Loss Of Partner Research Articles

LGBT WIDOWHOOD: THE ASSOCIATION BETWEEN PARTNER LOSS AND PSYCHOLOGICAL WELL-BEING

Death of a partner – one of the most stressful events many people will ever experience – has profound effects on psychological well-being. However, research on widowhood focuses almost exclusively on heterosexual couples, with little known about these studies’ applicability to the LGBT population. Further, the few studies of partner loss among LGBT individuals are qualitative and many focus on gay men. As a result, little is known about the effects of partner loss in this population as a whole or among other sexual minorities, including lesbians, bisexuals, and transgender individuals. Addressing this issue, our study examines the association between partner loss and psychological well-being using data from the 2010 Aging with Pride: National Health, Aging, and Sexuality/Gender Study (NHAS) (n=2,322), the largest nationally representative sample of LGBT middle-aged and older adults. We use OLS regression to examine the association between partner loss and psychological well-being, measured as depressive symptoms, loneliness, and subjective mental health. Results reveal a significant association between partner loss and psychological well-being across all three measures. However, the association is significantly weaker in models controlling for current partner status. In models predicting depressive symptoms and loneliness, partner loss no longer reaches significance, though it remains significant in the model predicting subjective mental health. Results suggest that current partner status more strongly impacts psychological well-being than does partner loss, though further research is needed to identify how, for whom, and under what circumstances the negative effects of partner loss may linger.

INTERSECTIONAL DIFFERENCES IN HEALTHY AGING WITH HIV

Intersecting stigmatized social identities (i.e., old, Black, gay, HIV+) and structural forms of privilege and oppression (ageism, racism, homophobia, and HIV stigma) can contribute to poor psychological wellbeing and clinical outcomes among older men with HIV (OMH). Using data from 6 focus groups and 15 interviews with 45 gay, bisexual and heterosexual OMH in Brooklyn, NY and inductive thematic analysis methods, we explored the impact of heteronormative gender roles and ideologies associated with masculinity on healthy aging with HIV. We found that changing physical and sexual function, appearance and growing financial expectations created threats to masculinity, fueling fears of perceived weakness, internalized feelings of shame, depression, anticipated loss of social status (partner loss), and loss of independence and autonomy. These findings suggest that normative gender beliefs, a key social determinant of men’s health, aging and intersectional stigma combined undermine psychosocial support and wellbeing and self-care needed to achieve healthy aging.

PREDICTORS OF SELF-CONTINUITY IN LATER LIFE

Self-continuity is an identity mechanism that inter-connects past and present experiences with future expectations, creating a coherent whole. However, research is limited regarding inter-individual differences and life course determinants of change in self-continuity. Using a life-course perspective on vulnerability, we investigate how the accumulation of resources (e.g., social, hopeful attitude) and the occurrence of critical life events (e.g., childhood adversity, divorce) across the life course may affect changes in self-continuity. Data derived from the LIVES Intimate Partner Loss Study conducted in Switzerland from 2012 to 2016 (3 waves). The sample consisted of individuals having experienced divorce (N = 403, Mage = 55.43) or bereavement (N = 295, Mage = 69.91) in the second half of life, using a continuously married group as a reference (N = 535, Mage = 65.60). Multilevel hierarchical models were used. Results indicated that as individuals grew older they experienced more self-continuity. More childhood adversity was negatively associated with inter-individual differences in self-continuity for all groups. Divorcees with more childhood adverse events felt significantly less self-continuity as they grew older than divorcees with less childhood adversity. In the bereaved group, more childhood adversity and less hope was linked to lower levels of self-continuity. More hopeful married individuals felt more self-continuity as they grew older than less hopeful ones. In sum, findings demonstrate that self-continuity changes as a function of age, but also differs with regard to the critical life events experienced across the life course and the availability of resources.

Supplemental Material for Therapeutic Writing as a Tool to Facilitate Therapeutic Process in the Context of Living With HIV: A Case Study Examining Partner Loss

Supplemental Material for Therapeutic Writing as a Tool to Facilitate Therapeutic Process in the Context of Living With HIV: A Case Study Examining Partner Loss

Including rewiring in the estimation of the robustness of mutualistic networks

Abstract Species are entangled within communities by their interactions in such a manner that their local extinction may unchain coextinction cascades and impact community dynamics and stability. Despite increasing attention, simulation models to estimate the robustness of interaction networks largely neglect the important role of interaction rewiring, that is, the ability of species to switch partners. Here we propose a new method to incorporate the potential of species to replace lost partners into a widely used coextinction model to estimate network robustness. In this model, species are allowed to rewire their interactions after initial loss of partners according to probabilities derived from well‐known mechanisms that determine mutualistic interactions, for example, trait matching, phenological overlap and abundances. To illustrate the use of this method, we analyzed a well‐sampled dataset of mutualistic plant–hummingbird interactions. We found that (a) in general, rewiring increases the estimated robustness, (b) networks are similarly robust to the loss of pollinators or plants, (c) morphological matching and phenological overlap leads to higher robustness, (d) when multiple rewiring mechanisms are combined, however, robustness increases little, and (e) rewiring tends to increase robustness more in scenarios when the loss of generalist species occurs first. Our results suggest that the same mechanisms known to drive plant–hummingbird network structure are relevant in buffering the effects of species loss via rewiring. The method proposed here can be applied to a wide range of interaction networks and is flexible to the inclusion of other variables important in determining interactions for specific systems. It also allows changes on the assumptions regarding the importance of distinct mechanisms, for instance including a hierarchical relationship, which facilitates insights into the relative importance of multiple variables influencing network disassembling. The analytical framework we offer here represents a step towards a more realistic estimation on how species loss may affect the integrity of interaction networks.

The Twilight of the British Empire: British Intelligence and Counter-Subversion in the Middle East, 1948–63, by Chikara Hashimoto

This monograph explores the British Empire and intelligence in the early post-war era by focusing on British policy-makers’ interest in using intelligence to counter communism in the Middle East from 1948 to 1963. Intelligence was vital for counter-subversion with Britain’s loss of reliable Middle East partners. The book includes a foreword with two tributes to author Chikara Hashimoto (1975–2016) by Len Scott and Paul Maddrell, discussing the author’s life and contributions to intelligence studies. They explain that the book breaks new ground by looking at the role of Britain’s security services in the Middle East, a topic usually on the periphery of intelligence studies. Drawn from extensive research in The National Archives, Hashimoto’s book looks at Britain’s ‘secret liaison with Middle Eastern security agencies’ and how the ‘friendly’ countries ‘struggled to reciprocate’ (p. 3). He concludes, ‘As British influence faded during the period between 1948 and 1963, intelligence liaison with Middle Eastern counterparts was a short-term success but a long-term failure’ (p. 3).

"Passing through difficult times": Perceptions of perinatal depression and treatment needs in Malawi - A qualitative study to inform the development of a culturally sensitive intervention.

PurposeThis study was conducted to explore the perceptions of perinatal women and key maternal care health workers about perinatal depression and the health service needs required to inform development of a culturally sensitive and acceptable psychosocial intervention.MethodsThis qualitative study used a descriptive exploratory design; it is the first phase of a larger mixed methods study aimed at adapting a psychosocial intervention for perinatal depression. We conducted in-depth interviews with 22 women who screened positive for depression using a locally validated Chichewa version of the Edinburgh Postnatal Depression Scale at antenatal and postnatal clinics in 1 rural and 1 urban health care setting in Lilongwe District, Malawi. We also conducted 10 key informant interviews with maternal care health workers. Informed consent was obtained from all participants. An interview guide was used to guide enquiry about perceptions of perinatal depression and health service needs. Interviews were transcribed, translated and analysed using content analysis approach.ResultsPerinatal depression was recognized as a common mental health problem that affected self-care activities and functioning of women in the perinatal period. Financial difficulties, relationship problems (polygamy, lack of support, neglect, and infidelity), traumatic events (intimate partner violence and loss) and fear of birth outcomes were identified as causes of depression. All study participants acknowledged the need for support and an intervention that will address the identified challenges. Additionally, they viewed strengthening the health delivery system as crucial to effectively address their needs and gaps identified in the system.ConclusionThe results of this study support plans to develop a family focused intervention for perinatal depression in Malawi addressing relationship, psychosocial and economic issues. It also highlights the importance of strengthening the health delivery system especially at primary care level where the majority of women access care in Malawi and across Sub-Saharan Africa.

Implications for Reward Processing in Differential Responses to Loss: Impacts on Attachment Hierarchy Reorganization

When an attachment relationship is severed, so is homeostatic maintenance, leading to dysregulation of multiple physiological systems. Expanding upon Sbarra and Hazan’s original model, we suggest that the degree to which an individual’s physiological systems remain dysregulated depends on the state of one’s attachment hierarchy—namely, whether an individual continues to seek a lost partner for support as their primary attachment figure. To recover from the loss of a romantic partner, an individual’s attachment hierarchy must be reorganized. Our model proposes that an individual will go through a series of physiological changes before their attachment hierarchy is reorganized, which can either help or hinder their recovery. We consider the role of reward processing, including endogenous opioids, in this recovery process. Along the way, we identify mechanisms for continued dysregulation of biological systems among those who take longer to recover from a loss.

How demographic processes shape animal social networks

Abstract Demographic processes play a key role in shaping the patterns of social relations among individuals in a population. Social network analysis is a powerful quantitative tool for assessing the social structure formed by associations between individuals. However, demographic processes are rarely accounted for in such analyses. Here, we summarize how the structure of animal social networks is shaped by the joint effects of social behavior and turnover of individuals and suggest how a deeper understanding of these processes can open new, exciting avenues for research. Death or dispersal can have the direct effect of removing an individual and all its social connections, and can also have indirect effects, spurring changes in the distribution of social connections between remaining individuals. Recruitment and integration of juveniles and immigrant into existing social networks are critical to the emergence and persistence of social network structure. Together, these behavioral responses to loss and gain of social partners may impact how societies respond to seasonal or catastrophic turnover events. The fitness consequences of social position (e.g., survival and reproductive rates) may also create feedback between the social network structure and demography. Understanding how social structure changes in response to turnover of individuals requires further integration between long-term field studies and network modeling methods. These efforts will likely yield new insights into the connections between social networks and life history, ecological change, and evolutionary dynamics.

Species diversification and phylogenetically constrained symbiont switching generated high modularity in the lichen genus Peltigera

Abstract Ecological interactions range from purely specialized to extremely generalized in nature. Recent research has showed very high levels of specialization in the cyanolichens involving Peltigera (mycobionts) and their Nostoc photosynthetic partners (cyanobionts). Yet, little is known about the mechanisms contributing to the establishment and maintenance of such high specialization levels. Here, we characterized interactions between Peltigera and Nostoc partners at a global scale, using more than one thousand thalli. We used tools from network theory, community phylogenetics and biogeographical history reconstruction to evaluate how these symbiotic interactions may have evolved. After splitting the interaction matrix into modules of preferentially interacting partners, we evaluated how module membership might have evolved along the mycobionts’ phylogeny. We also teased apart the contributions of geographical overlap vs phylogeny in driving interaction establishment between Peltigera and Nostoc taxa. Module affiliation rarely evolves through the splitting of large ancestral modules. Instead, new modules appear to emerge independently, which is often associated with a fungal speciation event. We also found strong phylogenetic signal in these interactions, which suggests that partner switching is constrained by conserved traits. Therefore, it seems that a high rate of fungal diversification following a switch to a new cyanobiont can lead to the formation of large modules, with cyanobionts associating with multiple closely retated Peltigera species. Finally, when restricting our analyses to Peltigera sister species, the latter differed more through partner acquisition/loss than replacement (i.e., switching). This pattern vanishes as we look at sister species that have diverged longer ago. This suggests that fungal speciation may be accompanied by a stepwise process of (a) novel partner acquisition and (b) loss of the ancestral partner. This could explain the maintenance of high specialization levels in this symbiotic system where the transmission of the cyanobiont to the next generation is assumed to be predominantly horizontal. Synthesis. Overall, our study suggests that oscillation between generalization and ancestral partner loss may maintain high specialization within the lichen genus Peltigera, and that partner selection is not only driven by partners’ geographical overlap, but also by their phylogenetically conserved traits.

Behavioral responses to changes in group size and composition: a case study on grooming behavior of female Japanese macaques (Macaca fuscata yakui)

Primates flexibly change their grooming behavior depending on group size and composition to maintain social relationships among group members. However, how drastic social changes influence their grooming behavior remains unclear. We observed the grooming behavior of adult female Japanese macaques in two groups temporarily formed as one-female groups from multi-female groups and compared their behaviors between the multi-female and one-female periods. Adult females more frequently performed grooming with both their relatives and unrelated juveniles during the one-female period when other adult females were unavailable as alternatives to their absent familiar partners. The increased grooming time and diversity of grooming partners might alleviate the short-term stress caused by the loss of grooming partners and reduce social instability or mitigate the long-term stress due to disadvantages in intergroup conflicts. Our study provides rare evidence on the flexibility in grooming behavior of primates and encourages accumulating case reports for understanding behavioral responses of primates to drastic social changes.

A life course perspective to understanding senior tourism patterns and preferences

AbstractThis paper explores the relationships between life course transitions and seniors' tourism behaviour with a focus on social–psychological factors. The study employs a qualitative research approach and applied biographical interviews with 23 participants (older than 60 years) from Germany. Five themes are identified and presented in this paper: “role transitions,” “the loss of partners,” “stressful situations and illness,” “travel saturation,” and “perception of age.” A model is developed that integrates the impact of life course transitions, the collections of travel experiences, and the perception of age on tourism behaviour. Research findings are discussed in light of existing literature and theories on human development and ageing.

Studi Fenomenologis tentang Pengalaman Kesepian dan Kesejahteraan Subjektif pada Janda Lanjut Usia

<p>Elderly women experience loneliness related to unexpected situations of partner loss (husband's death). Loneliness can have an impact on subjective well-being, life satisfaction, quality of life, mental and physical health, and even death. The purpose of this study was to describe and understand experiences related to loneliness for elderly widows. The subjects involved were 6 (six) widows due to the death of their husbands (widowed), widows of more than 1 year, and no history of psychological disorders. Methods of data collection using interviews and observation. This study resulted in the conclusion that an elderly widow can experience loneliness due to the loss of a spouse who is taken away by death. Subjective well-being and perceived life satisfaction are the results of a religious coping strategy that is effective in over­coming loneliness experienced. When feelings of losing a spouse can be overcome by religious behavior, enthusiasm for survival and re-establishing social interaction, the elderly can feel well-being and life satisfaction.</p>

Australian Heterosexual Men's Experiences of Pregnancy Loss: The Relationships Between Grief, Psychological Distress, Stigma, Help-Seeking, and Support.

This study explores experiences of pregnancy loss via a questionnaire completed by a convenience sample of 48 Australian cisgender heterosexual men. The questionnaire included measures of support following pregnancy loss, recognition of loss, perceived utility of help-seeking, perceived stigma attached to help-seeking, perinatal grief, and depression and anxiety. The questionnaire also included open-ended questions focused on help-seeking and support. Higher levels of grief were related to higher levels of both depression and anxiety. Perceptions about stigma were related to the perceived utility of help-seeking. While a majority of participants had accessed formal support services, feeling supported was unrelated to either grief or depression. Participants emphasized the utility of men's groups where members have experienced pregnancy loss, though barriers to support were also identified in terms of the unavailability of support or the perceived need to focus on a partner's loss.

1771. Gut Resistome Changes in Response to Prophylactic Antibiotic Administration During Chemotherapy in Children With Acute Lymphoblastic Leukemia

BackgroundAntibiotic resistance harbored in gut microbiome contributes to the emergence of multi–drug-resistant organisms (MDRO). Pediatric leukemia patients typically receive extensive antibiotics and are at higher risk for infection due to MDRO.MethodsA prospective cohort of children (n = 242) with acute lymphoblastic leukemia self-collected stool samples at diagnosis and after induction chemothearpy. A third of patients (n = 69) underwent protocol-driven antibiotic prophylaxis: Levofloxacin (LV) given once neutropenia develops. With neutropenic fever patients on prophylaxis stopped LV and all patients received cefepime. Using metagenomic sequencing, we identified bacterial community composition and after alignment to the Comprehensive Antibiotic Resistance Database were able to determine the presence of bacterial resistance genes in 168 stool samples from 49 patients.ResultsExpected changes in the community composition were discovered with LV prophylaxis, including the loss of many Enterobacteriaceae and Enterococcaceae species, offset by increases in Bacteroides species. Unexpectedly, LV prophylaxis reduced the acquisition of VanA cluster of vancomycin resistance genes and did not increase acquisition of β-lactamase or fluoroquinolone (FQ) resistance gene families.ConclusionLV prophylaxis during leukemia treatment imparts predictable changes in gut bacterial communities but counter intuitively decreases antibiotic resistance in the gut microbiome reservoir. The reduction in VanA cluster of genes is likely due to depletion of Enterococcaceae species via direct killing or loss of synergistic partners. The lack of increase in target (FQ) or off-target resistance suggests that prophylaxis altered community selective pressures or prophylaxis drug concentrations were sufficient to limit the outgrowth of resistant mutants.Disclosures J. Wolf, Karius Inc.: Investigator, Research support.

Niveau de détresse psychologique et de fardeau perçu chez les conjoints de femmes atteintes d’un cancer du sein

Breast cancer is a chronic disease that affects both patients and their caregivers. Spouses, in particular, will generally assume the role of primary caregiver and experience significant physical, social, economic and emotional stress. In the face of cancer, being the spouse of a patient is synonymous with unmet psychosocial needs and a new role assignment, that of a primary caregiver. In addition, cancer confronts spouses with fear of partner loss. This leads to a set of adverse consequences such as depression, anxiety, uncertainty, stress, etc. Several studies have shown that breast cancer reduces the quality of life of patients’ spouses and increases their emotional distress, their psychosocial needs, and their responsibilities within the family. Spouses may live a complex powerful emotional experience, which is equal to or greater than that experienced by patients during the diagnosis and treatment process. These multiple solicitations contribute to the heavy symptom burden. Therefore, in the context of breast cancer, identifying vulnerable spouses and providing them with appropriate support would help ensure better adherence to the care of their wives at different stages of the disease.

Orphaning and natal group dispersal are associated with social costs in female elephants

Social environments are fundamental to fitness in many species. In disrupted societies, the loss of important partners may alter social environments for surviving individuals. African elephants, Loxodonta africana, have experienced age-selective mortality linked to the ivory trade, and the resulting social costs for surviving young elephants are unknown. In this study, we followed orphaned female elephants and nonorphaned counterparts in Kenya's Samburu and Buffalo Springs National Reserves to elucidate whether orphaning and related dispersal behaviour incur social costs. There were clear social differences between orphans and nonorphans, most notably in that orphans tended to receive more aggression than nonorphans. Dispersal from natal groups was a behaviour found exclusively among orphans. Differences in social environments of orphans that remained in their natal groups and those that dispersed were also found in the form of dispersed orphans receiving more aggression while feeding than those that remained in their natal group. Our results suggest that orphaning in elephants is associated with social costs, and that these costs are amplified for orphans that disperse from their natal groups. Future research should identify the relationship between the social costs of being an orphan and fitness, which may be important to the recovery of populations affected by the ivory trade and other forms of disruption.

From bad to worse? Effects of multiple adverse life course transitions on mental health

This paper examines whether the simultaneous occurrence of two or more adverse life course transitions has a stronger effect on mental health compared to the effects of the sum of each. The focus is on four life course transitions (partner loss (divorce/separation or death), death of a parent, unemployment, disability) and the data come from a large four-wave longitudinal dataset in the Netherlands (N = 4,192 respondents). There is clear evidence that negative life course transitions tend to cluster. Of the four transitions, partner loss and disability onset have the largest negative impact on mental health but unemployment also has a clear effect. There is not only additive but also interactive accumulation during the life course: one adverse event has a more negative impact on mental health when it occurs simultaneously with another. This provides evidence on the link between ‘turbulent times’ in the life course and negative mental health trajectories. We did not find evidence that effects of adverse transitions depend on education.

Prevalence and clustering of cardiovascular risk factors: a cross-sectional survey among Nanjing adults in China

ObjectivesTo estimate prevalence and clustering of cardiovascular risk factors (CRFs), and investigate the association between relevant characteristics and CRF clustering among adults in eastern China.DesignCommunity-based cross-sectional study.SettingData were collected by...

Facing a New Face: An Interpretative Phenomenological Analysis of the Experiences of a Blind Face Transplant Patient and His Partner.

Increasing evidence points to good functional, aesthetic, and psychosocial outcomes after face transplantation. However, research investigating how patients and their families subjectively experience the transplantation process is lacking thus far. This study aims to investigate the personal experiences of a blind face transplant patient and his partner. In-depth interviews exploring different experiences were conducted with both partners separately 20 months after face transplantation. The interviews were analyzed using interpretative phenomenological analysis. Seven themes were identified in both interviews: coping with the facial trauma, motivation for the face transplantation, outcomes of the face transplantation, acceptance of the new face, gratitude toward the donor family, relation to the medical team, and dealing with the media. Two further themes were only mentioned by the patient (coping with complications and coping with blindness) and one theme only by the partner (loss of choices). The results of this study increase our understanding of the transplantation process as experienced by a face transplant recipient and his partner. They may help to better inform professionals to optimize transplantation procedures or supportive interventions.