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Article: Unmet needs and depression among spousal caregivers: the mediating role of marital satisfaction

TitleUnmet needs and depression among spousal caregivers: the mediating role of marital satisfaction
Authors
Keywordsdepression
marital satisfaction
spousal caregiver
Unmet needs
Issue Date30-Mar-2023
PublisherTaylor and Francis Group
Citation
Aging and Mental Health, 2023, v. 27, n. 10, p. 2027-2033 How to Cite?
Abstract

Objectives

Previous research has identified that unmet needs are associated with adverse mental health outcomes in older adults. However, the unmet needs of older adults’ spousal caregivers are unknown. The present study examined the association between unmet needs and depression among spousal caregivers, and whether marital satisfaction mediated this association.

Methods

We included 1,856 participants who provided care to their spouses with difficulties in activities of daily living (ADL) and instrumental activities of daily living (IADL) from the 2018 China Health and Retirement Longitudinal Survey. Unmet needs of spousal caregivers were assessed as the total number of ADL/IADL tasks with which respondents had unmet needs. Path models were conducted to evaluate the associations between unmet needs, marital satisfaction, and depression. Subgroup analyses by sex were conducted to examine the sex differences regarding the associations.

Results

Spousal caregivers with more unmet ADL/IADL needs reported higher levels of depression (p < 0.001). Additionally, for wife caregivers, unmet ADL/IADL needs were associated with lower marital satisfaction, and lower marital satisfaction was associated with higher degrees of depression, indicating that marital satisfaction partially mediated the association between unmet needs and depression (p < 0.01). However, marital satisfaction did not mediate the association between unmet needs and depression among husband caregivers.

Conclusions

The mediating effect of marital satisfaction on the association between unmet needs and depression only existed in wife caregivers. Social services should be provided to meet the needs of caregivers with ADL/IADL difficulties, and interventions should be implemented to promote the marital satisfaction of wife caregivers.


Persistent Identifierhttp://hdl.handle.net/10722/337017
ISSN
2023 Impact Factor: 2.8
2023 SCImago Journal Rankings: 1.403
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorZhao, XY-
dc.contributor.authorZhang, Q-
dc.contributor.authorXu, HH-
dc.contributor.authorLi, XX-
dc.contributor.authorLou, VWQ-
dc.contributor.authorLiu, HY-
dc.date.accessioned2024-03-11T10:17:25Z-
dc.date.available2024-03-11T10:17:25Z-
dc.date.issued2023-03-30-
dc.identifier.citationAging and Mental Health, 2023, v. 27, n. 10, p. 2027-2033-
dc.identifier.issn1360-7863-
dc.identifier.urihttp://hdl.handle.net/10722/337017-
dc.description.abstract<h3>Objectives</h3><p>Previous research has identified that unmet needs are associated with adverse mental health outcomes in older adults. However, the unmet needs of older adults’ spousal caregivers are unknown. The present study examined the association between unmet needs and depression among spousal caregivers, and whether marital satisfaction mediated this association.</p><h3>Methods</h3><p>We included 1,856 participants who provided care to their spouses with difficulties in activities of daily living (ADL) and instrumental activities of daily living (IADL) from the 2018 China Health and Retirement Longitudinal Survey. Unmet needs of spousal caregivers were assessed as the total number of ADL/IADL tasks with which respondents had unmet needs. Path models were conducted to evaluate the associations between unmet needs, marital satisfaction, and depression. Subgroup analyses by sex were conducted to examine the sex differences regarding the associations.</p><h3>Results</h3><p>Spousal caregivers with more unmet ADL/IADL needs reported higher levels of depression (<em>p</em> < 0.001). Additionally, for wife caregivers, unmet ADL/IADL needs were associated with lower marital satisfaction, and lower marital satisfaction was associated with higher degrees of depression, indicating that marital satisfaction partially mediated the association between unmet needs and depression (<em>p</em> < 0.01). However, marital satisfaction did not mediate the association between unmet needs and depression among husband caregivers.</p><h3>Conclusions</h3><p>The mediating effect of marital satisfaction on the association between unmet needs and depression only existed in wife caregivers. Social services should be provided to meet the needs of caregivers with ADL/IADL difficulties, and interventions should be implemented to promote the marital satisfaction of wife caregivers.</p>-
dc.languageeng-
dc.publisherTaylor and Francis Group-
dc.relation.ispartofAging and Mental Health-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.subjectdepression-
dc.subjectmarital satisfaction-
dc.subjectspousal caregiver-
dc.subjectUnmet needs-
dc.titleUnmet needs and depression among spousal caregivers: the mediating role of marital satisfaction-
dc.typeArticle-
dc.identifier.doi10.1080/13607863.2023.2194851-
dc.identifier.scopuseid_2-s2.0-85151383043-
dc.identifier.volume27-
dc.identifier.issue10-
dc.identifier.spage2027-
dc.identifier.epage2033-
dc.identifier.eissn1364-6915-
dc.identifier.isiWOS:000961217100001-
dc.identifier.issnl1360-7863-

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