Actor-partner interdependence between depressive symptoms, social participation, and comorbidities among older couples in China: based on data from China Health and Retirement Longitudinal Study
10.3760/cma.j.cn115682-20240612-03295
- VernacularTitle:中国老年夫妻抑郁症状与社会参与、共病的主客体互倚关系研究：基于中国健康与养老追踪调查数据
- Author:
Fei LIU
1
;
Haiping LUO
;
Yuting HUANG
;
Xiaoping ZHU
Author Information
1. 同济大学附属第十人民医院骨科，上海 200072
- Keywords:
Aged;
Depression;
Social participation;
Comorbidity;
Actor-partner interdependence model
- From:
Chinese Journal of Modern Nursing
2024;30(28):3846-3851
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the actor-partner interdependence between depressive symptoms and social participation, comorbidity in older couples in China, so as to provide new directions for depression intervention in older adults.Methods:A total of 4 346 older adults (2 173 older couples) were included using data from the 2020 China Health and Retirement Longitudinal Study (CHARLS). Spearman correlation was used to analyze the correlation between social participation, comorbidities, and depressive symptoms among older couples in China. AMOS software was used to establish an actor-partner interdependence model of depressive symptoms and social participation, comorbidities in older couples in China, and to analyze the actor-partner effects of social participation and comorbidities on depressive symptoms in older adults and their spouses.Results:The detection rate of depressive symptoms among 4 346 older adults was 38.66% (1 680/4 346), and the depressive symptom score of wives was higher than that of husbands ( Z=15.445, P<0.01). The analysis of the actor-partner interdependence model showed that the social participation and comorbidity of wives and husbands had a actor effect on their own depressive symptoms ( β=-0.097, P<0.01; β=0.275, P<0.01; β=-0.070, P<0.01; β=0.282, P<0.01), and the social participation of wives and husbands had a partner effect on their spouse's depressive symptoms ( β=-0.054, P<0.01; β=-0.054, P<0.01), and the comorbidity of husband had a partner effect on his wife's depressive symptoms ( β=0.057, P<0.01) . Conclusions:The dualistic interaction effects of actor-partner exist in the depressive symptoms, social participation, and comorbidities of older couples in China. Medical and nursing staff should pay attention to the dual effects of "patient-family caregiver" when intervening in depression and chronic diseases, and focus on the depressive symptoms of older women.
