Informal Caregiving for People with Dementia and Female’s Health: A Gender-based Assessment of Studies on Resilience

Abstract

Background: Most informal caregivers are female. Female experience greater caregiver burden than male, including negative health consequences. Some caregivers show resilience—i.e., maintain physical and mental health and usual functioning despite experiencing high burden. Examining the factors that contribute to resilience and the gender differences among caregivers of people with dementia are burgeoning areas of research with implications for female’s health research and practice. Objective: To conduct a literature review about the resilience among caregivers of people with dementia (PWD), focusing on self-generated processes, and to assess the extent to which studies reported gender information. Methods: The U.S. National Library of Medicine PubMed database was searched for empirical studies on resilience among informal caregivers of people with dementia published between January 1, 2017 and April 7, 2020 and the retrieved abstracts screened using predetermined criteria. Out of 209 unique records screened, 41 were assessed for eligibility and 27 were reviewed. Results: All 27 studies reported participant gender distribution (average 71% female, 29% male). Most studies (n=23) included both genders, and nine (39%) conducted a gender-based analysis of their results. Five categories of resilience-related processes emerged—(1) caregiver experiences, (2) coping strategies, (3) preserving the relationship with care recipients, (4) social support, and (5) specific individual processes—with some gender differences. Conclusion: Although the studies reviewed reported the gender distribution of participants and included men and women, many did not analyze the results by gender. When analyzed, some resilience-related processes differed by gender, pointing to areas for future research.