Satisfaction, stability and wellbeing inside marriage.
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276 to 300 of 859Coombs UE (2007)MEDLINE-indexed journal, not yet read by usThe Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses44 citations Spousal caregiving for stroke survivors.
Caregiving for a spouse who has survived a stroke has multidimensional implications for both the partner and the spousal caregiver. A phenomenological study was conducted to examine the experiences of spousal caregivers for stroke survivors. Eight spouses who met the inclusion criteria participated in the study. van Manen's (1997) approach was used to examine the spousal caregivers' experiences. Data were collected through audiotapes from semistructured interviews. The interviews were transcribed to form textual descriptions of the caregivers' experiences. Six interrelated themes emerged through data analysis: experiencing a profound sense of loss, adjusting to a new relationship with a spouse, taking on new responsibilities, feeling the demands of caregiving, having to depend on the support of others, and maintaining hope and optimism. This study contributes to healthcare providers' und…
matched on Marriage (mesh), Spouses (mesh)
Spousal bereavement in older adults: common, resilient, and chronic grief with defining characteristics.
The purpose of this study was to identify empirically patterns of grief among 141 older bereaved spouses. A longitudinal hierarchical cluster procedure with the Ward agglomeration method was used to identify distinct clusters based on grief scores. Three clusters were identified: common (49%), resilient (34%), and chronic (17%) grief. Members of the common grief cluster experienced elevated levels of grief and depressive symptoms that decreased over time. Members of the resilient cluster experienced the lowest levels of grief and depression and the highest quality of life. The chronic grief cluster experienced the highest levels of grief and depression, more sudden deaths, the lowest self-esteem, and the highest marital dependency. The majority in this chronic cluster also met proposed criteria for a diagnosis of complicated grief. Five out of every six bereaved spouses adjusted well ove…
matched on Marriage (mesh), Spouses (mesh)
Correlates and predictors of loneliness in older-adults: a review of quantitative results informed by qualitative insights.
Background: Older persons are particularly vulnerable to loneliness because of common age-related changes and losses. This paper reviews predictors of loneliness in the older population as described in the current literature and a small qualitative study.
Methods: Peer-reviewed journal articles were identified from psycINFO, MEDLINE, and Google Scholar from 2000-2012. Overall, 38 articles were reviewed. Two focus groups were conducted asking older participants about the causes of loneliness.
Results: Variables significantly associated with loneliness in older adults were: female gender, non-married status, older age, poor income, lower educational level, living alone, low quality of social relationships, poor self-reported health, and poor functional status. Psychological attributes associated with loneliness included poor mental health, low self-efficacy beliefs, negative life events, a…
matched on Marital Status (mesh)
What are the significant factors associated with burnout in doctors?
Background: Burnout syndrome is well established as a condition that affects a significant proportion of practising doctors. Although much literature exists on the prevalence of burnout, only specific variables associated with this condition have been analysed.
Aims: To identify and categorize key factors that are associated with burnout across various medical specialities and geographical locations.
Methods: Three electronic databases were searched for literature on the factors associated with burnout published in the past 5 years. Inclusion and exclusion criteria were applied in three stages. We analysed and critically appraised each paper individually, identifying the common themes.
Results: Forty-seven papers were included from the 395 identified by our primary search. Younger age, female sex, negative marital status, long working hours and low reported job satisfaction were found to…
matched on Marital Status (mesh)
Racial and ethnic disparities in functional, psychosocial, and neurobehavioral outcomes after brain injury.
Because of the growing minority population in the past 3 decades in the United States and the increasing numbers of individuals who sustain a traumatic brain injury (TBI), researchers and clinicians have started to pay more attention to the role of race and ethnicity in outcomes after TBI, with the goal of better serving this population. The aim of this article is to review the literature on the influence of race/ethnicity on functional, psychosocial, and neurobehavioral outcomes after TBI. Specifically, the following 8 areas of outcomes will be examined: (1) treatment outcomes, (2) neuropsychological outcomes, (3) employment/productivity, (4) functional outcomes, (5) community integration, (6) marital status, (7) quality of life/life satisfaction, and (8) emotional/neurobehavioral outcomes. To conclude this review, suggestions for improvements in professional competency, research, syste…
matched on Marital Status (mesh)
Dar S, Hasan S (2026)MEDLINE-indexed journal, not yet read by usJournal of evaluation in clinical practice Navigating Marital Dynamics in Pakistan: The Interplay of Interpersonal Patterns and Sociocultural Influences.
Background: This study investigates the impact of interpersonal patterns and sociocultural forces on marital relationships in Pakistan, employing the Interpersonal Patterns (IP) Scope framework to examine pathologizing, healing, and wellness patterns. It specifically analyses cultural values, gender-role dynamics, and economic dependency.
Methods: A qualitative research design was adopted. Data were collected through interviews with seven heterosexual married couples in Pakistan between December 2023 and January 2025. Couples were aged 25-45 years to focus on contemporary marriages. Purposive sampling ensured diversity in economic status, family circumstances, and age. Thematic analysis using NVivo software was conducted to categorise data into pathologizing, healing, and wellness patterns, along with sociocultural influences.
Results: Marital distress stemmed from three pathologizing pa…
matched on Marriage (mesh), marital quality (text), marital satisfaction (text)
The relations between marital quality, social support, social acceptance and coping strategies among the infertile Iranian couples.
Objective: Researchers aimed to assess marital quality among the infertile couples undergoing assistive reproductive treatments and their coping strategies, social support and social acceptance.
Methods: In a cross-sectional study, 133 infertile couples undergoing assisted reproductive treatments were assessed for marital satisfaction, conflict resolution and marital communication, and coping strategies, using a self-report questionnaire. Also, the level of perceived social support and social acceptance as moderator variables were measured. Data were analyzed using independent t test, Pearson correlation coefficient, and linear regressions, after adjusting for age, cause of infertility and the duration of infertility.
Results: No significant difference was found in the use of various coping strategies between couples. The correlation for marital satisfaction, marital communication and co…
matched on Marriage (mesh), marital quality (text), marital satisfaction (text)
Spillover between marital quality and parent-child relationship quality: parental depressive symptoms as moderators.
Using a daily diary method, this study examined concurrent and time-lagged relations between marital and parent-child relationship qualities, providing a test of the spillover and compensatory hypotheses. In addition, this study tested both mothers' and fathers' depressive symptoms as moderators of these daily linkages. Participants were 203 families, in which mothers and fathers completed daily diaries for 15 days. At the end of each reporting day, parents independently rated the emotional quality of their relationship with their spouse and with their child that day. Controlling for global levels of marital satisfaction, marital conflict, and parenting, a positive association was found between mothers' and fathers' daily ratings of marital quality and their ratings of parent-child relationship quality, supporting the spillover hypothesis. When considering time-lagged relations, support …
matched on Marriage (mesh), marital quality (text), marital satisfaction (text)
Saxbe DE, Repetti RL, Nishina A (2008)MEDLINE-indexed journal, not yet read by usHealth psychology : official journal of the Division of Health Psychology, American Psychological Association63 citations Marital satisfaction, recovery from work, and diurnal cortisol among men and women.
Design: Multilevel modeling was used to model relationships between salivary cortisol, daily diary ratings of work experiences, and Marital Adjustment Test scores (Locke & Wallace, 1959), in a sample of 60 adults who sampled saliva 4 times per day over 3 days.
Results: Among women but not men, marital satisfaction was significantly associated with a stronger basal cortisol cycle, with higher morning values and a steeper decline across the day. For women but not men, marital satisfaction moderated the within-subjects association between afternoon and evening cortisol level, such that marital quality appeared to bolster women's physiological recovery from work. For both men and women, evening cortisol was lower than usual on higher-workload days, and marital satisfaction augmented this association among women. Men showed higher evening cortisol after more distressing social experiences at …
matched on Marriage (mesh), marital quality (text), marital satisfaction (text)
Gattis KS, Simpson LE, Christensen A (2008)MEDLINE-indexed journal, not yet read by usJournal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association (Division 43)16 citations What about the kids? Parenting and child adjustment in the context of couple therapy.
Little research examines parenting and children's adjustment when couples engage in therapy. We examined how couples with and without children improve with couple therapy and whether they also report improvements in parenting and child adjustment. With up to twenty six sessions of couple therapy, 134 couples, 68 of whom had children, showed improved marital satisfaction during treatment, which was ultimately maintained over the 2-year follow-up, regardless of whether they had children. Couples married relatively longer, both with and without children, evidenced greater improvement. Couples with children reported less conflict over child rearing and better child adjustment during treatment, but only improvements in the former were maintained. Conflict over child rearing mediated the relationship between marital distress and child adjustment over therapy and the 2-year follow-up. These pre…
matched on Marriage (mesh), marital satisfaction (text), Marital Therapy (mesh)
The association between lifetime marital histories and later-life cognitive function: evidence from the United States and China.
Objectives: We adopted a life course perspective to characterize lifetime marital history typologies and examined their associations with later-life cognitive function in two nationally representative cohorts of adults aged 65+ in the United States and China. We also explored whether the associations vary by gender.
Methods: We used data from the Harmonized Cognitive Assessment Protocol from the Health and Retirement Study (HRS-HCAP) (n = 3,318) and the China Health and Retirement Longitudinal Study (CHARLS-HCAP) (n = 5,766). Cognition was measured by general cognitive function, executive function, memory, language, and orientation. Country-specific marital histories from age 18-65 were constructed using sequence and cluster analysis. Population-weighted linear regression models examined the associations of marital histories with general and domain-specific cognitive outcomes.
Results: M…
matched on Marriage (mesh), Marital Status (mesh)
Marital status, marital transition and health behaviour and mental health outcomes among middle-aged and older adults in Thailand: A national longitudinal study.
Objectives: The aim of this study was to assess the longitudinal association between marital status, marital transition, mental ill-health, and health risk behaviours among middle-aged and older adults in Thailand.
Methods: We analyzed prospective cohort data of participants 45 years and older from three consecutive waves in 2015, 2017, and in 2020 (analytic sample, n = 2863) of the Health, Aging and Retirement in Thailand (HART) study. Sociodemographic and health variables were assessed by self-report.
Results: Being single was positively associated with current smoking among men and transitioning to widowed or divorced was associated with incident current smoking among women. Divorced or separated was positively associated with current alcohol use among men and transitioning to marriage was associated with incident alcohol use among women. Being single or widowed was positively associa…
matched on Marriage (mesh), Marital Status (mesh)
Economics of widowhood mortality in adult women in India.
The economic consequence of widowhood on health is well-established, demonstrating that economic factors can significantly link with health outcomes, even the risk of mortality for widows. However, empirical evidence is restricted only to developed countries. Thus, this study assesses the role of economic factors (paid work, pension and household economic status) on the mortality of widows in broad age groups in India. We used two waves of the India Human Development Survey (IHDS), a nationally representative prospective dataset in India for 42,009 women (married and widows) aged 25 years and above at IHDS wave 1 whose survival status was observed between two waves. Further, 6,953 widows were considered for sub-sample analysis in this study. Logistic regression and propensity score matching (PSM) were applied to understand the association and causality between economic factors and mortal…
matched on Marriage (mesh), Marital Status (mesh)
Marital status and gambling disorder: a longitudinal study based on national registry data.
Background: Marital status is a robust correlate of disordered gambling, but few studies have examined the direction of this association.
Methods: The present study used a case-control design by including all adults receiving their first gambling disorder (GD) diagnosis between January 2008 to December 2018 (Norwegian Patient Registry, n = 5,121) and compared them against age and gender matched individuals with other somatic/psychiatric illnesses (Norwegian Patient Registry, n = 27,826) and a random sample from the general population (FD-Trygd database, n = 26,695). The study examined marital status before GD, getting divorced as a risk factor for future GD, and becoming married as a protective factor of future GD.
Results: The findings indicated an 8-9 percentage points higher prevalence of unmarried people and about a 5 percentage points higher prevalence of separation/divorce among th…
matched on Marriage (mesh), Marital Status (mesh)
Midlife Marital Dissolution and the Onset of Cognitive Impairment.
Background and objectives: Marital dissolution has become more common in midlife with the doubling of the divorce rate among middle-aged adults. Guided by the stress model that stipulates losing economic, social, and psychological resources lowers well-being, we posited that midlife adults who experienced divorce or widowhood were at greater risk of cognitive impairment than the continuously married. Subsequent repartnering was expected to negate the increased risk.
Research design and methods: We used data from the 1998-2016 Health and Retirement Study to estimate discrete-time event history models using logistic regression to predict cognitive impairment onset for men and women.
Results: Roughly 27% of men who experienced spousal death in midlife went on to experience mild cognitive impairment by age 65. For women, experiencing divorce or widowhood was associated with higher odds of co…
matched on Marriage (mesh), Marital Status (mesh)
The Roles of Marital Dissolution and Subsequent Repartnering on Loneliness in Later Life.
Objectives: Loneliness in later life is associated with poorer health and higher risk of mortality. Our study assesses whether gray divorced adults report higher levels of loneliness than the widowed and whether social support or repartnership offset loneliness.
Method: Using data from the 2010 and 2012 Health and Retirement Study, we estimated ordinary least squares regression models for women (n = 2,362) and men (n = 1,127) to examine differences in loneliness by dissolution pathway (i.e., divorce versus widowhood), accounting for social support and repartnership.
Results: Divorced men were lonelier than their widowed counterparts. Although social support reduced loneliness among men, the difference between the divorced and widowed persisted. Repartnership assuaged men's loneliness and reduced the variation between divorced and widowed men. Among women, the results did not reveal diffe…
matched on Marriage (mesh), Marital Status (mesh)
Marital disruption among women with genital fistula in Nigeria: who is at greatest risk?
Introduction and hypothesis: Marital disruption is a commonly identified sequela of genital fistula in developing countries. This study is aimed at identifying factors that correlate with marital outcomes.
Methods: All new patients presenting to Evangel VVF Centre in Jos, Nigeria, between August 2015 and August 2017, were retrospectively reviewed with regard to demographics, medical history, and fistula details to identify variables correlating with marital status, particularly whether currently married or presently divorced, separated, or divorced and remarried (cumulatively the "divorce group").
Results: Among 581 new patients, 66% were married and 18% experienced marital disruption. Presence of living children in the home and having attended any level of formal education were found to be protective of marriage (p values <0.0001 and 0.0045 respectively). Patients in the divorce group w…
matched on Marriage (mesh), Marital Status (mesh)
Health and Union Dissolution among Parenting Couples: Differences by Gender and Marital Status.
Poor health may destabilize romantic unions by impeding fulfillment of family responsibilities, increasing stress, and causing financial strain. We hypothesized that the associations of health characteristics with union stability for parenting couples vary by the gender of the partner in poor health and the couple's marital status because of gender and marital status differences in family responsibilities and health-related coping behaviors. Using longitudinal data from the Fragile Families and Child Wellbeing Study (n = 2,997), we examined how three health measures predicted union dissolution for urban married and cohabiting couples with young children. Fathers' depression at baseline predicted dissolution for all parenting couples, as did either partner developing depression between baseline and the following interview. For married parents, fathers' health-related work limitations and …
matched on Marriage (mesh), Marital Status (mesh)
Kutob RM, Yuan NP, Wertheim BC, Sbarra DA, Loucks EB, Nassir R, Bareh G, Kim MM, Snetselaar LG, Thomson CA (2017)MEDLINE-indexed journal, not yet read by usJournal of women's health (2002)26 citations Relationship Between Marital Transitions, Health Behaviors, and Health Indicators of Postmenopausal Women: Results from the Women's Health Initiative.
Background: Historically, marital status has been associated with lower mortality and transitions into marriage were generally accompanied by improved health status. Conversely, divorce has been associated with increased mortality, possibly mediated by changes in health behaviors.
Methods: This study uses data from a prospective cohort of 79,094 postmenopausal women participating in the Women's Health Initiative Observational Study (WHI-OS) to examine the relationship between marital transition and health indicators (blood pressure, waist circumference, body mass index [BMI]) as well as health behaviors (diet pattern, alcohol use, physical activity, and smoking) in a sample of relatively healthy and employed women. Linear and logistic regression modeling were used to test associations, controlling for confounding factors.
Results: Women's transitions into marriage/marriage-like relations…
matched on Marriage (mesh), Marital Status (mesh)
Who Says I Do: The Changing Context of Marriage and Health and Quality of Life for LGBT Older Adults.
Purpose of the study: Until recently, lesbian, gay, bisexual, and transgender (LGBT) adults were excluded from full participation in civil marriage. The purpose of this study is to examine how legal marriage and relationship status are associated with health-promoting and at-risk factors, health, and quality of life of LGBT adults aged 50 and older.
Design and methods: We utilized weighted survey data from Aging with Pride: National Health, Aging, and Sexuality/Gender Study (NHAS) participants who resided in states with legalized same-sex marriage in 2014 (N = 1,821). Multinomial logistic regression was conducted to examine differences by relationship status (legally married, unmarried partnered, single) in economic and social resources; LGBT contextual and identity factors; health; and quality of life.
Results: We found 24% were legally married, and 26% unmarried partnered; one-half wer…
matched on Marriage (mesh), Marital Status (mesh)
Are Pregnancy Intentions Associated with Transitions Into and Out of Marriage?
Context: In addition to having associations with health outcomes, pregnancy intentions may be associated with social outcomes, including marital transitions.
Methods: Linked data from the 2004-2008 Oklahoma Pregnancy Risk Assessment Monitoring System and The Oklahoma Toddler Survey for 2006-2010 on 3,617 women who were married and 2,123 who were unmarried at conception were used to examine the relationship between pregnancy intention status (intended, mistimed by less than two years, mistimed by two or more years, or unwanted) and marital formation or dissolution by the time of the birth and two years later. Logistic regression analyses were conducted, and propensity score methods were used to adjust for confounding characteristics.
Results: Intention status was associated with marital transition two years after the birth, but not between conception and birth. In adjusted models, among w…
matched on Marriage (mesh), Marital Status (mesh)
Marital status, widowhood duration, gender and health outcomes: a cross-sectional study among older adults in India.
Background: Previous research has demonstrated health benefits of marriage and the potential for worse outcomes during widowhood in some populations. However, few studies have assessed the relevance of widowhood and widowhood duration to a variety of health-related outcomes and chronic diseases among older adults in India, and even fewer have examined these relationships stratified by gender.
Methods: Using a cross-sectional representative sample of 9,615 adults aged 60 years or older from 7 states in diverse regions of India, we examine the relationship between widowhood and self-rated health, psychological distress, cognitive ability, and four chronic diseases before and after adjusting for demographic characteristics, socioeconomic status, living with children, and rural-urban location for men and women, separately. We then assess these associations when widowhood accounts for duratio…
matched on Marriage (mesh), Marital Status (mesh)
Life course outcomes for women with different alcohol consumption trajectories: A population-based longitudinal study.
Introduction and aims: Relatively little is known about the consequences for women of sustained higher levels of alcohol consumption. We examine three outcomes (marital relationship, reproductive health and well-being) for women with different alcohol consumption trajectories over 21 years.
Design and methods: Data were from a prospective cohort study in Brisbane, Queensland (n = 3337). Group-based trajectory modeling measured women's alcohol consumption trajectories spanning 21 years. Outcomes were measured using a self-report questionnaire at the 27-year follow-up.
Results: Four trajectories of women's alcohol consumption were identified: abstaining, low-stable drinkers, moderate-escalating drinkers and heavy-escalating drinkers. Abstaining predicts positive outcomes measured at the 27-year follow-up such as being married, never having a divorce, never having multiple partners, and few…
matched on Marriage (mesh), Marital Status (mesh)
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…
matched on Marriage (mesh), Marital Status (mesh)
Parental separation/divorce in childhood and partnership outcomes at age 30.
Background: Previous research has found that children exposed to separation/divorce may also experience relationship problems in adulthood. The aim of this investigation was to examine this issue in a birth cohort of over 900 New Zealand children studied to age 30.
Methods: Data were gathered over the course of the Christchurch Health and Development Study (CHDS). The CHDS is a 30 year longitudinal study of a birth cohort of 1265 children born in Christchurch (NZ) in 1977. The data collected included the following: (a) timing and number of parental separations and divorces from birth to 15 years; (b) partnership outcomes (16-30 years) of the number of cohabiting/marriage partnerships; positive partner relations; negative partner relations; partner adjustment/conduct problems; and interpartner violence victimization and perpetration; and (c) potential covariate factors.
Results: Study fin…
matched on Marriage (mesh), Marital Status (mesh)