Longitudinal associations between cognitive functioning and depressive symptoms among couples in the Mexican Health and Aging Study.
Longitudinal associations between cognitive functioning and depressive symptoms among couples in the Mexican Health and Aging Study.
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墨西哥健康与老龄化研究中夫妇认知功能与抑郁症状之间的纵向关联。
DOI：
10.1017/s1041610222000898
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发表时间：
2023
影响因子：
7
通讯作者：
Samper-Ternent,Rafael
中科院分区：
文献类型：
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作者：
Monin,JoanK;McAvay,Gail;Newkirk,Katie;Samper-Ternent,Rafael
目的探讨老年配偶的认知功能与抑郁症状之间的双向联系，并在墨西哥重复美国的研究结果。设计纵向、双元路径分析，采用行为者-伴侣相互依赖模型。设置数据来自最近的三次访谈波（2012，2015，and 2018）of the Mexican Health and Aging Study（MHAS），a longitudinal national study of adults against 50+ years in Mexico. MHAS认知成套测验测量认知功能。使用流行病学研究中心改良的9项抑郁量表评估抑郁症状。基线协变量包括年龄，教育，儿童数量，限制与任何日常生活活动，限制与任何工具的日常生活活动，和pain.ResultsAs假设，有显着的个体内协会，其中一个人自己的认知功能和自己的抑郁症状预测自己的后续认知功能和抑郁症状，分别。此外，一个人自己的认知功能预测了他们自己的抑郁症状，一个人自己的抑郁症状随着时间的推移预测了他们自己的认知功能。作为假设，有一个显着的合作伙伴协会，使一个人的抑郁症状预测更多的抑郁症状的partner.ConclusionFindings从这项研究的墨西哥老年夫妇复制的研究结果从研究的老年夫妇在美国，显示抑郁症状的一个合作伙伴预测抑郁症状的其他合作伙伴随着时间的推移;然而，没有证据表明随着时间的推移，认知抑郁症的伴侣之间存在联系。
ObjectiveTo examine the bidirectional associations between older adult spouses’ cognitive functioning and depressive symptoms over time and replicate previous findings from the United States (US) in Mexico.DesignLongitudinal, dyadic path analysis with the actor-partner interdependence model.SettingData were from the three most recent interview waves (2012, 2015, and 2018) of the Mexican Health and Aging Study (MHAS), a longitudinal national study of adults aged 50+ years in Mexico.ParticipantsHusbands and wives from 905 community-dwelling married couples (N = 1,810).MeasurementsThe MHAS cognitive battery measured cognitive function. Depressive symptoms were assessed using a modified nine-item Center for Epidemiologic Studies Depression Scale. Baseline covariates included age, education, number of children, limitation with any activity of daily living, limitation with any instrumental activity of daily living, and pain.ResultsAs hypothesized, there were significant within-individual associations in which one person’s own cognitive functioning and own depressive symptoms predicted their own follow-up cognitive functioning and depressive symptoms, respectively. In addition, a person’s own cognitive functioning predicted their own depressive symptoms, and a person’s own depressive symptoms predicted their own cognitive functioning over time. As hypothesized, there was a significant partner association such that one person’s depressive symptoms predicted more depressive symptoms in the partner.ConclusionFindings from this study of older Mexican couples replicates findings from studies of older couples in the US, showing that depressive symptoms in one partner predict depressive symptoms in the other partner over time; however, there was no evidence for cognition–depression partner associations over time.