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Does Early Bereavement Counseling Prevent Ill Health and Untimely Death?

Department of Geriatric Medicine, Sahlgrenska University Hospital, Gothenburg, Sweden, agneta.grimby{at}telia.com

Åsa K. Johansson, PhD

Department of Geriatric Medicine, Sahlgrenska University Hospital, Gothenburg, Sweden

Fifty elderly bereaved men and women, who received bereavement counseling by a physician and a psychologist at 3 separate occasions during the year after loss, were followed during another 10 years in regard to morbidity and mortality, as some earlier studies have indicated increased risk during widowhood. Days of hospital care and mortality rates during 5 and 8 years, respectively, were the primary outcome variables. A group of representative married subjects was used for comparison purposes. The results showed no difference between the groups in the number of days of care before loss, nor did the days of hospital care after the loss differ. The mortality rate was similar in both groups. This may suggest that bereavement counseling has a preventive effect regarding health and survival, but this should be further evaluated in controlled studies before counseling programs can be recommended.

Key Words: elderly • bereavement • counseling • morbidity • mortality

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