Download

Download Full Text (171 KB)

Description

This literature review examines the impact of prolonged stress on women in midlife, ages 40–55, living in the United States. Included subjects maintained caregiving responsibilities while managing overlapping stressors such as the COVID-19 pandemic, economic instability, and social uncertainty. Research published between 2020 and 2026 was analyzed to better understand how sustained stress affects this population.

Drawing on twenty-one peer-reviewed studies, themes emerging from this demographic indicate that prolonged stress is consistently associated with increased anxiety and depressive symptoms, sleep disruption, emotional exhaustion, and long-term physiological strain. Women with prior trauma histories or high caregiving demands appear especially vulnerable to these effects.

Findings also indicate variability in stress responses, with social support, coping strategies, access to resources, and family dynamics influencing outcomes. Protective factors such as strong relationships, opportunities for rest, and adaptive coping are associated with better emotional health.

This systematic literature review suggests that sustained crisis exposure has significant impacts on midlife women, particularly those balancing caregiving roles. However, additional longitudinal research is needed to better understand how repeated stress shapes women’s health over time. Further research can also inform what additional system-level supports should be made available to women living with chronic pressure.

Publication Date

4-30-2026

Keywords

midlife women, chronic stress, caregiving

Under Pressure: Chronic Stress and Mental Health in Midlife Women Caregivers

Share

COinS