Journal of Depression and Anxiety
Open Access

Risk of Depression for Primary Care Takers due to Caring for Old People

^*Correspondence: Georgia Fabbietti, Department of Scio-Economic on Ageing, Research Institute on Social Welfare Policy, University of Valencia, Valencia, Spain, Email:

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Description

The life quality of the families of caregivers, as well as the older people encompassing, affect in both negative and positive way because of the Long-Term caregiving for old people in critical issue. Providing support to the caregivers and their family is essential because of their crucial role in the societal burden of Long-Term Care for the growing in poor health old population. Perceived burden is a strong predictor of depression. It is estimated that 80% of care in Europe is provided by informal caregivers, who are usually described as people closely involved in offering care to older, frail, or dependent people in need of assistance without monetary return. Informal or family caregivers are mostly middle-aged women (wives, daughters, or daughters-in-law) aged between 50 and 70 years, and, at the European level, women account for 62% of informal caregivers for older or disabled persons. More than 50% of carers under the age of 65 combine care with employment, and many working carers face some kind of work restrictions (e.g., reduced working hours, quitting work, etc.). A huge extent of individuals with dementia inhabit home and are casually focused on by relatives, family is the essential consideration asset, particularly on account of serious dementia. So, people in need of care are highly dependent on family caregivers for providing monitoring and direct assistance as well as helping them in their daily activities, as they get dependent to help because of their diseases. In Italy, informal care is the most famous form of the national Long-Term Care (LTC) system. This is generally defined as a familistic care regime. This increasing association of families in the care path is because of the fragmentation in family and lack of formal provision of care. The main policies for supporting care are Cash-for-caring scheme at the local or national level. In Italy 12% of the population receive the national cash-for-care scheme due to their age above 65 and several diseases. Despite the relevance of informal caregiving among European countries, Italy is one of the few that does not have a national law that legally recognizes and supports informal caregivers.

Rise of consequences

The low incidence of formal LTC provided to older people in need of care is a critical issue affecting the quality of life of family caregivers and that of old persons, encompassing both negative and positive caregiving experiences. Long-Term caregiving is the combination of personal care and hygiene, housekeeping, administering medication, managing finances, emotional support, etc. The Italian Long-Term Care system is one of the family-based care models where the care provided by relatives and friends. One of the most important predictors of negative outcomes from home care situations is the burden of the caregiver. In fact, the WHO’s guidelines on integrated care for older people strongly recommend providing support to informal caregivers, particularly primary caregivers, who are considered to be at a higher risk of psychological distress and depression. The negative impacts of family care for old loved ones are especially associated with depression in caregivers with dementia. Relatives caring for relatives with dementia also have high levels of anxiety, stress, morbidity, physical problems, poor quality of life, difficulties in social life, participation in the labor market, or beneficial employment and often affected by coordination of care responsibilities. For this reason, informal caregivers of people with dementia are considered as "hidden secondary patients" [1,2]. The literature also shows that living with people with dementia increases the time spent on care and the risk of care burdens. Therefore, it is important to study and to assess the correlation of depressive symptoms in a sample of dependent elderly primary caregivers, with socio-demographic characteristics, and other variables considered in the model for caregivers. It was to show if it reflected the profile of features of the Italian LTC system. According to the results of this study, the perceived burden is a strong predictor of depression in the primary caregiver, and the symptoms of depression increase from 126% to 803% as the caregiver burden increases. Dementia is also associated with the severity of cognitive illness in care recipients, and the literature has been found to be particularly debilitating, and this risk is associated with dementia care compared to weak elderly caregivers.

Conclusion

This study analyzed the presence of depressive effects among the primary care givers of non-independent old individuals and the related factors, in light of the consequences of an overview completed in Italy. The discoveries show similitudes with proof from past writing and give thoughts and strategy suggestions to more readily support informal carers, particularly in the Italian context, yet in addition at a worldwide level, specifically in Southern European nations, portrayed as Italy by a Mediterranean government assistance system and by familyoriented LTC frameworks, where informal carers are the principle pillars of care [3,4]. In Italy, apparently organized intercessions and measures to help carers at both the public and nearby levels are required, including advancing structure regulation that completely valorizes and upholds informal carers as a secret weapon of the government assistance and LTC frameworks, conquering the fracture of the consideration setting and allotting fitting assets for carrying out satisfactory help approaches. It is additionally urgent to work on the inventory of public in-kind administrations and coordinate the accessible money for-care plans to help guardians. This could mitigate their consideration trouble and neutralize the unfortunate results of providing care on physical and emotional well-being to further develop the prosperity of casual guardians. The above additionally has explicit significance in association with measures to be carried out utilizing the assets of the Italian Recovery and Resilience Plan (IRRP).

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