TY - JOUR
T1 - Depressive symptoms in spouse caregivers of dementia patients
T2 - A longitudinal study in South Korea
AU - Kim, Woorim
AU - Lee, Tae Hoon
AU - Shin, Jaeyong
AU - Park, Eun Cheol
N1 - Publisher Copyright:
© 2016 Japan Geriatrics Society
Copyright:
Copyright 2017 Elsevier B.V., All rights reserved.
PY - 2017/6
Y1 - 2017/6
N2 - Aim: To investigate the association between spouse cognitive status and depressive symptoms in cohabiting spouses, and to further analyze how participation in social network-enhancing activities interplays in the objected relationship. Methods: Data from the Korean Longitudinal Study of Aging, 2006–2012, were used. A total of 2782 male and 2515 female married participants currently cohabiting with their partners were included in the baseline. The association between spouse cognitive status and depressive symptoms, measured using the Center for Epidemiological Studies Depression scale, was investigated through the generalized estimating equation model. Results: When setting the participants living with spouses of normal cognitive function as reference, participants living with spouses having mild dementia (male β 0.7349, P ≤ 0.0001; female β 0.8042, P ≤ 0.0001), and moderate and severe dementia (male β 1.1504, P ≤ 0.0001; female β 1.2462, P ≤ 0.0006) showed higher depression scores in a dose–response relationship. Additionally, male and female subjects participating in social network facilitating activities had lower increases in depression scores than their non-participating counterparts. Conclusions: Spouse cognitive impairment is associated with increasing depression scores in cohabiting caregivers. Individuals not participating in social network-facilitating activities are more vulnerable to the negative mental health effects of spouse cognitive impairment. Hence, considering the increasing importance of late life depression and cognitive decline in aging societies, it is important to note the protective effects of social network and support in addressing the mental health of spouse caregivers. Geriatr Gerontol Int 2017; 17: 973–983.
AB - Aim: To investigate the association between spouse cognitive status and depressive symptoms in cohabiting spouses, and to further analyze how participation in social network-enhancing activities interplays in the objected relationship. Methods: Data from the Korean Longitudinal Study of Aging, 2006–2012, were used. A total of 2782 male and 2515 female married participants currently cohabiting with their partners were included in the baseline. The association between spouse cognitive status and depressive symptoms, measured using the Center for Epidemiological Studies Depression scale, was investigated through the generalized estimating equation model. Results: When setting the participants living with spouses of normal cognitive function as reference, participants living with spouses having mild dementia (male β 0.7349, P ≤ 0.0001; female β 0.8042, P ≤ 0.0001), and moderate and severe dementia (male β 1.1504, P ≤ 0.0001; female β 1.2462, P ≤ 0.0006) showed higher depression scores in a dose–response relationship. Additionally, male and female subjects participating in social network facilitating activities had lower increases in depression scores than their non-participating counterparts. Conclusions: Spouse cognitive impairment is associated with increasing depression scores in cohabiting caregivers. Individuals not participating in social network-facilitating activities are more vulnerable to the negative mental health effects of spouse cognitive impairment. Hence, considering the increasing importance of late life depression and cognitive decline in aging societies, it is important to note the protective effects of social network and support in addressing the mental health of spouse caregivers. Geriatr Gerontol Int 2017; 17: 973–983.
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U2 - 10.1111/ggi.12820
DO - 10.1111/ggi.12820
M3 - Article
C2 - 27302538
AN - SCOPUS:84978384057
VL - 17
SP - 973
EP - 983
JO - Geriatrics and Gerontology International
JF - Geriatrics and Gerontology International
SN - 1444-1586
IS - 6
ER -