Navigation Links
Spouses of severe-sepsis patients at high risk of depression, U-M study shows
Date:7/18/2012

ANN ARBOR, Mich. Severe sepsis, a body's dangerous defensive response against an infection, not only diminishes the quality of life for patients it puts their spouses at a greater risk of depression, a joint University of Michigan Health System and University of Washington School of Medicine study shows.

Wives whose husbands were hospitalized for severe sepsis were nearly four times more likely to experience substantial depressive symptoms, according to the study released July 18 ahead of the August publish date in Critical Care Medicine.

Sepsis happens when an infection such as pneumonia or urinary tract infection throws off the immune system, prompting it to attack the body it's designed to protect. This exaggerated inflammatory response can trigger damage to vital body organs, bleeding, organ failure and possibly death.

Severe sepsis is responsible for four times more hospitalizations than more obvious illnesses such as heart attacks and is a leading cause of death among older Americans.

"We know that patients who survive sepsis face many new problems, but we know little about the emotional toll it takes on patients' loved ones," says senior author Theodore J. Iwashyna, M.D., Ph.D., assistant professor of internal medicine at U-M and who also works with the Institute of Social Research and the VA Center for Clinical Management Research.

"Emotional distress may diminish spouses' abilities to support patients in ongoing rehabilitation and act as surrogate decision-makers for them."

With hundreds of thousands of Americans hospitalized for severe sepsis a year, it is the most common non-cardiac cause of critical illness. The rapidly growing number of hospitalizations and disabilities caused by the condition especially impose overwhelming burdens on older spouses, Iwashyna notes.

The study is believed to be the first of its kind in gauging depression among spouses of severe-sepsis survivors. It suggests that patients' spouses may benefit from greater support and depression screening not just when their loved one dies, but also when their loved one survives.

Physicians may also consider including non-spousal family members and support networks to help facilitate patients' recovery post ICU-care.

"Depression in family members could affect end-of-life decisions in the ICU and impact a loved ones' caretaking ability so interventions may improve the outcomes of patients themselves," says lead author Dimitry S. Davydow, M.D, M.P.H., assistant professor of psychiatry at U-W. "Providers must learn to assess the burden of follow- up care on patients' spouses to help improve the health and quality of life for this growing population of older Americans."

While older women clearly showed greater risks for depression if their spouses were hospitalized for severe sepsis, data was less definitive for husbands in the same situation. Authors noted that these findings may be due to older men possibly being less willing to report depressive symptoms.

Iwashyna and his colleagues conducted the study using participants in the Health and Retirement Study, a nationally-representative sample of older Americans that is conducted by the U-M Institute for Social Research on behalf of the National Institute of Aging.


'/>"/>

Contact: Beata Mostafavi
bmostafa@umich.edu
734-764-2220
University of Michigan Health System
Source:Eurekalert

Related medicine news :

1. Spouses of Cancer Patients May Have Raised Risk of Heart Disease, Stroke
2. Doctors and rheumatoid arthritis patients differ on perception of disease activity
3. Unmet needs: Adolescents and young adult cancer patients lack psychological, social support
4. Sodium Buildup in Brain Linked to Disability in MS Patients
5. Physicians dont adequately monitor patients medication adherence
6. Black Patients More Apt to Have Voice Box Removed When Cancer Strikes
7. Patients Skin Cells Yield Research Model for Alzheimers
8. Undergoing multiple ACL surgeries allows patients to regain basic function, but not full activity
9. Reused Vials, Unsafe Injections Threatening Patients: CDC
10. ACL reconstruction technique improves outcomes in pediatric patients
11. UGA study shows why hypertension increases damage to eyes of diabetic patients
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/27/2016)... ... 2016 , ... "FCPX editors can now reveal their media with growing colorful ... Christina Austin - CEO of Pixel Film Studios. , ProSlice Color brings the ... can now reveal the media of their split screens with growing colorful panels. , ...
(Date:6/27/2016)... ... June 27, 2016 , ... TopConsumerReviews.com recently awarded their highest five-star rating to ... of individuals in the United States and Canada wear eyeglasses. Once considered to be ... vision and make a fashion statement. Even celebrities use glasses as a way of ...
(Date:6/26/2016)... ... ... PawPaws brand pet supplements owned by Whole Health Supply is ... of felines. The formula is all-natural and is made from Chinese herbs that have ... Kidney Support Supplement Soft Chews are Astragalus Root Extract and Rehmannia Root Extract ...
(Date:6/25/2016)... ... June 25, 2016 , ... Austin residents seeking Mohs surgery ... of Mohs Surgery and to Dr. Russell Peckham for medical and surgical dermatology. , ... for skin cancer. The selective fellowship in Mohs Micrographic Surgery completed by Dr. Dorsey ...
(Date:6/25/2016)... , ... June 25, 2016 , ... As a lifelong ... Cum Laude and his M.D from the David Geffen School of Medicine at UCLA. ... to Los Angeles to complete his fellowship in hematology/oncology at the UCLA-Olive View-Cedars Sinai ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... June 24, 2016  Collagen Matrix, Inc., ("Collagen ... and manufacturing of collagen and mineral based medical ... that Bill Messer has joined the ... further leverage the growing portfolio of oral surgery, ... Bill joins the Collagen Matrix executive team ...
(Date:6/24/2016)... 2016 The Academy of Managed Care Pharmacy ... that would allow biopharmaceutical companies to more easily share ... formulary and coverage decisions, a move that addresses the ... The recommendations address restrictions in the sharing ... drug label, a prohibition that hinders decision makers from ...
(Date:6/24/2016)...   Pulmatrix, Inc ., (NASDAQ: PULM ... announced today that it was added to the Russell ... comprehensive set of U.S. and global equity indexes on ... milestone for Pulmatrix," said Chief Executive Officer Robert ... progress in developing drugs for crucial unmet medical needs, ...
Breaking Medicine Technology: