Diminishing Quality of Life
Spouses of stroke survivors face lingering health issues
Caregiver spouses of stroke survivors are at an increased risk of mental and physical health issues that may continue for years, according to research in the American Heart Association journal Stroke.
Swedish researchers evaluated 248 stroke survivors in their mid-60s and their spouses at stroke onset and compared the results with 245 non-stroke controls for seven years after the stroke event.
At the seven-year follow-up, 16.5 percent of survivors had experienced a recurrent stroke. Spouses of survivors reported lower scores in several mental and physical areas — more health issues affecting their lives, less vitality and reduced social function — not only during the first years after stroke but also in the long term.
Caregivers’ quality of life was most adversely affected by their spouses’ level of disability, cognitive difficulties and depressive symptoms.
“It is known that spouses of older stroke patients experience health-related physical and mental issues and that the degree of their problems is associated with the severity of the stroke.
Ours is the first long-term study of seven years follow-up to explore this in a younger group of people,” said Josefine Persson, M.Sc., study author and a researcher and Ph.D. candidate at the Institute of Neuroscience and Physiology at Sahlgrenska Academy, University of Gothenburg, Sweden.
“Our results also highlight the impact on the spouses’ mental health due to demanding changes in the life situations of these families, not only during the first years after stroke onset but also in the long term.”
Researchers said juggling work and care giving is different among younger and older caregivers. “Caring for a spouse after a stroke can be demanding and can reduce a spouse’s time spent at their occupation, which also can be a burden for many younger families, and the underlying problems can continue for several years,” Persson said. The findings also have implications for healthcare policymakers and call attention to the need for greater social support for these individuals, she said.