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Social and environmental factors and major depression in old age.

This community-based epidemiological survey is concerned with relationships between social and environmental factors and major depression in a Finnish population aged 60 years and over. The occurrence of major depression was related to advanced age, widowhood or divorce, low number of hobbies, frequently being alone, poor social participation, and many long-standing and current social-stress factors. According to the questionnaire data, subjects suffering from major depression had more frequently experienced serious illnesses and deaths among their close relatives during the five years before the beginning of this survey than had the non-depressed subjects. The log-linear model constructed for major-depressive persons revealed six interactions. The first was characterized by a low number of hobbies, high incidence of long-standing social-stress factors, and widowed or divorced status; the second by poor social participation and high incidence of long-standing and current social-stress factors, or combination of moderate level of social participation, high incidence of long-standing social-stress factors, and low incidence of current social-stress factors; the third by a low number of hobbies and high incidence of current social-stress factors; the fourth by a high incidence of current social-stress factors and widowed or divorced status; the fifth by a low number of hobbies and low level of social participation; and the sixth by a moderate level of social participation and widowhood or divorce.

Aged↗

Family roles and smoking.

This study analyzes the relationships of cigarette smoking and smoking histories to marital and parental status. Data from a large, representative sample of U.S. adults in 1985 were analyzed separately for white men, white women, black men, and black women, with controls for age, education, and marital status included in the analyses. Divorced and separated adults were the most likely to be current smokers or ever to have adopted smoking; currently married adults and widowed adults were intermediate; and never married adults were the least likely to be current smokers or ever to have adopted smoking. (There were some exceptions to these patterns for never married and widowed blacks). The differences in smoking adoption had begun during adolescence, before the usual age of marriage, which suggests that the differences in smoking, adoption were not caused by marriage or divorce. Rather, it appears that personal characteristics or early experiences influenced both the likelihood of smoking adoption and the likelihood of marriage or divorce. Currently married adults were more likely to have quit smoking than never married, divorced and separated, or widowed adults. It may be that the social support provided by marriage increases smoking cessation. In contrast to the strong relationships between marital status and smoking, relationships between parental status and smoking were relatively weak and variable. Among white women, mothers of preschoolers were less likely to be smokers than women without children. The mothers of preschoolers were more likely to have quit smoking, possibly as a result of increased smoking cessation during pregnancy.

Adult↗

The re-based 1991 population estimates by marital status.

Shortly after preparing the re-based 1991 population estimates, the Office for National Statistics produced provisional population estimates by legal marital status (for England and Wales as a whole). These provisional estimates were calculated using a marital status distribution for 1991 that was updated from the 1981 Census. These estimates have now been revised to incorporate marital status information from the 1991 Census. This article outlines the options for re-basing the estimates, the method used, and assesses the effect of the revision on the rates of marriage, divorce and mortality by single year of age. The main differences between the provisional and final re-based estimates in 1991 are: estimates of widowed men and women are 7 per cent and 2 per cent higher, respectively, estimates of divorced men and women are 2 per cent and 3 per cent lower, re-marriage rates (amongst the divorced or widowed) for men 50-59 increased, and mortality rates for single and divorced men increased for those aged over 70.

Adolescent↗

Demographic features and psychosocial problems in single-parent families: 1985 to 1995.

Single-parent families and children seen in Hacettepe University's Department of Child and Adolescent Psychiatry in 1985 and 1995 were evaluated. Divorce was the most frequent reason for single parenthood. Children of divorced families experienced a higher number and severity of symptoms, and a longer delay before applying for medical help. Oppositional defiant behavior was at equal frequency in all groups, but suicide attempts, school failure due to psychological causes, conduct disorder, and somatoform disorders were more frequent in divorced families. Divorced mothers were more likely to have a higher level of education and were more likely to work. From 1985 to 1995, mothers' age and educational level increased; the number and age of children decreased. Studies on such families are indicated to determine risk factors for psychosocial problems and to develop preventive measures.

Adjustment Disorders↗

Marital status life table for Australian women, 1971.

"In this paper the mathematical principles behind the construction of multistate life tables are presented. [They are] then applied to study the patterns of first marriage, widowhood, divorce and remarriage of the Australian female population for the year 1971." Comparisons are also made with data for the United States in 1970. The author finds that "the first marriage patterns of both countries are very similar. But the divorce pattern is different. Though the probability that a marriage will end in a divorce is much lower in Australia than in the United States, the proportion of divorcees remarrying is only slightly lower in Australia.... Expected duration of a marriage is about 10.5 years longer in Australia than in the United States." (summary in FRE, ITA)

Australia↗

Decree of 12 December 1983.

This Decree, which came into force on 26 March 1984, makes the following changes in the Civil Code of the Federal District of Mexico: 1) nonmarital life partners have a right to inherit from one another if they have lived together for five years or have common children; 2) such life partners are responsible for the support of each other; 3) marriage may be dissolved on a no fault basis after two years' marriage; 4) the custody of children upon divorce is to be determined on the basis of what is best for the child, without consideration of which spouse is at fault; 5) upon divorce, the wife has the right to support for a period equal to the length of the marriage if her own income is insufficient to support herself and she has not entered into any marital or similar relationship; and 6) upon divorce, the husband has the same right if he is unable to work and his own income is not sufficient to support himself.

Americas↗

Matrimonial Causes (Amendment) Act, 1986 (No. 15 of 1986), 31 December 1986.

Among other things, this Act makes the following changes in the Matrimonial Causes Act (Chapter 48): a) it lowers the waiting period after a marriage has occurred before a petition of divorce can be presented to the Supreme Court to two years; b) it lowers the waiting period for obtaining a divorce on the ground of desertion to two years; c) it prohibits persons from claiming damages on account of adultery; d) it repeals provisions allowing a Court to order settlement of a wife's property by possession by or reversion to her spouse or children if a divorce or separation is granted by reason of the wife's adultery, desertion, or cruelty; and e) it provides that "the Matrimonial Causes Rules 1937, of England in so far as they are not inconsistent with this Act, shall apply to any proceedings under this Act."

Americas↗

Estimation of duration of separation, widowhood, and family life cycle.

This is the second of two reports on a study of the durations related to marriage. Divorce and death of one's spouse, the main causes of dissolution of marriage, are two of the most important events in a person's life. In the United States in 1994, 30.7 million, or 16.2%, of the adult population were either divorced or widowed. Among the widowed, the female to male ratio was 5 to 1! In this paper duration of separation due to divorce and duration of widowhood are the main variables under study. Algebraic formulas are derived and computer programs are written for estimating these durations for husbands and wives, and for living couples of any age. Relations with the duration of marriage, the expectation of life, and the family life cycle are also presented.

Adult↗

Family factors and life events as risk factors for behavioural and emotional problems in children.

The aim of this study was to identify groups of children at increased risk of behavioural or emotional problems on the basis of socio-demographic characteristics, family characteristics, and recent life events with a focus on unemployment and divorce or separation. We obtained data on the Child Behavior Checklist (CBCL) from a community-based national sample of 4480 parents of school-aged children and interviewed them about their demographic and family characteristics and about the child's recent life events. Results showed that family characteristics and recent life events were more strongly associated with children's risks of behavioural and emotional problems as measured by the CBCL than other demographic characteristics. Risks were somewhat higher for children who had experienced parental unemployment and divorce or separation recently, as compared to those who had experienced these events in the more distant past. We conclude that children with recent experience of parental unemployment or parental divorce or separation are at a relatively high risk of behavioural and emotional problems as reported by parents. Although relatively high, the risks that were found do not justify restriction of screening for behavioural and emotional problems to these children.

Adolescent↗

Epilepsy in India: nuptiality behaviour and fertility.

PURPOSE: The study was conducted to assess the marital status and fertility in adults with epilepsy. METHODS: The study group consisted of 240 subjects with epilepsy aged 15 and above, Unmarried males (m) 55, unmarried females (f) 73 and married males 48, married females 64. Data was collected according to standard protocol regarding age, sex, age at marriage and onset of seizure, effect of epilepsy on marriage, type of seizure and control, fertility pattern and abortions. The study group was followed up for 30 months. The data was compared with latest available state and national data using Student's 't'-test, chi square, Fisher Z-test. RESULTS: The mean age of married subjects was 26.19 + 6.2 years and of the unmarried was 24.94 +/- 7.1 years. People with epilepsy had significantly (p < 0.05) higher mean age at marriage, significantly (p < 0.05) lower rate of marriage (m 46.6% f 46.72%), significantly (p < 0.05) higher divorce rate and withheld marriage. Females compared to males had higher divorce rate (f 5.84%) and withheld marriage (m 5.45% f 10.96%). The marriage rate of subjects with onset of epilepsy in the first decade (m 38.71% f 34.09%) and second decade (m 33.33% f 35.42%) was significantly lower (p < 0.05) than that of subjects with age at onset of epilepsy greater than 20 years (m 66.67% f 71.11%). Subjects with epilepsy not in remission had significantly (p < 0.05) higher mean age at marriage, lower marriage rate and lower fertility per person-year of marriage than those in remission. Majority (95.54%) did not disclose epilepsy before marriage. Total fertility rate (TFR) in males (4.56) and females (5.45) with epilepsy was comparable to general population. Abortions per pregnancy were 4.76%. CONCLUSION: Subjects with epilepsy had lower marriage prevalence rate, delayed marriage (especially females), withheld marriage and higher divorce rate compared to general population. Marriage rate was lower in people with age at onset of epilepsy less than 20 years and in whom seizures were not in remission. Majority of people with epilepsy did not disclose epilepsy before marriage. Though fertility was not affected in people with epilepsy as compared to general population, males had lower fertility than females.

Adolescent↗

The well-being of youngsters coming from six different family types.

Families, or rather parents are in a state of flux: sometimes they row a lot, they divorce, they go and live together again and they die. This is why more and more children grow up in family forms other than the nuclear families with their biological fathers and mothers. What, in the long run, is the effect of this on the well-being of adolescents and young adults between 12-30? We have examined intact families that function well, mediocre or badly, one-parent families and stepfamilies after a divorce and one-parent families after being widowed. The data derive from the Dutch longitudinal panel study "Utrecht Study of Adolescent Development" (USAD). The results of 1772 respondents between 12 and 30 years old are presented from the third wave by the end of 1997. Compared to youngsters of well functioning nuclear families, the youngsters of discordant nuclear families show a worse physical and mental health, their parental fixation is not so strong, they tend to drink more alcohol, smoke more cigarettes and use more soft drugs. Children of divorced families are notable for their relational behaviour: they enter into relations at an early age, usually they are more sexually experienced and they report more relational problems. Children of widowed one-parent families do well. In other family types girls suffer a little more from the burden of life than boys. It appears that the effects are hardly different when the children leave home.

Adaptation, Psychological↗

Coping with marital separation: smoothing the transition for parents and children.

Divorce is a stressful multistage process that can have long-lasting negative outcomes for parents and children. Pediatric nurse practitioners are often the first health care professionals to be informed of family transitions. Therefore they must be knowledgeable of the impact of divorce on parents and children to implement appropriate interventions to enhance coping outcomes in this population. This article discusses the effects of divorce on parents and children and identifies intervention strategies that can be used by nurse practitioners when dealing with separated families. Description of the COPE Program, an intervention program recently implemented with parents and young children experiencing marital separation, is also highlighted.

Adaptation, Psychological↗

Child custody evaluations.

Because divorce is so common, it is important for our society to find ways to minimize the psychological trauma that is experienced by children of divorced parents. Ideally, divorcing parents would not fight so much over the children, in front of the children, and through the children. When disputes do arise regarding custody, visitation, and parenting plans, mental health professionals can assist the judges who make the final decisions by performing competent custody evaluations. These evaluations should be conducted in a systematic manner, should consider several critical factors in an unbiased manner, and should result in recommendations that promote the best interests of the children. In most cases, the goal is for each child to have strong, healthy relationships with both parents. After conducting an evaluation, it is usually possible to make recommendations regarding custody, parenting arrangements, and forms of counseling and therapy that should be helpful to the family members. It is important to communicate these recommendations in an articulate manner, whether verbally or in the written report.

Adolescent↗

Does marital status and marital status change predict physical health in older adults?

BACKGROUND: Evidence for the effects of marital status and marital status change on physical health is equivocal. METHOD: Structural equation models examined whether marital status predicted physical health. Six groups were examined simultaneously: married (M); widowed (W); divorced (D); never married (NM); newly widowed (NW); and newly divorced (ND). There were four annual measures (T1-T4). Both NW and ND were married at T1, but had lost their partners by T2. Four physical health variables were examined: Problems, Limitations, Service use, and Self-rated health (SRH). Age and gender were included. RESULTS: Previous health predicted future for all measures and for all groups. However, the specific strengths and time-courses varied between marital status groups and between health measures. The most marked patterns were associated with marital status change. Service use was influenced most strongly by NW, whilst Limitations was influenced by ND. Problems distinguished NW and ND from stable marital status groups but also from each other. SRH was influenced by W and not by recent marital status change. The effects of age and gender were modest and restricted to specific health variables and specific marital statuses. CONCLUSIONS: The results demonstrate that marital status and marital status change, in particular, influence health longitudinally. The impact of a change to divorced or to widowed status is not the same. No two health variables responded in the same way, suggesting that marital status has a differential effect on health.

Aged↗

Shared or conflicting working models? Relationships in postdivorce families seen through the eyes of mothers and their preschool children.

Marvin and Stewart and Byng-Hall proposed that effective family collaboration requires family members to construct "shared family working models," and that the renegotiation of these working models during family transitions is facilitated by family members' "interactional awareness" (ability to be perceptive observers of family relationships). We apply these constructs to data collected from 71 mothers and their 4.5- to 5.0-year-old preschool children, 2 years after parental divorce. Maternal representations of the father as coparent and ex-spouse, and of father- and mother-child relationships were assessed via two interviews. A family story completion task captured child representations of mother-child and father-child, coparental and ex-spousal interactions. Maternal accounts of mother-child conversations illustrated the negotiation of shared working models. Primarily qualitative analyses contrasting maternal and child perspectives are presented in the first section. Then we use regression analyses to predict children's story themes from maternal representations of flexible, sensitive, and effective discipline-related interactions; maternal depressive symptoms; and perception of the child's father. Finally, we identify gender differences in children's enactments of divorce-related and child-empathy themes. We conclude by considering how our findings could be used to assist post-divorce families in constructing shared rather than conflicting working models of family relations.

Adult↗

Marital transitions. A child's perspective.

Despite a recent leveling off of the divorce rate, almost half of the children born in the last decade will experience the divorce of their parents, and most of these children will also experience the remarriage of their parents. Most children initially experience their parents' marital rearrangements as stressful; however, children's responses to their parents marital transitions are diverse. Whereas some exhibit remarkable resiliency and in the long term may actually be enhanced by coping with these transitions, others suffer sustained developmental delays or disruptions. Others appear to adapt well in the early stages of family reorganizations but show delayed effects that emerge at a later time, especially in adolescence. The long-term effects are related more to the child's developmental status, sex, and temperament; the qualities of the home and parenting environments; and to the resources and support systems available to the parents and child than they are to divorce or remarriage per se. In recent years, researchers have begun to move away from the view that single-parent and remarried families are atypical or pathogenic families and are focusing on the diversity of children's responses and to the factors that facilitate or disrupt the development and adjustment of children experiencing their parents' marital transitions.

Adaptation, Psychological↗

Family functions and children's postdivorce adjustment.

Data on school-age children of divorced parents were examined to determine which dimensions of family dynamics were most associated with the children's socioemotional adjustment. Those factors found to be most significant were family roles, behavior control, and affective involvement, as well as children's reaction to and insight into the divorce, and conflict in the home after the divorce. Implications for parent education and early intervention are discussed.

Adaptation, Psychological↗

Cross-sectional and longitudinal associations between body mass index and marriage-related factors.

OBJECTIVE: To assess the relationship between marriage and obesity. RESEARCH METHODS AND PROCEDURES: Cross-sectional and longitudinal associations were examined between participant body mass index (BMI), spouse BMI, and participant diet and exercise habits. RESULTS: Spouse and participant BMI and BMI changes over 2 years were significantly associated. Participant BMI was associated with higher consumption of calorie-dense foods and lower frequency of physical activity. Participants' eating and exercise habits were only weakly related to spouse BMI. BMI did not predict the likelihood of marriage or divorce. However, marriage was associated with a significant 2-year weight gain and divorce with a significant 2-year weight loss. DISCUSSION: The results suggest that spouse similarity in BMI is at least partly due to shared environment. The observed effects of marriage and divorce on weight may be due to the influence of marriage on inducements to eat (e.g., shared meals) or on motivation for weight control.

Adult↗