Risk of Depression in Family Caregivers: Unintended Consequence of COVID-19

Background: COVID-19 is likely to exacerbate the symptoms of poor mental health family caregivers. To investigate whether rates of depression increased in caregivers during COVID-19 and whether the unintended consequences of health protective measures, i.e., social isolation, exacerbated this risk. Another aim was to see if caregivers accessed any online/phone psychological support during COVID. Method: Data (1349 caregivers; 7527 non-caregivers) was extracted from Understanding Society, UK population level dataset. The General Health Questionnaire cut-off scores identifying those with and without depression were our primary outcome. Results: After adjustment for confounding caregivers had a higher risk of having depression compared with non-caregivers, Odds ratio (OR) = 1.22 (95% confidence interval (95% CI), 1.05-1.40)), p=.008 evidenced by higher levels of depression pre-COVID-19 (16.7% vs 12.1%) and during COVID-19 (21.6% vs 17.9%), respectively. Further, higher levels of loneliness increased the risk of depression almost 4-fold risk in caregivers, OR = 3.85 (95% confidence interval (95% CI), 3.08-4.85)), p<.001), while access to therapy attenuated the risk (47%. While 60% of caregivers with depression reported not accessing any therapeutic support (e.g., online or face to face) during COVID-19. Conclusion: COVID-19 has had a negative impact on family caregivers mental health with loneliness a significant contributor to caregivers depression. However, despite these detriments in mental health, the majority of caregivers do not access any online or phone psychiatric support. Reducing feelings of isolation therefore provides an opportunity for psychiatric services and health care professionals to support at-risk caregivers.