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Death of a Child Increases Mother's Risk of Death
Gary Gately
WEDNESDAY, Feb. 5 (Health Scout News)-- When a child dies, the mother faces a
much higher risk of early death than the father, Danish researchers say.
Compared with parents who had not lost a child, mothers were 43 percent more
likely to die of any cause within 18 years of a child's death; fathers, 9
percent, the researchers report in the current issue of The Lancet.
The greatest risk of early death for parents came in the three years after a
child died, the study found. During that time, mothers were nearly four times as
likely to die of unnatural causes, while fathers had a 57 percent greater risk
of early, unnatural death.
Unnatural deaths consisted mainly of motor vehicle accidents and suicides,
and some of the accidents might actually have been hidden suicides or linked to
alcohol consumption, depression or grief, says Jorn Olsen, a co-author of the
study.
"I think the most significant finding is definitely this high mortality of
unnatural causes we see after the death of a child, especially among mothers,"
says Olsen, an epidemiologist at the Epidemiology Science Centre at University
of Aarhus in Denmark. "Losing a child is considered to be one of the most
extreme stressors. This type of life event clearly puts the parents in a
high-risk position, especially the mothers and especially shortly after the
death of a child."
The study focused on information from Danish death registries from1980 to
1996, tracking about 20,000 parents who lost a child and a control group of
293,000 whose children were alive.
The likelihood of a parent's unnatural death declined with the passage of
time. However, four to eight years after a child's death, mothers were still
nearly twice as likely as those who did not lose children to die of unnatural
causes. And nine to 19 years later, they were 70 percent more likely to face
that fate. Fathers were 13 percent more likely to die of unnatural causes nine
to 19 years after a child's death.
The death of a child also increased the likelihood of a parent's death from
natural causes, including circulatory and digestive diseases, the study found.
Compared with those who had not lost children, bereaved mothers had a risk of
death from natural causes 6 percent higher the first three years after the death
of a child; 16 percent, the fourth through eighth years; and 44 percent, the
ninth through 18th years.
Fathers, by contrast, had a higher death risk from natural causes, 19
percent, only in the nine to19 years after the death of a child.
Olsen suggests mothers may be more likely to die early after losing a child
because they're more attached to children than fathers.
Among the study's other findings:
For mothers, the risks of unnatural death were highest after the death of a
child aged 3 to 9 and lowest for those less than a month old.
The likelihood of parents dying early after losing a child decreased when
they had more than one child.
Long-term effects of stress after a child's death can affect the nervous and
immune systems, among other things. That can make parents more susceptible to
infectious diseases and increase the risk of cardiovascular disease.
Stress also can lead to lifestyle changes such as smoking and drinking
alcohol, altering the diet or reducing physical activity - all of which could
increase risk of both natural and unnatural deaths.
Barbara J. Paul, a Philadelphia psychologist who specializes in grief
counseling, says the study shows the devastating impact of the loss of a child.
"It does have a catastrophic impact on the family," Paul says. "The
health-care profession, as well as the mental health profession, need to be
aware of that."
Early intervention to improve physical and mental health of grieving parents
is crucial, Paul says, and often, increasing physical ailments start to show up
nine to 18 months after the death of a child.
However, both parents are often so grief-stricken that they can't help each
other and thus need support from friends and others, she adds.
Paul says the loss of a child can be more difficult for mothers: "They will
often talk about the death of a child as the death of a part of themselves. They
feel a part of themselves has died."
Grieving fathers, by contrast, may be at lower risk of early death because
they become more involved in work and keeping the family together and
functioning, Paul says.
http://www.hon.ch/News/HSN/511588.html


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