Self-Rated Health and Depressive Symptoms in Patients With End-Stage Renal Disease and Their Spouses: A Longitudinal Dyadic Analysis of Late-Life Marriages
Limited research has examined the ways in which changes in self-rated health experienced by aging spouses affect depressive symptoms of both members of the dyad. Longitudinal data from 315 older couples in which one partner had end-stage renal disease were analyzed using multilevel modeling. Results indicate that for both patients and spouses, own mean self-rated health was associated with own depressive symptoms, and change in self-rated health had a significant negative association with change in own depressive symptoms. Both mean self-rated health of the patient and change in patient's self-rated health had negative relationships with spouse depressive symptoms, with changes in patient's self-rated health having a stronger impact on spouse depressive symptoms than changes in spouse's own self-rated health. Results suggest the importance of understanding physical and mental health in the context of the marital dyad. Copyright 2009, Oxford University Press.
Year of publication: |
2009
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Authors: | Pruchno, Rachel ; Wilson-Genderson, Maureen ; Cartwright, Francine |
Published in: |
Journals of Gerontology: Series B. - Gerontological Society of America, ISSN 1079-5014. - Vol. 64B.2009, 2, p. 212-221
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Publisher: |
Gerontological Society of America |
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