» Articles » PMID: 30481757

Marital Transitions and Depressive Symptoms Among Older Adults: Examining Educational Differences

Overview
Journal Gerontology
Specialty Geriatrics
Date 2018 Nov 28
PMID 30481757
Citations 9
Authors
Affiliations
Soon will be listed here.
Abstract

Background: Later decades of the life course have undergone rapid transformations due to demographic changes in ageing societies, such as more frequent occurrences of later-life marital transitions. Adaption to these transitions, even when welcomed, brings novel chances and challenges in negotiating new social roles in old age, which could reinforce preexisting disparities in the acquisition and mastery of resources, social ties, and coping strategies.

Objectives: Because the ability to weather later-life marital transitions may depend on the long arm of education acquired earlier in the life course, the present study aims to identify and track trends in the prevalence of marriage, divorce/separation, and widowhood among sociodemographic subgroups; link the occurrence of those transitions with mental health; and test the influence of educational attainment on these associations.

Methods: We employ an intraindividual, within-person approach to quantify the occurrence of marital transitions and their impact using data from the Health and Retirement Study (n = 22,013; 1992-2010). Measures of transition occurrence, depressive symptoms, and educational attainment were available across up to 10 biennial assessments.

Results: Individuals with less than a high school diploma displayed the highest likelihood of losing their significant other through divorce/separation or death. Marital loss was associated with increasing, and marital gain with decreasing, depressive symptoms. Compared to those with less than a high school diploma, individuals with a high school or general equivalency diploma exhibited larger increases in depressive symptoms associated with widowhood, even though their average levels of depressive symptoms were lower in the absence of this transition.

Conclusions: Our findings revealed a predictable educational gradient for the occurrence of marital transitions and later-life mental health. Yet higher, formalized education did not protect the participants from increased depression in the presence of a loss-related transition, which could suggest that the strains of spousal loss may to some degree function as a leveler of the preexisting social inequalities of stratified life courses. We conclude that the benefits conferred by education are not necessarily ubiquitous, and its impact on the adaptation to spousal loss may be more complex and nuanced depending on the range of prior experiences and available coping strategies.

Citing Articles

Relationship between the number of lost teeth and the occurrence of depressive symptoms in middle-aged adults: a cross-sectional study.

Gluszek-Osuch M, Ciesla E, Suliga E BMC Oral Health. 2024; 24(1):559.

PMID: 38741112 PMC: 11092014. DOI: 10.1186/s12903-024-04337-z.


Food Security and Health Outcomes following Gray Divorce.

Zhao H, Andreyeva T, Sun X Nutrients. 2024; 16(5).

PMID: 38474761 PMC: 10935280. DOI: 10.3390/nu16050633.


Marital transitions and frailty among middle-aged and older adults in China: The roles of social support.

An S, Ouyang W, Wang S, Yuan J, Zhen X SSM Popul Health. 2023; 24:101497.

PMID: 37674978 PMC: 10477746. DOI: 10.1016/j.ssmph.2023.101497.


Sleep Apnea and Substance Use Disorders Associated with Co-Occurrence of Anxiety Disorder and Depression among U.S. Adults: Findings from the NSDUH 2008-2014.

Xu C, Acevedo P, Wang L, Wang N, Ozuna K, Shafique S Brain Sci. 2023; 13(4).

PMID: 37190626 PMC: 10136804. DOI: 10.3390/brainsci13040661.


PROTOCOL: The association between marital transitions and physical and mental health in late life: A systematic review.

Li J, Hui X, Lu Z, Ren X, Yan W, Yan P Campbell Syst Rev. 2023; 18(2):e1252.

PMID: 36911347 PMC: 9175064. DOI: 10.1002/cl2.1252.


References
1.
Perrig-Chiello P, Spahni S, Hopflinger F, Carr D . Cohort and Gender Differences in Psychosocial Adjustment to Later-Life Widowhood. J Gerontol B Psychol Sci Soc Sci. 2015; 71(4):765-74. DOI: 10.1093/geronb/gbv004. View

2.
Zivin K, Christakis N . The emotional toll of spousal morbidity and mortality. Am J Geriatr Psychiatry. 2007; 15(9):772-9. DOI: 10.1097/JGP.0b013e318050c9ae. View

3.
Helgeson V, Reynolds K, Tomich P . A meta-analytic review of benefit finding and growth. J Consult Clin Psychol. 2006; 74(5):797-816. DOI: 10.1037/0022-006X.74.5.797. View

4.
Spahni S, Morselli D, Perrig-Chiello P, Bennett K . Patterns of Psychological Adaptation to Spousal Bereavement in Old Age. Gerontology. 2015; 61(5):456-68. DOI: 10.1159/000371444. View

5.
Vespa J . Union formation in later life: economic determinants of cohabitation and remarriage among older adults. Demography. 2012; 49(3):1103-25. DOI: 10.1007/s13524-012-0102-3. View