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Low preparedness before the loss of a wife to cancer and the widower's chronic pain 4-5 years later-a population-based study

Asgeirsdottir, Hildur Guony; Valdimarsdottir, Unnur; Fürst, Carl Johan LU ; Steineck, Gunnar and Hauksdottir, Arna (2013) In Psycho-Oncology 22(12). p.2763-2770
Abstract
ObjectiveThe focus of this study was on the impact of spousal loss on the development of chronic pain thereafter. More specifically, the aim was to investigate the effect of experiencing low preparedness before a wife's death and the widower's chronic pain 4-5 years after loss. MethodsIn a population-based study in the years 2004-2005, anonymous questionnaires were sent out to 907 men in Sweden who had lost a wife to cancer in 2000 and 2001. The questionnaires contained questions on the man's preparedness for his wife's death and his physical and psychological health at follow-up. ResultsAltogether, 691 out of 907 questionnaires were retrieved (76%). Younger widowers (38-61 years old) with a low degree of preparedness for their wife's... (More)
ObjectiveThe focus of this study was on the impact of spousal loss on the development of chronic pain thereafter. More specifically, the aim was to investigate the effect of experiencing low preparedness before a wife's death and the widower's chronic pain 4-5 years after loss. MethodsIn a population-based study in the years 2004-2005, anonymous questionnaires were sent out to 907 men in Sweden who had lost a wife to cancer in 2000 and 2001. The questionnaires contained questions on the man's preparedness for his wife's death and his physical and psychological health at follow-up. ResultsAltogether, 691 out of 907 questionnaires were retrieved (76%). Younger widowers (38-61 years old) with a low degree of preparedness for their wife's death had an increased risk of experiencing symptoms of chronic pain (odds ratio 6.67; 2.49-17.82) 4-5 years after loss. The same results did not apply for older widowers (62-80 years old) (odds ratio 0.81; 0.32-2.05). Widowers who experienced chronic pain were at an increased risk for psychological morbidity, depression (relative risk [RR] 2.21; 1.31-3.74), anxiety (RR 2.11; 1.33-3.37), and sleep disorders (RR 2.19; 1.30-3.69). ConclusionOur data suggest that low preparedness for a wife's death may increase risk of chronic pain among younger widowers 4-5 years after loss. In addition, we found comorbidity between psychological symptoms and chronic pain among widowers. These findings call for studies on possible mechanisms in the association between low preparedness and morbidity and on how to increase preparedness for a wife's death to cancer. Copyright (c) 2013 John Wiley & Sons, Ltd. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
cancer, oncology, spousal loss, bereavement, pain
in
Psycho-Oncology
volume
22
issue
12
pages
2763 - 2770
publisher
John Wiley & Sons
external identifiers
  • wos:000327823800014
  • scopus:84890115999
ISSN
1099-1611
DOI
10.1002/pon.3345
language
English
LU publication?
yes
id
842bd3c9-6f88-4fde-b219-9831d80eea5c (old id 4272894)
date added to LUP
2014-02-10 12:23:32
date last changed
2018-11-21 19:57:39
@article{842bd3c9-6f88-4fde-b219-9831d80eea5c,
  abstract     = {ObjectiveThe focus of this study was on the impact of spousal loss on the development of chronic pain thereafter. More specifically, the aim was to investigate the effect of experiencing low preparedness before a wife's death and the widower's chronic pain 4-5 years after loss. MethodsIn a population-based study in the years 2004-2005, anonymous questionnaires were sent out to 907 men in Sweden who had lost a wife to cancer in 2000 and 2001. The questionnaires contained questions on the man's preparedness for his wife's death and his physical and psychological health at follow-up. ResultsAltogether, 691 out of 907 questionnaires were retrieved (76%). Younger widowers (38-61 years old) with a low degree of preparedness for their wife's death had an increased risk of experiencing symptoms of chronic pain (odds ratio 6.67; 2.49-17.82) 4-5 years after loss. The same results did not apply for older widowers (62-80 years old) (odds ratio 0.81; 0.32-2.05). Widowers who experienced chronic pain were at an increased risk for psychological morbidity, depression (relative risk [RR] 2.21; 1.31-3.74), anxiety (RR 2.11; 1.33-3.37), and sleep disorders (RR 2.19; 1.30-3.69). ConclusionOur data suggest that low preparedness for a wife's death may increase risk of chronic pain among younger widowers 4-5 years after loss. In addition, we found comorbidity between psychological symptoms and chronic pain among widowers. These findings call for studies on possible mechanisms in the association between low preparedness and morbidity and on how to increase preparedness for a wife's death to cancer. Copyright (c) 2013 John Wiley & Sons, Ltd.},
  author       = {Asgeirsdottir, Hildur Guony and Valdimarsdottir, Unnur and Fürst, Carl Johan and Steineck, Gunnar and Hauksdottir, Arna},
  issn         = {1099-1611},
  keyword      = {cancer,oncology,spousal loss,bereavement,pain},
  language     = {eng},
  number       = {12},
  pages        = {2763--2770},
  publisher    = {John Wiley & Sons},
  series       = {Psycho-Oncology},
  title        = {Low preparedness before the loss of a wife to cancer and the widower's chronic pain 4-5 years later-a population-based study},
  url          = {http://dx.doi.org/10.1002/pon.3345},
  volume       = {22},
  year         = {2013},
}