Aging widows and widowers: are there mental health differences?

Israeli Prime Minister Menachem Begin resigned shortly after the death of his wife. A classic portrait of the grieving widower, his despondency did not surprise mental health professionals. One psychiatrist explained that "Women take bereavement better than men because the widow keeps her domain" while the widower tends to become disoriented. This article examines the perception that men, specifically aging men, are more emotionally distressed than aging women by their spouse's death. A literature review reveals little evidence from behavioral or psychological studies to support the perception, along with mixed evidence of higher male mortality rates in some age groups. Data from a random probability community mental health survey are presented. Prevalence rates for the bereaved are significantly greater than are married rates for only one of the five measures of mental disorders. Widows report significantly more overall distress and depression, but these differences disappear when gender is examined, along with other sociodemographic variables in regression analyses. Clearly, these findings and those from studies of elders, do not support the perception that aging widowers experience more emotional problems during bereavement than do aging widows. Perceptions and mental health policies should be revised to reflect the reality of more similarities than differences among aging widows and widowers.