Being in a stable marriage means people are more likely to
survive a stroke, experts have found.
Having a spouse to care for someone 'in sickness and in
health' improves survival chances by up to 71 per cent, according to a study.
An estimated 150,000 people have a stroke each year in
Britain.A quarter die within a year, and of the survivors, half are
left with long-lasting disability, which can include paralysis, speech problems
and personality changes.
In the US, more than 795,000 people have a stroke each year;
130,000 die - one in 20.
The extent to which people recover - and their chance of
long-term survival - is hugely dependent on having good care, rehabilitation
and support in the aftermath of a stroke.
Experts at Duke University in North Carolina, suspect this
is a key reason married people tend to do better following a stroke - they
simply have someone to look after them.
The researchers, who tracked 2,351 people for an average
five years after suffering a stroke, found those who were in a marriage - and
had never been married to anyone else - at the time of their stroke were 71 per
cent less likely to die than those who had never been married.
But they also found those who had suffered a marriage
breakdown in the past, or who had been widowed, were less likely to survive.
The research team said this suggests stroke survival could
be influenced by previously traumatic experiences.
They found patients who were divorced were 23 per cent more
likely to die after a stroke, and those who had been widowed were 25 per cent
more likely to die than continuously married adults.
Patients who were divorced more than once were 39 per cent
more likely to die after a stroke, and those who had been widowed more than
once had a 40 per cent greater chance of death.
The researchers, writing in the Journal of the American
Heart Association, said: 'Faced with a stroke, we suspect that those with
stable marriages draw from these protracted resources to better manage disease
and prolong survival after experiencing a life-threatening event.
'The present findings corroborate this association to
suggest that remarriage after divorce or widowhood may not confer the same
health benefits for those who remained stably married.'
But they added: 'We suspect that the acute and chronic
stress associated with marital loss(es) may have played an important role in
our findings, particularly as it related to widowhood in older ages.
'Indeed, recent studies have identified possible biological
mechanisms related to the stress of marital loss that warrant additional
investigation as they relate to increased risk for mortality after a stroke.'
Dr Matthew Dupre, who led the study, said: 'Our research is
the first to show that current and past marital experiences can have
significant consequences for one's prognosis after a stroke.
'We hope that a greater recognition and understanding of
these associations may enable healthcare providers to better identify and treat
patients who may be at a potentially high risk of dying after suffering a
stroke.'
Richard Francis of the UK Stroke Association, said: 'For
many years, scientists have been trying to work out whether our relationship
status can play a role in our health.
'This latest study adds weight to previous research which
suggests a link between a person's marital status and their recovery following
a stroke.
'There are a number of factors which could contribute to
this. We know that psychological and behavioural support are vital for people rebuilding
their lives after a stroke, and a stroke survivor's financial stability also
has a role to play in their recovery.'
But he added: 'A stroke can happen to anyone at any time,
regardless of their relationship status.
'There are simple steps we can take to reduce our risk of
stroke, such as eating a balanced diet, taking regular exercise and having
regular blood pressure checks.'
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