Love and Death in Germany: The Marital Biography and Its Effect on Mortality

In this article, we analyze how the marital biography is affecting mortality in Germany today (N = 12,484). We find support for temporal selection into marriage for both genders, but the effect is stronger for men. In addition, protection through marriage results from long‐term accumulation of survival advantages and from the attenuation of higher mortality risks that occur immediately after a transition into or out of a marriage. Moreover, women are more likely to keep survival advantages from previous marriages and to forget about survival disadvantages from divorces and widowhood.     

Role of Marital Quality in Explaining Depressive Symptoms After Marital Termination Among Older Adults

This study assesses whether prior marital quality moderates the impact of divorce or widowhood on subsequent depression. Poor marital quality may buffer depression associated with divorce/widowhood; conversely, the effect of divorce/widowhood on depression could be exacerbated by previous marital quality. Three waves from the National Survey of Families and Households based on respondents, ages 50 and older, (N?=?2,570) included eight marital quality measures. We find limited evidence suggesting higher marital quality elevates, while lower marital quality decreases, depression after divorce. No moderating effects were found for widowhood. Additionally, health condition is more important than current marital status for elders’ well-being after divorce or widowhood. Heterogeneity in the context of the marriage before divorce should be considered when examining marital termination effects on elders’ depression.     

Social Selection and Social Causation in Marriage and Health: Longitudinal Evidence of Body Weight Change

Social selection proposes that health influences marriage, whereas social causation proposes that marriage influences health. We used biennial 1979 National Longitudinal Survey of Youth data to examine body weight 6 years before and 6 years after entering and exiting first marriages. For marital entry, social selection occurred as lighter women entered marriage. Social causation was not observed because all marital entry groups gained weight at comparable rates. Cohabitation was not associated with weight change after marital entry. For marital exit, short-term social causation occurred as men and women lost weight after marital exit and then regained equivalent weight. Overall, body weight change sometimes followed transitions into and out of marriage, but the associations were few in number, short-lived, and had no long-term impact on body weight.     

Marital status, social support, and health transitions in chronic disease patients

Married persons tend to be healthier, both physically and mentally, than unmarried persons. We tested the hypothesis that being married results in better physical and mental health outcomes for chronic disease patients (N = 1,817) by increasing social support. We modeled health outcomes one year later, controlling for initial health status. Cross-validation studies of two random halves of the sample supported an indirect effect of marital status on mental health through social support, but did not support a relationship, direct or indirect, of either marital status or social support with physical health outcomes. In addition, specific types of functional support were not differentially predictive of mental health status.     

Parent Marital Quality and the Parent–Adolescent Relationship: Effects on Adolescent and Young Adult Health Outcomes

Although a number of studies examined the implications of marital disruption for adolescent well-being, few studied the implications of marital relationship quality on health outcomes for children in married-couple families. The present study examines how parent marital quality among intact families interacts with the quality of parent–adolescent relationships to predict physical health, mental health, and substance use in middle adolescence and early adulthood. The study uses data from the NLSY97 cohort, a nationally representative sample of adolescents who are being followed into adulthood. Predictors include the quality of the parent marital relationship, the quality of the parent–adolescent relationship, marital structure, and a number of contextual covariates and control variables. Combined parent marital quality and parent–adolescent relationship groups were developed using latent class analyses and were used to predict positive and negative health behaviors during the teen and early adult years. Results indicate that adolescents in families experiencing poor marital quality fared worse on physical health, mental health, and substance use outcomes. In addition, adolescents who reported poor relationships with at least one of their parents fared worse on outcomes. Adolescents whose parents have low-quality relationships and also have poor parent–adolescent relationships tended to fare least well across health measures. Adolescents whose parents have a high-quality relationship and who have a good parent–adolescent relationship with both parents consistently had the best outcomes. Overall, poor relationships consistently undermine mental health, physical health, and substance use. Family religious activities also consistently predict better health outcomes.     

The Effects of Marital and Nonmarital Union Transition on Health

This study examines the effects of marital and nonmarital union transition on health. Utilizing Canadian longitudinal data, we find that exiting both marriage and cohabitation seems to have similar effects: Dissolving either union tends to be associated with a decrease in physical health, mental health, or both. With possible selection effects eliminated and protection effects held constant, we find that remaining in either type of union generally is associated with poorer health. We speculate that decreased union quality may account for this inverse relationship, and that protection effects may explain much of the reported health gains associated with union life.     

Mental Health Difficulties and the Support Needs of Social Work Students: Dilemmas,Tensions and Contradictions

There are a growing number of students in higher education who experience mental health difficulties and have support needs. The behaviour of small numbers of students on social work programmes indicates also a need to examine the mental health difficulties and needs of social work students. There is only limited factual information on this topic. It is rarely discussed or written about. There is a danger of discriminating against those experiencing such difficulties, especially black or female students. Yet, at the same time, undertaking a social work programme is a demanding experience, as is doing social work itself. Furthermore, on courses leading to a professional qualification, such as social work, there is an obligation to protect the rights of, and assess possible risks to users, as well as to support students. Programmes should give particular attention both to the mental health difficulties and support needs of social work students at selection, during the programme itself and upon conclusion of the programme at a wide range of levels, both within the higher education system and outside that system.     

Marital trajectories and mental health

This study expands the marital status and mental health literature by examining several dimensions of marital trajectories, including the number and type of prior marital losses and duration in current status. Data are drawn from the Piedmont Health Survey of the National Institute of Mental Health Epidemiologic Catchment Area Study, collected in 1982-83 (n = 2,158). Results indicate that number of prior losses moderates the health-enhancing effect of being currently married; higher order marriages are associated with worse mental health. Although results vary across the mental illnesses examined (depression, anxiety, and substance use), the negative effect of multiple loss also is observed for the currently divorced and widowed. There is less evidence that the type of prior loss (i.e., divorce or widowhood) moderates the effect of current marital status on mental health; however, some support is found among the presently widowed. The analyses of duration in current status suggest that the rate of decline in symptoms of anxiety following one's most recent loss varies by marital history among the currently widowed.     

Marital Status,Marital History,Body Weight,and Obesity

Marital status and marital history are associated with health. Marital history can be represented by the marital trajectory components of timing, transitions, sequence, and duration. We examined whether marital trajectory components add insights beyond marital status in predicting body weight in a retrospective analysis of 3,011 adults. Marital status findings revealed that married men were heavier than separated/divorced men, and never married women were heavier and more often obese than married women. Marital history findings showed that after adjusting for marital status, trajectory measures of age at first marriage, second marriage or second divorce, experiencing widowhood, and duration of separation/divorce were not clearly associated with body weight or obesity. Body weight and obesity appear to be associated with current marital status but not marital history.     

The mental health of the never-married

Although the interaction between mental health and marital status has been the object of much social scientific research, little is known about the mental health of never-married people. This article reviews research relevant to mental health and marital status as it pertains to never-marrieds. Methodological problems and current gaps in such research are pointed out. The mental health of never-marrieds is examined from three popular models of mental health—the social protection, social reaction, and social selection models. Each model offers competing explanations for differences in rates between married and unmarried people and between unmarried men and women. Suggestions are offered for improvement in researching the mental health of this neglected group.     

Does Adolescent Affect Impact Adult Social Integration? Evidence from the British 1946 Birth Cohort

Using data from the MRC National Survey of Health and Development (the British 1946 birth cohort), we take a life course approach with a sociology of mental health framework to examine the relationship between adolescent affect and adult social integration. The results suggest that being observed as anxious or sad in adolescence has long-term effect on adult social integration. These associations are not explained by adult mental health or socioeconomic status, for the most part. The results demonstrate support for social selection processes between adolescent mental health and adult social outcomes and suggest a disparate effect of type of adolescent affect on adult social outcomes.     

Risk and selection processes between the general and the specialty mental health sectors

This paper examines risk, defined as the threat of danger or disruption, as a contextual concept important for understanding patterns of patient selection and referral. We explore the hypothesis that risks associated with mental disorder, as represented by factors such as thoughts about suicide or problems associated with drinking, increase the probability of referral of patients receiving mental health care from general medical practitioners to the specialty mental health sector. Interview and claims data from the RAND Health Insurance Experiment, a large experimental study of coinsurance, are used to examine referral processes over a five-year period. Risk, and especially a measure of suicide thoughts, increase the probability of referral to specialty care. Women and persons with higher education are more likely to use specialty services; older persons are less likely to use such services. Understanding referral requires attention to the behavioral contingencies and illness behavior surrounding the presentation of mental disorder.     

An Empirical Test of Crisis,Social Selection,and Role Explanations of the Relationship Between Marital Disruption and Psychological Distress: A Pooled Time‐Series Analysis of Four‐Wave Panel Data

Although a higher level of psychological distress has been found in many studies of divorced compared with married individuals, explanations for this difference remain elusive. Three basic theoretical explanations have been proposed. Social role theory maintains that the role of being divorced is inherently more stressful than that of being married; crisis theory attributes the higher stress to role transitions and transient stressors of the disruption process, and social selection theory claims that the higher stress levels among the divorced result from the selection of people with poor mental health into divorce. Some empirical support is available for each of these approaches, but all three have not been tested simultaneously in a longitudinal study. This research empirically evaluates the efficacy of these theories in a pooled time‐series analysis of a four‐wave panel of married persons followed over 12 years. The pooled‐time series random effects model was used to estimate the effects of social roles, crisis, and social selection. The results provide evidence that the higher stress levels of the divorced primarily reflect the effect of social role with selection and crisis effects making small contributions only.     

Trajectories of Limitations with Activities of Daily Living Among Older Adults of Mexican Descent: The Role of Widowhood

Using seven waves of data from the Hispanic Established Population for the Epidemiologic Study of the Elderly (1993–2011), this study applies multiphase growth models to examine changes in limitations with activities of daily living (ADL) across widowhood experience among 385 older adults of Mexican descent. This study also investigates the implications of demographic characteristics, health, socioeconomic status, living arrangements, and social involvement. ADL limitations increased pre-widowhood, were at higher levels immediately before and especially during the transition to widowhood, and increased at a steeper rate post-widowhood. Age and partially depressive symptoms accounted for these trends in ADL limitations pre-widowhood and to a lesser extent during the transition to widowhood and post-widowhood. Older age, being female, chronic conditions, financial strain, lower educational attainment, coresidence with children and others, and less frequent church attendance were risk factors for higher levels of and greater increases in these functional limitations throughout widowhood experience.     

Children's Well‐Being during Parents' Marital Disruption Process: A Pooled Time‐Series Analysis

On the basis of a large, nationally representative multiwave panel, this research examines the extent to which parents' marital disruption process affects children's academic performance and psychological well‐being at 2time points prior to and 2 time points after parental divorce. The results of a pooled time‐series analysis show that compared with peers in intact families, children of divorce fare less well in most well‐being measures at all 4 time points, from approximately 3 years before divorce to 3 years after divorce. Interestingly, whereas the effects of the disruption process on students' test scores demonstrate a linear decline over time, the effects on their social‐psychological measures exhibit a U‐shaped time pattern. Families in the process of marital disruption are also characterized by a deficit in economic and social resources at various time points of this process. These differences in family resources either partially or completely mediate the detrimental effects of the disruption process over time. Furthermore, the process of marital disruption appears to affect girls to the same extent that it does boys. Finally, the causal role of divorce in affecting children is also discussed.     

Racial and Ethnic Differences in Experiencing Parents’ Marital Disruption During Late Adolescence

Using panel data from 9,252 adolescents in the National Education Longitudinal Study, this study finds that among children who experience parents’ marital disruption during late adolescence, European, Asian, and African American adolescents exhibit wider and greater maladjustment both before and after the disruption than their Hispanic American counterparts. This finding lends general support to the hypothesis of prevalence of disadvantages, although it is less consistent with the hypothesis of prevalence of divorce. Moreover, whereas Asian American adolescents in predisrupted families are more vulnerable to a shortage of family social resources, their African American peers are affected more by a shortage of financial/human resources. Finally, postdisruption effects on non‐Hispanic American adolescents are either completely or partially attributable to predisruption factors.     

Life Events and Delinquency: An Assessment of Event‐Based Stressors and Gender Differences among Adolescents in Mainland China

Studies that test general strain theory in China have primarily focused on poor treatments by others, and few have assessed the influences of stressor events other than negative treatments as antecedents of delinquency. This study assesses both cumulative and relative effects of multiple stressor events including parent marital instability, family financial disruption, health crisis, and romantic dissolution as antecedents of delinquency in mainland China and how these effects may vary by adolescent gender. Data drawn from over 500 middle‐school students from an urban city in China yielded significant observations: Stressful events are related to delinquency after controlling for poor treatments and other common correlates, and event effects are observed both as a composite index and by specific domains. Furthermore, significant gender differences are noted: For boys, delinquency is associated with family financial disruption, parent marital instability, and romantic dissolution. For girls, romantic dissolution and health crisis are associated with delinquency. These results along with others are addressed in light of general strain theory and gender disparity in the sociocultural context of mainland China.     

Racial/Ethnic Disparities in Mental Health Service Use for Older Foster Youth and Foster Care Alumni

Studies have shown that foster care alumni have disproportionally high rates of poor mental health outcomes compared to the general population. The purpose of this study was to examine differences in mental health service use for Latino, African American, and White youth while in foster care and upon exit from the foster care system. Secondary data were used to identify youth 1 year prior to exiting the foster care system (N?=?934) and 1 year after exit from the foster care system (N?=?433). Racial/ethnic disparities in mental health service use upon exit from the foster care system were found, with Latino youth using the least amount of services after foster care exit. Racial/ethnic service disparities in type of services used were also found. Findings suggest that a lack of support (e.g., mandatory or voluntary) may be significant in overcoming challenges in the continuation or disruption of services.     

Marital Sex Role Orientation and Adjustment to Separation and Divorce

In order to examine the relationship between sex role orientation and adjustment to marital disruption, a sample of 143 newly separated persons was interviewed two months after separation, and then again 6, 18, and 30 months later. A measure of marital sex role orientation was administered at the time of the initial interview, and dependent measures of adjustment were obtained at each of the four interviews. In the case of women, high family orientation, and to a lesser extent, low self orientation were found to be associated with poor postseparation adjustment. Female marital sex role orientation appears to be a clear and meaningful concept. In the case of men, however, the concept is poorly elaborated and not yet adequately assessed. Suggestions toward the improved conceptualization and measurement of male marital sex role orientation are provided.     

Volunteer work and well-being

Using two waves of panel data from Americans' Changing Lives (House 1995) (N = 2,681), we examine the relationships between volunteer work in the community and six aspects of personal well-being: happiness, life satisfaction, self-esteem, sense of control over life, physical health, and depression. Prior research has more often examined the effects of voluntary memberships than of volunteer work, has used cross-sectional rather than longitudinal data, and, when longitudinal, has emphasized social causation over selection effects. Focusing only on the consequences of volunteer work overlooks the antecedents of human agency. People with greater personality resources and better physical and mental health should be more likely to seek (or to be sought for) community service. Hence, we examine both selection and social causation effects. Results show that volunteer work indeed enhances all six aspects of well-being and, conversely, people who have greater well-being invest more hours in volunteer service. Given this, further understanding of self- versus social-selection processes seems an important next step. Do positive, healthy people actively seek out volunteer opportunities, or do organizations actively recruit individuals of these types (or both)? Explaining how positive consequences flow from volunteer service may offer a useful counterpoint to stress theory, which has focused primarily on negative life experiences and their sequelae.