Dataset Information

For Better or Worse? Couples' Time Together in Encore Adulthood.

ABSTRACT: Objective:This study examined the amount of time married couples share together in a new "encore adult" life course stage around the 50s, 60s, and 70s. Also investigated was the relationship between shared time and experienced well-being for this age group. Method:Time diary and survey data were used from nationally representative 2003-2014 American Time Use Survey (ATUS) data for 26,303 adults aged 50-79 years. Analyses examined amount of total and exclusive shared couple time and experiences of happiness and stress when together using multivariate models. Results:Shared time was positively associated with couples living on their own, conjoint employment/nonemployment, and age. Encore women and men reported feeling happier and less stressed when with their spouses. Men seemed to find time with spouses more enjoyable if both partners or just their wives were working. Discussion:Encore adults are living longer as couples; results suggest couple relationships may occupy most of their days, with potentially positive implications for emotional well-being. Men and women are happier during time with a spouse when the woman works, with men reporting even higher levels of happiness than women. This is important as contemporary couples navigate increasingly complex work/retirement transitions in gendered ways.

SUBMITTER: Genadek KR

PROVIDER: S-EPMC6327662 | biostudies-literature | 2019 Jan

REPOSITORIES: biostudies-literature

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For Better or Worse? Couples' Time Together in Encore Adulthood.

Genadek Katie R KR Flood Sarah M SM Moen Phyllis P

The journals of gerontology. Series B, Psychological sciences and social sciences 20190101 2

<h4>Objective</h4>This study examined the amount of time married couples share together in a new "encore adult" life course stage around the 50s, 60s, and 70s. Also investigated was the relationship between shared time and experienced well-being for this age group.<h4>Method</h4>Time diary and survey data were used from nationally representative 2003-2014 American Time Use Survey (ATUS) data for 26,303 adults aged 50-79 years. Analyses examined amount of total and exclusive shared couple time an ...[more]

PMID: 29126287

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Project description:PurposeEating disorders are prevalent public health problems associated with broad psychosocial impairments and with elevated rates of psychiatric and medical comorbidities. Critical reviews of the treatment literature for eating disorders indicate that although certain specialized psychological treatments and specific medications show efficacy to varying degrees across the different eating disorders, many patients fail to derive sufficient benefit from existing treatments. This article addresses whether combining psychological and pharmacologic interventions confers any additional benefits for treating eating disorders.MethodsThis study was a critical review of randomized controlled trials (RCTs) testing combined psychological and pharmacologic treatment approaches for eating disorders with a focus on anorexia nervosa (AN), bulimia nervosa (BN), and binge-eating disorder (BED).FindingsFor AN, 3 of the 4 RCTs reported no significant advantage for combining treatments; the fourth reported a statistically significant, albeit clinically modest, advantage. For BN, 10 of the 12 RCTs reported no significant advantage for combining treatments; 2 RCTs found that combining fluoxetine with specific psychological treatments enhanced outcomes relative to medication only but not relative to the psychological treatments only. For BED, of the 12 RCTs, only 2 (both with antiseizure medications) significantly enhanced both binge-eating and weight outcomes, and only 2 (with orlistat, a weight-loss medication) enhanced weight loss but not binge-eating outcomes.ImplicationsDespite the public health significance of eating disorders, the scope of research performed on the utility of combining treatments is limited. To date, the few RCTs testing combined pharmacologic plus psychological treatments for eating disorders have yielded mostly nonsignificant findings. Future RCTs should focus on testing additive benefits of medications with relevant mechanisms of action to available effective psychological interventions. In addition, future RCTs that test additive effects should use adaptive designs, which could inform treatment algorithms to enhance outcomes among both responders and nonresponders to initial interventions.

Dataset Information

For Better or Worse? Couples' Time Together in Encore Adulthood.

Publications

For Better or Worse? Couples' Time Together in Encore Adulthood.

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