Cardiovascular risk in early bereavement: A literature review and proposed mechanisms

Buckley, Thomas; McKinley, Sharon; Tofler, Geoffrey H.; Bartrop, Roger

doi:10.1016/j.ijnurstu.2009.06.010

Cited by 83 publications

(72 citation statements)

References 81 publications

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“…This contrasts with non-bereaved controls whose contact remained relatively constant over the same time period. Overall, in the year after bereavement, the mean number of contact days rose to 11.2 (interquartile range, [6][7][8][9][10][11][12][13][14] in the year after bereavement from 9.4 (interquartile range, 4-12) in the year before.…”

Section: Contact With Primary Carementioning

confidence: 95%

“…8,30 Given this, we would anticipate worsening of uptake of care after bereavement for the majority of bereaved individuals. Thus, our findings of improvement or normalization of care in the year after bereavement are somewhat surprising.…”

Section: Interpretation and Implicationsmentioning

confidence: 99%

“…5,6 There are a number of plausible physiological mechanisms for both short-and long-term increases in risk. 7,8 Longer-term effects of bereavement on cardiovascular risk may be mediated by a range of factors, including changes in lifestyle, social support, and depression, as well as physiological responses. However, there has been limited investigation of the role of changes in medical and cardiovascular care around the time of bereavement.…”

mentioning

confidence: 99%

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Impact of Partner Bereavement on Quality of Cardiovascular Disease Management

et al. 2013

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Background-Bereavement is a period of increased risk of cardiovascular death. There is limited understanding of the potential contribution of quality of cardiovascular disease management to this increased risk. Methods and Results-In a UK primary-care database, 12 722 older individuals with preexisting cardiovascular disease (coronary heart disease, hypertension, diabetes mellitus, stroke) and a partner bereavement were matched with a nonbereaved control group (n=33 911). We examined key routine annual process measures of care in the year before and after bereavement and cardiovascular medication prescribing (lipid-lowering, antiplatelet, renin-angiotensin system drugs).Odds ratios for change after bereavement compared with the change in non-bereaved matched controls are presented.In the bereaved, uptake of all annual measures was lower in the year before bereavement, with improvement in the year after, whereas in the controls, uptake was relatively stable. The odds ratio for change was 1.30 (95% confidence interval, 1.15-1.46) for cholesterol measurement and 1.40 (95% confidence interval, 1.22-1.61) for blood pressure measurement. For all medication, there was a transient fall in prescribing in the peri-bereavement period lasting until about 3 months after bereavement. The odds ratio for at least 80% prescription coverage in the 30 days after bereavement was 0.

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Section: Contact With Primary Carementioning

confidence: 95%

Section: Interpretation and Implicationsmentioning

confidence: 99%

mentioning

confidence: 99%

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Impact of Partner Bereavement on Quality of Cardiovascular Disease Management

et al. 2013

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“…For example, cardiovascular disease, with particularly high incidence in Scotland, may be a risk for bereaved individuals, and there is some evidence of higher risk in early bereavement (Buckley, McKinley, Tofler, & Bartrop, 2010).…”

Section: Introductionmentioning

confidence: 99%

The Economic Cost of Bereavement in Scotland

et al. 2015

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“…As a variety of immune cells exhibit receptors for cortisol and catecholamines, the chronic secretion of these neuroendocrine products may dysregulate immune function by changing cellular trafficking and proliferation, cytokine secretion, antibody production, and cytolytic activity, among others [5]. According to a recent review, the altered physiological state induced by bereavement is characterized by an elevation in cortisol and immune imbalance, which may account for the increase in cardiovascular risk in early bereavement [6]. However, not all individuals respond to the same stressor in an identical way.…”

Section: Introductionmentioning

confidence: 99%

Physical Health Outcomes of Conjugal Bereavement: A Psychoneuroendocrine Model of Resilience

Yue¹

2014

Pharm Anal Acta

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Cardiovascular risk in early bereavement: A literature review and proposed mechanisms

Cited by 83 publications

References 81 publications

Impact of Partner Bereavement on Quality of Cardiovascular Disease Management

Impact of Partner Bereavement on Quality of Cardiovascular Disease Management

The Economic Cost of Bereavement in Scotland

Physical Health Outcomes of Conjugal Bereavement: A Psychoneuroendocrine Model of Resilience

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