Fitzpatrick T R, Bossé R
Arizona State University West, Department of Social Work, Phoenix, USA.
Soc Work Health Care. 2000;32(2):41-60. doi: 10.1300/j010v32n02_03.
Research has indicated that the negative effects of bereavement on health among elderly men occur within the first six to twelve months following a bereavement event while other studies indicate that the death of a loved one can have long-term effects on social functioning and mental health (Arbuckle & DeVries, 1995; Vinick, 1983a). However, employment has been found to buffer the strain produced by stressful life events. The purpose of this study was to examine the differential effects of employment on physical and mental health between elderly men bereaved for one year and elderly men bereaved for two to three years. We selected two groups of men from the Normative Aging Study: those bereaved within the past year (N = 248) and those bereaved from two to three years (N = 262). Ordinary least squares multiple regression analyses examined the direct effect of employment, controlling for age, education, income, marital status, and stress, on physical and mental health among the two groups of men. Although there were no significant differences between the two groups of men, the results from the separate analyses indicated that employment had a direct positive effect on physical health among those bereaved for one year and those bereaved from two to three years, but no significant effects were observed on mental health. The results suggest that employment can benefit men soon after a bereavement event and also over a longer period of time, especially on physical health. Implications for clinical practice and future research are discussed.
研究表明,丧偶对老年男性健康的负面影响在丧偶事件后的最初六至十二个月内出现,而其他研究表明,亲人的死亡会对社会功能和心理健康产生长期影响(阿巴克尔和德弗里斯,1995年;维尼克,1983年a)。然而,研究发现就业可以缓冲应激性生活事件产生的压力。本研究的目的是检验就业对丧偶一年的老年男性和丧偶两至三年的老年男性身心健康的不同影响。我们从规范老化研究中选取了两组男性:过去一年内丧偶的男性(N = 248)和丧偶两至三年的男性(N = 262)。普通最小二乘多元回归分析检验了就业在控制年龄、教育程度、收入、婚姻状况和压力的情况下对两组男性身心健康的直接影响。虽然两组男性之间没有显著差异,但单独分析的结果表明,就业对丧偶一年的男性和丧偶两至三年的男性的身体健康有直接的积极影响,但对心理健康没有显著影响。结果表明,就业在丧偶事件后不久以及较长一段时间内都能使男性受益,尤其是对身体健康。文中讨论了对临床实践和未来研究的启示。