The ending of a marriage and what follows it.
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51 to 75 of 330Demby SL (2016)reviewMEDLINE-indexed journal, not yet read by usJournal of clinical psychology1 citations Parenting Coordination: Applying Clinical Thinking to the Management and Resolution of Post-Divorce Conflict.
There is a small but significant number of parents who remain stuck in a high level of conflict with each other after the legal conclusion of their divorce. Exposure to chronically high levels of parental conflict is a strong risk factor negatively affecting both children's short- and long-term adjustment. Parenting coordination is a nonadversarial, child-focused dispute-resolution process designed to help divorced parents contain their conflict to protect children from its negative effect. Parenting coordination is a hybrid role combining different skills and conflict-resolution approaches. In high-conflict divorce, each parent's internalization of relationship patterns constructed from past experiences contributes to the intractable nature of the interparent conflict. A case presentation illustrates how this clinical perspective enhances the parenting coordinator's ability to work with…
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Impact of divorce on children: developmental considerations.
Although divorce can have significant negative impact on children, a variety of protective factors can increase the likelihood of long-term positive psychological adjustment. • Exposure to high levels of parental conflict is predictive of poor emotional adjustment by the child regardless of the parents' marital status. • Epidemiologic data reveal that custody and parenting arrangements are evolving, with more emphasis on joint custody and access to both parents by the child. • Pediatricians' knowledge of childhood development is essential in providing anticipatory guidance to parents throughout the divorce process and beyond.
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Psychosocial adjustment and physical health in children of divorce.
Objective: To review the literature on the effects of parental divorce over the psychological maladjustment and physical health problems in children of divorced parents, thus contributing to the integration of existing scientific knowledge based on the biopsychosocial model of the impact of divorce on children's physical health as proposed by Troxel and Matthews (2004).
Sources: Review of the literature using MEDLINE and PsycInfo (1980-2007) databases, selecting the most representative articles on the subject. Special attention was paid to contributions by internationally renowned investigators on the subject.
Summary of the findings: Divorce may be responsible for a decline of physical and psychological health in children. The developmental maladjustment of children is not triggered by divorce itself, but rather by other risk factors associated with it, such as interparental conflict, p…
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Kelly JB (2007)reviewMEDLINE-indexed journal, not yet read by usFamily process43 citations Children's living arrangements following separation and divorce: insights from empirical and clinical research.
When parents separate, children typically enter into new living arrangements with each parent in a pattern determined most often by one or both parents or, failing private agreement, as a result of recommendations and decisions by lawyers, therapists, custody evaluators, or family courts. Most of these decisions have been based on cultural traditions and beliefs regarding postseparation parenting plans, visitation guidelines adopted within jurisdictions, unsubstantiated theory, and strongly held personal values and professional opinions, and have resulted since the 1960s in children spending most of their time with one residential parent and limited time with nonresident, or "visiting", parents. A large body of social science and child development research generated over the past three decades has identified factors associated with risk and resiliency of children after divorce. Such rese…
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Marital Histories and Heavy Alcohol Use among Older Adults.
We develop a gendered marital biography approach-which emphasizes the accumulating gendered experiences of singlehood, marriage, marital dissolution, and remarriage-to examine the relationship between marital statuses and transitions and heavy alcohol use. We test this approach using individual-level (n = 10,457) and couple-level (n = 2,170) longitudinal data from the Health and Retirement Study, and individual-level (n = 46) and couple-level (n = 42) in-depth interview data. Quantitative results show that marriage, including remarriage, reduces men's but increases women's drinking relative to being never married and previously married, whereas divorce increases men's but decrease women's drinking, with some variation by age. Our qualitative findings reveal that social control and convergence processes underlie quantitative results. We call attention to how men's and women's heavy drinki…
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Marital disruption and health insurance.
Despite the high levels of marital disruption in the United States and the fact that a significant portion of health insurance coverage for those less than age 65 is based on family membership, surprisingly little research is available on the consequences of marital disruption for the health insurance coverage of men, women, and children. We address this shortfall by examining patterns of coverage surrounding marital disruption for men, women, and children, further subset by educational level. Using the 1996, 2001, and 2004 panels of the Survey of Income and Program Participation (SIPP), we find large differences in health insurance coverage across marital status groups in the cross-section. In longitudinal analyses that focus on within-person change, we find small overall coverage changes but large changes in type of coverage following marital disruption. Both men and women show increas…
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Determinants of care modality and chronic disease needs among older adults with chronic disease and disability in rural China: a cross-sectional study in Qinghe County, Hebei Province.
Objectives: This study aimed to evaluate the factors associated with care modality among older adults with chronic disease and disability in rural China. We hypothesised that marital status, family structure, duration of disability and the number of chronic diseases would be significantly associated with care modality.
Design: This was a cross-sectional observational study using survey data to identify demographic and health-related factors associated with care modality.
Setting: The study was conducted in a rural mid-sized county in China and focused on older adults with chronic disease and disability.
Participants: A total of 608 older adults aged ≥60 years with chronic disease and disability residing in Qinghe County, Hebei Province, China, completed the survey. Eligible participants had at least one chronic disease and partial or complete loss of self-care ability.
Primary and second…
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Male involvement in antenatal HIV counseling and testing: exploring men's perceptions in rural Malawi.
Antenatal care can act as an excellent tool to improve access to HIV counseling and testing services. This paper investigates an issue that may weaken its potential, namely lack of male involvement. We explored married men's perceptions of HIV in pregnancy and male involvement in antenatal HIV testing and counseling in Southern Malawi through 11 focus group discussions and a cross-sectional survey (n=388). The main findings were that men were largely unaware of available antenatal HIV testing and counseling services, and perceived it overall problematic to attend female-oriented health care. Most men supported provision of antenatal HIV testing. They perceived husbands to participate in the process indirectly through spousal communication, being faithful during pregnancy, and supporting the wife if found HIV-positive. Involvement of husbands was compromised by men's reluctance to learn t…
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Smoking and Physical Activity Explain the Increased Mortality Risk Following Marital Separation and Divorce: Evidence From the English Longitudinal Study of Ageing.
Background: Marital separation and divorce are associated with an increased risk of early mortality, but the specific biobehavioral pathways that explain this association remain largely unknown.
Purpose: This study sought to identify the putative psychological, behavioral, and biomarker variables that can help explain the association of being separated or divorced and increased risk for early mortality.
Methods: Using data from the English Longitudinal Study of Ageing, a representative community sample of aging adults (N = 5,786), we examined the association of marital status and life satisfaction, health behaviors measured 2 years later, biomarkers measured 4 years later, and mortality outcomes from the subsequent 4 years.
Results: Consistent with prior literature, older adults who were separated/divorced evidenced greater risk of mortality relative to those in intact marriages over the…
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Widowed and displaced: Spiritual and religious coping in mental health recovery among Syrian refugee women in Türkiye.
Objectives: Syrian refugee women in Türkiye face intertwined challenges, trauma, displacement, economic hardship, and sociocultural pressures that impact their mental health. This study aimed to explore the relationships among trauma symptoms, psychological distress, depression, resilience, and spirituality in widowed Syrian refugee women. It also examined how demographic and contextual factors-such as age, education, length of stay in Türkiye, and residency location-contribute to mental health outcomes.
Methods: A cross-sectional quantitative design was employed, utilizing both online and paper-based self-administered questionnaires. A total of 167 widowed Syrian refugee women residing in Türkiye participated in the study. Standardized scales were used to assess trauma (Impact of Event Scale-Revised), psychological distress (Kessler K-10), depression (Center for Epidemiologic Studies De…
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Batchelor W, Kandzari DE, Davis S, Tami L, Wang JC, Othman I, Gigliotti OS, Haghighat A, Singh S, Lopez M, Giugliano G, Horwitz PA, Chandrasekhar J, Underwood P, Thompson CA, Mehran R (2017)cohort or longitudinalMEDLINE-indexed journal, not yet read by usJAMA cardiology48 citations Outcomes in Women and Minorities Compared With White Men 1 Year After Everolimus-Eluting Stent Implantation: Insights and Results From the PLATINUM Diversity and PROMUS Element Plus Post-Approval Study Pooled Analysis.
Importance: There exist limited outcomes data for women and minorities after contemporary percutaneous coronary intervention (PCI).
Objective: To examine 1-year outcomes in women and minorities vs white men after PCI with everolimus-eluting stents.
Design, settings, and participants: The PLATINUM Diversity study was a single-arm study enrolling women and minorities. Patient-level pooling with the PROMUS Element Plus Post-Approval Study was prespecified. Data on social determinants of health and language were collected in the PLATINUM Diversity cohort, which included 1501 patients at 52 US sites. The PROMUS Element Plus Post-Approval study enrolled 2681 patients at 52 US sites with some site overlap and included an "all-comers" population. All patients were enrolled beginning in October 2014 and were followed for 12 months. Analyses began in August 2016.
Interventions: Patients received 1…
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Morina N (2011)cohort or longitudinalMEDLINE-indexed journal, not yet read by usThe Journal of nervous and mental disease53 citations Rumination and avoidance as predictors of prolonged grief, depression, and posttraumatic stress in female widowed survivors of war.
This study examined independent contributions of rumination and experiential avoidance in predicting symptoms of psychological distress among female widowed survivors of war. A decade after the war in Kosovo, 100 widowed survivors of war completed measures of rumination, experiential avoidance, depression, posttraumatic stress, and prolonged grief. Results showed that both rumination and experiential avoidance significantly predicted the symptom severity of prolonged grief, depression, and posttraumatic stress. Furthermore, rumination accounted for additional variance above and beyond experiential avoidance and vice versa. Finally, the interaction of rumination and experiential avoidance did not provide significant explanatory power over and above the individual main effects. These findings suggest that rumination and experiential avoidance may be significant factors in understanding and…
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The effect of widowhood on mortality by the causes of death of both spouses.
Objectives: We investigated the effect of spousal bereavement on mortality to document cause-specific bereavement effects by the causes of death of both the predecedent spouse and the bereaved partner.
Methods: We obtained data from a nationally representative cohort of 373 189 elderly married couples in the United States who were followed from 1993 to 2002. We used competing risk and Cox models in our analyses.
Results: For both men and women, the death of a predecedent spouse from almost all causes, including various cancers, infections, and cardiovascular diseases, increased the all-cause mortality of the bereaved partner to varying degrees. Moreover, the death of a predecedent spouse from any cause increased the survivor's cause-specific mortality for almost all causes, including cancers, infections, and cardiovascular diseases, to varying degrees.
Conclusions: The effect of widowhoo…
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Cheng ST, Chan AC (2006)cohort or longitudinalMEDLINE-indexed journal, not yet read by usThe journals of gerontology. Series B, Psychological sciences and social sciences43 citations Relationship with others and life satisfaction in later life: do gender and widowhood make a difference?
In this study we investigated whether social relationship is a stronger determinant of life satisfaction in older women than in older men, and whether this is more obvious in widowed than in married persons, in a representative sample of Chinese individuals aged 60 or older in Hong Kong (N=1,616). We tested the moderating effect of gender and widowhood by means of a multigroup analysis in structural equation modeling that incorporated other major predictors of life satisfaction. Consistent with predictions, relatedness was much more important for women than for men. Furthermore, relatedness was the most important determinant of life satisfaction in women, regardless of marital status, but it was only a moderate predictor in married men, and even an irrelevant factor in widowers. We discuss the results in terms of how gender roles shape relationship goals, and thus how men and women evalu…
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Life after loss: cognitive differences by gender and age following widowhood or divorce transitions.
Objectives: There is a rich literature documenting the often deleterious impact of widowhood and divorce on health. Widowed and divorced older adults report a higher incidence of chronic illness, more comorbidities, and are at greater risk of premature mortality. However, the association between the transition from married to widowed or divorced and subsequent cognitive function is not as well understood. This study examined within-person differences in cognition during the first 2 years after becoming widowed or divorced, and whether the patterns varied in middle age and older adulthood for men and women.
Methods: Using longitudinal data from the Health and Retirement Study (1998-2018), multilevel models using person-mean centering were employed to estimate within-person associations between widowhood and divorce transitions and changes in cognitive function, respectively. Within-person…
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Liu H (2012)MEDLINE-indexed journal, not yet read by usSocial science & medicine (1982)45 citations Marital dissolution and self-rated health: age trajectories and birth cohort variations.
A life course perspective is used to explore the effects of divorce and widowhood on self-rated health across age and birth cohorts. Growth curve analysis of a fifteen-year longitudinal survey--Americans' Changing Lives (ACL), conducted by the Institute for Social Research in the United States between 1986 and 2001 (House, 2002) suggests that although the continuously divorced and widowed exhibit similar health trajectories as the continuously married across age and birth cohorts, there are significant age and birth cohort differences in the effects of transitions to divorce and widowhood on self-rated health. Specifically, the health penalty of the transition to divorce is more apparent for the 1950s than the 1940s birth cohort; and it is stronger at younger than older adulthood especially in the more recent birth cohort. The health penalty of the transition to widowhood is more apparen…
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Smits J, Monden CW (2012)MEDLINE-indexed journal, not yet read by usAmerican journal of human biology : the official journal of the Human Biology Council11 citations Taller Indian women are more successful at the marriage market.
Objectives: Whereas being tall has consistently been found a favorable characteristic at the marriage market for men, much less is known about the association between stature and marital success among women. Taller women are healthier than shorter women, give birth more easily and their offspring are healthier. We therefore would expect them to be more successful at the marriage market. However, existing evidence is mixed. We study the association between women's height and the odds of being married, marrying young, experiencing a divorce, and becoming widowed, and the association between women's height and their husbands' educational attainment and occupational status.
Methods: Data come from the Indian National Family Health Survey 2005-2006, a representative study among 124,385 women and 74,369 men in all Indian states. Effects of female height on being married, marrying young, divorc…
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Divorce and health: good data in need of better theory.
A very large literature links the experiences of marital separation and divorce to risk for a range of poor distal health outcomes, including early death. What is far less clear, however, is the mechanistic pathways that convey this risk. Several plausible mechanisms are identified in the literature, and the central thesis of this paper is that the empirical study of divorce and health will benefit enormously from a renewed reliance on theory to dictate how these mechanisms of action may unfold over time. This review emphasizes the roles of attachment and social baseline theories in making specific mechanistic predictions and highlights the ways in which these perspectives can contribute new empirical knowledge on risk and resilience following marital dissolution.
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Marital quality, marital dissolution, and mortality risk during the later life course.
This study examines the relationship between later-life marital quality, marital dissolution, and mortality using discrete-time event history models with data from nine waves (1992-2008) of the Health and Retirement Study (n = 7388). Results show marital status is more important for men's mortality risk than women's, whereas marital quality is more important for women's survival than men's. Being widowed or divorced more than two years raises mortality risk for men, but later-life marital dissolution is not significantly associated with women's mortality risk, regardless of the type of dissolution or length of time since it occurred. Low-quality marital interaction is negatively related to women's odds of death, but none of the marital quality measures are significantly associated with mortality for men. Marital satisfaction moderates the relationship between widowhood and mortality for …
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Breaking Bonds, Changing Habits: Understanding Health Behaviors during and after Marital Dissolution.
Marital dissolution is a stressful transition that can lead to unhealthy coping strategies, including smoking and drinking. Using fixed effect linear probability models to assess health behavior changes, we analyzed 6,607 women and 6,689 men in the Household, Income, and Labour Dynamics in Australia data set who were either continuously married or experienced marital separation between 2002 and 2020. We observed 1,376 separations (744 women, 632 men). We found that drinking and smoking increases leading to and in the year of separation, with variability by gender, education, and parenthood status. From Cox proportional hazards models, we showed that among individuals who smoked (N = 337) or drank (N = 756) in the year of separation, cessation was most likely for the highly educated and/or women. Unhealthy coping mechanisms throughout marital dissolution suggests a need for targeted suppo…
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Food Security and Health Outcomes following Gray Divorce.
The study evaluates the immediate and long-term consequences of gray divorce (i.e., marital dissolution after age 50) for the food security, depression, and disability of older Americans. Staggered Difference-in-Difference models were fitted to a nationally representative longitudinal sample of adults aged ≥ 50 years from the Health and Retirement Study, 1998-2018. Food insecurity and disability increase in the year of gray divorce and remain significantly elevated for up to six years or more following the event, consistent with the chronic strain model of gray divorce. Gray divorce has particularly adverse consequences for the food security of older women, while no gender differences were observed for disability. Increasing trends in gray divorce have important negative implications for food security and health of older Americans, particularly women, who appear to be less prepared to fi…
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A LONGITUDINAL ANALYSIS OF INTERNAL MIGRATION, DIVORCE AND WELL-BEING IN CHINA.
The rapid economic growth in China has been accompanied by increases in internal migration as well as marital dissolution. Using longitudinal data from China Health and Nutrition Surveys covering over 19,000 individuals during 1989-2011, this study modelled the inter-relationships between internal migration, divorce and individual well-being, tackling conceptual and methodological aspects such as the joint determination of variables. First, random effects probit models showed that the migration periods of husbands and wives significantly increased their respective chances of divorce. Second, results from dynamic random effects models for self-reported health showed different effects of separation periods for husbands and wives; divorce did not significantly lower health status. Third, dynamic models for systolic and diastolic blood pressures showed significant effects of migration durati…
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Trajectories of Psychological Adaptation to Marital Breakup after a Long-Term Marriage.
Background: Marital dissolution is known to be among the most stressful life events with long-reaching negative consequences on individuals' lives. A limitation in research to date is that most studies have focused on the impact of marital disruption on well-being outcomes in younger adults. Furthermore, although population-based studies on divorce document a broad range of negative effects, more fine-grained analyses reveal a large heterogeneity in people's adjustment, which is still not well understood.
Objective: The aim was to explore trajectories of psychological adaptation to marital breakup after a long-term marriage, and to examine variables accounting for recovery or chronicity in terms of intrapersonal resources (personality, trait resilience, and personal growth), relationship variables (satisfaction with ex-relationship, length of marriage, and time since divorce), and sociod…
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Snopkowski K (2016)MEDLINE-indexed journal, not yet read by usHuman nature (Hawthorne, N.Y.)4 citations Marital Dissolution and Child Educational Outcomes in San Borja, Bolivia.
Serial monogamy is likely an adaptive mating strategy for women when the expected future fitness gains with a different partner are greater than expected future fitness with one's current partner. Using interview data from more than 400 women in San Borja, Bolivia, discrete-time event history analyses and random effects regression analyses were conducted to examine predictors of marital dissolution, separated by remarriage status, and child educational outcomes. Male income was found to be inversely associated with women's risk of "divorce and remarriage," whereas female income is positively associated with women's risk of "divorce, but not remarriage." Children of women who divorce and remarry tend to have significantly lower educational outcomes than children of married parents, but women with higher incomes are able to buffer their children from the negative educational outcomes of di…
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In Sickness and in Health? Physical Illness as a Risk Factor for Marital Dissolution in Later Life.
The health consequences of marital dissolution are well known, but little work has examined the impact of health on the risk of marital dissolution. We use a sample of 2,701 marriages from the Health and Retirement Study to examine the role of serious physical illness onset in subsequent marital dissolution via either divorce or widowhood. We use a series of discrete time event history models with competing risks to estimate the impact of husband's and wife's physical illness onset on risk of divorce and widowhood. We find that only measures of wife's illness onset are associated with elevated risk of divorce, while measures of either spouse's illness onset is associated with elevated risk of widowhood. Further, in the case of heart problems, we find that this gender difference is statistically significant. These findings suggest health as a determinant of marital dissolution in later li…
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