Navigating Caregiving and Work: Key Psychosocial Predictors of Quality of Life Amidst Familism in Japan’s Evolving Long-Term Care System

Supporting family caregivers is critical for sustainable long-term care systems globally. Family caregivers often experience compromised psychological well-being due to limited social participation and caregiving distress. While diverse psychosocial supports exist internationally, establishing culturally congruent interventions is paramount, particularly in East Asian societies where family caregiving disproportionately impacts women amidst strong familism. Japan faces a unique challenge in 2025 as all baby boomers reach age 75, intensifying the need for their children to balance caregiving with social participation. This chapter explores innovative psychosocial support strategies for working adult caregivers in Japan to maintain their long-term care-related quality of life, integrating considerations of familism, cultural norms, and the evolving long-term care system to foster more resilient caregiving pathways. For this aim, we identified key psychosocial predictors of the long-term care-related quality of life in working family caregivers.