What Is the Widowhood Effect?

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What Is the Widowhood Effect?

The widowhood effect is a phenomenon in which older people who have lost a spouse have an increased risk of dying themselves. Research suggests that this risk is highest during the first three months following the death of a spouse.

A 2014 study published in the Journal of Public Health found that people whose spouses had just died had a 66% increased chance of dying within the first three months following their spouse's death.

Who Is Affected?

Although previous research had reported that men face a greater risk than women of dying soon after a spouse, the 2014 study found equal chances for men and women. It also found that after the first three months, there was still about a 15% increased chance of dying for the surviving spouse.

It seems logical to assume that spouses who were in a close marital relationship will be more depressed following widowhood, and research has backed that up. You might feel like you have lost a part of yourself. Perhaps more surprisingly, surviving spouses who owned homes tended to be more depressed, perhaps because they were worried about shouldering the responsibility of caring for the house by themselves.

Meanwhile, women who were dependent on their husbands for financial tasks and home maintenance chores tended to have more post-widowhood anxiety, the research has shown.

Sudden, unexpected death may be more stressful for a surviving spouse, but this also varies depending on an individual's situation. The lack of time to prepare often means that the surviving partner abruptly loses both financial and emotional support.

Men tend to experience worse outcomes when their spouse dies abruptly because they lose their primary source of social support. Women appear to experience worse outcomes when a lengthy illness precedes their partner's death due to chronic stress of caregiving and worry.

Impact of the Widowhood Effect

The effects of grief can be both physical and emotional. Among some of the symptoms of grief are:

  • Anxiety
  • Overwhelming sadness
  • Changes in sleep patterns
  • Digestive problems
  • Lack of energy
  • Illness and decreased immunity
  • Pain and discomfort
  • Weight gain or loss
  • Social isolation

No one knows exactly what causes this increased risk of death for the surviving spouse. Researchers have suggested a few explanations to explain the widowhood effect. These include:

  • Reminders: The household characteristics that reflect their deceased partners' personality may play a role. The constant reminders can be triggering for some.
  • Responsibilities: Those household chores, such as yard work, taking care of the bills, cooking, and cleaning, that were once shared by both partners, now belong to you. Trying to keep up with everything on your own can be overwhelming.
  • Caregiving: The stress of caring for an ill and dying partner may make a person more susceptible to illness. Spouses may also stop paying attention to their own health and well-being as their partners' health deteriorates.
  • Lifestyle: People may change their health behaviors following the death of their partner, which elevates their own risk of dying. For example, surviving spouses may not know how to shop for and prepare healthy meals as their spouse once did for them.
  • Change: People may also experience changes in their living environment after the death of their spouse. For example, they may have to move out of their home.

In any case, the impact of stress and grief seem to be the common denominator and certainly play a big part.

Other studies have looked at the cause of death for the widowed spouse to see if people with certain conditions have a higher risk of dying. It's a complicated analysis.

A 2008 study found that widowed men have a much higher risk of dying from chronic obstructive pulmonary disease (COPD), diabetes, an accident or serious fracture, infection, or sepsis in the months following their wives' deaths. Meanwhile, the same study found that widowed women have a much higher risk of dying from COPD, colon cancer, accidents or serious fractures, or lung cancer in the months following their husbands' deaths.

Help for the Recently Widowed

The loss of a spouse can be devastating, but many older people also bounce back more quickly than some might think. Researchers have shown that they tend to regain their earlier levels of health (both physical and psychological health) within about 18 months of their spouse's death.

If you are coping with the loss of a partner, take steps that encourage healing. It may be helpful to:

  • Find support. Social support can help to counter the widowhood effect. If your spouse has just passed away, and you find yourself struggling, reach out to your family and friends for help.
  • Find ways to fill your time. Losing your partner can upend many of your routines and leave an empty space in your life. Finding ways to stay busy and fill your time can help. Pursuing hobbies, going out with friends, and volunteering in your community are just a few things you might try.
  • Go at your own pace. Everyone copes with grief and loss differently, so don't pressure yourself to "move on" on a specific timeline.
  • Talk to a professional. Discussing your emotions and experiences with a mental health professional can help you integrate the loss with your life and move forward in a way that will help you adjust to the changes in your life.

If you are concerned about a loved one who has experienced a loss, there are many ways to provide support. For example:

  • Lend a hand: In the immediate aftermath of a loss, offering practical assistance such as preparing meals, running errands, and taking care of household chores can be enormously helpful.
  • Encourage a change of scenery: After some time, encourage the bereaved person to get out of the house and participate in social activities.
  • Listen: Listen to them when they want to talk. Although it may be uncomfortable, they may want to talk about their deceased spouse, and it is healing for them to do so. You don't need to have all of the right words, just listen and be supportive.
  • Find resources: Help them find other resources that they might need. Do they need help with shopping or preparing meals? Do you think they would benefit from a bereavement support group?

A Word From Verywell

The loss of a spouse can be devastating and disorienting. You can feel lost and empty without your life partner. Grief and stress can affect the physical and emotional well-being of the surviving spouse, and the experience of widowhood may alter your own life expectancy. The first few months after a loss are the most critical, and you may need support to help you through the transition. Self-care is important to make sure you stay healthy as you adjust to your new life.

Grief can be complicated and overwhelming making it difficult to do anything. If you, or someone you know, is struggling after the loss of a spouse, there are grief therapists and support groups that can be tremendously helpful.

6 Sources
Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
  1. Moon JR, Glymour MM, Vable AM, Liu SY, Subramanian SV. Short- and long-term associations between widowhood and mortality in the United States: Longitudinal analyses. Journal of Public Health. 2014;36(3). doi:10.1093/pubmed/fdt101

  2. Sullivan AR, Fenelon A. Patterns of widowhood mortality. The Journals of Gerontology: Series B: Psychological Sciences and Social Sciences. 2014;69(1). doi:10.1093/geronb/gbt079

  3. Mason TM, Duffy AR. Complicated grief and cortisol response: An integrative review of the literature. Journal of the American Psychiatric Nurses Association. 2018;25(3). doi:10.1177/1078390318807966

  4. Ennis J, Majid U. The widowhood effect: Explaining the adverse outcomes after spousal loss using physiological stress theories, marital quality, and attachment. The Family Journal. 2020;28(3). doi:10.1177/1066480720929360

  5. Elwert F, Christakis NA. The effect of widowhood on mortality by the causes of death of both spousesAm J Public Health. 2008;98(11):2092-2098. doi:10.2105/AJPH.2007.114348

  6. Arizmendi BJ, O’Connor M-F. What is “normal” in grief? Australian Critical Care. 2015;28(2). doi:10.1016/j.aucc.2015.01.005

By Leonard Holmes, PhD
Leonard Holmes, PhD, is a pioneer of the online therapy field and a clinical psychologist specializing in chronic pain and anxiety.