Long-term Harm of Low Preparedness for a Wife's Death From Cancer-A Population-based Study of Widowers 4-5 Years After the Loss
Long-term Harm of Low Preparedness for a Wife's Death From Cancer-A Population-based Study of Widowers 4-5 Years After the Loss
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DOI：
10.1093/aje/kwq147
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发表时间：
2010-08-15
影响因子：
5
通讯作者：
Valdimarsdottir, Unnur
中科院分区：
文献类型：
--
作者：
Hauksdottir, Arna;Steineck, Gunnar;Valdimarsdottir, Unnur
作者研究了鳏夫在妻子死于癌症之前的准备对其长期发病风险的影响。在一项基于人群的研究中，在2000年或2001年因乳腺癌、卵巢癌或结肠癌而失去妻子的907名瑞典男性中，有691人（76%）在2004年或2005年回答了一份匿名问卷，测量了妻子去世时的准备情况和随访时的心理健康状况。年龄在38-61岁的男性在配偶死亡时准备程度较低，其心理疾病和其他症状（如焦虑）的风险增加（调整的相对危险度（aRR）= 2.1，95%置信区间（CI）：1.0，4.3），惊恐反应增强（aRR = 5.3，95% CI：1.2，23.6），情感麻木（aRR = 2.1，95% CI：1.2，3.6），悲伤缓解很少或没有缓解（aRR = 2.7，95%CI：1.3，5.4），睡眠障碍（aRR = 2.3，95%CI：1.2，4.3），4-5年后的损失。对于年龄较大的鳏夫（62-80岁），低程度的准备增加了重复痛苦记忆的风险（aRR = 2.8，95% CI：1.5，5.2）和随访时的惊吓反应（aRR = 5.7，95% CI：1.5，21.4）。这些结果表明，为了改善鳏夫的长期心理健康，它可能是富有成效的，以确定护理相关的促进剂和抑制剂的准备。
The authors examined the impact of a widower's preparedness before his wife's death from cancer on his risk of long-term morbidity. In a population-based study, 691 (76%) of 907 Swedish men who lost a wife to breast, ovarian, or colon cancer in 2000 or 2001 answered an anonymous questionnaire in 2004 or 2005 measuring preparedness at the time of the wife's death and psychological well-being at follow-up. Men aged 38-61 years with a low degree of preparedness at the time of their spouse's death had increased risk of psychological morbidity and other symptoms, such as anxiety (adjusted relative risk (aRR) = 2.1, 95% confidence interval (CI): 1.0, 4.3), a heightened startle response (aRR = 5.3, 95% CI: 1.2, 23.6), emotional numbness (aRR = 2.1, 95% CI: 1.2, 3.6), little or no grief resolution (aRR = 2.7, 95% CI: 1.3, 5.4), and sleep disorders (aRR = 2.3, 95% CI: 1.2, 4.3), 4-5 years after the loss. For older widowers (aged 62-80 years), a low degree of preparedness increased the risk of having repeated painful memories (aRR = 2.8, 95% CI: 1.5, 5.2) and a heightened startle response (aRR = 5.7, 95% CI: 1.5, 21.4) at follow-up. These results show that to improve the long-term psychological well-being of widowers, it may be fruitful to identify care-related facilitators and inhibitors of preparedness.