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Risk of Mental Illness is High Among Spouses of Cancer Patients

Risk of Mental Illness is High Among Spouses of Cancer Patients

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A cancer diagnosis is challenging and frequently terrifying not just for the patient, but it can be difficult for the spouse too.

Highlights:
  • Spouses of cancer patients had an increased risk of psychological problems that required hospital-based expert care
  • This risk is highest during the first year after cancer diagnosis
  • It suggests the need for clinical awareness to prevent probable mental disorders among cancer patients’ spouses
Spouses of cancer patients are more likely to develop psychological illnesses, revealed a study published in JAMA Network Open.
In a population-based cohort study, Kejia Hu, M.D., of the Karolinska Institutet in Stockholm, and colleagues compared the total burden of psychiatric diseases among wives of cancer patients diagnosed in Denmark and Sweden to spouses of individuals without cancer (exposed and unexposed groups). Data for 546,321 spouses in the exposed group and 2,731,574 in the unexposed group with no previous psychiatric illness were included.


Prevalence of Depression and Stress in Spouses of Cancer Patients

During follow-up, the researchers discovered that the incidence rates of first-onset psychiatric disorders were 6.8 and 5.9 per 1,000 patient-years, respectively, for the exposed and unexposed groups (median, 8.4 and 7.6 years, respectively). The incidence of first-onset psychiatric disorders increased over the first year following a cancer diagnosis (adjusted hazard ratio, 1.30), particularly for depression and stress-related disorders (adjusted hazard ratios, 1.38 and 2.04, respectively).


Risk of Psychiatric Disorders Higher Among Spouses of Patients with Advanced Cancer

There was a 14% rise in the risk of first-onset psychiatric illnesses during the study, which was similar for substance addiction, depression, and stress-related disorders. Spouses of patients with cancer with a poor prognosis (e.g., adjusted hazard ratio, 1.41 for pancreatic cancer), cancer in an advanced stage, and when the patient died during follow-up were most at risk (adjusted hazard ratios, 1.31 and 1.29, respectively).

“These results support the need for clinical awareness to prevent potential mental illness among the spouses of patients with cancer, especially in these high-risk groups,” the authors write.

Source-Medindia


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