Divorce and Death: A Meta-Analysis and Research Agenda for Clinical, Social, and Health Psychology
Divorce and Death: A Meta-Analysis and Research Agenda for Clinical, Social, and Health Psychology
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DOI：
10.1177/1745691611414724
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发表时间：
2011-09-01
影响因子：
12.6
通讯作者：
Portley, Robert M.
中科院分区：
文献类型：
--
作者：
Sbarra, David A.;Law, Rita W.;Portley, Robert M.
离婚是一种相对常见的压力性生活事件，据称会增加全因死亡的风险。关于离婚与健康的文献中存在的一个问题是，它分散在许多学科中;大多数关于死亡率的前瞻性研究都基于流行病学和社会学，而大多数机械研究都基于心理学。这篇综述通过荟萃分析整合了关于离婚和死亡的研究，并概述了一个研究议程，以更好地了解婚姻解体与全因死亡风险之间的潜在机制。对32项前瞻性研究（涉及11个不同国家的650多万人，16万人死亡，75.5万人离婚）进行的随机效应荟萃分析显示，与已婚成年人相比，分居/离婚成年人的早逝风险显著增加。男性和年轻人在分居/离婚后过早死亡的风险明显高于女性和老年人。将婚姻分居/离婚与早逝风险联系起来的整体效应量的量化揭示了一些重要的研究问题，本文讨论了四种可能的作用机制：社会选择，资源中断，健康行为的变化和慢性心理困扰。
Divorce is a relatively common stressful life event that is purported to increase risk for all-cause mortality. One problem in the literature on divorce and health is that it is fragmented and spread across many disciplines; most prospective studies of mortality are based in epidemiology and sociology, whereas most mechanistic studies are based in psychology. This review integrates research on divorce and death via meta-analysis and outlines a research agenda for better understanding the potential mechanisms linking marital dissolution and risk for all-cause mortality. Random effects meta-analysis with a sample of 32 prospective studies (involving more than 6.5 million people, 160,000 deaths, and over 755,000 divorces in 11 different countries) revealed a significant increase in risk for early death among separated/divorced adults in comparison to their married counterparts. Men and younger adults evidenced significantly greater risk for early death following marital separation/divorce than did women and older adults. Quantification of the overall effect size linking marital separation/divorce to risk for early death reveals a number of important research questions, and this article discusses what remains to be learned about four plausible mechanisms of action: social selection, resource disruptions, changes in health behaviors, and chronic psychological distress.