# Exploring the experience of informal caregivers of dependent elderly people with the well-being valuation method

**Authors:** Tongzhou Lyu, Suwei Yuan, Yanping Xu, Wenwei Liu

PMC · DOI: 10.3389/fpsyt.2025.1584632 · Frontiers in Psychiatry · 2025-04-29

## TL;DR

This study explores how caregiving for elderly people affects caregivers' well-being and assigns a monetary value to the burden.

## Contribution

The paper introduces the well-being valuation method to quantify caregiving burdens economically.

## Key findings

- Disrupted schedule, lack of family support, and self-esteem are key factors affecting caregivers' well-being.
- Caregiving burdens equate to a monthly income reduction of 226.69 RMB for average-income caregivers.
- The study suggests focusing on schedule and social relationship burdens in long-term care policies.

## Abstract

Although informal caregivers are the primary providers of long-term care for the elderly globally, research on the impact of caregiving experiences on the well-being of caregivers is relatively limited.

This study conducted interviews with 297 family informal caregivers in Shanghai, measured their subjective burdens, and applied the well-being valuation method to calculate the monetary value of the welfare changes resulting from caregiving burdens.

According to the findings, sub-dimensions of the Chinese version of the Caregiver Reaction Assessment (CRA) of disrupted schedule, lack of family support, and self-esteem were significantly related to caregivers’ well-being. For caregivers with average income and average CRA scores, the impact of caregiving experiences on their well-being level was equivalent to a monthly income reduction of 226.69 RMB (4.7% of their monthly income).

This paper provides a new and useful perspective for the evaluation of long-term care policies, and suggests prioritizing the alleviation of caregivers’ schedule and social relationship burdens, and understanding the ‘intrinsic coping mechanisms’ of caregiving responses from an economic perspective.

## Full-text entities

- **Diseases:** health problems (MESH:D000076082), anxiety (MESH:D001007), CRA (MESH:D006967), well-being (MESH:C536693), heart ailment (MESH:D006331), Musculoskeletal discomfort (MESH:D009140), depression (MESH:D003866)
- **Chemicals:** CRA (-)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

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## References

81 references — full list in the complete paper: https://tomesphere.com/paper/PMC12069315/full.md

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Source: https://tomesphere.com/paper/PMC12069315