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Is impending or actual death of a spouse with dementia bad for mental health? Antidepressant use surrounding widowhood.

Abstract：

BACKGROUND:Previous studies have shown that the risk of death is elevated after the death of a spouse. Limited evidence is available on changes in mental health before and after bereavement among individuals whose spouse dies of dementia. METHODS:We analyzed changes in the 3-month prevalence of antidepressant use for 5 years before and 3 years after widowhood for individuals whose spouses died of either dementia or other causes. The study used data of 41 855 widowed individuals and repeated-measures logistic regression analyses. Antidepressant use was based on the prescription register of Finland in 1995-2007. RESULTS:Five years before widowhood, the 3-month prevalence for antidepressant use was 4% among widowing men and 6-7% among widowing women, regardless of whether the spouse died of dementia or other causes. Further changes in antidepressant use depended on a spouse's cause of death. Women whose spouses died of dementia experienced large increase in antidepressant use starting from 3 to 4 years prior to widowhood, whereas other widows did not experience large increase until after widowhood. The trajectories for men were similar. Antidepressant use following the death of a spouse with dementia stayed at a new heightened level after widowhood. CONCLUSIONS:The trajectories of antidepressant use indicate that the process of losing a spouse to dementia is bad for mental health, already a few years prior to widowhood. There are no clear improvements in mental health after the death of a spouse with dementia. Support services for individuals whose spouses' dementia progresses are needed.

journal_name

Eur J Public Health

journal_title

European journal of public health

authors

Einiö E,Metsä-Simola N,Saarioja S,Martikainen P,Korhonen K

doi

10.1093/eurpub/ckaa099

subject

Has Abstract

pub_date

2020-10-01 00:00:00

pages

953-957

issue

5

eissn

1101-1262

issn

1464-360X

pii

5860793

journal_volume

30

pub_type

杂志文章

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