丈夫和妻子的身体活动与抑郁症状：心血管健康研究的纵向研究结果
Husbands' and Wives' Physical Activity and Depressive Symptoms: Longitudinal Findings from the Cardiovascular Health Study.
作者信息
Monin Joan K, Levy Becca, Chen Baibing, Fried Terri, Stahl Sarah T, Schulz Richard, Doyle Margaret, Kershaw Trace
机构信息
Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT, USA,
出版信息
Ann Behav Med. 2015 Oct;49(5):704-14. doi: 10.1007/s12160-015-9705-4.
Abstract
BACKGROUND
When examining older adults' health behaviors and psychological health, it is important to consider the social context.
PURPOSE
The purpose of this study was to examine in older adult marriages whether each spouse's physical activity predicted changes in their own (actor effects) and their partner's (partner effects) depressive symptoms. Gender differences were also examined.
METHOD
Each spouse within 1260 married couples (at baseline) in the Cardiovascular Health Study completed self-report measures at wave 1 (1989-1990), wave 3 (1992-1993), and wave 7 (1996-1997). Dyadic path analyses were performed.
RESULTS
Husbands' physical activity significantly predicted own decreased depressive symptoms (actor effect). For both spouses, own physical activity did not significantly predict the spouse's depressive symptoms (partner effects). However, husbands' physical activity and depressive symptoms predicted wives' physical activity and depressive symptoms (partner effects), respectively. Depressive symptoms did not predict physical activity.
CONCLUSION
Findings suggest that husbands' physical activity is particularly influential for older married couples' psychological health.
摘要
背景
在研究老年人的健康行为和心理健康时，考虑社会背景很重要。
目的
本研究的目的是在老年婚姻中检验每位配偶的身体活动是否能预测其自身（主效应）以及其伴侣（伴侣效应）抑郁症状的变化。同时也研究了性别差异。
方法
心血管健康研究中1260对已婚夫妇（基线时）的每位配偶在第1波（1989 - 1990年）、第3波（1992 - 1993年）和第7波（1996 - 1997年）完成了自我报告测量。进行了二元路径分析。
结果
丈夫的身体活动显著预测了自身抑郁症状的减轻（主效应）。对于夫妻双方来说，自身的身体活动并未显著预测配偶的抑郁症状（伴侣效应）。然而，丈夫的身体活动和抑郁症状分别预测了妻子的身体活动和抑郁症状（伴侣效应）。抑郁症状并未预测身体活动。
结论
研究结果表明，丈夫的身体活动对老年已婚夫妇的心理健康尤其有影响。
相似文献
1
Husbands' and Wives' Physical Activity and Depressive Symptoms: Longitudinal Findings from the Cardiovascular Health Study.丈夫和妻子的身体活动与抑郁症状：心血管健康研究的纵向研究结果
Ann Behav Med. 2015 Oct;49(5):704-14. doi: 10.1007/s12160-015-9705-4.
2
Alcohol use, alcohol problems, and depressive symptomatology among newly married couples.新婚夫妇中的饮酒行为、酒精相关问题及抑郁症状
Drug Alcohol Depend. 2006 Jul 27;83(3):185-92. doi: 10.1016/j.drugalcdep.2005.10.017. Epub 2005 Dec 7.
3
Relationship Quality with Parents: Implications for Own and Partner Well-Being in Middle-Aged Couples.与父母的关系质量：对中年夫妇自身和伴侣幸福的影响。
Fam Process. 2018 Mar;57(1):253-268. doi: 10.1111/famp.12275. Epub 2016 Dec 22.
4
Spousal collaboration mediates the relation between self-rated health and depressive symptoms of Chinese older couples: an actor-partner interdependence approach.配偶协作中介了自评健康与中国老年夫妇抑郁症状之间的关系：一种演员-伙伴相互依赖方法。
BMC Geriatr. 2024 Mar 26;24(1):284. doi: 10.1186/s12877-024-04834-4.
5
The Significance of the Female Orgasm: A Nationally Representative, Dyadic Study of Newlyweds' Orgasm Experience.女性性高潮的意义：一项针对新婚夫妇性高潮体验的全国代表性对偶研究。
J Sex Med. 2018 Aug;15(8):1140-1148. doi: 10.1016/j.jsxm.2018.05.018. Epub 2018 Jun 28.
6
Marriage work in older couples: Disclosure of marital problems to spouses and friends over time.老年夫妇的婚姻问题：随着时间推移向配偶和朋友透露婚姻问题。
J Fam Psychol. 2015 Oct;29(5):732-43. doi: 10.1037/fam0000099. Epub 2015 Jun 1.
7
Relationship between infertility-related stress and resilience with posttraumatic growth in infertile couples: gender differences and dyadic interaction.不孕夫妇中与不孕相关的压力和心理弹性与创伤后成长的关系：性别差异及二元互动
Hum Reprod. 2021 Jun 18;36(7):1862-1870. doi: 10.1093/humrep/deab096.
8
Honey, Do I Look Fat? Perceptions of Spouses' Weight and Weight Concerns Predict Marital Relationship Quality.亲爱的，我看起来胖吗？配偶对体重的看法和体重担忧预示着婚姻关系质量。
J Soc Pers Relat. 2020 Mar;37(3):865-884. doi: 10.1177/0265407519880961. Epub 2019 Oct 15.
9
The association between relationship strain and emotional well-being among older adult couples: the moderating role of social connectedness.老年夫妇关系紧张与情感健康的关系：社会联系的调节作用。
Aging Ment Health. 2022 Jun;26(6):1198-1206. doi: 10.1080/13607863.2021.1910786. Epub 2021 Apr 19.
10
The Spillover Effects of the Spouse's Retirement on Depression: Evidence From Chinese Middle-Aged and Older Adult Couples.配偶退休对抑郁的溢出效应：来自中国中老年夫妻的证据。
J Gerontol B Psychol Sci Soc Sci. 2024 Apr 1;79(4). doi: 10.1093/geronb/gbad191.
引用本文的文献
1
Depressive Symptoms and Associated Factors Among Middle-Aged and Older Patients with Chronic Kidney Disease: Gender Differences Based on a Health Ecological Model.慢性肾脏病中老年患者的抑郁症状及相关因素：基于健康生态模型的性别差异
Healthcare (Basel). 2025 Aug 9;13(16):1951. doi: 10.3390/healthcare13161951.
2
A Comparative Analysis of Stress Relief, Life Satisfaction, and Quality of Life Based on Marriage Status and Gender Among Members of Society Participating in Exercise.基于婚姻状况和性别对参与锻炼的社会成员的压力缓解、生活满意度和生活质量的比较分析
Behav Sci (Basel). 2025 Apr 1;15(4):453. doi: 10.3390/bs15040453.
3
Perceived Barriers to Healthy Lifestyle Adherence and Associated Factors Among Patients with Type 2 Diabetes Mellitus: Implications for Improved Self-Care.2型糖尿病患者健康生活方式坚持的感知障碍及相关因素：对改善自我护理的启示
Patient Prefer Adherence. 2024 Dec 4;18:2425-2439. doi: 10.2147/PPA.S432806. eCollection 2024.
4
Analysis of depression incidence and influence factors among middle-aged and elderly diabetic patients in China: based on CHARLS data.中国中老年糖尿病患者抑郁发生率及影响因素分析：基于 CHARLS 数据。
BMC Psychiatry. 2024 Feb 21;24(1):146. doi: 10.1186/s12888-023-05473-6.
5
Association between behavioral patterns and depression symptoms: dyadic interaction between couples.行为模式与抑郁症状之间的关联：夫妻间的二元互动
Front Psychiatry. 2023 Nov 16;14:1242611. doi: 10.3389/fpsyt.2023.1242611. eCollection 2023.
6
Effect of Life Satisfaction on Depression among Childless Married Couples: A Cross-Sectional Study.生活满意度对已婚无子夫妇抑郁的影响：一项横断面研究。
Int J Environ Res Public Health. 2022 Feb 12;19(4):2055. doi: 10.3390/ijerph19042055.
7
The Interaction between Exercise and Marital Status on Depression: A Cross-Sectional Study of the Taiwan Biobank.运动与婚姻状况对抑郁的交互作用：对台湾生物银行的一项横断面研究。
Int J Environ Res Public Health. 2022 Feb 8;19(3):1876. doi: 10.3390/ijerph19031876.
8
A Longitudinal Observational Study of Multimorbidity and Partner Support for Physical Activity Among People with Osteoarthritis.一项关于骨关节炎患者多病共存和伴侣对体力活动支持的纵向观察研究。
Int J Behav Med. 2021 Dec;28(6):746-758. doi: 10.1007/s12529-021-09985-x. Epub 2021 Apr 2.
9
Longitudinal Associations Between Cognitive Functioning and Depressive Symptoms Among Older Adult Spouses in the Cardiovascular Health Study.认知功能与心血管健康研究中老年配偶抑郁症状之间的纵向关联。
Am J Geriatr Psychiatry. 2018 Oct;26(10):1036-1046. doi: 10.1016/j.jagp.2018.06.010. Epub 2018 Jul 3.
10
Intentions to share exome sequencing results with family members: exploring spousal beliefs and attitudes.向家庭成员分享外显子组测序结果的意愿：探索配偶的信念和态度。
Eur J Hum Genet. 2018 May;26(5):735-739. doi: 10.1038/s41431-018-0118-2. Epub 2018 Feb 23.
本文引用的文献
1
The influence of partner's behavior on health behavior change: the English Longitudinal Study of Ageing.伴侣行为对健康行为改变的影响：英国老龄化纵向研究。
JAMA Intern Med. 2015 Mar;175(3):385-92. doi: 10.1001/jamainternmed.2014.7554.
2
A physical activity intervention to treat the frailty syndrome in older persons-results from the LIFE-P study.一项针对老年人虚弱综合征的身体活动干预措施——来自 LIFE-P 研究的结果。
J Gerontol A Biol Sci Med Sci. 2015 Feb;70(2):216-22. doi: 10.1093/gerona/glu099. Epub 2014 Nov 11.
3
A dyadic and longitudinal investigation of adjustment in couples coping with multiple sclerosis.一项关于应对多发性硬化症的夫妻调适的二元纵向研究。
Ann Behav Med. 2015 Feb;49(1):74-83. doi: 10.1007/s12160-014-9633-8.
4
Spousal social support and strain: impacts on health in older couples.配偶的社会支持与压力：对老年夫妇健康的影响
J Behav Med. 2014 Dec;37(6):1108-17. doi: 10.1007/s10865-014-9561-x. Epub 2014 Mar 13.
5
Is spousal caregiving associated with enhanced well-being? New evidence from the panel study of income dynamics.配偶护理与幸福感增强有关吗？来自收入动态面板研究的新证据。
J Gerontol B Psychol Sci Soc Sci. 2014 Nov;69(6):861-9. doi: 10.1093/geronb/gbu004. Epub 2014 Feb 5.
6
Concordance of physical activity trajectories among middle-aged and older married couples: impact of diseases and functional difficulties.中年和老年已婚夫妇身体活动轨迹的一致性：疾病和功能障碍的影响。
J Gerontol B Psychol Sci Soc Sci. 2013 Sep;68(5):794-806. doi: 10.1093/geronb/gbt068. Epub 2013 Jul 20.
7
Objectively measured light and moderate-to-vigorous physical activity is associated with lower depression levels among older US adults.客观测量的光照和中高强度体力活动与美国老年人较低的抑郁水平有关。
Aging Ment Health. 2013;17(7):801-5. doi: 10.1080/13607863.2013.801066. Epub 2013 Jun 3.
8
Barriers to physical activity in older adults in Germany: a cross-sectional study.中老年人身体活动障碍的德国研究：一项横断面研究。
Int J Behav Nutr Phys Act. 2011 Nov 2;8:121. doi: 10.1186/1479-5868-8-121.
9
Spousal associations between functional limitation and depressive symptom trajectories: Longitudinal findings from the study of Asset and Health Dynamics Among the Oldest Old (AHEAD).配偶间功能障碍与抑郁症状轨迹的关联：来自老年人资产与健康动态研究（AHEAD）的纵向发现。
Health Psychol. 2011 Mar;30(2):153-62. doi: 10.1037/a0022094.
10
Review and meta-analysis of couple-oriented interventions for chronic illness.面向夫妻的慢性病干预措施的回顾和荟萃分析。
Ann Behav Med. 2010 Dec;40(3):325-42. doi: 10.1007/s12160-010-9216-2.
Zotero 插件