The loss of a spouse is an incredibly emotional and stressful experience, and as populations continue to live longer lives, more couples will experience this distress. But spousal bereavement appears to affect genders differently, according to a new study led by the School of Public Health and Chiba University.
Published in the Journal of Affective Disorders, the study examined spousal bereavement among older adults in Japan and found that widowed men experienced poorer physical and mental health and well-being, whereas widowed women showed only a short-term decrease in happiness and no change in other aspects of their health, and even improved their overall well-being in subsequent years. 

根据公共卫生学院与千叶大学联合开展的一项新研究,丧偶是一种极度情绪化且充满压力的经历。随着人口预期寿命的不断延长,会有更多夫妇面临这种痛苦。但研究表明,丧偶对男性和女性的影响似乎截然不同。
这项发表在《情感障碍杂志》上的研究考察了日本老年人的丧偶情况,发现丧偶男性的身心健康和幸福感均出现恶化;相比之下,丧偶女性仅表现出短期的幸福感下降,其他健康指标未见变化,甚至在随后的几年里,其整体幸福感还有所提升

Compared to non-widowed men, men who lost a spouse were at higher risk for dementia, mortality, and daily functioning, as well as depression and a decrease in happiness and social support, which all gradually subsided over time. Women, however, appeared to withstand these health effects after losing their husband, showing no increase in depressive symptoms, and often an increase in happiness and life satisfaction that lasted years after their loss. 
Previous research has shown few gender differences in the health burdens of spousal bereavement and primarily focused on narrower lists of outcomes, so the new findings shed valuable insight into the wide-ranging dimensions of health and well-being after spousal loss and underscore the need for gender-specific strategies to support recovery after this difficult life event.

与未丧偶的男性相比,丧偶男性面临更高的痴呆、死亡及日常生活能力受损的风险,同时也更容易出现抑郁、幸福感降低和社会支持减少的情况,尽管这些症状会随时间推移逐渐消退。然而,女性在失去丈夫后似乎更能承受这些健康冲击,其抑郁症状并未增加,而且在丧偶数年后,幸福感和生活满意度往往不降反升。
此前的研究显示,丧偶带来的健康负担很少有性别差异。因此,新发现为丧偶后的健康与幸福感提供了宝贵的见解,并强调面对这一艰难人生事件,需要采取针对不同性别的特定策略来支持丧偶者恢复生活。

“Losing a spouse is a disruptive life event that can influence far more than grief alone,” says study senior author Koichiro Shiba, assistant professor of epidemiology. “We found that widowed men were hit harder in almost every way, while widowed women showed a surprising degree of resilience.”

“丧偶是一种破坏性的人生事件,其影响远不止悲伤,”该研究的资深作者、流行病学助理教授说,“我们发现丧偶男性几乎在各个方面受到的打击都更重,而丧偶女性则表现出惊人的韧性。”

For the analysis, researchers utilized data among nearly 26,000 participants in the Japan Gerontological Evaluation Study, of which 1,076 experienced spousal bereavement. The team examined 37 different health outcomes of spousal loss in three waves (2013, 2016, and 2019), analyzing differences by gender and duration over time.
Both widowed men and women became more socially active after the death of their spouse, but only men experienced a reduction in social support, suggesting that socializing didn’t always translate into the source of emotional support and connection that they needed during their grieving period. Men also reported an increase in alcohol consumption, while women became more sedentary.

研究人员分析了日本近 26000 名参与者的数据,其中有 1076 人经历了丧偶。研究团队在三个时间点(2013 年、2016 年和 2019 年)考察了丧偶带来的 37 种不同健康结果,并分析了性别差异及其随时间的变化。
丧偶后的男性和女性都变得更加活跃于社交活动,但只有男性经历了社会支持的减少,这表明社交活动并不总能转化为他们在哀悼期所需的情感支持和连接。此外,男性报告称饮酒量增加,而女性则变得更加久坐不动。

These differences likely reflect long-held distinctions in cultural expectations for the role of each gender, Shiba says.
“In Japan, and in many cultures, men’s lives tend to revolve more around work, and they often rely heavily on their spouse for emotional and practical support,” he says. As a result, men may have had fewer opportunities to invest in social connections and then feel isolated once they lose their spouse. Additionally, Shiba says, “women in Japan are much more likely to be the primary caregivers for their spouses. For some women, bereavement may partly involve relief from that burden, which could help explain the improvements we saw in well-being.”

这些差异可能反映了对不同性别角色长期存在的文化期望差异。
“在日本以及许多文化中,男性的生活往往更多地围绕工作展开,他们通常严重依赖配偶提供情感和实际支持,”因此,男性可能较少有机会投资于社会关系,一旦失去配偶就会感到孤立无援。此外,“在日本,女性更有可能成为配偶的主要照料者。对于部分女性来说,丧偶可能在一定程度上意味着从这种负担中解脱出来,这或许有助于解释我们看到的幸福感提升。”