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February 2, 2026Palliative Care and Social Practice0 citationsOpen Access

Unraveling the complexities: A scoping review of the collateral effects on informal caregivers during and beyond the COVID-19 pandemic

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MNMiriam NicolaiAUAnneke UllrichJRJessica M. Ruck

Key Points

  • This review aims to explore the burdens and support mechanisms for informal caregivers during and after the COVID-19 pandemic.
  • Conducted a scoping review of studies on informal caregivers from March 2020 to May 2023.
  • Included various study designs such as cross-sectional, longitudinal, and qualitative studies.
  • Analyzed articles published in English and German from databases like PubMed and Cochrane.
  • 42 studies involving 51,183 individuals were included based on defined criteria.
  • Pandemic-related measures increased the care burden among informal caregivers.
  • Lack of support from health services exacerbated existing difficulties in informal care.
  • Higher rates of depression and poor mental health were reported, particularly among female caregivers.
  • Social and formal care support emerged as critical support factors for informal caregivers.

Abstract

Due to the COVID-19 pandemic, various infection control measures were introduced that had a profound effect on caregiving dynamics and created burdens in the daily lives of informal caregivers (ICs). A scoping review was conducted to identify burden and support factors for ICs during and beyond the pandemic. Studies were included when they examined ICs’ care work during the official time period of the COVID-19 pandemic (March 2020–May 2023) and care hours worked per day or week were specified. Only studies with adult participants and studies in German or English language were incorporated. The scoping review considered quantitative cross-sectional and longitudinal studies involving randomized/quasi-randomized controlled trials, cohort studies, case studies, mixed-methods, and qualitative studies as well as reviews and meta-analyses. The electronic databases PubMed, the Cochrane COVID-19 Study Register, and EBSCO Host were systematically searched. The search was limited to articles published between 2020 and 2024. The scoping review was conducted in accordance with the Joanna Briggs Institute methodology for scoping reviews. Overall, 42 studies with 51,183individuals met the inclusion criteria and were included in the scoping review. Main findings suggested that the pandemic-related measures caused additional care burden for ICs and worsened the already poor situation of informal care. In particular, the lack of support from health services and the increase in care hours were described as burdensome. Additionally, studies indicated an increase in rates of depression and overall poor mental health, particularly affecting female ICs. Social and formal care support were mentioned as main support factors. Consequently, preparation of future crises should focus on formal health services and structures to promote social support and mental health of ICs during pandemics.

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Cite This Study

Nicolai et al. (2026) studied this question.

synapsesocial.com/papers/6980fff5c1c9540dea812df4https://doi.org/10.1177/26323524251399233
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