title: Bereavement After Informal Caregiving: Assessing Mental Health Burden Using Linked Population Data.
abstract: OBJECTIVE
  We compared the mental health risk to unpaid caregivers bereaved of a care recipient with the risk to persons otherwise bereaved and to nonbereaved caregivers.
  
  
  METHODS
  We linked prescription records for antidepressant and anxiolytic drugs to characteristics and life-event data of members of the Northern Ireland Longitudinal Study (n = 317 264). Using a case-control design, we fitted logistic regression models, stratified by age, to model relative likelihood of mental health problems, using the proxy measures of mental health-related prescription.
  
  
  RESULTS
  Both caregivers and bereaved individuals were estimated to be at between 20% and 50% greater risk for mental health problems than noncaregivers in similar circumstances (for bereaved working-age caregivers, odds ratio = 1.41; 95% confidence interval = 1.27, 1.56). For older people, there was no evidence of additional risk to bereaved caregivers, though there was for working-age people. Older people appeared to recover more quickly from caregiver bereavement.
  
  
  CONCLUSIONS
  Caregivers were at risk for mental ill health while providing care and after the death of the care recipient. Targeted caregiver support needs to extend beyond the life of the care recipient.
authors.affiliation: John Moriarty is with the Administrative Data Research Centre for Northern Ireland, Queen's University Belfast, Belfast, Ireland. Aideen Maguire and Dermot O'Reilly are with the Centre for Public Health, Queen's University Belfast. Mark McCann is with the Medical Research Council/Chief Scientist Office Social and Public Health Sciences Unit, University of Glasgow, Glasgow, Scotland.
authors.forename: John
authors.initials: J
authors.lastname: Moriarty
authors.affiliation: John Moriarty is with the Administrative Data Research Centre for Northern Ireland, Queen's University Belfast, Belfast, Ireland. Aideen Maguire and Dermot O'Reilly are with the Centre for Public Health, Queen's University Belfast. Mark McCann is with the Medical Research Council/Chief Scientist Office Social and Public Health Sciences Unit, University of Glasgow, Glasgow, Scotland.
authors.forename: Aideen
authors.initials: A
authors.lastname: Maguire
authors.affiliation: John Moriarty is with the Administrative Data Research Centre for Northern Ireland, Queen's University Belfast, Belfast, Ireland. Aideen Maguire and Dermot O'Reilly are with the Centre for Public Health, Queen's University Belfast. Mark McCann is with the Medical Research Council/Chief Scientist Office Social and Public Health Sciences Unit, University of Glasgow, Glasgow, Scotland.
authors.forename: Dermot
authors.initials: D
authors.lastname: O'Reilly
authors.affiliation: John Moriarty is with the Administrative Data Research Centre for Northern Ireland, Queen's University Belfast, Belfast, Ireland. Aideen Maguire and Dermot O'Reilly are with the Centre for Public Health, Queen's University Belfast. Mark McCann is with the Medical Research Council/Chief Scientist Office Social and Public Health Sciences Unit, University of Glasgow, Glasgow, Scotland.
authors.forename: Mark
authors.initials: M
authors.lastname: McCann
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D014151:Anti-Anxiety Agents / Q000627:therapeutic use; D000928:Antidepressive Agents / Q000627:therapeutic use; D001601:Bereavement; D017028:Caregivers / Q000523:psychology*; D016022:Case-Control Studies; D017281:Cost of Illness; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology / Q000209:etiology; D008875:Middle Aged; D009660:Northern Ireland / Q000453:epidemiology; D012307:Risk Factors; D055815:Young Adult
chemical_list: D014151:Anti-Anxiety Agents; D000928:Antidepressive Agents