Self-Rated Health and Depressive Symptoms in Patients With End-Stage Renal Disease and Their Spouses: A Longitudinal Dyadic Analysis of Late-Life Marriages

Rachel Pruchno, Maureen Wilson-Genderson and Francine Cartwright

The Journals of Gerontology: Series B, 2009, vol. 64B, issue 2, 212-221

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. Copyright 2009, Oxford University Press.

Date: 2009
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The Journals of Gerontology: Series B is currently edited by Psychological Sciences - S. Duke Han, PhD and Social Sciences - Jessica A Kelley, PhD, FGSA

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