Relationship between spouse/partner support and depressive symptoms in older adults: Gender difference

Choi, Namkee G.; Ha, Jae Jung

doi:10.1080/13607863.2010.513042

Cited by 56 publications

(55 citation statements)

References 35 publications

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“…Researchers have proposed that social support may buffer against the negative effects of stress on individuals’ well-being [41]. Associations of better FS with lower likelihood of reporting depressive symptoms [15], [21] and with favorable HRQoL have also been reported in previous studies [9], [14]. Nonetheless, our results have added to the understanding of the protective role of FS among people with depressive symptoms in a large group of community-dwelling individuals.…”

Section: Discussionsupporting

confidence: 79%

“…A cross-sectional survey in mainland China reported that FS and self-reported health status explained most of the variance in depressive symptoms [15]. Older women were more likely than men to be adversely affected by lack of FS and to report depressive symptoms [21]. Gender roles in Chinese societies are more differentiated than in the West [22], thus the hypothesis that women with adequate FS compared to men would be less affected by depressive symptoms in terms of HRQoL is tested in this community-dwelling sample.…”

Section: Introductionmentioning

confidence: 99%

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Effects of Depressive Symptoms and Family Satisfaction on Health Related Quality of Life: The Hong Kong FAMILY Study

Nan

Lee

et al. 2013

PLoS ONE

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ObjectiveTo examine the effect of depressive symptoms and satisfaction with family support (FS) on physical and mental Health Related Quality of Life (HRQoL).MethodsData were obtained from the Hong Kong FAMILY Project baseline survey in 2009–2011, which included 16,039 community residents (age ≥20). The FS was measured using the Family Adaptation, Partnership, Growth, Affection, Resolve (APGAR, range 0–10) Questionnaire. HRQoL were assessed using the SF-12 version 2. Depressive symptoms were recorded using the Patient Health Questionnaire-9 (PHQ-9). Demographic and lifestyle variables, stressful life events, perceived neighborhood cohesion were also assessed.ResultsIn a multilevel regression model, socio-demographic and behavioral variables explained 21% and 19% of the variance in physical and mental HRQoL. The presence of depressive symptoms (PHQ-9 score ≥10, standardized coefficients, β of −1.73) and high FS (APGAR score 7–10, 1.15) were associated with mental HRQoL, after adjustment for age, education, household monthly income, drinking status, physical activity, chronic conditions, life stress and neighborhood cohesion. Not FS but the presence of depressive symptoms (β of −0.88) was associated with physical HRQoL. The presence of depressive symptoms in women than men were more associated with a poorer physical HRQoL (p<0.01) while depressive symptoms in men were associated with a decrease in mental HRQoL (p<0.001). The interaction between FS and depressive symptoms was nonsignificant in relation to HRQoL. Among those with depressive symptoms, high FS was associated with a better mental HRQoL (41.1 vs. 37.9, p<0.001) in women but not contribute to variance in men.ConclusionsHigher FS and presence of depressive symptoms were significantly associated with HRQoL in general population in Hong Kong. Among those with depressive symptoms, high FS was associated with a favorable mental HRQoL in women but not men.

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Section: Discussionsupporting

confidence: 79%

Section: Introductionmentioning

confidence: 99%

Effects of Depressive Symptoms and Family Satisfaction on Health Related Quality of Life: The Hong Kong FAMILY Study

Nan

Lee

et al. 2013

PLoS ONE

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“…In studies from the West, lower social support is likewise associated with worse health status and more depressive symptoms over the year following an acute myocardial infarction, particularly for women [16]. Older women are more likely than older men to be adversely affected and to develop depressive symptoms when family support is weak [17]. Gender roles in Chinese societies are more differentiated than they are in the West [18], but a possible interaction between gender and family support in protecting against depressive symptoms in chronic illness has not been investigated.…”

Section: Introductionmentioning

confidence: 99%

“…Hence, we examined the relationship between satisfaction with family relationships and depressive symptoms, and assessed whether this effect differed for women and men. Prior studies [16,17] have often analyzed social relationships at one level instead of examining them at multiple levels (family, work, or neighborhood) [19,20]. Support at each of these levels could confer protection against depressive symptoms so we examined this possibility using multi-level analyses.…”

Section: Introductionmentioning

confidence: 99%

Depressive symptoms in people with chronic physical conditions: prevalence and risk factors in a Hong Kong community sample

et al. 2012

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BackgroundDepression is predicted to become one of the two most burdensome diseases worldwide by 2020 and is common in people with chronic physical conditions. However, depression is relatively uncommon in Asia. Family support is an important Asian cultural value that we hypothesized could protect people with chronic physical conditions from developing depression. We investigated depressive symptom prevalence and risk factors in a Chinese sample with chronic medical conditions, focusing on the possible protective role of family relationships.MethodsData were obtained from the Hong Kong Jockey Club FAMILY Project cohort study in 2009–2011, which included 6,195 participants (age ≥15) with self-reported chronic conditions. Depressive symptoms were recorded using the Patient Health Questionnaire-9 (PHQ-9). Demographic and lifestyle variables, stressful life events, perceived family support and neighborhood cohesion were assessed. Factors associated with a non-somatic (PHQ-6) depression score were also examined.ResultsThe prevalence of depressive symptoms (PHQ-9 scores ≥5) was 17% in those with one or more chronic conditions, and was more prevalent in women than in men (19.7% vs. 13.9%; p < 0.001). In multilevel analyses, life stress, number of chronic conditions and satisfaction with family support explained 43% of the variance in PHQ-9 scores (standardized regression coefficients of 0.46, 0.15, and −0.12 respectively, all p <0.001). Body mass index, problem alcohol drinking, physical activity, and unmarried status were significantly associated with PHQ-9 scores, although these associations were weak. Variables associated with depression explained 35% of the variance in non-somatic (PHQ-6) depression scores. Satisfaction with family support played a stronger protective role against depressive symptoms (both PHQ-9 and PHQ-6 scores) among women than men (p < 0.05).ConclusionsAcute life stress and the number of chronic conditions, together with socio-demographic factors, explain most variance in depressive symptoms among chronically ill Chinese individuals. Somatic items in the PHQ-9 increased the depression scores but they did not alter the pattern of predictors. Family support appears to be an important protective factor in Chinese cultures for individuals with chronic conditions.

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“…Prior studies among women suggest that depressive symptoms may be associated with strains in the main supportive relationships in a woman’s life (Newsom, 1999; Schrimshaw, 2003). Depressive symptoms are also significantly less prevalent among partnered male adults than single male adults, suggesting that partner support may be an important protective factor (Choi & Ha, 2011; Coyne et al, 2001; Parker & Ritch, 2001). This supports the critical importance of investigating the role of social support provided by partners on depression in women.…”

Section: Introductionmentioning

confidence: 99%

The Role of Partner Support Among Women with Depressive Symptoms

Davey‐Rothwell

Stewart

Vadnais

et al. 2017

Community Ment Health J

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Scarce research has explored how sex partners and their provision of social support impact depression among women. The purpose of this study is to examine the role of social support (overall and specific types of support) provided by a sex partner on depressive symptoms among a sample of women (n=295). We assessed depression using the Centers for Epidemiological Studies Depression Scale (CES-D) and used a social network inventory to evaluate partner characteristics and types of support provided. Overall 76% (n=225) of the sample experienced depressive symptoms in the past 90 days. Approximately one-third of the sample had a partner who provided emotional support (33.9%), financial support (36.6%), or socialization support (40.0%). About 41% of women said their partner offered no support while 16.3% had a partner who gave all three types of support. These findings demonstrate that partners and the level and types of support provided should not be discounted in mental health assessments.

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Relationship between spouse/partner support and depressive symptoms in older adults: Gender difference

Cited by 56 publications

References 35 publications

Effects of Depressive Symptoms and Family Satisfaction on Health Related Quality of Life: The Hong Kong FAMILY Study

Effects of Depressive Symptoms and Family Satisfaction on Health Related Quality of Life: The Hong Kong FAMILY Study

Depressive symptoms in people with chronic physical conditions: prevalence and risk factors in a Hong Kong community sample

The Role of Partner Support Among Women with Depressive Symptoms

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