J Gerontol B Psychol Sci Soc Sci. 2009 Mar;64(2):212-21. Epub 2009 Mar 12.

Self-rated health and depressive symptoms in patients with end-stage renal disease and their spouses: a longitudinal dyadic analysis of late-life marriages.

Pruchno R, Wilson-Genderson M, Cartwright F.

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New Jersey Institute for Successful Aging, University of Medicine and Dentistry of New Jersey, 42 East Laurel Road, Suite 2300, Stratford, NJ 08084, USA. pruchnra@umdnj.edu

Abstract

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.

PMID:: 19286644; [PubMed - indexed for MEDLINE]
PMCID:: PMC2655161

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Research Support, N.I.H., Extramural

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R01 NR-05237/NR/NINR NIH HHS/United States

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