Government Restrictions During the COVID-19 Pandemic and Depressive Symptoms Following Widowhood.

Spousal loss is associated with an immediate increase in depressive symptoms. However, the consequences of widowhood for symptoms of depression during the COVID-19 pandemic have remained largely unexplored. In this study, we use data from the Survey of Health, Ageing and Retirement in Europe and fixed-effects regression modeling to address three research questions. First, how have depressive symptoms changed over time in 10 European countries for older adults by marital status and spousal death timing? Second, do the surviving spouses of persons who died during the pandemic face greater increases in depressive symptoms compared with adults widowed before the pandemic? Third, to what extent did the strictness of government restrictions moderate the pandemic widowhood penalty for symptoms of depression? We find that depressive symptoms increased dramatically for those widowed during the pandemic compared with widowed adults before the pandemic. In addition, the pandemic widowhood penalty does not apply to all those who lost their partners during the pandemic; it applies only to those who lost their partner when governments were enforcing stay-at-home orders. Our findings support the notion that the COVID-19 pandemic and stringent government restrictions exacerbated risk factors and hindered protective factors that affect older adults' resilience to spousal death.