Depressive symptoms in older adult couples: Associations with dyadic physical health, social engagement, and close friends

Miller, Lyndsey M.; Steele, Joel S.; Wu, Chao‐Yi; Kaye, Jeffrey; Dodge, Hiroko H.; Gonzales, Mitzi M.; Lyons, Karen S.

doi:10.3389/fpsyt.2022.989182

Cited by 5 publications

(4 citation statements)

References 62 publications

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“…In the older adult population, reduced social networks due to physical, economic, and social factors are associated with limited social support . As a person ages, social networks and connectedness may be limited to family members, particularly the spouse, who serves as the main provider of social-emotional support.…”

Section: Discussionmentioning

confidence: 99%

“…In the older adult population, reduced social networks due to physical, economic, and social factors are associated with limited social support. 14 As a person ages, social networks and connectedness may be limited to family members, 14 particularly the spouse, who serves as the main provider of social-emotional support. When a person has a depressive disorder, the social-emotional support he or she provides to his or her spouse may be reduced, which may influence the occurrence of depressive disorder in the spouse.…”

Section: Discussionmentioning

confidence: 99%

“…We diagnosed depressive disorders with psychiatrists’ diagnostic interviews based on the MINI-K, which may confirm the diagnostic validity. Previous studies that investigated couple depression in large population samples usually adopted a survey, 5 , 16 , 53 scale, 4 , 9 , 13 , 14 , 15 , 16 , 54 or medical records 3 , 6 , 36 as diagnostic confirmation. In contrast with previous studies 3 , 5 , 53 focusing on syndromal depression (MDD or mDD), we included SSD as a depressive disorder.…”

Section: Discussionmentioning

confidence: 99%

“… 6 , 9 In older adult couples, cohabitation effects may be more influential according to the duration of marriage, which may explain the difference in mechanism between older adult couple depression and that of young couples. Social interaction, 13 , 14 physical health, 14 , 15 , 16 or marital quality 13 are known to affect depressive symptoms among older adult couples. These factors shared within couples may act as a mediator that links depression in couples.…”

Section: Introductionmentioning

confidence: 99%

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Shared Risk Factors for Depressive Disorder Among Older Adult Couples in Korea

et al. 2023

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ImportanceAlthough couples may share many risk factors for depressive disorders in their lifetime, whether these factors mediate the shared risk of depressive disorders has rarely been investigated.ObjectivesTo identify the shared risk factors for depressive disorder in couples and investigate their mediating roles in the shared risk of depressive disorders among older adult couples.Design, Setting, and ParticipantsThis nationwide, multicenter, community-based cohort study assessed 956 older adults from the Korean Longitudinal Study on Cognitive Aging and Dementia (KLOSCAD) and a cohort of their spouses (KLOSCAD-S) between January 1, 2019, to February 28, 2021.ExposuresDepressive disorders of the KLOSCAD participants.Main Outcomes and MeasuresThe mediating roles of shared factors in couples on the association between one spouse’s depressive disorder and the other’s risk of depressive disorders was examined using structural equation modeling.ResultsA total of 956 KLOSCAD participants (385 women [40.3%] and 571 men [59.7%]; mean [SD] age, 75.1 [5.0] years) and their spouses (571 women [59.7%] and 385 men [40.3%]; mean [SD] age, 73.9 [6.1] years) were included. The depressive disorders of the KLOSCAD participants were associated with an almost 4-fold higher risk of depressive disorders in their spouses in the KLOSCAD-S cohort (odds ratio, 3.89; 95% CI, 2.06-7.19; P &lt; .001). Social-emotional support mediated the association between depressive disorders in the KLOSCAD participants and their spouses’ risk of depressive disorders by itself (β = 0.012; 95% CI, 0.001-0.024; P = .04; mediation proportion [MP] = 6.1%) and through chronic illness burden (β = 0.003; 95% CI, 0.000-0.006; P = .04; MP = 1.5%). Chronic medical illness burden (β = 0.025; 95% CI, 0.001-0.050; P = .04; MP = 12.6%) and presence of a cognitive disorder (β = 0.027; 95% CI, 0.003-0.051; P = .03; MP = 13.6%) mediated the association.Conclusions and RelevanceThe risk factors shared by older adult couples may mediate approximately one-third of the spousal risk of depressive disorders. Identification of and intervention in the shared risk factors of depression among older adult couples may reduce the risk of depressive disorders in the spouses of older adults with depression.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Shared Risk Factors for Depressive Disorder Among Older Adult Couples in Korea

et al. 2023

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Impacts of Negative and Positive Life Events on Development of Social Frailty among Community-Dwelling Older Adults

Makino,

Doi,

Tsutsumimoto

et al. 2024

Journal of the American Medical Directors Association

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Incongruence in Perceptions of Pain: Associations with Mental Health in Couples Living with Fibromyalgia

Grafft,

Lyons

2024

Social Work

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Guided by the theory of dyadic illness management, this study examined the association between the within-couple incongruence regarding perceptions of pain experienced by adults with fibromyalgia (AwFM) and symptoms of depression and anxiety in AwFM and their partners. Participants included 204 couples. Three second-order dyadic variables were created from the couples’ perceptions of pain interference experienced by AwFM: (1) absolute magnitude of incongruence in perception of pain, (2) average perception of pain, and (3) direction of incongruence (i.e., who perceives pain to be higher). Structural equational modeling was used to examine the association between the three dyadic variables and AwFM and partner symptoms of depression and anxiety, adjusting for covariates. These steps were repeated for pain severity. Higher average perception of pain interference within the couple was associated with greater symptoms of depression and anxiety in AwFM and partners. AwFM exhibited greater symptoms of depression when their perception of their pain interference was higher than their partner’s. Incongruence variables were not significantly associated with AwFM or partners’ anxiety symptoms. Near identical results were found for pain severity. A dyadic approach to mental health treatment, which includes enhanced communication skills, should be adopted to optimize the mental health of couples living with fibromyalgia.

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Depressive symptoms in older adult couples: Associations with dyadic physical health, social engagement, and close friends

Cited by 5 publications

References 62 publications

Shared Risk Factors for Depressive Disorder Among Older Adult Couples in Korea

Shared Risk Factors for Depressive Disorder Among Older Adult Couples in Korea

Impacts of Negative and Positive Life Events on Development of Social Frailty among Community-Dwelling Older Adults

Incongruence in Perceptions of Pain: Associations with Mental Health in Couples Living with Fibromyalgia

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