title: Depressive symptoms and marital satisfaction in the context of chronic disease: a longitudinal dyadic analysis.
abstract: These analyses examined the longitudinal relationships between depressive symptoms and marital satisfaction over a 2-year period as experienced by 315 patients with end-stage renal disease and their spouses. Using multilevel modeling, the authors examined both individual and cross-partner effects of depressive symptoms and marital satisfaction on patients and spouses, testing bidirectional causality. Results indicate that mean and time-varying depressive symptoms of both patients and spouses were associated with their own marital satisfaction. Although mean marital satisfaction was associated with own depressive symptoms for both patients and spouses, time-varying marital satisfaction did not affect depressive symptoms for either patients or spouses. Significant cross-partner effects reveal that both mean enduring and time-varying depressive symptoms of the spouse affected marital satisfaction of the patient. Findings highlight the complex nature of the relationship between depressive symptoms and marital satisfaction in late-life couples.
authors.affiliation: New Jersey Institute for Successful Aging, School of Osteopathic Medicine, University of Medicine and Dentistry of New Jersey, 42 E. Laurel Road, Stratford, NJ 08084, USA. pruchnra@umdnj.edu
authors.forename: Rachel
authors.initials: R
authors.lastname: Pruchno
authors.forename: Maureen
authors.initials: M
authors.lastname: Wilson-Genderson
authors.forename: Francine P
authors.initials: FP
authors.lastname: Cartwright
mesh_terms: D000368:Aged; D003863:Depression / Q000175:diagnosis / Q000523:psychology*; D054541:Family Conflict / Q000523:psychology*; D005260:Female; D006801:Humans; D007406:Interview, Psychological; D007676:Kidney Failure, Chronic / Q000523:psychology*; D007677:Kidney Function Tests; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D010549:Personal Satisfaction; D011788:Quality of Life / Q000523:psychology; D006435:Renal Dialysis / Q000523:psychology
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