Posted on 02/15/2006 4:19:52 PM PST by presidio9
A husband or wife with a debilitating illness can hasten your own death, a study suggests.
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The researchers blame the stress and the loss of companionship, practical help, income and other support that can occur when a spouse gets sick.
"You can die of a broken heart not just when a partner dies, but when your partner falls ill," said chief researcher Dr. Nicholas Christakis at Harvard Medical School.
The study at Harvard and the University of Pennsylvania was published Thursday in The New England Journal of Medicine. The research, backed by the National Institutes of Health, analyzed Medicare records from a representative national sample of 518,240 elderly couples over nine years.
Past research has shown that the spouses of sick people face higher risks of illness and death themselves — a phenomenon sometimes called the "caregiver burden" or the "bereavement effect." But this study examined an extraordinarily large group of couples and also quantified the risk associated with a range of illnesses.
It found that the risk is considerable: Men were 4.5 percent more likely than usual to die on any given day after their wives were hospitalized; women with sick husbands were almost 3 percent more likely to die.
If the sick spouse dies, the partner's risk of death — whether from accidents, suicide, infections or pre-existing conditions, such as diabetes — shoots up fivefold, rising by 21 percent for men and 17 percent for women, the researchers said.
The partner's death risks were especially high in the six months after the spouse was hospitalized for a severely disabling problem. A spouse's hospitalization for stroke, heart attack, pneumonia and hip fracture raised a male partner's death risk by 10 percent to 35 percent and a female partner's by 10 percent to 23 percent.
Hospitalization for dementia and psychiatric problems were particularly bad, raising the risk of death 47 percent to 58 percent for a male partner and 38 percent to 77 percent for a female partner.
Older people were especially vulnerable to the effect.
"What it means to me is that people are interconnected, and so their health is interconnected, and in really real ways, there can be a kind of spread of disease between people," Christakis said.
On the other hand, most types of cancer did little or nothing to raise the companion's risk of dying, apparently because so many patients are able to function well between treatments, the researchers said.
Richard Schulz, a University of Pittsburgh psychologist who has researched the same effect, generally endorsed the study's findings. But he said it may not have fully accounted for the initial health status of the partners with sick spouses.
The risk numbers for the sexes were not easily comparable, partly because men tend to die sooner than women under normal circumstances. However, the study hinted that men may be more vulnerable than women to the death risk from a sick spouse.
That would fit with other research suggesting that men derive more health benefits from marriage than women do.
Researchers and geriatric experts said the effects of a spouse's illness on the partner should be taken into account by families, social service workers, doctors and policymakers.
The researchers said the risk may apply not only to spouses, but also to children and even close friends.
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Great - just great!
Water is wet...
So what happens when you have a disabled wife and child?
Guess I need to purchase that pre-planned funeral sooner than I thought!
And exactly how much money did our government give them to conduct this breakthrough research? All they had to do was ask me and I could have told them all they needed to kow.
So quick onset of significant depression in people over 65 debilitates them physically as well.
I don't need a case/control study to document common sense, LOL.
My ex will live to be one day older than me just out of spite.
Sometimes the spouse gives up when one passes on. I haven't noticed the illness part though. Most are really health concious because "what will happen to him/her if I get sick".
I've always known that caring for a loved one takes a toll, which is why when Freepers ask for prayers, I always include their families, too. I doubt if even the caregivers themselves realize how much they give--but would any of us do it any other way? (I mean, except for that Schiavo guy...)
I visit a Nursing home where I see great people taking care of their loved ones every day.I have always felt these wonderful people will go straight to heaven. Not a bad place to get to sooner.
No crap? I 'm glad we have these geniuses to tell me, I could have never figured it out on my own.......
This kind of study will encourage more pulling the plug, imo.
I hope this is wrong. My brother died last year, and it would be terrible if anything happened to his wife.
Another stab at marriage and another stab at family. They just don't quit.
in a generation or two it won't matter, the first one to stub the toe will be considered a throwaway, disposable, etc. god bless these people pushing wheelchairs holding something near & dear to them to their destination. i've never gave them much thought, what they are going through,what they were thinking. i guess i considered them part of the scenery. now i know what it means to stop & smell the roses & realize how fragile we all are.
Some days, I can't wait to get off this rock myself. Insane world.
As someone who has cared for an ill wife for >10 years I can say that it has certainly been true in my case.
In my opinion on factor is that the time required to take care of a loved one eats into the time available for doing things like exercising. I think that has to be tied to the declining health of a care giver.
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