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

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  • Rachel Pruchno
  • Maureen Wilson-Genderson
  • Francine Cartwright

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.

Suggested Citation

  • Rachel Pruchno & Maureen Wilson-Genderson & Francine Cartwright, 2009. "Self-Rated Health and Depressive Symptoms in Patients With End-Stage Renal Disease and Their Spouses: A Longitudinal Dyadic Analysis of Late-Life Marriages," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 64(2), pages 212-221.
    • Handle: RePEc:oup:geronb:v:64b:y:2009:i:2:p:212-221
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    File URL: http://hdl.handle.net/10.1093/geronb/gbp006
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    Cited by:

    1. Varalak Srinonprasert & Panita Limpawattana & Manchumad Manjavong & Thunchanok Kuichanuan & Thitikorn Juntararuangtong & Kongpob Yongrattanakit, 2019. "Perspectives regarding what constitutes a “good death” among Thai nurses: A cross‐sectional study," Nursing & Health Sciences, John Wiley & Sons, vol. 21(4), pages 416-421, December.
    2. Peleg, Shira & Nudelman, Gabriel, 2021. "Associations between self-rated health and depressive symptoms among older adults: Does age matter?," Social Science & Medicine, Elsevier, vol. 280(C).
    3. Woojin Chung & Roeul Kim, 2014. "Does Marriage Really Matter to Health? Intra- and Inter-Country Evidence from China, Japan, Taiwan, and the Republic of Korea," PLOS ONE, Public Library of Science, vol. 9(8), pages 1-10, August.

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