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At least 19 recordsLinked to original sources
PubMed1991

The effect of widowhood on health: a prospective analysis from the Massachusetts Women's Health Study.

Previous research has consistently demonstrated adverse physical and psychological effects following the death of a spouse. Conclusions regarding the effects of widowhood have been hampered, however, by such methodological limitations as lack of adequate comparison groups, non-random samples of the widowed, and lack of data on pre-widowhood status. This paper examined the physical and psychological effects of widowhood in a randomly sampled cohort of women, aged 45-55 years at baseline, who were followed prospectively for five years. Analyses employed a design in which women whose spouses died during the course of the study (N = 76) were compared to age-matched married controls (N = 1625). The following two questions were addressed: (1) What are the physical and psychological effects of widowhood? and (2) What is the effect of widowhood on socioeconomic factors, social support and health behavior? Following the death of a spouse, the percentage of widows reporting psychological symptoms increased. The widows did not report higher rates of physical symptoms or a decrease in health. Widows had higher rates of health care utilization, in particular, taking prescribed medication, which were in part for mental health reasons. There was no evidence of changes in health behaviors among the widows, but social support increased following widowhood and more widows reported a decrease in income. The results highlight the importance of controlling for pre-widowhood status when studying the consequences of widowhood and provide additional evidence that widowhood may not adversely affect physical health for women.

Female↗
PubMed2001

Gender differences in the depressive effect of widowhood in later life.

OBJECTIVES: This study documented the stronger adverse effect of widowhood on the psychological well-being of men than that of women and explained why this gender difference in the effect of widowhood exists. METHODS: Data came from Wave 1 of the National Survey of Families and Households. Married and widowed people aged 65 and older were selected (n = 1,686). The dependent variable was the Center for Epidemiologic Studies--Depression scale (CES-D). RESULTS: Widowhood was indeed more depressing for men than women. However, this was due primarily to the fact that married men were much less depressed than married women; widowed men and women were comparably depressed. Other contributors to the stronger effect of widowhood for men included men's shorter average time since widowhood, lower frequency of church attendance, stronger dislike of domestic labor, and lessened ability to assist their children. DISCUSSION: Although widowhood has a strong depressive effect for older men, its effect for women is nonsignificant, and it explains a small proportion of the variation in depressive symptomatology. This suggests that most people, particularly women, adapt relatively well in the long run.

Adaptation, Psychological↗
PubMed1993

Widowhood and mortality risk in a community sample of the elderly: a prospective study.

Mortality risk during early bereavement was examined in a community sample of 1046 married elderly persons 65 years and over, followed from 1982 to 1988. Cox' regression models with time-dependent covariates were computed to estimate mortality risk, while controlling for pre-widowhood sociodemographic and health-related variables. Elderly young-old (65-74) and old-old men (> or = 75) showed slightly elevated age-adjusted relative risks (RR) during the first 6 months of widowhood (RR = 1.69; 95% CI: 0.86-3.31 and RR = 1.79; 95% CI: 0.44-7.28 respectively). These RRs increased slightly after adjustment for pre-widowhood control variables. The age-adjusted RR during early widowhood for young-old women was 2.87 (% CI: 0.81-2.42), which increased to 3.86 (95% CI: 1.11-13.45) after adjustment for sociodemographic and health-related variables. This analysis stresses the usefulness of Cox' regression models with time-dependent covariates to calculate mortality risk for variable periods after onset of widowhood adjusted for pre-widowhood characteristics. However, the power of the study was limited, resulting in mostly insignificant risk estimates and wide confidence intervals.

Age Factors↗
PubMed1991

Poverty dynamics in widowhood.

Data from a national sample of widows of all ages were used to examine links between poverty and widowhood. We found that widowhood drops living standards by 18 percent, on average, and pushes 10 percent of women whose incomes were above the poverty line prior to widowhood into poverty after it. Not surprisingly, economic status prior to widowhood is the strongest predictor of status during widowhood. Striking in the data is the instability of family income during widowhood, producing substantial numbers of exits from poverty.

Age Factors↗
PubMed1999

Sex differences in depression after widowhood. Do men suffer more?

BACKGROUND: This study focuses on sex differences in depression of the widowed. Previous research showed different results in sex differences and in depression after bereavement. We assessed the effects of widowhood on depressive symptoms for men and women and examined whether environmental strain like social support, finances and housekeeping concerns explain these effects. METHODS: Data were used from a large community-based study of older people in three regions of the Netherlands. Our study sample consists of 2626 widowed and married subjects in the age group of 55-85 years. Depression was measured using the CES-D scale; the various strains were obtained by structured interviews. Multiple linear regression, performed for men and women separately, were used. RESULTS: The results show that widowhood is associated with higher levels of depressive symptoms and that this association is stronger for men than for women. The effect of widowhood is mediated by different types of environmental strain for men and women. However, a strong direct main effect of widowhood on depression remains. The difference in depression rates between men and women is most evident among those widowed for a longer period of time. CONCLUSIONS: It appears that, over time, women adapt to widowhood more successfully than men. From a clinical point of view this is important, as it suggests that men who remain alone after losing their partner are at a higher risk of developing symptoms of chronic depression.

Aged↗
PubMed2005

Widowhood and depressive symptoms among older Chinese: do gender and source of support make a difference?

In this study, we examined the effects of gender and pre-bereavement social support from three different sources (spouse, adult children, and friends) on widowhood adjustment among older adults in China. Hypotheses were developed by integrating the literature in the West and the cultural context of China. Data came from a panel survey, conducted in 1991 (baseline) and 1994 (follow-up), of a probability sample of older persons in Wuhan, China. For the present analysis, only those who were married with children at baseline were selected (N = 1,263). About 10% of the sample experienced spousal death between the two measurement points. Multiple regression analyses suggest that widowhood had a negative mental health consequence for older Chinese. Social support from adult children buffered the deleterious effect of widowhood, whereas spousal support during the marriage increased one's vulnerability. Support from friends was not found to have a significant effect. Gender difference in the effect of widowhood was also not evident. In this study, we have extended bereavement and social support research to a developing nation, with some findings similar to and some different from studies in Western developed nations.

Adaptation, Psychological↗
PubMed2004

The transition to widowhood and the social regulation of health: consequences for health and health risk behavior.

OBJECTIVES: This study estimates the effects of the transition to widowhood on changes in the social regulation of health and examines the consequences of this association for health and health risk behavior following spousal death. METHODS: Analysis of longitudinal data from the Changing Lives of Older Couples Study tests the following hypotheses: (a) Widowed individuals experience greater declines in health regulation over time than their married counterparts and (b) the extent to which widowhood undermines health and increases health risk behavior depends on whether it is accompanied by a decline in health regulation. RESULTS: Compared with their continually married counterparts, those who experience the transition to widowhood report a significant decline in the frequency of health reminders and health assistance received from others. The decline in the frequency of health regulation has important consequences for health behavior and health outcomes. Widowhood undermines health and increases health risk behaviors only when it is accompanied by a decline in health regulation. Widowed individuals who experience increases in health regulation show improvements in health and declines in health risk behavior. DISCUSSION: Interventions targeted at improving the health habits of widowed individuals by mobilizing health-related support systems may be effective at minimizing the negative health consequences of spousal loss.

Aged↗
PubMed1996

Complex marital histories and economic well-being: the continuing legacy of divorce and widowhood as the HRS cohort approaches retirement.

We use data from the first wave of the Health and Retirement Survey (HRS) to examine the marital histories of this cohort of women and men on the verge of retirement. The legacy of past increases in divorce rates is evident in the complex marital histories of HRS households and the relationship between those histories and current economic status. Couples in a first marriage now make up only one-quarter of black households and fewer than half of all white and Hispanic households. In over one-third of all married-couple households, at least one spouse had a previous marriage that ended in divorce or widowhood. These couples have significantly lower incomes and assets than couples in first marriages. Contrary to the popular notion that private and public insurance better provide for the security of widows than divorced persons, currently widowed households and couples in which the prior marriage of one spouse had ended in widowhood are no better off than are their divorced peers. This holds true for both black and white households. From a single cross-section, one cannot tell what caused these differences in income and wealth across marital status groups although it is clear that women and blacks spend a higher percentage of their lifetime outside of marriage than do men and whites. We also speculate from estimates of widowhood expectations for a subset of married respondents that underestimating the chances of widowhood--because both men and women overestimate their chances of joint survival--may be a factor in the relatively low economic status of widows. Because couples in life-long marriages have been the traditional standard upon which marital property reform and the survivorship rules of private and public programs are based, their diminishing importance among all households raises concern about the protection provided by these institutions against the long-term economic consequences of past and future marital dissolution.

Cross-Sectional Studies↗
PubMed2004

Women's adjustment to widowhood: does social support matter?

Widowhood is a stressful event for women, often coinciding with health, financial, and relationship losses. Researchers have considered many aspects of women's adjustment to widowhood, typically including social support in analyses. This study analyzed relationships between social support and adjustment from 19 previous widowhood studies. Contrary to intuition and most researchers' assumptions, the majority of relationships did not show that social support positively impacted adjustment. Analyses examined whether type of support or study methods affected the likelihood of finding a significant relationship between support and adjustment. Chi-square statistics indicated that neither of these factors influenced the effect of social support on women's adjustment to widowhood.

Adaptation, Psychological↗
PubMed1988

Identity loss and psychological crisis in widowhood: a re-evaluation.

This study seeks to clarify the effect of widowhood on ego identity and psychological functioning. The sample consisted of eighty-three widows, ranging in age from twenty-two to seventy-four, who had been widowed an average of 4.9 years. A majority were found to be Identity Achievers on the Marcia instrument, and the group scored significantly higher on a structured measure of self-esteem (TSCS) in comparison to national norms. A quarter of the sample reported positive change after widowhood, 39 percent reported mixed effects, and only 30 percent reported only negative change. The results are discussed in terms of Erikson's developmental theory, suggesting that intimacy may be a more central issue of widowhood than ego identity. Further, little support is given the pathological sheen often attributed to widowhood. Rather, the data better fit a developmental or growth model of crisis resolution.

Adaptation, Psychological↗
PubMedDate not supplied

Widowhood and well-being: an examination of sex differences within a causal model.

National survey data (NCOA/Harris and Associates, 1974) are analyzed in a causal model to discern differences in the effects of widowhood on the well-being of older men and women. Based on previous research on mental illness, mortality differentials, and the quality of life, it is hypothesized that widowhood has an adverse impact on well-being, and that this relation is stronger for men than women. While the data support an overall decline in well-being of persons who are widowed, a direct effect of widowhood is substantial only for the negative dimension of the well-being of women. Widowed persons experience lower levels of well-being largely because they tend to be older, in poorer health, and less active in social life than their married counterparts. In the case of widowed women, low economic resources is also a key factor. A consistent pattern of greater reductions in levels of social participation in widowhood for men was not evident.

Affect↗
PubMed1992

Widowhood and depression: explaining long-term gender differences in vulnerability.

Results from a 1986 national survey (N = 3,614) show that having ever been widowed is associated with current levels of depression and that this association is greater for men than women. Some of this apparent gender difference occurs because men have been widowed for a shorter average period of time than women and the effects of widowhood appear to lessen over time. Widowhood also is associated with different types and amounts of life strain for men and women. The results suggest that the primary mechanism linking widowhood to depression among women is financial strain. Among men, the more critical mechanisms seem to be strains associated with household management. When specific strains occur, they appear to have different effects on respondents who have ever been widowed and those who have not. Taken together, these results suggest that what appears on the surface to be a gender difference in vulnerability to the same life event turns out upon closer examination to occur because widowhood does not affect men and women in the same way.

Adult↗
PubMedDate not supplied

Widowhood and other demographic associations of pain in independent older people.

OBJECTIVES: To determine if psychosocial factors, as suggested by the demographic variables of widowhood and living alone, are associated with pain, particularly severe pain, in a representative sample of independent older people. DESIGN: One thousand older people (65+) randomly selected from independent residents living in a major city were surveyed about their health status (Health Status of Older People Study). Demographic characteristics, including age, gender, education, income, living alone, widowhood, and childlessness, were analyzed by logistic regression for their association with pain report of differing severity. Path analysis was used to confirm the association with pain severity and further define the role of mood disturbance in mediating this relationship. RESULTS: The prevalence of any pain report for the preceding 12 months was 56.3%. This was reduced when using more restrictive criteria, such that moderate-to-severe pain "at worst" and "at present" was found in 48.7% and 4.1% of the sample, respectively. After adjusting for type 1 error rate, the status of living alone was primarily associated with moderate-to-severe pain at worst, and being a widow(er) was associated with moderate-to-severe pain at present. The latter association had an estimated odds ratio greater than 3 and was characterized by more recent bereavement. Using path analysis, the model that severe pain was secondary to mood disturbance of widowhood, particularly recent bereavement, was tested and confirmed. The model explained 17% of the variance of pain severity in widow(er)s. CONCLUSION: The mood disturbance related to spousal bereavement aggravates pain in older people. This lends support to the biopsychosocial model of pain.

Aged↗
PubMed2004

Effect of widowhood on disability onset in elderly men from three European countries.

OBJECTIVES: To investigate in different countries the effects of becoming widowed, duration of widowhood, and household composition of widowed men on disability onset in different disability domains. DESIGN: Longitudinal data from a cohort study collected around 1990, 1995, and 2000. SETTING: Three cohorts from Finland, The Netherlands, and Italy. PARTICIPANTS: Seven hundred thirty-six men, aged 70 and older at baseline. MEASUREMENTS: Disability was measured using standardized questionnaire on activities of daily living (ADLs). Three domains were assessed: instrumental ADLs (IADLs), mobility, and basic ADLs (BADLs). Duration of widowhood was divided into less than 5 years and 5 or more years and household composition into living alone and living with family or in an institution. RESULTS: Men who became widowed developed more IADL disabilities (odds ratio (OR)=2.15; 95% confidence interval (CI)=1.22-3.81) and mobility (OR=1.84; 95% CI=1.15-2.96) than men who were still married. Men who had been widowed for less than 5 years developed more IADL disabilities than those who had been widowed for 5 years or more (OR=2.27; 95% CI=1.14-4.54). Widowed men living alone showed fewer disabilities in mobility (OR=0.25; 95% CI=0.09-0.73) and BADLs (OR=0.02; 95% CI=0.001-0.33) than those living with others. The effects on disability onset did not differ between countries. CONCLUSION: Widowhood in elderly men is a risk factor for dependency in IADLs and mobility. The growth in the number of widowers may lead to higher demands on family care and professional care.

Activities of Daily Living↗
PubMed1992

Widowhood, health status, and the use of health services by older adults: a cross-sectional and prospective approach.

Using data from the LSOA, we examined the relationship between widowhood, health status, and the use of health services. Controlling for the characteristics specified in the behavioral model, a cross-sectional assessment of the 2,354 respondents widowed at baseline showed that regardless of how the recency of widowhood is modeled, it is not related to any measure of health status, and it is only marginally associated with two measures of health services utilization: nursing home placement and death. A prospective assessment of the 4,113 respondents reinterviewed at follow-up produced similar results. Becoming widowed did not alter previous reports of health status, nor prior patterns of physician or hospital utilization. Being widowed did, however, significantly increase the likelihood of being placed in a nursing home. For the 14 respondents who were both widowed and placed in a nursing home after baseline, the sequence is always widowhood first, and then nursing home placement.

Aged↗
PubMedDate not supplied

The effect of widowhood on the health status of older persons.

Interest in the relationship between stress and the onset of illness has stimulated research on the impact of various life events on health status. This article is an analysis of the health consequences of widowhood--the life event considered to require the most readjustment. Considering both objective and subjective measures of health, a structural equation model is developed and tested with panel data of a sample of elders. The findings indicate that widowhood results in an immediate decrease in perceived health but that the long-term consequences are minimal. Also, certain categories of elders shown to be health optimistic are able to maintain their optimism after widowhood. The results are interpreted as reflecting relativity in medical perceptions and favor a transitional model for explaining the normalization of disability.

Age Factors↗
PubMed1984

Changes in widowhood and divorce and expected durations of marriage.

A new interpretation of mathematical formulas developed by Keyfitz illustrates how the concept of entropy (H) can be applied to the analysis of marriage dissolution. The quantities H(divorce) and H(widowhood) indicate the changes in marriage duration which would result from small, constant changes in duration-specific divorce and widowhood rates, respectively. An examination of values for the United States, Nepal and Colombia illustrates the utility of H(i) in assessing the impact of changes in widowhood and divorce and clarifies the relationship between H and changes in life expectancy.

Colombia↗
PubMed1983

Sex differences in life cycle measures of widowhood.

Using formulas which measure life cycle characteristics of widowhood as a function of life table survivorship and age at marriage, we illustrate changes in patterns of widowhood and widowerhood since 1950, as well as differences by race, by age of bride and of groom, and by age differences between spouses. Although the current inequality in the risks of widowhood and widowerhood for the average couple is mostly due to sex differences in mortality, a one year age difference between spouses has about the same impact as does a one year difference in life expectancy. Calculations based on current distributions of age of groom by age of bride indicate that the older the age of groom, the greater the age difference between spouses and the higher the likelihood of a woman outliving her husband: the typical groom who marries in his fifties faces a 4 to 1 chance that he will be outlived by his spouse.

Adult↗