ArticleThe journals of gerontology. Series B, Psychological sciences and social sciences2021
Discordant Chronic Conditions and Depressive Symptoms: Longitudinal Associations Among Middle-Aged and Older Couples.
Article in The journals of gerontology. Series B, Psychological sciences and social sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
What it found
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Who cites it
9 citing papers in PubMed, 17 citations in OpenAlex.
- A Tale of Two Societies: Social Engagement, Marital Satisfaction, and Depressive Symptoms Among Couples in Rural and Urban China.The journals of gerontology. Series B, Psychological sciences and social sciences · 2025Article
- In it Together: Relationship Transitions and Couple Concordance in Health and Well-Being.Personality & social psychology bulletin · 2025Article
- Depressive symptoms and all-cause mortality among middle-aged and older people in China and associations with chronic diseases.Frontiers in public health · 2024Article
- New Opportunities for Advancing Dyadic Health Science in Gerontology.The Gerontologist · 2024Article
- Longitudinal associations between chronic condition discordance and perceived control among older couples.Psychology and aging · 2022Article
- Depressive symptoms in older adult couples: Associations with dyadic physical health, social engagement, and close friends.Frontiers in psychiatry · 2022Article
- Innovative Strategies to Facilitate Patient-Centered Research in Multiple Chronic Conditions.Journal of clinical medicine · 2021Review
- Chronic condition discordance and physical activity among midlife and older couples.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2021Article
- Individual-Level and Couple-Level Discordant Chronic Conditions: Longitudinal Links to Functional Disability.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2020Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
objectivesIndividuals often manage chronic conditions in middle and later life that may diminish well-being. Little is known, however, about discordant conditions (i.e., two or more conditions with competing self-management requirements) among older couples and their links to depressive symptoms. We considered discordant conditions at both the individual level and the couple level (i.e., between spouses), along with their long-term implications for depressive symptoms.
methodsThe U.S. sample included 1,116 middle-aged and older couples drawn from five waves (2006-2014) of the Health and Retirement Study. Longitudinal actor-partner interdependence models evaluated whether individual-level and couple-level discordant chronic health conditions were concurrently linked to depressive symptoms, and whether these associations became stronger over time. Models controlled for age, minority status, education, prior wave depressive symptoms, and each partner's baseline report of negative marital quality and number of chronic conditions in each wave.
resultsWives and husbands reported significantly greater depressive symptoms when they had individual-level discordant conditions about 2 years after baseline, and these links intensified over time. Beyond this association, husbands had significantly greater depressive symptoms when there were couple-level discordant conditions. DISCUSSION: Individual-level and couple-level discordant conditions may have lasting implications for depressive symptoms during midlife and older adulthood.
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Registered trials
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