TY - JOUR
T1 - How Does Bereavement Get under the Skin? the Effects of Late-Life Spousal Loss on Cortisol Levels
AU - Richardson, Virginia E.
AU - Bennett, Kate M.
AU - Carr, Deborah
AU - Gallagher, Stephen
AU - Kim, Jinhyun
AU - Fields, Noelle
N1 - Publisher Copyright:
© 2013 Published by Oxford University Press on behalf of the Gerontological Society of America 2013.
PY - 2015/5/1
Y1 - 2015/5/1
N2 - Objectives. We used data from the Changing Lives of Older Couples, a prospective multiwave study of 1,532 married individuals aged 65 and older, to investigate the extent to which spousal loss and death-context characteristics are associated with the stress hormone cortisol at 6 (W1) and 18 (W2) months postbereavement. Method. We used ordinary least squares regression models to estimate the effects of death-context characteristics (forewarning, caregiving, and postloss numbness, reported at W1) on cortisol levels (at W1 and W2). We included age and gender and evaluated a two-way interaction term between gender and death circumstances. Results. Bereaved spouses who reported prolonged forewarning of the death evidenced higher cortisol levels at W1 than those who did not experience prolonged forewarning. Bereaved women had higher cortisol levels than bereaved men at W1. A two-way interaction between gender and emotional numbness was statistically significant, where men (but not women) who experienced postloss numbness had elevated cortisol levels at W2. Discussion. Our findings reveal that stressful life events are associated with stress-related neuroendocrine reactions for longer durations than researchers have previously documented. The specific death-related stressor affecting cortisol varies by gender. Implications for research and practice are discussed.
AB - Objectives. We used data from the Changing Lives of Older Couples, a prospective multiwave study of 1,532 married individuals aged 65 and older, to investigate the extent to which spousal loss and death-context characteristics are associated with the stress hormone cortisol at 6 (W1) and 18 (W2) months postbereavement. Method. We used ordinary least squares regression models to estimate the effects of death-context characteristics (forewarning, caregiving, and postloss numbness, reported at W1) on cortisol levels (at W1 and W2). We included age and gender and evaluated a two-way interaction term between gender and death circumstances. Results. Bereaved spouses who reported prolonged forewarning of the death evidenced higher cortisol levels at W1 than those who did not experience prolonged forewarning. Bereaved women had higher cortisol levels than bereaved men at W1. A two-way interaction between gender and emotional numbness was statistically significant, where men (but not women) who experienced postloss numbness had elevated cortisol levels at W2. Discussion. Our findings reveal that stressful life events are associated with stress-related neuroendocrine reactions for longer durations than researchers have previously documented. The specific death-related stressor affecting cortisol varies by gender. Implications for research and practice are discussed.
KW - Bereavement
KW - Caregiving
KW - Cortisol
KW - Stress
KW - Widowhood
UR - http://www.scopus.com/inward/record.url?scp=84939257042&partnerID=8YFLogxK
U2 - 10.1093/geronb/gbt116
DO - 10.1093/geronb/gbt116
M3 - Article
C2 - 24259378
AN - SCOPUS:84939257042
SN - 1079-5014
VL - 70
SP - 341
EP - 347
JO - Journals of Gerontology - Series B Psychological Sciences and Social Sciences
JF - Journals of Gerontology - Series B Psychological Sciences and Social Sciences
IS - 3
ER -