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Mental & Emotional Health

Hospice Use May Ease Depression in Surviving Spouses

An Institute of Medicine's report on improving the quality of care near the end of life highlights the need for supporting family caregivers. Researchers at the Icahn School of Medicine at Mount Sinai, New York found a modest reduction in depressive symptoms among some surviving spouses of hospice users compared with nonhospice users. The article, which was published in May 2015 online by JAMA Internal Medicine, also reported that most of the surviving spouses had more depression symptoms following the deaths of their partners regardless of hospice use.  

A release from the publisher notes that core components of high-quality hospice care include counseling services for family members before and after the patient's death, according to study background.

Katherine A. Ornstein, Ph.D., M.P.H. and coauthors used data from a national sample to examine the effect of hospice use on depressive symptoms in surviving spouses, especially those spouses identified as primary caregivers. The authors linked data from the Health and Retirement Study to Medicare claims. Participants included 1,016 decedents and their surviving spouses. Depression scores reflecting symptom severity were measured up to two years after death.

Of the 1,016 decedents, 305 patients (30 percent) used hospice services for more than three days in the year before their deaths. Overall 51.9% of the 1016 spouses had more depressive symptoms over time. There were no significant differences across groups based on hospice use.

Study results show that 28.2 percent of spouses of hospice users had improved depression scores compared with 21.7 percent of spouses whose partners didn't use hospice, although the difference was not statistically significant. Among the 662 spouses who were primary caregivers, 27.3 percent of the spouses of hospice users had improved depression scores compared with 20.7 percent whose spouses didn't use hospice, although the difference was not statistically significant. After further adjustment based on patient and spousal characteristics, spouses of hospice users were significantly more likely than spouses of non-hospice users to have reduction in symptoms.

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