Caregiving Burden, Social Support, and Psychological Well-Being Among Family Caregivers of Older Italians: A Cross-Sectional Study

Objectives: This study aimed to identify factors affecting the psychological
well-being of family caregivers of dependent older adults in Italy. Understanding
these variables is essential for designing interventions to prevent negative
outcomes in at-risk caregivers. The research explored how varying levels of
caregiving burden and types of perceived social support influence psychological
well-being.
Methods: A cross-sectional study was conducted among 387 family caregivers
of older adults in the Marche region (Italy) between November 2019 and March
2020. Data were collected via a structured questionnaire assessing psychological
well-being (WHO-5 Well-Being Index), caregiving burden, and social support
(COPE Index). Statistical analyses were performed using Jamovi software, with a
significance threshold set at p < 0.05.
Results: A significant negative correlation was found between caregiving burden
and psychological well-being [r (364) = − 0.540, p < 0.001], with caregiving burden
being a significant predictor of psychological well-being reduction (R2 = 0.290;
F = 150, p < 0.001). A threshold value of 2 (on a 1–4 scale) was identified, where
caregiving burden predicted a significant reduction in psychological well-
being. Conversely, greater perceived social support was positively correlated
with better psychological well-being [r (357) = 0.348, p < 0.001] and was a
significant predictor of it [R2 = 0.121; F = 49.2, p < 0.001]. Support from social
and health services had the most notable impact on psychological well-being.
Moreover, social support mitigated the negative impact of caregiving burden on
psychological well-being.
Conclusion: The study confirms that high caregiving burden adversely affects
caregivers’ psychological well-being, while social support plays a protective
role. These findings highlight the need for interventions focused on reducing
caregiving burden and enhancing support systems for family caregivers.