Department of Social Monitoring and Methodology, German Youth Institute, Munich, Germany.
Swiss NCCR "LIVES - Overcoming Vulnerability: Life Course Perspectives", University of Geneva, Geneva, Switzerland.
Aging Ment Health. 2022 Nov;26(11):2159-2169. doi: 10.1080/13607863.2021.1972930. Epub 2021 Sep 8.
Widowhood and adverse childhood socioeconomic circumstances (CSC) have both been linked to increased levels of depressive symptoms in old age. Beyond their independent impact on depressive symptoms, experiencing adverse CSC may also trigger a cascade of cumulative adversity and secondary stressors across the life course that shapes how individuals weather stressful life events later on. We examine whether exposure to adverse CSC moderates the relationship between later-life widowhood and depressive symptoms using data from the Survey of Health, Ageing and Retirement in Europe (2004-2017). Mixed-effects models revealed that both widowhood and adverse CSC were associated with increased levels of depressive symptoms among men and women. Associations between widowhood and depressive symptoms, however, were not moderated by CSC for both genders. Persisting differences in the levels of mental health in response to later-life widowhood did not further widen in the presence of disparities experienced early in the life course. This may reflect the life-altering impact of this age-normative, yet stressful life event across the social strata.
鳏寡孤独和不利的儿童社会经济状况(CSC)都与老年人抑郁症状的增加有关。除了对抑郁症状的独立影响外,经历不利的 CSC 也可能在整个生命周期中引发一连串的累积逆境和次生压力源,从而影响个体以后如何应对压力性生活事件。我们使用欧洲健康、老龄化和退休调查(2004-2017 年)的数据,检验不利 CSC 是否会调节晚年丧偶与抑郁症状之间的关系。混合效应模型显示,丧偶和不利的 CSC 都与男性和女性抑郁症状水平的升高有关。然而,对于两性来说,丧偶与抑郁症状之间的关联都不受 CSC 的调节。在生命早期经历差异的情况下,对晚年丧偶的心理健康水平的持续差异并没有进一步扩大。这可能反映了这种符合年龄规范但具有压力的生活事件对社会各阶层的改变人生的影响。