THE PSYCHOLOGICAL SIGNIFICANCE OF "HOME" TO OLDER WIDOWS

Elderly widows are increasingly choosing to remain alone in their homes following the deaths of their husbands. For a number of reasons they are a more vulnerable group than married older women, and thus were expected to have less positive attitudes toward being homeowners. In the present study widows (N = 70) who live alone were compared to married women (N = 74) who who lived with only their husbands. Both groups lived in single-family dwellings. Subjects responded to an empirically derived Likert-type scale which measures four factors relating to "attachment to hom". Results indicated that widows had significantly higher scores on the Traditional Family Orientation factor and on the Competence in a Familiar Environment factor. One explanation of these findings is that the home may take on new meanings for widows as they reflect on earlier family experiences or as they discover that they can competently manage an independent lifestyle for themselves.     

Gender,Marital Status,and Alcohol Behavior: The Neglected Role of Religion

Substantial previous research indicates that married persons enjoy better mental and physical health than others. One prominent explanation for these patterns is that married persons practice better health behaviors, including lower levels of alcohol consumption, particularly heavy drinking. However, studies of marital status differences in health behaviors have ignored the role of religious homo/heterogamy and attendance, important potential confounding and moderating factors. Focusing on alcohol behavior, we analyze 1977–1994 General Social Survey data, finding that lower levels of drinking are especially pronounced among homogamous conservative couples, and to a lesser extent among mixed-faith unions with one conservative partner. Controlling for other background characteristics, nonconservatives married to nonconservatives do not consistently consume less alcohol than unmarried persons, suggesting that much of the apparent marital status effect on drinking is actually due to religious factors. Contrary to some prior theory and research, these patterns are broadly consistent for both men and women.     

The relationship between instrumental and expressive traits,health behaviors,and perceived physical health

Relations between instrumental and expressive traits, health behaviors, and self-reported physical health were examined among young adults. Individuals (169 men, 167 women) completed two measures of instrumental and expressive traits, the Bem Sex Role Inventory (BSRI) and the Personal Attributes Questionnaire (PAQ). Ethnic background of the sample included 72% European Americans, 13% Latin Americans, 6% Asian Americans, 5% African Americans, less than 1% Native American, and 4% did not specify a particular category. Expressive traits from the BSRI, and expressive and instrumental traits from the PAQ were associated with health behaviors, after controlling for neuroticism. Neuroticism explained 43% of the variance in perceived physical health. Separation of individuals into four groups on the basis of instrumental and expressive traits showed that androgynous individuals reported significantly better health practices than other individuals providing support for the androgyny model.     

孕期生活事件与妊娠压力：心理健康的中介效应和丈夫支持的调节作用

用问卷调查法对上海市403名单胎、孕周在24～33周的孕妇进行研究,探讨怀孕过程中孕妇经历的生活事件和妊娠压力的关系,以及孕妇的心理健康状况和丈夫支持在其中所起的作用。结果表明：（1）怀孕计划的主效应显著,孕龄的主效应不显著,怀孕计划和孕龄的交互作用显著;妊娠压力在怀孕计划上的主效应显著,意外怀孕的孕妇的妊娠压力显著高于计划怀孕的孕妇的妊娠压力;（2）怀孕过程中孕妇经历的生活事件与妊娠压力呈显著正相关,与孕妇的心理健康呈显著负相关;（3）孕妇的心理健康状况在生活事件和妊娠压力的关系中起部分中介效应,即生活事件部分通过孕妇的心理健康状况影响孕妇的妊娠压力;而丈夫支持则对孕妇心理健康的中介效应起调节作用,当丈夫支持高时,心理健康状况越好的孕妇,其妊娠压力越低,心理健康状况对孕妇妊娠压力预测显著;当丈夫支持低时,心理健康状况对妊娠压力的预测不显著。     

Psychological and health problems in a geographically proximate population time-sampled continuously for three months after the September 11th, 2001 terrorist incidents

Abstract

This study assessed the mental and physical health status and psychological problems related to the September 11th terrorist incidents among a representative sample of adults living near New York City, using continuously time-sampled data collected throughout 2001. Prevalence estimates for poor mental or physical health after September 11th (October through December) were comparable to those for the entire year of 2001 (i.e. approximately 33%). Psychological problems related to the terrorist incidents were reported by more than half of the respondents, and appeared to peak in prevalence approximately two to three months following the incidents, followed by a decline in the next month and subsequent year. Poor mental health, female gender, media re-exposure, and ongoing or increased alcohol use were risk factors for psychological problems, while older age (65+ years old) and being married were protective factors. Risk factors for poor physical and mental health or psychological problems were generally stable over the three-month period following September 11th, but some changes were identified consistent with stage models of post-disaster psychological adjustment. Implications are discussed for using continuous time-sampling as a strategy to research patterns of relatively acute stress-related sequelae of terrorism in populations whose members are affected despite primarily not having been at the disaster epicenter.     

Minority stress and mental health among Dutch LGBs: examination of differences between sex and sexual orientation

Minority stress is often cited as an explanation for greater mental health problems among lesbian, gay, and bisexual (LGB) individuals than heterosexual individuals. However, studies focusing on sex or sexual orientation differences in level of minority stress and its impact on mental health are scarce, even more so outside the United States. Performing secondary analyses on the data of a Dutch population study on sexual health, the present study examines the robustness of the minority stress model by explaining mental health problems among men and women with mostly or only same-sex sexual attraction, and men and women who are equally attracted to same-sex and opposite-sex partners in the "gay-friendly" Netherlands (N = 389; 118 gay men, 40 bisexual men, 184 lesbian women, and 54 bisexual women). Results showed that minority stress is also related to mental health of Dutch LGBs. Participants with a higher level of internalized homonegativity and those who more often encountered negative reactions from other people on their same-sex sexual attraction reported more mental health problems. Such negative reactions from others, however, had a stronger link with mental health among lesbian/gay than among bisexual participants. Openness about one's sexual orientation was related to better mental health among sexual minority women, but not among their male counterparts. Suggestions for future research, implications for counseling, and other societal interventions are discussed.     

Experiences of Newly Married Black Women Staying with the Extended Family in a Township in South Africa

We report the results of a phenomenological study on the experiences of newly married black women staying with extended family in South African townships. Our goals for the study included in-depth interviews on experiences and guidelines to facilitate these women's mental health. We interviewed six newly married women (age range 20 to 30 years; mean period in marriage = 3 years) staying with the extended families in an urban South African township. An open central question was posed to the newly married black women who fitted the inclusion criteria and this was followed by probing questions to explore and describe the experiences of staying with the extended family in an urban township. Newly married black women who do not follow the expected practices from the teachings of the extended family experienced victimisation by the extended family. The mental health of newly married black women staying with the extended family in an urban South African township could be facilitated by empowering these women with communication skills to enable them to express their feelings and concerns effectively.     

The costs and benefits of writing, talking, and thinking about life's triumphs and defeats

Three studies considered the consequences of writing, talking, and thinking about significant events. In Studies 1 and 2, students wrote, talked into a tape recorder, or thought privately about their worst (N = 96) or happiest experience (N = 111) for 15 min each during 3 consecutive days. In Study 3 (N = 112), students wrote or thought about their happiest day; half systematically analyzed, and half repetitively replayed this day. Well-being and health measures were administered before each study's manipulation and 4 weeks after. As predicted, in Study 1, participants who processed a negative experience through writing or talking reported improved life satisfaction and enhanced mental and physical health relative to those who thought about it. The reverse effect for life satisfaction was observed in Study 2, which focused on positive experiences. Study 3 examined possible mechanisms underlying these effects. Students who wrote about their happiest moments--especially when analyzing them--experienced reduced well-being and physical health relative to those who replayed these moments. Results are discussed in light of current understanding of the effects of processing life events.     

Self-Discrepancy and Mental Health in Older Women with Chronic Illnesses

Self-discrepancy was investigated as a self-enhancing mechanism by which older women maintain their mental health and psychological well-being while coping with declines in physical health. In this 6-year longitudinal study, the mediating and moderating effects of self-discrepancy on mental health outcomes in older women with chronic health problems were tested. Participants were 103 community-dwelling older women who completed multiple, self-report measures of physical and mental health and self-discrepancy. There was a decline in physical health over time but an improvement in self-discrepancies. Low self-discrepancy (i.e., little discrepancy between the actual and ideal self) mediated and moderated the effects of physical health decline on mental health and psychological well-being. Thus, self-discrepancy appears to play a significant role in maintaining mental health in the face of declining physical health in older women.     

Psychological and health problems in a geographically proximate population time-sampled continuously for three months after the September 11th, 2001 terrorist incidents

This study assessed the mental and physical health status and psychological problems related to the September 11th terrorist incidents among a representative sample of adults living near New York City, using continuously time-sampled data collected throughout 2001. Prevalence estimates for poor mental or physical health after September 11th (October through December) were comparable to those for the entire year of 2001 (i.e. approximately 33%). Psychological problems related to the terrorist incidents were reported by more than half of the respondents, and appeared to peak in prevalence approximately two to three months following the incidents, followed by a decline in the next month and subsequent year. Poor mental health, female gender, media re-exposure, and ongoing or increased alcohol use were risk factors for psychological problems, while older age (65+ years old) and being married were protective factors. Risk factors for poor physical and mental health or psychological problems were generally stable over the three-month period following September 11th, but some changes were identified consistent with stage models of post-disaster psychological adjustment. Implications are discussed for using continuous time-sampling as a strategy to research patterns of relatively acute stress-related sequelae of terrorism in populations whose members are affected despite primarily not having been at the disaster epicenter.     

Sociodemographic characteristics and drinking status as predictors of older women's health.

As part of a U.S. national survey of women's drinking and life experiences, the authors used responses from a subsample (n = 245) of women aged 55-90 years (M = 65.8 years) to examine the relationship of sociodemographic characteristics (income, marital status, and occupational status) and drinking status to several health outcomes (self-perceived general health, depression, sexual satisfaction, and sexual dysfunction). In all analyses, the authors controlled for respondent age. Results indicated that higher household income predicted greater lifetime and current sexual satisfaction with a partner as well as higher general health ratings. Women drinkers also reported better general health than did abstainers. An interaction between marital status (married or cohabitating vs. nonmarried) and employment status (employed vs. nonemployed) was a predictor of general health ratings. The authors found significant contrasts among the 4 groups when they controlled for age, income, and drinking status: (a) Among the employed respondents, the nonmarried women reported better general health than did the married women; and (b) among nonmarried respondents, the employed women reported better general health than did the nonemployed women.     

An examination of the physical health, health care use, and psychological well-being of spouses of people with fibromyalgia syndrome.

The present study compared the physical and mental health and the health care use of spouses of patients with fibromyalgia syndrome (FS group; n = 135) with that of spouses of healthy individuals (n = 153). FS group participants reported lower health and affective states and scored higher on depression, loneliness, and subjective stress than comparison group participants (p < .017). Husbands in the FS group who reported more illness impact and whose wives reported worse sleep quality and less self-efficacy had more psychological difficulties. No differences were found in health care costs between groups. These findings suggest that chronic illness in a partner may negatively affect an individual's physical and mental health.     

Relationships between locus of control,health value,and preventive health behaviors among women

This study examines the relationships between locus of control expectancies, rated health value, and reported participation in preventive health behaviors among a healthy sample of undergraduate women. The prediction that participation in preventive health behaviors would be a joint function of an internal health-related locus of control belief and holding health in high value was not supported. Instead, individuals who valued their health reported participating in a greater number of health-enhancing behaviors compared to those who valued their health less. Respondents' scores on a health value scale in combination with their rated health status proved to be better predictors of health behaviors than their locus of control beliefs. Limitations of locus of control research with young, healthy individuals are discussed and further investigation into the utility and validity of health value scales is recommended.     

Employment and health among married women with children

A sample of nearly 500 urban married women with children was used to evaluate the possible effect of outside-the-home employment on the mental and physical health of married mothers. Six measures of health were used, some drawn from interviews with the women, others from a medical examination. After controlling for ethnicity, education, and age of the women, the husband's occupation, number of children in the family, and length of time the woman has been married, it was found that wives who had been employed for more than a year were healthier than wives not employed outside the home and wives who had worked less than one year. Housewives who had never worked outside the home were healthier, on the whole, than wives who had been employed at some time in the past. Poor marital relationships and having no preschool age children seemed to increase the health advantage of long-term employed wives over those in the housewife categories. The occupational status of wife and husband did not seem to change these health differences very much.An earlier version of this paper was presented at the annual meeting of the Southwest Social Science Association, San Antonio, March 1975. The authors would like to thank Donna Duvall, Ministry of State for Urban Affairs, Ottawa; Elaine Hess, University of Nebraska at Omaha; and David R. Johnson, University of Nebraska — Lincoln for their comments. Gilles Robert and Marie Josepha Hebert ably assisted with various aspects of this project. Support for the project was provided by the Ministry of State for Urban Affairs, but the views expressed here are those of the authors and not necessarily those of the Ministry.     

Loneliness, optimism, and well-being among married, divorced, and widowed individuals

The study explored feelings of loneliness and dispositional optimism and their unique contribution to well-being. The sample included 196 women and men (M age = 45.94 years; 54% were women; 34% were married, 34% were divorced, and 32% were widowed) who completed inventories assessing feelings of loneliness, dispositional optimism, and well-being measured by life satisfaction and negative affect. Widows and widowers scored higher than married respondents on loneliness and negative affect and lower on life satisfaction and optimism. Divorced persons scored lower on life satisfaction than married respondents but higher than widows and widowers on optimism. Loneliness was negatively correlated with optimism. Multiple regression analyses using demographics, family status, loneliness, and optimism as independent variables showed that loneliness contributed negatively to well-being, while optimism contributed positively to well-being. A Structural Equation Modeling analysis and mediation tests showed that both loneliness and optimism mediated the effects of widowhood on well-being. The findings are in support of Conservation of Resources (COR) theory (S. E. Hobfoll, 1989, 2001).     

A longitudinal study of the relationships between conscientiousness and the social-environmental factors and substance-use behaviors that influence health

The present study tested the relationships among conscientiousness-related traits, social-environmental factors that affect health, and substance-use behaviors across a 30-year period from age 21 to age 52 in the Mills Longitudinal study of women (N=99). Results showed that the trait of social responsibility (a facet of conscientiousness) assessed at age 21 predicted family, work, and substance use outcomes at midlife (age 43 and age 52). In turn, marital quality, duration of marriage, divorce, participating in paid work, status level of work, and marijuana consumption were associated with changes in social responsibility. The implications for personality, health, and personality development are discussed.     

Development and validation of the multidimensional health profile, part I: Psychosocial functioning

This article describes the development and preliminary validation of the Multidimensional Health Profile, Part I: Psychosocial Functioning (MHP-P), a self-report screening instrument for use in mental health and primary care settings. The MHP-P assesses mental health, life stress, coping skills, and social resources. In Study 1, retest reliability, validity, social desirability response bias, and factor structure were examined in a national sample of men and women (N = 673). In Study 2, the effect of time frame on the retest reliability of the mental health scales was examined in a sample of male and female college students (N = 147). A national sample of men and women (N = 2,411) provided data for additional confirmatory factor analyses and norm development in Study 3.     

The effects of late-life spousal bereavement over a 30-month interval

Self-report measures of grief, depression, and general psychopathology were studied in widows and widowers over a 2.5-year period following death of their partner. A comparison sample of men and women was also followed for the same period. Differences in severity of depression and psychopathology previously reported at 2 months postloss (Gallagher, Breckenridge, Thompson, & Peterson, 1983) diminished to nonsignificant levels at 12 and 30 months. However, significant differences between bereaved and comparison subjects on measures of grief were still apparent 30 months after spousal loss. A main effect of gender for depression and psychopathology (but not for grief) was found at 2 and 12 months: Women reported more distress than men regardless of bereavement status. Results indicate that the experience of grief persists for at least 30 months in both older men and women who have lost their spouse.     

Mothers' attachment style, their mental health, and their children's emotional vulnerabilities: a 7-year study of children with congenital heart disease

The long-term contribution of mothers' attachment insecurities to their own and their children's psychological functioning was examined in a 7-year prospective longitudinal study of children with Congenital Heart Disease (CHD). Sixty-three mothers of newborns with CHD participated in a three-wave study, beginning with the CHD diagnosis (T1), then 1 year later (T2), and again 7 years later (T3). At T1, the mothers reported on their attachment style and mental health. At T2, the mental health measure was administered again, along with a marital satisfaction scale. At T3, participants completed these two measures again, and their children reported on their self-concept and completed the Children's Apperception Test. Maternal avoidant attachment at T1 was the best predictor of deterioration in the mothers' mental health and marital satisfaction over the 7-year period, especially in a subgroup whose children had severe CHD. In addition, mothers' attachment insecurities (both anxiety and avoidance) at the beginning of the study were associated with their children's emotional problems and poor self-image 7 years later.