Pruchno Rachel, Wilson-Genderson Maureen, Cartwright Francine
New Jersey Institute for Successful Aging, University of Medicine and Dentistry of New Jersey, 42 East Laurel Road, Suite 2300, Stratford, NJ 08084, USA.
J Gerontol B Psychol Sci Soc Sci. 2009 Mar;64(2):212-21. doi: 10.1093/geronb/gbp006. Epub 2009 Mar 12.
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.
仅有有限的研究探讨了老年配偶自评健康状况的变化对夫妻双方抑郁症状产生影响的方式。利用多水平模型分析了来自315对老年夫妇的纵向数据，其中一方患有终末期肾病。结果表明，对于患者及其配偶而言，自身的平均自评健康状况与自身的抑郁症状相关，自评健康状况的变化与自身抑郁症状的变化呈显著负相关。患者的平均自评健康状况及其自评健康状况的变化均与配偶的抑郁症状呈负相关，患者自评健康状况的变化对配偶抑郁症状的影响比对配偶自身自评健康状况变化的影响更大。结果表明在婚姻关系背景下理解身心健康的重要性。
