BROKEN HEART - A STATISTICAL STUDY OF INCREASED MORTALITY AMONG WIDOWERS
BROKEN HEART - A STATISTICAL STUDY OF INCREASED MORTALITY AMONG WIDOWERS
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DOI：
10.1136/bmj.1.5646.740
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发表时间：
1969-01-01
影响因子：
105.7
通讯作者：
FITZGERALD, RG
中科院分区：
文献类型：
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作者：
PARKES, CM;BENJAMIN, B;FITZGERALD, RG
自1957年妻子去世以来，对4，486名55岁以上的鳏夫进行了为期9年的跟踪调查。其中213人是在丧亲之痛的头六个月内死亡的，比同龄已婚男子的预期死亡率高出40%。此后，死亡率逐渐下降到已婚男子的水平，并保持在大约相同的水平。在前六个月死亡率增加最多的是死于冠状动脉血栓形成和其他动脉炎和退行性心脏病的鳏夫。还有证据表明，其他疾病的死亡率确实有所上升，尽管单个类别的死亡人数太少，无法进行统计分析，但在前6个月，22.5%的死亡与妻子的死亡来自同一诊断组。一些证据表明，这一比例可能比偶然联系所预期的要大，但没有证据表明，在丧偶超过6个月的寡妇和鳏夫中，这一比例有任何不同。
A total of 4,486 widowers of 55 years of age and older have been followed up for nine years since the death of their wives in 1957. Of these 213 died during the first six months of bereavement, 40% above the expected rate for married men of the same age. Thereafter the mortality rate fell gradually to that of married men and remained at about the same leveLThe greatest increase in mortality during the first six months was found in the widowers dying from coronary thrombosis and other arteriosclerotic and degenerative heart disease. There was also evidence of a true increase in mortality from other diseases, though the numbers in individual categories were too small for statistical analysis.In the first six months 22·5% of the deaths were from the same diagnostic group as the wife's death. Some evidence suggests that this may be a larger proportion than would be expected by chance association, but there is no evidence suggesting that the proportion is any different among widows and widowers who have been bereaved for more than six months.