Shared Risk Factors for Depressive Disorder Among Older Adult Couples in Koreaopen access
- Authors
- Han, Ji Won; Yang, Hee Won; Bae, Jong Bin; Oh, Dae Jong; Moon, Dong Gyu; Lim, Eunji; Shin, Jin; Kim, Bong Jo; Lee, Dong Woo; Kim, Jeong Lan; Jhoo, Jin Hyeong; Park, Joon Hyuk; Lee, Jung Jae; Kwak, Kyung Phil; Lee, Seok Bum; Moon, Seok Woo; Ryu, Seung-Ho; Kim, Shin Gyeom; Kim, Ki Woong
- Issue Date
- Apr-2023
- Publisher
- AMER MEDICAL ASSOC
- Citation
- JAMA NETWORK OPEN, v.6, no.4
- Journal Title
- JAMA NETWORK OPEN
- Volume
- 6
- Number
- 4
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/25491
- DOI
- 10.1001/jamanetworkopen.2023.8263
- ISSN
- 2574-3805
- Abstract
- IMPORTANCE Although couples may share many risk factors for depressive disorders in their lifetime, whether these factors mediate the shared risk of depressive disorders has rarely been investigated. OBJECTIVES To identify the shared risk factors for depressive disorder in couples and investigate their mediating roles in the shared risk of depressive disorders among older adult couples. DESIGN, SETTING, AND PARTICIPANTS This nationwide, multicenter, community-based cohort study assessed 956 older adults from the Korean Longitudinal Study on Cognitive Aging and Dementia (KLOSCAD) and a cohort of their spouses (KLOSCAD-S) between January 1, 2019, to February 28, 2021. EXPOSURES Depressive disorders of the KLOSCAD participants. MAIN OUTCOMES AND MEASURES The mediating roles of shared factors in couples on the association between one spouse's depressive disorder and the other's risk of depressive disorders was examined using structural equation modeling. RESULTS A total of 956 KLOSCAD participants (385 women [40.3%] and 571 men [59.7%]; mean [SD] age, 75.1 [5.0] years) and their spouses (571 women [59.7%] and 385 men [40.3%]; mean [SD] age, 73.9 [6.1] years) were included. The depressive disorders of the KLOSCAD participants were associated with an almost 4-fold higher risk of depressive disorders in their spouses in the KLOSCAD-S cohort (odds ratio, 3.89; 95% CI, 2.06-7.19; P<.001). Social-emotional support mediated the association between depressive disorders in the KLOSCAD participants and their spouses' risk of depressive disorders by itself (beta=0.012; 95% CI, 0.001-0.024; P=.04; mediation proportion [MP]=6.1%) and through chronic illness burden (beta=0.003; 95% CI, 0.000-0.006; P=.04; MP=1.5%). Chronic medical illness burden (beta=0.025; 95% CI, 0.001-0.050; P=.04; MP=12.6%) and presence of a cognitive disorder (beta=0.027; 95% CI, 0.003-0.051; P=.03; MP=13.6%) mediated the association. CONCLUSIONS AND RELEVANCE The risk factors shared by older adult couples may mediate approximately one-third of the spousal risk of depressive disorders. Identification of and intervention in the shared risk factors of depression among older adult couples may reduce the risk of depressive disorders in the spouses of older adults with depression.
- Files in This Item
- There are no files associated with this item.
- Appears in
Collections - College of Medicine > Department of Psychiatry > 1. Journal Articles
![qrcode](https://api.qrserver.com/v1/create-qr-code/?size=55x55&data=https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/25491)
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.