Dyadic Associations Between Physical Activity and Depressive Symptoms in Older Adults with Musculoskeletal Conditions and Their Spouses

Monin, Joan K.; Chen, Baibing; Stahl, Sarah T.

doi:10.1002/smi.2603

Cited by 13 publications

(21 citation statements)

References 48 publications

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“…This implies that pain intensity may have greater effects on depressive symptoms than vice versa. As a whole, the findings are in line with interdependence theory [62] and prior studies highlighting strong mutual health-related influences in later life marriages [3,11,24,47,54,59,67]. …”

Section: Discussionsupporting

confidence: 90%

“…Husbands’ deteriorating health and functioning due to severe pain, for example, may restrict the couple’s shared engagement in valued social events, physical activity and exercise, and other leisure activities [9]. This change in marital routines may reduce sources of positive reinforcement for wives and increase caregiver burden, thereby contributing to greater depressive symptoms [47,51]. Additionally, husbands’ pain could lead to marital problems that heighten wives’ psychological distress.…”

Section: Discussionmentioning

confidence: 99%

“…Spouse-assisted training in pain coping skills, for example, may reduce patients’ fear of movement and rumination about pain [1] as well as improve their physical fitness and strength [30]. Spouses report elevated depressive symptoms when patients are physically inactive because of pain or related symptoms [47], and so such improvements could contribute to lasting benefits for the couple. In addition to these advantages, including spouses in the treatment of chronic pain in later life could help in sustaining independence and quality of life for both older adults.…”

Section: Discussionmentioning

confidence: 99%

“…Spouses in turn shape both their own and their partner’s health trajectories, and these influences may become even stronger as couples age [24,43]. Supporting these perspectives, prior work demonstrates within-couple interrelations in depressed mood along with a range of other health indicators including physical activity, functional limitations, and sleep duration [3,11,24,47,54,59,67]. Likewise, spouses’ greater pain intensity has been linked to their partner’s poorer psychological well-being in cross-sectional [15,36,63,66] and longitudinal [4,56,71] research.…”

Section: Introductionmentioning

confidence: 99%

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Own and partner pain intensity in older couples: longitudinal effects on depressive symptoms

Polenick

Brooks

Birditt

2017

PAIN

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Chronic pain has been linked to depression among individuals and their partners. Yet, little is known about long-term mutual influences between pain intensity and depressive symptoms within couples as they age. Using a nationally representative U.S. sample of wives and husbands aged 50 and older (mean = 64.53, SD = 7.86), this study explored the links between own and partner pain intensity and depressive symptoms across an 8-year period. A total of 963 heterosexual married couples drawn from the Health and Retirement Study completed interviews biennially from 2006 to 2014. Dyadic growth curve models examined mutual associations within couples and controlled for sociodemographic characteristics, length of marriage, and marital quality, along with self-rated health, number of chronic health conditions, and functional disability. For wives and husbands, their own greater baseline pain intensity was significantly linked to their own higher levels of depressive symptoms. Unexpectedly, wives with greater baseline pain intensity reported decreases in their depressive symptoms over time. There were also partner effects such that husbands’ greater pain intensity at baseline was associated with increases in wives’ depressive symptoms over time. Findings highlight the importance of considering both individual and spousal associations between pain intensity and depressive symptoms in later life. Understanding how individual and couple processes unfold may yield critical insights for the development of intervention and prevention efforts to maintain mental health among older chronic pain patients and their spouses.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Own and partner pain intensity in older couples: longitudinal effects on depressive symptoms

Polenick

Brooks

Birditt

2017

PAIN

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“…The aggregate (time-invariant) effects are consistent with previous cross-sectional research. 42,43 However, the examination of time-varying effects adds new knowledge and expands our understanding of the fluctuating nature of the stroke context and the importance of such rapid changes on QOL for both members of the dyad. The time-varying effects indicate that changes in the survivor's physical functioning and caregiver burden every 3 months are significantly associated with changes every 3 months in dyadic QOL.…”

Section: Strokementioning

confidence: 99%

Roles of Changing Physical Function and Caregiver Burden on Quality of Life in Stroke

Pucciarelli

Vellone

Savini

et al. 2017

Stroke

118

117

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Background and Purpose-The purpose of this study was to examine changes in stroke survivor and caregiver quality of life (QOL) and to determine whether changes in survivor physical functioning and caregiver burden (ie, the impact of the physical, psychological, and social demands of caregiving) influence changes in QOL. Methods-Longitudinal design with 226 stroke survivor-caregiver dyads enrolled at survivor discharge from rehabilitation hospitals. Data collection was performed over 12 months. We measured survivor physical functioning, caregiver burden, and QOL (physical, psychological, social, and environmental) in both survivor and caregiver. Multilevel modeling was used to control for the interdependence of the data. Results-Survivors (50% male sex) and caregivers (66% female sex) were 70.8 (SD=11.9) and 52.4 (SD=13.1) years old, respectively. Over the 12 months, stroke survivor's physical (γ=1.59; P<0.001) and psychological (γ=0.86; P<0.05) QOL significantly improved; social and environmental QOL did not P>0.05. Caregiver QOL, on average, did not significantly change over time P>0.05. Improvements in survivor physical functioning were associated with increases in survivor and caregiver physical and psychological QOL and survivor environmental QOL. Decreases in caregiver burden were significantly associated with improvements in caregiver physical, psychological, and environmental QOL but not with survivor QOL. Conclusions-QOL of stroke survivors and caregivers covaries and is greatly impacted by the physical function changes of the survivor. Dyadic approaches to stroke rehabilitation that acknowledge the interdependence of dyads are needed.

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Spousal Concordance in the Development of Functional Limitations Among Married Adults in China

Wang

Hou

et al. 2021

JAMA Netw Open

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IMPORTANCE Functional limitation is increasingly common as people age and is often associated with negative consequences. Evidence of the dynamics of functional limitation within couples in China is still inadequate.OBJECTIVES To examine whether functional limitation was associated within middle-aged and older couples and to explore sex differences in spousal associations. DESIGN, SETTING, AND PARTICIPANTSIn this nationwide, population-based cohort study performed from January 1, 2011, to December 31, 2018, participants were selected using multistage probability sampling, and 5207 community-dwelling couples (10 414 individuals) 45 years or older were included in the nationally representative China Health and Retirement Longitudinal Study. Data analysis was performed from January 1 to February 28, 2021. EXPOSURESThe exposure variable was the presence of functional limitation in spouses. Functional limitation was measured by the activities of daily living (ADLs) and instrumental activities of daily living (IADLs) scales and was defined as having difficulty in independently performing at least 1 ADL or IADL item. MAIN OUTCOMES AND MEASURESThe main outcome was functional limitation in index participants. Multivariable logistic regression with generalized estimating equations was used to estimate the reciprocal association of functional limitation within couples over time. RESULTS A total of 5207 married, different-sex couples (mean [SD] age, 59.1 [8.8] years for husbands and 57.0 [8.2] years for wives) were included in the study. For husbands, the number (percentage) of participants classified with baseline functional limitation was 1140 (21.9%), the number (percentage) with ADL limitation was 684 (13.1%), and the number (percentage) with IADL limitation was 834 (16.0%). For wives, the number (percentage) of participants classified with baseline functional limitation was 1502 (28.8%), the number (percentage) with ADL limitation was 887 (17.0%), and the number (percentage) with IADL limitation was 1183 (22.7%). Longitudinal results demonstrated an association in spouses developing functional limitation (adjusted odds ratio[OR], 2.55; 95% CI, 2.41-2.69; P < .001), ADL limitation (adjusted OR, 2.26; 95% CI, 2.11-2.41; P < .001), and IADL limitation (adjusted OR, 2.58; 95% CI, 2.43-2.73; P < .001). Subgroup analyses by sex revealed similar patterns of spousal health concordance in terms of all studied outcomes, indicating no sex specificity. CONCLUSIONS AND RELEVANCE This population-based cohort study suggests that amongChinese middle-aged and older couples there is significant concordance in the development of functional limitation. This study of spousal functional ability from a dyadic perspective may help in (continued) Key Points Question Are spouses concordant in the development of functional limitation over time in middle and old age? Findings In this cohort study of 10 414 community-dwelling participants (5207 married, different-sex couples) 45 years or older in China, significant interdependent associations were ...

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Dyadic Associations Between Physical Activity and Depressive Symptoms in Older Adults with Musculoskeletal Conditions and Their Spouses

Cited by 13 publications

References 48 publications

Own and partner pain intensity in older couples: longitudinal effects on depressive symptoms

Own and partner pain intensity in older couples: longitudinal effects on depressive symptoms

Roles of Changing Physical Function and Caregiver Burden on Quality of Life in Stroke

Spousal Concordance in the Development of Functional Limitations Among Married Adults in China

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