“…Researchers typically attribute the widowhood effect to the difference between the salubrious qualities of marriage and the detrimental consequences of widowhood (Elwert & Christakis, 2006). While married spouses benefit from emotional support, spousal promotion of healthy behavior (Umberson, 1987(Umberson, , 1992, economic stability (Lillard & Waite, 1995;Trovato, 1991), and possibly superior health care utilization (Iwashyna & Christakis, 2003;Umberson, Wortman, & Kessler, 1992), bereaved individuals typically lose these benefits. The strongest effect of widowhood are found soon after bereavement (Elwert & Christakis, 2006;Martikainen & Valkonen, 1996a), possibly because of the imposition of burdens such as coping with the stress of watching and caring for a partner who is dying (Christakis & Allison, 2006), coming to terms with the emotional burden of bereavement, adjusting to new social roles and daily routines, and developing functional substitutes for the health benefits of marriage.…”