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Caregivers & Elder Care News

Stress of Caring for Spouse Increases Risk of Stroke, Especially for Black Men

Male spouse caregivers may need special support to offset increased strain-related health risk

Jan. 15, 2010 - The stress of caring for a disabled spouse appears to significantly increase the caregiver’s risk of future stroke, especially among African-American men, says a researcher report in Stroke: Journal of the American Heart Association.

 

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“‘Highly strained’ spouse caregivers have significantly elevated stroke risk scores compared to spouse caregivers reporting no strain,” said William E. Haley, Ph.D., study lead author and professor in the School of Aging Studies at the University of South Florida in Tampa.

Researchers compared levels of mental and emotional strain, depressive symptoms, social network, education and age with stroke risk estimates among 767 men and women (average age 68) who were providing in-home care to disabled spouses. They found: 

   ●  High caregiving strain was associated with an overall 23 percent higher estimated risk of stroke.

   ●  The association was stronger in husbands than in wives, and was highest by far in African-American men with high caregiving strain, who had a 26.9 percent estimated 10-year stroke risk — a score more than 10 points higher than for any other race/gender group.

   ●  Caregiver’s strain was not predictive of higher heart disease risk.

The investigators studied numbers of male and female and white and African-American spousal caregivers whose reported strain levels (high, some, none) were compared on the Framingham Stroke Risk and Coronary Heart Disease Risk scores that estimate the 10-year risk of those diseases.

“Highly stressful caregiving can be chronic and include many difficult and uncontrollable stressors such as witnessing the suffering of a loved one . . . financial strain, social isolation and providing physically and psychologically demanding personal care,” Haley said.

“Male spouse caregivers may need special support.”

Study co-authors are David L. Roth, Ph.D.; George Howard, Dr.P.H.; and Monika Safford, M.D. The National Institute for Neurological Disorders and Stroke funded the study.

 

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