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First published online January 30, 2024

Thwarted Belonging and Perceived Burdensomeness During Middle and Older Adulthood: The Role of Generativity

Abstract

Using a sample of middle-aged and older adults, this research explores associations between generativity and two key risk factors for suicide: thwarted belonging (T.B.) and perceived burdensomeness (P.B.). These variables are typically studied as predictors of suicide; the current study is unique in examining their psychosocial correlates. Erikson described, generativity as a psychosocial construct that characterizes adult well-being in mid-life, conceptualized as the sense one has successfully guided and contributed to the younger generation through mentoring. Using the Midlife in the United States Survey (MIDUS), the current analyses indicate that generativity is associated with lower levels of P.B. and T.B., even after accounting for measures of hopelessness, depressive symptoms, financial stability, perceived neighborhood quality, chronic health conditions, and respondent's demographic characteristics including gender and age. Results are discussed in terms of applications for suicide-risk prevention, and with regard to the promotion of positive psychosocial development across the lifespan.

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References

An J. S., Cooney T. M. (2006). Psychological well-being in mid to late life: The role of generativity development and parent–child relationships across the lifespan. International Journal of Behavioral Development, 30(5), 410–421. https://doi.org/10.1177/0165025406071489
Beck A. T., Kovacs M., Weissman A. (1975). Hopelessness and suicidal behavior: An overview. JAMA, 234(11), 1146–1149. https://doi.org/10.1001/jama.1975.03260240050026
Beck A. T., Steer R. A., Kovacs M., Garrison B. (1985). Hopelessness and eventual suicide: A 10-year prospective study of patients hospitalized with suicidal ideation. American Journal of Psychiatry, 142(5), 559–563. https://doi.org/10.1176/ajp.142.5.559
Bray M. J., Daneshvari N. O., Indu I, Cubbage J., Eagle M., Southall P., Nestadt P. S. (2021). Racial differences in statewide suicide mortality trends in Maryland during the coronavirus disease 2019 (COVID-19) pandemic. JAMA Psychiatry, 78(4), 444–447. https://doi.org/10.1001/jamapsychiatry.2020.3938
Carlson D. L., Petts R. J. (2022). Parents’ domestic labor during the first year of the COVID-19 pandemic. Population Research and Policy Review, 41(6), 2393–2418. https://doi.org/10.1007/s11113-022-09735-1
Carlson M. C., Seeman T., Fried L. P. (2000). Importance of generativity for healthy aging in older women. Aging Clinical and Experimental Research, 12(2), 132–140. https://doi.org/10.1007/BF03339899
Choi-Kwon S., Kim, H. Kwon, S. U. & Kim, J.S. (2005). Factors affecting the burden on caregivers of stroke survivors in South Korea. Archives of Physical Medicine and Rehabilitation, 86(5),1043–1048. https://doi.org/10.1016/j.apmr.2004.09.013
Christensen H., Batterham P. J., Mackinnon A. J., Donker T., Soubelet A. (2014). Predictors of the risk factors for suicide identified by the interpersonal-psychological theory of suicidal behaviour. BMS Psychology, 2(1), 20. https://doi.org/10.1186/2050-7283-2-20
Chu C., Buchman-Schmitt J. M., Stanley I. H., Hom M. A., Tucker R. P., Hagan C. R., Rogers M. L., Podlogar M. C., Chiurliza B., Ringer F. B., Michaels M. S., Patros C. H. G., Joiner T. E. (2017). The interpersonal theory of suicide: A systematic review and meta-analysis of a decade of cross-national research. Psychological Bulletin, 143(12), 1313–1345. https://doi.org/10.1037/bul0000123
Cigna Corporation (2021). The loneliness epidemic persists: A post-pandemic look at the state of loneliness among U.S. adults.
Clark L. A., Watson D. (1991). Tripartite model of anxiety and depression: Psychometric evidence and taxonomic implications. Journal of Abnormal Psychology, 100(3), 316–336. https://doi.org/10.1037/0021-843X.100.3.316
Czeisler M. E., Lane R. I., Petrosky E., Wiley J. F., Christensen A., Njai R., Weaver M. D., Robbins R., Facer-Childs E. R., Barger L. R., Czeisler C. A., Howard M. E., Rajaratnam S. M. W. (2020). Mental health, substance use, and suicidal ideation during the COVID-19 pandemic — United States. CDC Morbidity and Mortality Weekly Report, 69(32).
Devins G. M., Orme C. M. (1985). Center for epidemiologic studies depression scale. Test Critiques, 21(3), 267–283. https://.apa.org/doi/10.1037/h0078842ype
Devins G. M., Seland T. P. (1987). Emotional impact of multiple sclerosis: Recent findings and suggestions for future research. Psychological Bulletin, 101(3), 363–375. https://doi.org/10.1037/0033-2909.101.3.363
Donker T., Batterham P. J., Van Orden K. A., Christensen H. (2014). Gender-differences in risk factors for suicidal behaviour identified by perceived burdensomeness, thwarted belongingness and acquired capability: Cross-sectional analysis from a longitudinal cohort study. BMC Psychology, 2(1), 20. https://doi.org/10.1186/2050-7283-2-20
Drapeau C. W., McIntosh J. L. (2021). U.S.A. suicide: 2020 Official final data. Minneapolis, MN: Suicide Awareness Voices of Education (SAVE), December 24, 2021, from https://save.org/about-suicide/suicide- statistics
Drapeau C. W., McIntosh J. L. (2023). U.S.A. Suicide: 2021 Official Final Data. Minneapolis, MN: Suicide Awareness Voices of Education (SAVE), dated January 12, 2023, from https://save.org/about-suicide/suicide-statistics
Dunn O. J. (1959). Estimation of the Medians for Dependent Variables. The Annals of Mathematical Statistics, 30(1), 192–197. http://www.jstor.org/stable/2237135
Dwyer J. W., Goward R. T. (Eds.). (1992). Gender, families, and elder care. Sage.
Edelstein L. N. (1997). Revisiting Erikson's views on women's generativity, or Erikson didn't understand midlife women [Paper presentation]. Annual meetings of the American Psychological Association, Chicago, IL.
Erikson E. H. (1963). Childhood and society. W. W. Norton.
Erikson E. H. (1982). The life cycle completed. W. W. Norton.
Gilligan C. (1982). In a different voice: Psychological theory and women's development. Harvard University Press.
Gilligan C. (2016). In a different voice. Harvard University Press.
Gross J. J., John O. P. (2003). Individual differences in two emotion regulation processes: Implications for affect, relationships, and well-being. Journal of Personality and Social Psychology, 85(2), 348–362. https://doi.org/10.1037/0022-3514.85.2.348
Grossman M. R., Gruenewald T. L. (2017). Caregiving and perceived generativity: A positive and protective aspect of providing care? Clinical Gerontologist, 40(5), 435–447. https://doi.org/10.1080/07317115.2017.1317686
Hart H. M., McAdams D. P., Hirsch B. J., Bauer J. J. (2001). Generativity and social involvement among African Americans and white adults. Journal of Research in Personality, 35(2), 208–230. https://doi.org/10.1006/jrpe.2001.2318
Haw C., Hawton K., Niedzwiedz C., Platt S. (2013). Suicide clusters: A review of risk factors and mechanisms. Suicide and Life-Threatening Behavior, 43, 97–108. https://doi.org/10.1111/j.1943-278X.2012.00130.x
Heggeness M. L., Fields J. (2020, August 18). Working Moms bear brunt of home schooling while working during Covid-19. https://www.census.gov/library/stories/2020/08/parents-juggle-work-and-child-care-during-pandemic.html
Hernandez S. C. (2022). Suicidal ideation across adulthood: Applying Erikson’s theory of psychosocial development [Doctoral dissertation]. Case Western Reserve University.
Hill R. M., Hatkevich C., Pettit J. W., Sharp C. (2017). Gender and the interpersonal-psychological theory of suicide: A three-way interaction between perceived burdensomeness, thwarted belongingness, and gender. Journal of Social and Clinical Psychology, 36(10), 799–813. https://doi.org/10.1521/jscp.2017.36.10.799
Hunt I. M., Kapur N., Webb R., Robinson J., Burns J., Shaw J., Appleby L. (2009). Suicide in recently discharged psychiatric patients: A case control study. Psychological Medicine, 39(3), 443–449. https://doi.org/10.1017/S0033291708003644
Joiner T. E. J. (2005). Why people die by suicide. Harvard University Press.
Joiner T. E. J. (2011). Lonely at the top: The high cost of men’s success. Palgrave Macmillan.
Keyes C. L. M. (1998). Social well-being. Social Psychology Quarterly, 61(2), 121–140. https://doi.org/10.2307/2787065
Ma J., Batterham P. J., Calear A. L., Han J. (2016). A systematic review of the predictions of the interpersonal–psychological theory of suicidal behavior. Clinical Psychology Review, 46, 34–45. https://doi.org/10.1016/j.cpr.2016.04.008
Markus H. R., Kitayama S. (1991). Culture and the self: Implications for cognition, emotion, and motivation. Psychological Review, 98(2), 224–253. https://doi.org/10.1037/0033-295X.98.2.224
McAdams D. P., de St. Aubin E. (1992). A theory of generativity and its assessment through self-report, behavioral acts, and narrative themes in autobiography. Journal of Personality and Social Psychology, 62(6), 1003–1015. https://doi.org/10.1037/0022-3514.62.6.1003
McAdams D. P., de St. Aubin E., Logan R. L. (1993). Generativity among young, midlife, and older adults. Psychology and Aging, 8(2), 221–230. https://doi.org/10.1037/0882-7974.8.2.221
Miller A. M., Sorokin O., Fogg L. (2013). Individual, family, social, and cultural predictors of depressed mood in former soviet immigrant couples. Research in Nursing & Health, 36(3), 271–283. https://doi.org/10.1003/nur.21535
Miller K. I., Shoemaker M. M., Willyard J., Addison P. (2008). Providing care for elderly parents: A structural approach to family caregiver identity. Journal of Family Communication, 8(1), 19–43. https://doi.org/10.1080/15267430701389947
Miller-McLemore B. J. (2004). Generativity and gender: The politics of care. In de St. Aubin E., McAdams D. P., Kim T. C. (Eds.), The generative society: Caring for future generations (pp. 175–194). American Psychological Association. https://doi.org/10.1037/10622-011
Mitchell T. O., Li L. (2021) State-level data on suicide mortality during COVID-19 quarantine: Early evidence of a disproportionate impact on racial minorities. Psychiatry Research, 295(113629). https://doi.org/10.1016/j.psychres.2020.113629
Moieni M., Irwin M. R., Seeman T. E., Robles T. F., Lieberman M. D., Breen E. C., Okimoto S., Lengacher C., Arevalo J. M. G., Olmstead R., Cole S. W., Eisenberger N. I. (2020). Feeling needed: Effects of a randomized generativity intervention on well-being and inflammation in older women. Brain, Behavior, and Immunity, 84, 97–105. https://doi.org/10.1016/j.bbi.2019.11.014
Moieni M., Seeman T. E., Robles T. F., Lieberman M. D., Okimoto S., Lengacher C., Irwin M. R., Eisenberger N. I. (2021). Generativity and social well-being in older women: Expectations regarding aging matter. The Journals of Gerontology: Series B, 76(2), 289–294. https://doi.org/10.1093/geronb/gbaa022
Newton N. J., Baltys I. H. (2014). Parent status and generativity within the context of race. International Journal of Aging and Human Development, 78(2), 171–195. https://doi.org/10.2190/AG.78.2.e
Office of the Surgeon General. (2023). Our epidemic of loneliness & isolation: The U.S Surgeon General’s advisory on the healing effects of social connection and community. https://www.hhs.gov/sites/default/files/surgeon-general-social-connection-advisory.pdf
Peterson B. E. (2002). Longitudinal analysis of midlife generativity, intergenerational roles, and caregiving. Psychology and Aging, 17(1), 161–168. https://doi.org/10.1037/0882-7974.17.1.161
Piscopo K. D. (2017). Suicidality and death by suicide among middle-aged adults in the United States (The CBHSQ Report). Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration.
Radloff L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1(3), 385–401. https://doi.org/10.1177/014662167700100306
Roberts R. E., Vernon S. W. (1983). The center for epidemiologic studies depression scale: Its use in a community sample. American Journal of Psychiatry, 140(1), 41–46. https://doi.org/10.1176/ajp.140.1.41
Rosenberg M. (1965). Society and the adolescent self-image. Princeton University Press.
Russell D. W. (1996). UCLA Loneliness scale (version 3): Reliability, validity, and factor structure. Journal of Personality Assessment, 66(1), 20–40. https://doi.org/10.1207/s15327752jpa6601_2
Scheier M. F., Carver C. S. (1985). Optimism, coping and health: Assessment and implications for generalized outcome expectancies. Health Psychology, 4(3), 219–247. https://doi.org/10.1037/0278-6133.4.3.219
Scheier M. F., Carver C. S., Bridges M. W. (1994). Distinguishing optimism from neuroticism (and trait anxiety, self-mastery, and self-esteem): A reevaluation of the life orientation test. Journal of Personality and Social Psychology, 67(6), 1063–1078. https://doi.org/10.1037/0022-3514.67.6.1063
Schulz R., Bookwala J., Knapp J. E., Scheier M., Williamson G. M. (1996). Pessimism, age, and cancer mortality. Psychology and Aging, 11(2), 304–309. https://doi.org/10.1037/0882-7974.11.2.304
Schuster T. L., Kessler R. C., Aseltine R. H. (1990). Supportive interactions, negative interactions, and depressive mood. American Journal of Community Psychology, 18(3), 423–438. https://doi.org/10.1007/BF00938116
Sheffler J. L., Joiner T. E., Sachs-Ericsson N. J. (2021). The interpersonal and psychological impacts of COVID-19 on risk for late-life suicide. The Gerontologist, 61(1), 23–29. https://doi.org/10.1093?geront?gnaa123
Slaughter A. (2015). Unfinished business: Women, men, work, family. Random House.
Van Orden K. A., Witte T. K., Cukrowicz K. C., Braithwaite S. R., Selby E. A., Joiner T. E. (2010). The interpersonal theory of suicide. Psychological Review, 117(2), 575–600. https://doi.org/10.1037/a0018697
Villar F. (2012). Successful ageing and development: The contribution of generativity in older age. Ageing and Society, 32(7), 1087–1105. https://doi.org/10.1017/S0144686X11000973
Watson D., Clark L. A., Weber K., Assenheimer J. S., Strauss M. E., McCormick R. A. (1995a). Testing a tripartite model: I. Evaluating the convergent and discriminant validity of anxiety and depression symptom scales. Journal of Abnormal Psychology, 104(1), 3–14. https://doi.org/10.1037/0021-843X.104.1.3
Watson D., Clark L. A., Weber K., Assenheimer J. S., Strauss M. E., McCormick R. A. (1995b). Testing a tripartite model: II. Exploring the symptom structure of anxiety and depression in student, adult, and patient samples. Journal of Abnormal Psychology, 104(1), 15–25. https://doi.org/10.1037/0021-843X.104.1.15

Biographies

Constance T. Gager is a Sociologist and Associate Professor in the Department of Family Science and Human Development at Montclair State University. Her most recent research examines the protective effects of generative activities such as volunteer and caring work on suicide ideation and depression among youth as well as aging and disabled populations in the U.S. Previous research focused on the intergenerational transmission of relationship conflict and divorce and perceptions of fairness in the division of labor among married couples.
John F. Gunn is a Assistant Professor of Psychology at Gwynedd Mercy University. His research interests focus on understanding suicidal thoughts and behaviors across developmental periods, exploring theoretical frameworks for suicide, and understanding suicide among at risk populations (e.g. LGBTQ + persons).
Sara E. Goldstein is a Professor of Human Development and Family Sciences at the University of Delaware. Her research focuses on social development and social cognitive development across the lifespan, with a focus on parent-youth relationships, peer relationships during adolescence and emerging adulthood, and the development and maintenance of aggressive behavior, harassment, and bullying through the lifespan.
Stephanie Martinez is a mental health counselor in private practice. She completed her Main Counselling at Montclair State University.

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Article first published online: January 30, 2024

Keywords

  1. generativity
  2. aging
  3. depression
  4. belonging
  5. suicide risk

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© The Author(s) 2024.
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PubMed: 38291615

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Constance T. Gager
Department of Family Science & Human Development, Montclair State University, Montclair, NJ, USA
John F. Gunn
Department of Arts & Sciences, Gwynedd Mercy University, Gwynedd Valley, PA, USA
Sara E. Goldstein
Department of Human Development and Family Sciences, University of Delaware, Newark, DE, USA
Stephanie M. Martinez
Department of Counseling, Montclair State University, Montclair, NJ, USA

Notes

Constance T. Gager, Department of Family Science & Human Development, Montclair State University, 1 Normal Ave, Montclair, NJ 07043-1624, USA. Email: [email protected]

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