A National Longitudinal Study of Marital Quality and Cognitive Decline Among Older Men and Women

Overview

Journal Soc Sci Med

Date 2021 Jun 26

PMID 34174580

Citations 14

Authors

Hui Liu

Zhenmei Zhang

Yan Zhang

Affiliations

Soon will be listed here.

Abstract

We provide one of the first national longitudinal studies of the association between trajectories of marital quality and cognitive functioning among older adults, with close attention paid to gender differences. Data were drawn from the Health and Retirement Study (HRS) 2006-2016. Marital quality trajectories were assessed at three waves: 2006/2008, 2010/2012, and 2014/2016. Cognitive trajectories were assessed at five waves: 2008, 2010, 2012, 2014, and 2016. The final analytic sample included 7901 respondents age 50 and older (4334 men and 3567 women) who were either married or cohabiting during the study period. Results from parallel linear growth curve models suggest that among older adults, initial positive marital quality was associated with better initial cognition, and initial negative marital quality was associated with worse initial cognition. Results from multiple group analysis further suggest that marital quality was significantly associated with men's cognitive trajectories but not women's. Among men, an increase in positive marital quality was associated with a slower rate of cognitive decline, whereas an increase in negative marital quality was associated with a faster rate of cognitive decline. These findings suggest that older men who experience a decline in marital quality may be vulnerable to cognitive decline and that reducing marital strain and improving marital quality may protect men's cognitive health in later life.

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References

Jessen F, Amariglio R, van Boxtel M, Breteler M, Ceccaldi M, Chetelat G . A conceptual framework for research on subjective cognitive decline in preclinical Alzheimer's disease. Alzheimers Dement. 2014; 10(6):844-52. PMC: 4317324. DOI: 10.1016/j.jalz.2014.01.001. View

Carr D, Cornman J, Freedman V . Marital Quality and Negative Experienced Well-Being: An Assessment of Actor and Partner Effects Among Older Married Persons. J Gerontol B Psychol Sci Soc Sci. 2015; 71(1):177-87. PMC: 4701126. DOI: 10.1093/geronb/gbv073. View

Johansson L, Guo X, Waern M, Ostling S, Gustafson D, Bengtsson C . Midlife psychological stress and risk of dementia: a 35-year longitudinal population study. Brain. 2010; 133(Pt 8):2217-24. DOI: 10.1093/brain/awq116. View

Kiecolt-Glaser J, Newton T . Marriage and health: his and hers. Psychol Bull. 2001; 127(4):472-503. DOI: 10.1037/0033-2909.127.4.472. View

Brown S, Wright M . Marriage, Cohabitation, and Divorce in Later Life. Innov Aging. 2018; 1(2):igx015. PMC: 6177067. DOI: 10.1093/geroni/igx015. View

Umberson D, Donnelly R, Pollitt A . Marriage, Social Control, and Health Behavior: A Dyadic Analysis of Same-sex and Different-sex Couples. J Health Soc Behav. 2018; 59(3):429-446. PMC: 6261275. DOI: 10.1177/0022146518790560. View

Bulanda J, Brown J, Yamashita T . Marital quality, marital dissolution, and mortality risk during the later life course. Soc Sci Med. 2016; 165:119-127. DOI: 10.1016/j.socscimed.2016.07.025. View

Pillai J, Verghese J . Social networks and their role in preventing dementia. Indian J Psychiatry. 2011; 51 Suppl 1:S22-8. PMC: 3038528. View

Glymour M, Manly J . Lifecourse social conditions and racial and ethnic patterns of cognitive aging. Neuropsychol Rev. 2008; 18(3):223-54. DOI: 10.1007/s11065-008-9064-z. View

10.

Robles T, Slatcher R, Trombello J, McGinn M . Marital quality and health: a meta-analytic review. Psychol Bull. 2013; 140(1):140-187. PMC: 3872512. DOI: 10.1037/a0031859. View

11.

Rothman S, Mattson M . Adverse stress, hippocampal networks, and Alzheimer's disease. Neuromolecular Med. 2009; 12(1):56-70. PMC: 2833224. DOI: 10.1007/s12017-009-8107-9. View

12.

Kuhlmann S, Piel M, Wolf O . Impaired memory retrieval after psychosocial stress in healthy young men. J Neurosci. 2005; 25(11):2977-82. PMC: 6725125. DOI: 10.1523/JNEUROSCI.5139-04.2005. View

13.

Simon R . Revisiting the relationships among gender, marital status, and mental health. AJS. 2002; 107(4):1065-96. DOI: 10.1086/339225. View

14.

Hughes M, Waite L . Marital biography and health at mid-life. J Health Soc Behav. 2009; 50(3):344-58. PMC: 3148098. DOI: 10.1177/002214650905000307. View

15.

Xu M, Thomas P, Umberson D . Marital Quality and Cognitive Limitations in Late Life. J Gerontol B Psychol Sci Soc Sci. 2015; 71(1):165-76. PMC: 4841010. DOI: 10.1093/geronb/gbv014. View

16.

Oei N, Elzinga B, Wolf O, de Ruiter M, Damoiseaux J, Kuijer J . Glucocorticoids Decrease Hippocampal and Prefrontal Activation during Declarative Memory Retrieval in Young Men. Brain Imaging Behav. 2009; 1(1-2):31-41. PMC: 2780685. DOI: 10.1007/s11682-007-9003-2. View

17.

Zunzunegui M, Alvarado B, Del Ser T, Otero A . Social networks, social integration, and social engagement determine cognitive decline in community-dwelling Spanish older adults. J Gerontol B Psychol Sci Soc Sci. 2003; 58(2):S93-S100. PMC: 3833829. DOI: 10.1093/geronb/58.2.s93. View

18.

Feng L, Ng X, Yap P, Li J, Lee T, Hakansson K . Marital Status and Cognitive Impairment among Community-Dwelling Chinese Older Adults: The Role of Gender and Social Engagement. Dement Geriatr Cogn Dis Extra. 2014; 4(3):375-84. PMC: 4241637. DOI: 10.1159/000358584. View

19.

Liu H, Waite L, Shen S . Diabetes Risk and Disease Management in Later Life: A National Longitudinal Study of the Role of Marital Quality. J Gerontol B Psychol Sci Soc Sci. 2016; 71(6):1070-1080. PMC: 5067945. DOI: 10.1093/geronb/gbw061. View

20.

Giles L, Anstey K, Walker R, Luszcz M . Social Networks and Memory over 15 Years of Followup in a Cohort of Older Australians: Results from the Australian Longitudinal Study of Ageing. J Aging Res. 2012; 2012:856048. PMC: 3437737. DOI: 10.1155/2012/856048. View