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Spousal Associations Between Frailty and Depressive Symptoms: Longitudinal Findings from the Cardiovascular Health Study.
Wednesday,2016-08-17 16:33 America/Los_Angeles — zdrager
| Title | Spousal Associations Between Frailty and Depressive Symptoms: Longitudinal Findings from the Cardiovascular Health Study. |
| Publication Type | Journal Article |
| Year of Publication | 2016 |
| Authors | Monin, J, Doyle, M, Levy, B, Schulz, R, Fried, T, Kershaw, T |
| Journal | J Am Geriatr Soc |
| Volume | 64 |
| Issue | 4 |
| Pagination | 824-30 |
| Date Published | 2016 Apr |
| ISSN | 1532-5415 |
| Keywords | Aged, Aged, 80 and over, Cardiovascular Diseases, Depression, Female, Frail Elderly, Humans, Longitudinal Studies, Male, Risk Factors, Spouses, United States |
| Abstract | <p><b>OBJECTIVES: </b>To determine whether older adult spouses' frailty states and depressive symptoms are interrelated over time.</p><p><b>DESIGN: </b>Longitudinal, dyadic path analysis using the Actor-Partner Interdependence Model.</p><p><b>SETTING: </b>Data were from baseline (1989-90), Wave 3 (1992-93), and Wave 7 (1996-97), all waves in which frailty and depressive symptoms were measured, of the Cardiovascular Health Study (CHS), a multisite, longitudinal, observational study of risk factors for cardiovascular disease in adults aged 65 and older.</p><p><b>PARTICIPANTS: </b>Spouses in 1,260 community-dwelling married couples.</p><p><b>MEASUREMENTS: </b>Frailty was measured using the CHS criteria, categorized as nonfrail, prefrail, or frail. Depressive symptoms were measured using the 10-item Center for Epidemiologic Studies Depression Scale.</p><p><b>RESULTS: </b>Within individuals (actor effects), greater frailty predicted greater subsequent depressive symptoms, and greater depressive symptoms predicted greater subsequent frailty. Between spouses (partner effects), an individual's greater frailty predicted the spouse's greater frailty, and an individual's greater depressive symptoms predicted the spouse's greater depressive symptoms.</p><p><b>CONCLUSION: </b>Frailty and depressive symptoms are interrelated in older adult spouses. For older couples, interventions to prevent or treat frailty and depression that focus on couples may be more effective than those that focus on individuals.</p> |
| DOI | 10.1111/jgs.14023 |
| Alternate Journal | J Am Geriatr Soc |
| PubMed ID | 27100578 |
| PubMed Central ID | PMC4900179 |
| Grant List | AG023629 / AG / NIA NIH HHS / United States HHSN268200800007C / / PHS HHS / United States HHSN268201200036C / / PHS HHS / United States HL080295 / HL / NHLBI NIH HHS / United States K01 AG042450 / AG / NIA NIH HHS / United States K01 AG042450-01A1 / AG / NIA NIH HHS / United States N01 HC55222 / HC / NHLBI NIH HHS / United States N01HC85079 / HC / NHLBI NIH HHS / United States N01HC85080 / HC / NHLBI NIH HHS / United States N01HC85081 / HC / NHLBI NIH HHS / United States N01HC85082 / HC / NHLBI NIH HHS / United States N01HC85083 / HC / NHLBI NIH HHS / United States N01HC85086 / HC / NHLBI NIH HHS / United States P30AG021342 / AG / NIA NIH HHS / United States R01AG032284 / AG / NIA NIH HHS / United States R01HL089314 / HL / NHLBI NIH HHS / United States |