Mental illness and life expectancy

According to Oxford University researchers, about one in four people in the UK will experience a mental health problem sometime during the year, while fewer than that smoke cigarettes — around 21 percent of men and 19 precent of women.images

PsychCentral reports that “Many mental disorders have a higher mortality risk than smoking. Yet despite these statistics, say the researchers, mental health still lags behind as a public health priority, especially compared to smoking.

“The study, published in the journal World Psychiatry, was based on the best systematic reviews of clinical studies reporting mortality risk for a whole range of diagnoses: mental health problems, substance and alcohol abuse, dementia, autistic spectrum disorders, learning disability, and childhood behavioral disorders.Twenty review papers were identified, including over 1.7 million individuals and over 250,000 deaths.

“The findings showed that the average reduction in life expectancy inbipolar patients is between nine and 20 years, 10 to 20 years forschizophrenia, between nine and 24 years for drug and alcohol abuse, and around seven to 11 years for recurrent depression. The loss of years among heavy smokers is eight to 10 years.

“People with mental health problems are among the most vulnerable in society. This work emphasizes how crucial it is that they have access to appropriate healthcare and advice, which is not always the case,” said Dr. John Williams, head of Neuroscience and Mental Health at the Wellcome Trust.

“We now have strong evidence that mental illness is just as threatening to life expectancy as other public health threats such as smoking.”

All diagnoses had an increase in early death, though the size of the risk varied greatly. Many had risks equivalent to or higher than heavy smoking. Continue reading “Mental illness and life expectancy”

Caregivers live longer

The common wisdom in the fields of medicine and social work has held that those who care for a long-term seriously disabled person have their lives shortened as a consequence. Compensating anecdotes are often rendered about increased empathy, fulfillment, and so on. But the overriding narrative is generally rather grim.

Now a new study tells the opposite story, as reported in the American Journal of Epidemiology: a large new study shows that caregivers live as long or longer than non-caregivers, although the kind of care (which seems crucial in such a discussion) it not directly discussed in the abstract available online.

“Previous studies have provided conflicting evidence on whether being a family caregiver is associated with increased or decreased risk for all-cause mortality. This study examined whether 3,503 family caregivers enrolled in the national Reasons for Geographic and Racial Differences in Stroke (REGARDS) Study showed differences in all-cause mortality from 2003 to 2012 compared with a propensity-matched sample of non-caregivers. Caregivers were individually matched with 3,503 non-caregivers by using a propensity score matching procedure based on 15 demographic, health history, and health behavior covariates.

“During an average 6-year follow-up period, 264 (7.5%) of the caregivers died, which was significantly fewer than the 315 (9.0%) matched noncaregivers who died during the same period. A proportional hazards model indicated that caregivers had an 18% reduced rate of death compared with non-caregivers (hazard ratio = 0.823, 95% confidence interval: 0.699, 0.969). Subgroup analyses by race, sex, caregiving relationship, and caregiving strain failed to identify any subgroups with increased rates of death compared with matched non-caregivers. Continue reading “Caregivers live longer”