Spousal bereavement--implications for health

Fam Pract. 2001 Dec;18(6):614-8. doi: 10.1093/fampra/18.6.614.

Abstract

Background: Bereavement is a potential medical problem as it has implications for health through possible associations with morbidity and mortality.

Objective: The aim of the present study was to ascertain if spousal bereavement is associated with physical and psychological parameters of illness.

Methods: A spousal bereavement register was created at a village general practice in the West Midlands of 122 spouses (4.9% of the practice population). After exclusion of 22, a sample of 100 had their medical records analysed for the periods of 12 months before and after bereavement.

Results: Between these two periods, the average number of consultations increased from 5.99 to 7.60 (P = 0.01), where the vast majority were for physical illness. Mean number of prescriptions increased from 8.54 to 9.15 per patient (P = 0.8) for physical illness and from 0.76 to 1.34 (P = 0.09) for psychological illness.

Conclusion: Bereavement can be viewed as a medical problem, but this is not borne out in prescribing and so care should be taken not to over-medicalize grief.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adaptation, Psychological / physiology
  • Adult
  • Age Distribution
  • Aged
  • Bereavement*
  • Causality
  • Disease / psychology*
  • Drug Prescriptions / statistics & numerical data
  • England / epidemiology
  • Family Practice / statistics & numerical data*
  • Female
  • Health Status*
  • Humans
  • Male
  • Mental Disorders / epidemiology
  • Middle Aged
  • Office Visits / statistics & numerical data
  • Sex Distribution
  • Spouses / psychology*
  • Widowhood / psychology*
  • Widowhood / statistics & numerical data