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, Francine Cartwright

Research output: Contribution to journalArticlepeer-review

38 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)212-221
Number of pages10
JournalJournals of Gerontology - Series B Psychological Sciences and Social Sciences
Volume64
Issue number2
DOIs
StatePublished - Mar 2009

All Science Journal Classification (ASJC) codes

  • Health(social science)
  • Sociology and Political Science
  • Life-span and Life-course Studies

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