离婚和丧偶后的认知能力衰退:婚姻的损失一定是损失吗?

D. Hanes, Sean A P Clouston
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引用次数: 0

摘要

我们利用纵向数据来确定婚姻丧失的类型是否与离婚或丧偶前后的认知变化率有关。以前的研究发现,婚姻关系状况与老年人的认知表现有关:与未婚同居者、从未结婚者、离婚者和丧偶者相比,已婚者在记忆评估中表现更好,患痴呆症的风险更低。然而,婚姻的结束可能会造成痛苦,也可能会因为压力源的消失而减少痛苦。因此,对于婚姻变化影响认知结果的机制,特别是婚姻的终止是否能改善某些人的认知表现,仍然存在疑问。 利用 1998-2016 年健康与退休研究(HRS;N = 23,393 人)的数据,我们进行了两项分析。首先,我们使用轨迹分析法对具有相似认知轨迹的参与者进行聚类,并检验了参与者的聚类成员资格与失婚类型之间的关联。其次,我们使用多层次模型(MLM)分析了参与者在结婚时和离婚或丧偶后的认知分数之间的关系,并将这些分数与婚姻特征联系起来。 离婚的参与者在轨迹分布上没有差异;丧偶的参与者更有可能属于成绩较差和下降较快的群体。参与者在离婚后的下降率较低(β = 0.136,p < 0.001),而丧偶参与者在配偶死亡后的下降速度加快(β = -0.183,p < 0.001),并且在配偶死亡后立即下降(β = -0.113,p = 0.028)。 我们发现,失去婚姻的类型很重要,它预示着一些人的认知能力会提高,而另一些人的认知能力会下降,离婚的人表现最好,而丧偶或分居但未离婚的人表现较差。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Cognitive Decline after Divorce and Widowhood: Is Marital Loss Always a Loss?
We used longitudinal data to determine whether the type of marital loss is associated with the rate of cognitive change before and after divorce or widowhood. Previous research found that relationship status was associated with older adults’ cognitive performance: married persons performed better on memory assessments and had lower dementia risk than unmarried-cohabitating, never-married, divorced, and widowed persons. However, the end of a marriage may cause distress or reduce distress because a stressor disappears. Questions thus remain about the mechanisms by which marital change affects cognitive outcomes and, specifically, whether termination of marriage can improve cognitive performance for some. Using data from the 1998–2016 waves of the Health and Retirement Study (HRS; N = 23,393), we conducted two analyses. First, we used trajectory analysis to create clusters of participants with similar cognitive trajectories and tested the association between participants’ cluster membership and marital loss type. Second, we used multi-level modeling (MLM) to analyze the relationship between participants’ cognitive scores while married and following divorce or widowhood and linked these to marital features. Participants who divorced showed no difference in trajectory distribution; widowed participants were more likely to be in the lower-performing and more quickly declining groups. Participants had lower rates of decline following divorce (β = 0.136, p < 0.001), while widowed participants had accelerated decline following spousal death (β = -0.183, p < 0.001) and an immediate decline following spousal death (β = -0.113, p = 0.028). We found that the type of marital loss was important, and predicted improvements in cognition for some and decrements for others, with individuals who were divorced performing best while those who were widowed or separated but not divorced performing worse.
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