title: The impact of age differences in couples on depressive symptoms: evidence from the Korean longitudinal study of aging (2006-2012).
abstract: BACKGROUND
  Depression represents one of the most common psychiatric disorders among older adults. Married couples are affected frequently, and psychiatric problems usually affect marital satisfaction. Despite the frequency of such relationships, it appears that very few studies have examined the issues that arise in couples of this type of marriage. Therefore, we investigate whether age differences between couples affect extent of depressive symptoms among older adults.
  
  
  METHODS
  Our analysis included 2,881 couples (i.e., 2,881 households) at least 45 years of age at baseline (2006), in addition to 3,033 couples in 2008, 2,772 couples in 2010, and 2,711 couples in 2012. A generalized linear mixed model was used for the data analysis.
  
  
  RESULTS
  When the age difference between husbands and wives was 3 years or less, the estimated severity of depressive symptoms was 0.309 higher (SE = 0.084, p = 0.000) than that of same-aged couples. When the age gap was 3 years or more, the estimated severity of depressive symptoms was 0.645 higher (SE = 0.109, p < .0001) than that of same-aged couples. For every 1-2 years extra in age difference between wives and husbands, the estimated severity of depressive symptoms increased by 0.194 (SE = 0.082, p = 0.018), compared with same-aged couples.
  
  
  CONCLUSIONS
  Age differences between husbands and wives impact their relationship, including any particular marital issues encountered.
authors: Department of Public Health, Graduate School, Yonsei University, Seoul, Republic of Korea. kjh0930@yuhs.ac.|Institute of Health Services Research, Yonsei University, Seoul, Republic of Korea. kjh0930@yuhs.ac.
authors: Jae-Hyun
authors: JH
authors: Kim
authors: Institute of Health Services Research, Yonsei University, Seoul, Republic of Korea. ecpark@yuhs.ac.|Department of Preventive Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea. ecpark@yuhs.ac.
authors: Eun-Cheol
authors: EC
authors: Park
authors: Institute of Health Services Research, Yonsei University, Seoul, Republic of Korea. leevan@yuhs.ac.|Department of Hospital management, Graduate School of Public Health, Yonsei University, Seoul, Republic of Korea. leevan@yuhs.ac.
authors: Sang Gyu
authors: SG
authors: Lee
mesh_terms: D000367:Age Factors; D000368:Aged; D000375:Aging / Q000523:psychology; D003866:Depressive Disorder / Q000453:epidemiology* / Q000523:psychology*; D005260:Female; D006801:Humans; D007723:Korea / Q000453:epidemiology; D008137:Longitudinal Studies; D008297:Male; D008393:Marriage / Q000523:psychology / Q000706:statistics & numerical data; D008875:Middle Aged; D010549:Personal Satisfaction; D012720:Severity of Illness Index; D018454:Spouses / Q000523:psychology* / Q000706:statistics & numerical data*
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