2023) · BMC Geriatrics · doi:10.1186/s12877-023-04216-2 · Cited by 8
“…for mothers than for fathers but it might be explained by the fact that females (especially spouses) most often play the role of informal caregivers [90, 91], hence males are more likely to receive informal care from their wives, but widowed females need to receive more support from their children.”
BackgroundTurcotte, K., & Holtzman, S. (2023) · British Journal of Pain · doi:10.1177/20494637231206541 · Cited by 2
“It is noteworthy that worldwide, women are the predominant providers of informal care 51 and form the majority of health care workers.”
BackgroundFan, X., Du, J., Yu, H., Xu, Q., Weng, X., Gou, Y., & Si, Y. (2023) · BMJ Open · doi:10.1136/bmjopen-2022-068850 · Cited by 2
“25 Generally, informal caregivers put others first and focus on the patient’s health.”
BackgroundAlzaben, M. B. L., & Shawaqfeh, B. S. (2024) · American Journal of Alzheimer s Disease & Other Dementias® · doi:10.1177/15333175241248056 · Cited by 2
“…are responsible for providing care more than men, while Sharma et al, (2016) prove that women are more susceptible to caregiving stress than men, 25 as well McDonnell and Ryan (2011) hypothesize that one of the reasons why men are less susceptible to stress is that they are not willing to admit…”
BackgroundFamily Caregivers’ Experiences of Caring for Patients with Heart Failure: A Qualitative Study
Tunsi, A., Idrees, M., Al-faifi, N., Heliebi, N., Al-zahrani, S., Alaamri, M. M., & Alhofaian, A. (2024) · Journal of the Practice of Cardiovascular Sciences · doi:10.4103/jpcs.jpcs_54_23 · Cited by 2
Perspectives of mental health professionals on kinship care for persons with mental illness in Ghana
Abekah‐Carter, K., Ayim, M., Cudjoe, E., Abdullah, A., & Chiu, M. Y.-L. (2024) · International Journal of Mental Health · doi:10.1080/00207411.2024.2377754 · Cited by 2
“…a need to consolidate informal caregiving and support despite the difficult experiences like stigma, stress, and financial burden that caregivers have reported in Ghana (Ae-Ngibise et al., 2015; Mfoafo-M’Carthy & Grischow, 2022) and in other jurisdictions (Clari et al., 2022; Sharma et al., 2016).”
The bittersweet nature of adult family caregiving on workplace behaviors and attitudes
Carlson, D. S., Quade, M. J., Wan, M., & Kacmar, K. M. (2024) · Journal of Vocational Behavior · doi:10.1016/j.jvb.2024.104029 · Cited by 3
Hynes, B., Costin, Y., Richardson, I., Wang, X., & Travers, M. (2024) · Research in Science Education · doi:10.1007/s11165-024-10202-4 · Cited by 2
“…(European Commission, Directorate-General for Research and Innovation 2023) given that their underrepresentation leads to a decrease in innovative and productive capacity, lower career opportunities and potential for higher earnings (Sharma et al., 2016; Rietveld and Patel 2023; Treanor, 2022).”
Examining mental and physical distress among male informal caregivers in the US
Cooper, D. L., Simkus, A., Holtz, K. D., Wanty, N., Easter, B., & Wright, E. R. (2024) · Discover Health Systems · doi:10.1007/s44250-024-00150-1 · Cited by 2
“Sharma et al. [20] confirmed that sex differences exist in caregiving, including role expectations and differences in caregiving-related stress and coping.”
Győrffy, Z., Döbrössy, B. M., Wernigg, A., & Girasek, E. (2024) · Acta Medicinae et Sociologica · doi:10.19055/ams.2024.11/29/3 · Cited by 2
Dewari, A. S., Chakrabarti, D., Goswami, V., & Chandel, S. (2024) · Journal of Human Behavior in the Social Environment · doi:10.1080/10911359.2024.2447855 · Cited by 2
“In India, where patriarchal norms often delineate roles, women are typically seen as primary caregivers (Sharma et al., 2016).”
Metadata
- Authors
- Sharma, N., Chakrabarti, S., & Grover, S.
- Affiliations
- Post Graduate Institute of Medical Education and Research (IN)
- Corresponding author
- Chakrabarti, Subho
- Venue
- World Journal of Psychiatry
- Publisher
- Baishideng Publishing Group Inc.
- Published
- 2016
- Volume
- 6
- Issue
- 1
- Pages
- 7
- ISSN
- 2220-3206 (ISSN-L)
- PMC
- PMC4804270
- OpenAlex
- W2311849209
- Cited by
- 865
- References
- 123
- Citations by year
- 2026: 119 · 2025: 138 · 2024: 121 · 2023: 100 · 2022: 104 · 2021: 112 · 2020: 73 · 2019: 45 · 2018: 31 · 2017: 19 · 2016: 3
- FWCI
- 43.73
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by-nc
- Locations
- World Journal of Psychiatry (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Family Caregiving in Mental Illness
- Health Sciences › Nursing › Research and Theory › Nursing care and research
- Social Sciences › Sociology and Political Science › Intergenerational Family Dynamics and Caregiving
- Keywords
- gender differences, family caregivers, mental illness, informal care, caregiver burden, psychological distress, caregiving stress, stress coping, schizophrenia, mood disorders, role expectations, social support, response bias
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