Dyadic effects of depressive symptoms on medical morbidity in middle-aged and older couples.

Polenick, Courtney A.; Renn, Brenna N.; Birditt, Kira S.

doi:10.1037/hea0000573

Cited by 17 publications

(17 citation statements)

References 58 publications

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“…Although the interdependence theory and actor-partner interdependence theory [ 12 , 13 ] posit that it is important to consider the influence of shared social contexts between couples, many studies did not carefully consider the quality of shared social relationships in affecting the dyadic effects [ 8 ]. Despite the overall positive influence of marital satisfaction in diverse domains [ 7 ], the present study demonstrated that, instead of buffering the negative influence, greater marital satisfaction magnified the negative dyadic influence of health on life satisfaction in older married couples, which was consistent with some previous work [ 4 , 19 ]. For instance, Polenick et al found that relationship closeness magnified the negative association between patients’ illness severity and spouses’ well-being [ 4 ].…”

Section: Discussionsupporting

confidence: 91%

“…Despite the overall positive influence of marital satisfaction in diverse domains [ 7 ], the present study demonstrated that, instead of buffering the negative influence, greater marital satisfaction magnified the negative dyadic influence of health on life satisfaction in older married couples, which was consistent with some previous work [ 4 , 19 ]. For instance, Polenick et al found that relationship closeness magnified the negative association between patients’ illness severity and spouses’ well-being [ 4 ]. Consistent with other types of social relationships such as friendships [ 26 ], the quality of a given relationship exerts a significant moderating effect in shaping people’s psychological functioning and behaviors in their social life.…”

Section: Discussionsupporting

confidence: 91%

“…The notion that partners in close relationships dyadically affect each other’s well-being is not new [ 1 ]. Supporting it, evidence converged to show that one’s well-being is affected by not only their own personal characteristics, such as physical and mental health conditions, but also their spousal characteristics in close relationships [ 2 , 3 , 4 ]. These findings can be more crucial for providing important insights for research on older adults, as close relationships are an important part of their social life as well as an important source of support when people get older [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

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The Magnifying Effect of Marital Satisfaction on the Dyadic Effect of Disabilities on Life Satisfaction

Jiang

2021

IJERPH

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(1) Background. Extending previous work, the present study examined whether marital satisfaction would magnify the dyadic effect of disabilities on life satisfaction among older married couples. (2) Methods. With responses collected from 11,694 participants (5847 couples; Mage = 63.36 years, median: 62 years) in a large-scale survey study in China in 2015, the actor-partner interdependence model (APIM) analyses were conducted to examine how marital satisfaction moderated the actor and partner effects of disabilities on life satisfaction. In addition, mixed linear model analyses were conducted to examine the gender effect. (3) Results. The results showed that marital satisfaction magnified the negative association between disabilities and life satisfaction with different patterns for each gender. Specifically, husbands’ disabilities significantly negatively predicted their own levels of life satisfaction among those with higher marital satisfaction but not among those with lower marital satisfaction. In contrast, for wives, spousal disabilities significantly predicted lower levels of life satisfaction among those with higher marital satisfaction but not among those with lower marital satisfaction. (4) Conclusions. The evidence for the magnifying effect of marital satisfaction obtained in the present study implicates the importance of taking dyadic dynamics in close relationships into account in health care research.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

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The Magnifying Effect of Marital Satisfaction on the Dyadic Effect of Disabilities on Life Satisfaction

Jiang

2021

IJERPH

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“…African American older adults with multiple CMCs may experience depressive symptoms and be at risk for major depressive disorder. Management of multiple CMCs may also lead to higher depressive symptoms [72,75,76,77,78]. A systematic review of 40 articles by Read and colleagues found that individuals with multimorbidity are twice as likely to have a depressive disorder and there is a 45% increased odds of depression with each additional CMC [79].…”

Section: Discussionmentioning

confidence: 99%

Emergency Department Utilization among Underserved African American Older Adults in South Los Angeles

Bazargan

Smith

Cobb

et al. 2019

IJERPH

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Objectives: Using the Andersen’s Behavioral Model of Health Services Use, we explored social, behavioral, and health factors that are associated with emergency department (ED) utilization among underserved African American (AA) older adults in one of the most economically disadvantaged urban areas in South Los Angeles, California. Methods: This cross-sectional study recruited a convenience sample of 609 non-institutionalized AA older adults (age ≥ 65 years) from South Los Angeles, California. Participants were interviewed for demographic factors, self-rated health, chronic medication conditions (CMCs), pain, depressive symptoms, access to care, and continuity of care. Outcomes included 1 or 2+ ED visits in the last 12 months. Polynomial regression was used for data analysis. Results: Almost 41% of participants were treated at an ED during the last 12 months. In all, 27% of participants attended an ED once and 14% two or more times. Half of those with 6+ chronic conditions reported being treated at an ED once; one quarter at least twice. Factors that predicted no ED visit were male gender (OR = 0.50, 95% CI = 0.29–0.85), higher continuity of medical care (OR = 1.55, 95% CI = 1.04–2.31), individuals with two CMCs or less (OR = 2.61 (1.03–6.59), second tertile of pain severity (OR = 2.80, 95% CI = 1.36–5.73). Factors that predicted only one ED visit were male gender (OR = 0.45, 95% CI = 0.25–0.82), higher continuity of medical care (OR = 1.39, 95% CI = 1.01–2.15) and second tertile of pain severity (OR = 2.42, 95% CI = 1.13–5.19). Conclusions: This study documented that a lack of continuity of care for individuals with multiple chronic conditions leads to a higher rate of ED presentations. The results are significant given that ED visits may contribute to health disparities among AA older adults. Future research should examine whether case management decreases ED utilization among underserved AA older adults with multiple chronic conditions and/or severe pain. To explore the generalizability of these findings, the study should be repeated in other settings.

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“…In addition, previous studies indicate that husbands with elevated health problems are less likely to seek spousal support compared to wives (Vogel, Wester, Hammer, & Downing-Matibag, 2014), which may increase husbands’ social isolation (e.g., loneliness; psychological mechanism). Together, these multiple components of psychological distress (depressive symptoms and social isolation) may increase husbands’ reliance on maladaptive behavioral coping strategies (behaviors), such as binge drinking and risk-taking, which often result in health problems (Polenick, Renn, & Birditt, 2018). Future studies examining the persistent individual-level processes for men should account for these psycho-behavioral mechanisms to enhance understanding of these gender differences.…”

Section: Discussionmentioning

confidence: 99%

Health continuity over mid-later years in enduring marriages: Economic pressure as couple- and individual-level mediator

Lee

Wickrama

O’Neal

2019

Journal of Social and Personal Relationships

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Health problems in midlife have been shown to continue into later adulthood. This continuity may be attributed to social selection and social causation, with longitudinal sequential associations between health problems and economic pressure (EP) over the life course creating mediational effects (health → EP → health). Moreover, in enduring marriages, this potential mediation may operate as a dyadic process over time. Yet this mediational process involving health problems and economic pressure has not been adequately investigated in couple contexts. Using a sample of 257 husbands and wives in enduring marriages, we investigated multilevel mediation processes between health problems and EP from midlife to later adulthood. The results indicate unique couple- and individual-level (only for husbands) mediation processes of health problems in the couple context, emphasizing the value of considering both couple- and individual-level health processes when developing health interventions.

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Dyadic effects of depressive symptoms on medical morbidity in middle-aged and older couples.

Cited by 17 publications

References 58 publications

The Magnifying Effect of Marital Satisfaction on the Dyadic Effect of Disabilities on Life Satisfaction

The Magnifying Effect of Marital Satisfaction on the Dyadic Effect of Disabilities on Life Satisfaction

Emergency Department Utilization among Underserved African American Older Adults in South Los Angeles

Health continuity over mid-later years in enduring marriages: Economic pressure as couple- and individual-level mediator

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