IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v18y2021i24p13032-d699369.html
   My bibliography  Save this article

Effect of Spousal Loss on Depression in Older Adults: Impacts of Time Passing, Living Arrangement, and Spouse’s Health Status before Death

Author

Listed:
  • Yu-Chan Hung

    (Department of Public Health, Chung Shan Medical University, Taichung 40201, Taiwan)

  • Yong-Hsin Chen

    (Department of Public Health, Chung Shan Medical University, Taichung 40201, Taiwan
    Department of Occupational Safety and Health, Chung Shan Medical University Hospital, Taichung 40201, Taiwan)

  • Meng-Chih Lee

    (Institute of Medicine, Chung Shan Medical University, Taichung 40201, Taiwan
    Department of Family Medicine, Taichung Hospital, Ministry of Health and Welfare, Taichung 40201, Taiwan
    Institute of Population Health Sciences, National Health Research Institutes, Miaoli 35053, Taiwan)

  • Chih-Jung Yeh

    (Department of Public Health, Chung Shan Medical University, Taichung 40201, Taiwan)

Abstract

In addition to increasing the mortality among older adults, spousal death (SD) increases their risk of depression. This study explored the factors affecting depression among widowed older adults to provide health care strategies for successful aging. A total of 710 adults older than 60 years completed a questionnaire before and after their spouses’ deaths. The survey data included age, sex, ethnic group, education level, financial station socioeconomic status, SD (including time point), smoking status, alcohol consumption, self-rated health status, Center for Epidemiologic Studies Depression Scale score, mobility, and degree of support from relatives and friends. The proportion of participants with depression after SD was 1.7 times that of before SD ( p < 0.0001). Worsened mobility (odds ratio [OR] = 1.3, p < 0.01), low self-rated health status (OR = 0.5, p < 0.01), and a high degree of support from relatives and friends (OR = 1.5, p < 0.01) had a significant positive correlation with depression after SD. The proportion of depression that occurred within 6 months after SD was 6.0 times higher than that of depression before SD. Participants who lived alone after losing their spouses who were healthy before their deaths exhibited a significantly increased proportion of depression after their spouses’ deaths. Male sex, spouse’s health, and the period of 6 months after SD are risk factors for depression in older adults. The maintenance of mobility, positive self-rated health status, and a shorter period of depression after a spouse’s death result in more favorable adaptability among women. Social workers or family members should focus on older adults whose spouses died unexpectedly or within the last 6 months. Living with family members after SD can alleviate depression in older adults.

Suggested Citation

  • Yu-Chan Hung & Yong-Hsin Chen & Meng-Chih Lee & Chih-Jung Yeh, 2021. "Effect of Spousal Loss on Depression in Older Adults: Impacts of Time Passing, Living Arrangement, and Spouse’s Health Status before Death," IJERPH, MDPI, vol. 18(24), pages 1-12, December.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:24:p:13032-:d:699369
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/18/24/13032/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/18/24/13032/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Elwert, F. & Christakis, N.A., 2008. "The effect of widowhood on mortality by the causes of death of both spouses," American Journal of Public Health, American Public Health Association, vol. 98(11), pages 2092-2098.
    2. Tseng, Fu-Min & Petrie, Dennis & Leon-Gonzalez, Roberto, 2017. "The impact of spousal bereavement on subjective wellbeing: Evidence from the Taiwanese elderly population," Economics & Human Biology, Elsevier, vol. 26(C), pages 1-12.
    3. Gary R. Lee & Alfred DeMaris & Stefoni Bavin & Rachel Sullivan, 2001. "Gender Differences in the Depressive Effect of Widowhood in Later Life," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 56(1), pages 56-61.
    4. Zhenmei Zhang & Mark D. Hayward, 2001. "Childlessness and the Psychological Well-Being of Older Persons," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 56(5), pages 311-320.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Kung, Claryn S.J., 2020. "Health in widowhood: The roles of social capital and economic resources," Social Science & Medicine, Elsevier, vol. 253(C).
    2. Yu-Han Hsiao & Meng-Chih Lee & Chih-Jung Yeh & Chi-Jung Tai & Shiuan-Shinn Lee, 2021. "Social Participation and Survival in Widowed Persons: Results of the Taiwan Longitudinal Study on Aging," IJERPH, MDPI, vol. 18(20), pages 1-11, October.
    3. Stroebe, Margaret Susan & Folkman, Susan & Hansson, Robert O. & Schut, Henk, 2006. "The prediction of bereavement outcome: Development of an integrative risk factor framework," Social Science & Medicine, Elsevier, vol. 63(9), pages 2440-2451, November.
    4. Espinosa, Javier & Evans, William N., 2013. "Maternal bereavement: The heightened mortality of mothers after the death of a child," Economics & Human Biology, Elsevier, vol. 11(3), pages 371-381.
    5. Kenzie Latham & Philippa J. Clarke & Greg Pavela, 2015. "Social Relationships, Gender, and Recovery From Mobility Limitation Among Older Americans," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 70(5), pages 769-781.
    6. Thomas Hansen & Britt Slagsvold & Torbjørn Moum, 2009. "Childlessness and Psychological Well-Being in Midlife and Old Age: An Examination of Parental Status Effects Across a Range of Outcomes," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 94(2), pages 343-362, November.
    7. Young Bum Kim & Seung Hee Lee, 2022. "Gender Differences in Correlates of Loneliness among Community-Dwelling Older Koreans," IJERPH, MDPI, vol. 19(12), pages 1-11, June.
    8. Espinosa, Javier & Evans, William N., 2008. "Heightened mortality after the death of a spouse: Marriage protection or marriage selection?," Journal of Health Economics, Elsevier, vol. 27(5), pages 1326-1342, September.
    9. Zhao, Yuejun & Inder, Brett & Kim, Jun Sung, 2021. "Spousal bereavement and the cognitive health of older adults in the US: New insights on channels, single items, and subjective evidence," Economics & Human Biology, Elsevier, vol. 43(C).
    10. Gerard J. Berg & Petter Lundborg & Johan Vikström, 2017. "The Economics of Grief," Economic Journal, Royal Economic Society, vol. 127(604), pages 1794-1832, September.
    11. Gathmann, Christina & Huttunen, Kristiina & Jernström, Laura & Sääksvuori, Lauri & Stitzing, Robin, 2020. "In Sickness and in Health: Job Displacement and Health. Spillovers in Couples," Working Papers 133, VATT Institute for Economic Research.
    12. Herbert J A Rolden & David van Bodegom & Rudi G J Westendorp, 2014. "Changes in Health Care Expenditure after the Loss of a Spouse: Data on 6,487 Older Widows and Widowers in the Netherlands," PLOS ONE, Public Library of Science, vol. 9(12), pages 1-17, December.
    13. Stefania Ilinca & Ricardo Rodrigues & Stefan Fors & Eszter Zólyomi & Janet Jull & Johan Rehnberg & Afshin Vafaei & Susan Phillips, 2022. "Gender differences in access to community-based care: a longitudinal analysis of widowhood and living arrangements," European Journal of Ageing, Springer, vol. 19(4), pages 1339-1350, December.
    14. Hamermesh, Daniel S. & Myck, Michal & Oczkowska, Monika, 2021. "Widows' Time, Time Stress and Happiness: Adjusting to Loss," IZA Discussion Papers 14343, Institute of Labor Economics (IZA).
    15. Kyung-Won Choi & Gyeong-Suk Jeon, 2021. "Social Network Types and Depressive Symptoms among Older Korean Men and Women," IJERPH, MDPI, vol. 18(21), pages 1-14, October.
    16. Bruno Arpino & Jordi Gumà & Albert JuliÃ, 2021. "Deviations From Standard Family Histories and Subjective Wellbeing at Older Ages," Econometrics Working Papers Archive 2021_16, Universita' degli Studi di Firenze, Dipartimento di Statistica, Informatica, Applicazioni "G. Parenti".
    17. Saisawat Samutpradit, 2024. "Surviving Loss: Coping Strategies among Widow Households in Thai Rural Areas," PIER Discussion Papers 213, Puey Ungphakorn Institute for Economic Research.
    18. Kira Henshaw & Corina Constantinescu & Olivier Menoukeu Pamen, 2020. "Stochastic Mortality Modelling for Dependent Coupled Lives," Risks, MDPI, vol. 8(1), pages 1-28, February.
    19. Laura Alejandra Rico-Uribe & Francisco Félix Caballero & Natalia Martín-María & María Cabello & José Luis Ayuso-Mateos & Marta Miret, 2018. "Association of loneliness with all-cause mortality: A meta-analysis," PLOS ONE, Public Library of Science, vol. 13(1), pages 1-21, January.
    20. Adena, Maja & Hamermesh, Daniel & Myck, Michał & Oczkowska, Monika, 2023. "Home Alone: Widows’ Well-Being and Time," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, issue Latest Ar, pages 1-1.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:18:y:2021:i:24:p:13032-:d:699369. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.