Shekhar Chauhan, Dawn Carr, Miles Taylor, Amanda Sonnega
{"title":"Differences in Protective Resources and Risks for Depressive Symptoms Among Recent Widows in the United States and India.","authors":"Shekhar Chauhan, Dawn Carr, Miles Taylor, Amanda Sonnega","doi":"10.1093/aje/kwaf210","DOIUrl":null,"url":null,"abstract":"<p><p>Widowhood is among the most consequential stressful events for mental health. Although certain resources have been identified as protective of mental health following widowhood, these findings are based on United States (U.S.) samples. This study uses novel harmonized data to evaluate differences in depressive symptoms and related factors among those recently widowed (i.e., within the last 2 years) in the U.S. (Health and Retirement Study) and India (Longitudinal Ageing Study in India). We find U.S. widows have greater elevation in depressive symptoms (-0.36 standard deviations) than widows in India (-0.15) on average. We identify three protective resources for widows that are dependent on country context: having close friends versus no friends (-0.58 versus -0.13) and living with others versus alone (-0.79 versus -0.23) are both larger for widows in the U.S. Self-rated health that is good, fair, or poor is related to higher depressive symptoms for widows in the US versus India (between 0.55 and 1.12). Findings suggest protective resources among recently widowed individuals designed to protect mental health following this stressful event will require consideration of country context. In particular, social engagement-based interventions may offer more significant benefits to widows in the U.S.</p>","PeriodicalId":7472,"journal":{"name":"American journal of epidemiology","volume":" ","pages":""},"PeriodicalIF":4.8000,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"American journal of epidemiology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1093/aje/kwaf210","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0
Abstract
Widowhood is among the most consequential stressful events for mental health. Although certain resources have been identified as protective of mental health following widowhood, these findings are based on United States (U.S.) samples. This study uses novel harmonized data to evaluate differences in depressive symptoms and related factors among those recently widowed (i.e., within the last 2 years) in the U.S. (Health and Retirement Study) and India (Longitudinal Ageing Study in India). We find U.S. widows have greater elevation in depressive symptoms (-0.36 standard deviations) than widows in India (-0.15) on average. We identify three protective resources for widows that are dependent on country context: having close friends versus no friends (-0.58 versus -0.13) and living with others versus alone (-0.79 versus -0.23) are both larger for widows in the U.S. Self-rated health that is good, fair, or poor is related to higher depressive symptoms for widows in the US versus India (between 0.55 and 1.12). Findings suggest protective resources among recently widowed individuals designed to protect mental health following this stressful event will require consideration of country context. In particular, social engagement-based interventions may offer more significant benefits to widows in the U.S.
丧偶是对心理健康影响最大的压力事件之一。虽然已确定某些资源可保护丧偶后的精神健康,但这些发现是基于美国的样本。本研究使用新的统一数据来评估美国(健康与退休研究)和印度(印度纵向老龄化研究)最近丧偶(即在过去2年内)的抑郁症状和相关因素的差异。我们发现,美国寡妇的抑郁症状(-0.36标准差)高于印度寡妇(-0.15标准差)。我们确定了依赖于国家背景的寡妇的三种保护资源:有亲密朋友vs .没有朋友(-0.58 vs . -0.13),与他人同住vs .独自生活(-0.79 vs . -0.23)对于美国寡妇来说都更大。与印度寡妇相比,美国寡妇的自评健康状况良好、一般或较差与更高的抑郁症状相关(在0.55和1.12之间)。研究结果表明,在这种压力事件发生后,为保护新近丧偶个体的心理健康而设计的保护性资源需要考虑到国家的具体情况。特别是,以社会参与为基础的干预可能会给美国的寡妇带来更大的好处
期刊介绍:
The American Journal of Epidemiology is the oldest and one of the premier epidemiologic journals devoted to the publication of empirical research findings, opinion pieces, and methodological developments in the field of epidemiologic research.
It is a peer-reviewed journal aimed at both fellow epidemiologists and those who use epidemiologic data, including public health workers and clinicians.