Grief, Caregiving Burden, and the Pandemic: Triggers of Depression in Middle-Aged Women (Case Report)
DOI:
https://doi.org/10.30651/pc.v1i2.33109Kata Kunci:
Depression, grief, caregiving burden, pandemicAbstrak
Introduction: Losing the loved one is an emotional experience that can trigger mental health
disorders such as depression, post-traumatic stress disorder, and prolonged grief disorder.
When the grieving process is exacerbated by economic pressure and social isolation during
the COVID-19 pandemic, the risk of psychiatric disorders increases significantly, especially
in middle-aged women who are the primary caregivers in their families. Content: The
diagnosis of a moderate depressive episode is confirmed in a 58-year-old female patient who
presented to the psychiatric clinic with complaints of difficulty sleeping, prolonged sadness,
decreased appetite, and excessive fear of death. This case highlights the complex interaction
between grief, caregiving burden, and the pandemic crisis as triggers for depression.
Literature studies show that elderly caregivers with dementia during the pandemic have a high
risk of depression, especially middle-aged women. Conclusion: This case underscores the
importance of a biopsychosocial approach and multidisciplinary interventions in managing
depression triggered by grief and caregiving burden, especially in the context of a pandemic.
Referensi
Abdelhalim, D. S., Ahmed, M. M., Hussein, H. A., Khalaf, O. O., & Sarhan, M. D. (2024).
Burden of Care, Depression, and Anxiety Among Family Caregivers of People With
Dementia. Journal of Primary Care & Community Health, 15.
https://doi.org/10.1177/21501319241288029
Adji, E. C., & Ariana, A. D. (2022). HUBUNGAN RELIGIUSITAS DENGAN PROLONGED
GRIEF DISORDER DI MASA PANDEMI COVID-19 PADA DEWASA MADYA.
Buletin Riset Psikologi Dan Kesehatan Mental. Retrieved from
https://repository.unair.ac.id/118474/1/naskah jurnal_emeraldine_111811133060.pdf
Audinia, S., & Oriza, I. I. D. (2022). Memahami Mekanisme Gejala Depresi dan Kedukaan:
Peran Jerat Kognitif sebagai Mediator. PREPOTIF : Jurnal Kesehatan Masyarakat, 6(3).
Biran, R. M. P. Y., Setyawati, M. B., & Siwi, A. S. (2022). Family Caregiver Burden of Elderly
with Dementia : A Literature Review. Jurnal Berita Ilmu Keperawatan, 15(1), 93–103.
https://doi.org/10.23917/bik.v15i1.17043
Cai, H., Xin, M., & Tsang, H. (2025). Association between caregiving factors and depression
symptoms in family caregivers of persons with disabilities during the COVID-19
pandemic in Hong Kong: a structural equation analysis. BMJ Open, 15(5), e087397.
https://doi.org/10.1136/bmjopen-2024-087397
Christl, J., Grumbach, P., Jockwitz, C., Wege, N., Caspers, S., & Meisenzahl, E. (2025).
Prevalence of depressive symptoms in people aged 50 years and older: A retrospective
cross-sectional study. Journal of Affective Disorders, 373, 353–363.
https://doi.org/10.1016/j.jad.2024.12.099
Eisma, M. C., & Buyukcan-Tetik, A. (2025). Prolonged Grief Symptoms Predict Social and
Emotional Loneliness and Depression Symptoms. Behavior Therapy, 56(1), 121–132.
https://doi.org/10.1016/j.beth.2024.04.014
Giusti, L., Mammarella, S., Del Vecchio, S., Salza, A., Casacchia, M., & Roncone, R. (2023).
Deepening Depression in Women Balancing Work–Life Responsibilities and Caregiving
during the COVID-19 Pandemic: Findings from Gender-Specific Face-to-Face Street
Interviews Conducted in Italy. Behavioral Sciences, 13(11), 892.
https://doi.org/10.3390/bs13110892
Komischke-Konnerup, K. B., Zachariae, R., Johannsen, M., Nielsen, L. D., & O’Connor, M.
(2021). Co-occurrence of prolonged grief symptoms and symptoms of depression,
anxiety, and posttraumatic stress in bereaved adults: A systematic review and meta-
analysis. Journal of Affective Disorders Reports, 4, 100140.
https://doi.org/10.1016/J.JADR.2021.100140
Manee, F., Alnaser, M. Z., Alqattan, A., Almutairi, S., & Maqtouf, H. (2025). A Comparative
Study of Burden of Care, Anxiety, and Well-Being Among Family Caregivers of Elderly
with Dementia: Evidence from Kuwait. Healthcare, 13(14), 1767.
https://doi.org/10.3390/healthcare13141767
Nargis, F., Yusof, Y., & Mohd Nasir, M. A. (2024). Complicated Grief Therapy and the COVID-
19 Pandemic: A Systematic Literature Review. Pakistan Journal of Psychological
Research, 39(4), 907–931. https://doi.org/10.33824/PJPR.2024.39.4.49
Redican, E., Shevlin, M., Hyland, P., Murphy, J., Duffy, M., & Karatzias, T. (2024). The
psychological burden of bereavement in the general population of UK and Ireland. Death
Studies, 1–9. https://doi.org/10.1080/07481187.2024.2420877
Schoo, C., Azhar, Y., Mughal, S., & Rout, P. (2025). Grief and Prolonged Grief Disorder: in
StatPearls. Treasure Island (FL): StatPearls Publishing. Retrieved from
www.ncbi.nlm.nih.gov/books/NBK507832/
Stahl, S. T., Kazan, J., Lazzari, T., Krafty, R. T., Reynolds, C. F., Rollman, B. L., … Gebara,
M. A. (2024). Risk for Complicated Grief After the COVID-19 Death of a Marital Partner
in Late Life. The American Journal of Geriatric Psychiatry, 32(3), 386–391.
https://doi.org/10.1016/j.jagp.2023.10.019
Zisook, S., & Shear, K. (2009). Grief and bereavement: what psychiatrists need to know. World
Psychiatry, 8(2), 67–74. https://doi.org/10.1002/j.2051-5545.2009.tb00217.x



