Spousal concordance in adverse childhood experiences and the association with depressive symptoms in middle-aged and older adults: findings across China, the US, and Europe
BackgroundAdverse childhood experiences (ACEs) are associated with higher depressive risks in adulthood. Whether respondents’ ACEs are associated with their own depressive symptoms in adulthood and whether this association extends to their spouses’ depressive symptoms remain unexplored.MethodsData w...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-06-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1158590/full |
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| author | Weidi Sun Ziyang Ren Ziyang Ren Ziyang Ren Siyu Zhu Siqing Cheng Siqing Cheng Wen Liu Ho Cheung William Li Wei Xia Changzheng Yuan Changzheng Yuan Davies Adeloye Igor Rudan Dexter Canoy Dexter Canoy Dexter Canoy Peige Song |
| author_facet | Weidi Sun Ziyang Ren Ziyang Ren Ziyang Ren Siyu Zhu Siqing Cheng Siqing Cheng Wen Liu Ho Cheung William Li Wei Xia Changzheng Yuan Changzheng Yuan Davies Adeloye Igor Rudan Dexter Canoy Dexter Canoy Dexter Canoy Peige Song |
| author_sort | Weidi Sun |
| collection | DOAJ |
| description | BackgroundAdverse childhood experiences (ACEs) are associated with higher depressive risks in adulthood. Whether respondents’ ACEs are associated with their own depressive symptoms in adulthood and whether this association extends to their spouses’ depressive symptoms remain unexplored.MethodsData were from China Health and Retirement Longitudinal Study (CHARLS), the Health and Retirement Study (HRS), and the Survey of Health, Ageing and Retirement in Europe (SHARE). ACEs were categorized into overall, intra-familial, and extra-familial ACEs. Correlations of couples’ ACEs were calculated using Cramer’s V and partial Spearman’s correlation. Associations of respondents’ ACEs with spousal depressive symptoms were assessed using logistic regression, and mediation analyses were conducted to explore the mediating role of respondents’ depressive symptoms.ResultsSignificant associations between husbands’ ACEs and wives’ depressive symptoms, with odds ratios (ORs) and 95% confidence intervals (CIs) of 2.09 (1.36–3.22) for 4 or more ACEs in CHARLS, and 1.25 (1.06–1.48) and 1.38 (1.06–1.79) for 2 or more ACEs in HRS and SHARE. However, wives’ ACEs were associated with husbands’ depressive symptoms only in CHARLS and SHARE. Findings in intra-familial and extra-familial ACEs were consistent with our main results. Additionally, respondents’ depressive symptoms mediated more than 20% of the effect of respondents’ ACEs on spousal depressive symptoms.ConclusionWe found that ACEs were significantly correlated between couples. Respondents’ ACEs were associated with spousal depressive symptoms, with respondents’ depressive symptoms mediating the association. The bidirectional implications of ACEs on depressive symptoms should be considered within household and effective interventions are warranted. |
| first_indexed | 2024-03-13T05:52:50Z |
| format | Article |
| id | doaj.art-5bd802a9ba3d478fa252878db4f98ceb |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-03-13T05:52:50Z |
| publishDate | 2023-06-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Public Health |
| spelling | doaj.art-5bd802a9ba3d478fa252878db4f98ceb2023-06-13T10:17:25ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-06-011110.3389/fpubh.2023.11585901158590Spousal concordance in adverse childhood experiences and the association with depressive symptoms in middle-aged and older adults: findings across China, the US, and EuropeWeidi Sun0Ziyang Ren1Ziyang Ren2Ziyang Ren3Siyu Zhu4Siqing Cheng5Siqing Cheng6Wen Liu7Ho Cheung William Li8Wei Xia9Changzheng Yuan10Changzheng Yuan11Davies Adeloye12Igor Rudan13Dexter Canoy14Dexter Canoy15Dexter Canoy16Peige Song17School of Public Health and Women’s Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, ChinaSchool of Public Health and Women’s Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, ChinaInstitute of Reproductive and Child Health/Key Laboratory of Reproductive Health, National Health Commission of the People’s Republic of China, Peking University, Beijing, ChinaDepartment of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing, ChinaSchool of Public Health and Women’s Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, ChinaSchool of Public Health and Women’s Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, ChinaDepartment of Orthopedic Surgery, The Fourth Affiliated Hospital, International 16 Institutes of Medicine, Zhejiang University School of Medicine, Hangzhou, Zhejiang, ChinaSchool of Public Health and Women’s Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, ChinaNethersole School of Nursing, The Chinese University of Hong Kong, Shatin, New Territories, Hong Kong, ChinaSchool of Nursing, Sun Yat-Sen University, Guangzhou, ChinaSchool of Public Health, Zhejiang University School of Medicine, Hangzhou, Zhejiang, ChinaDepartment of Nutrition, Harvard T. H. Chan School of Public Health, Boston, MA, United StatesCentre for Global Health Research, Usher Institute of Population Health Sciences and Informatics, University of Edinburgh, Edinburgh, United KingdomCentre for Global Health Research, Usher Institute of Population Health Sciences and Informatics, University of Edinburgh, Edinburgh, United Kingdom0Deep Medicine, Oxford Martin School, University of Oxford, Oxford, United Kingdom1Nuffield Department of Women’s and Reproductive Health, Medical Science Division, University of Oxford, Oxford, United Kingdom2NIHR Oxford Biomedical Research Centre, Oxford University Hospitals NHS Foundation Trust, Oxford, United KingdomSchool of Public Health and Women’s Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, ChinaBackgroundAdverse childhood experiences (ACEs) are associated with higher depressive risks in adulthood. Whether respondents’ ACEs are associated with their own depressive symptoms in adulthood and whether this association extends to their spouses’ depressive symptoms remain unexplored.MethodsData were from China Health and Retirement Longitudinal Study (CHARLS), the Health and Retirement Study (HRS), and the Survey of Health, Ageing and Retirement in Europe (SHARE). ACEs were categorized into overall, intra-familial, and extra-familial ACEs. Correlations of couples’ ACEs were calculated using Cramer’s V and partial Spearman’s correlation. Associations of respondents’ ACEs with spousal depressive symptoms were assessed using logistic regression, and mediation analyses were conducted to explore the mediating role of respondents’ depressive symptoms.ResultsSignificant associations between husbands’ ACEs and wives’ depressive symptoms, with odds ratios (ORs) and 95% confidence intervals (CIs) of 2.09 (1.36–3.22) for 4 or more ACEs in CHARLS, and 1.25 (1.06–1.48) and 1.38 (1.06–1.79) for 2 or more ACEs in HRS and SHARE. However, wives’ ACEs were associated with husbands’ depressive symptoms only in CHARLS and SHARE. Findings in intra-familial and extra-familial ACEs were consistent with our main results. Additionally, respondents’ depressive symptoms mediated more than 20% of the effect of respondents’ ACEs on spousal depressive symptoms.ConclusionWe found that ACEs were significantly correlated between couples. Respondents’ ACEs were associated with spousal depressive symptoms, with respondents’ depressive symptoms mediating the association. The bidirectional implications of ACEs on depressive symptoms should be considered within household and effective interventions are warranted.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1158590/fullintra-familiar ACEsextra-familiar ACEsspousal concordancedepressive symptomsmiddle-aged and older |
| spellingShingle | Weidi Sun Ziyang Ren Ziyang Ren Ziyang Ren Siyu Zhu Siqing Cheng Siqing Cheng Wen Liu Ho Cheung William Li Wei Xia Changzheng Yuan Changzheng Yuan Davies Adeloye Igor Rudan Dexter Canoy Dexter Canoy Dexter Canoy Peige Song Spousal concordance in adverse childhood experiences and the association with depressive symptoms in middle-aged and older adults: findings across China, the US, and Europe Frontiers in Public Health intra-familiar ACEs extra-familiar ACEs spousal concordance depressive symptoms middle-aged and older |
| title | Spousal concordance in adverse childhood experiences and the association with depressive symptoms in middle-aged and older adults: findings across China, the US, and Europe |
| title_full | Spousal concordance in adverse childhood experiences and the association with depressive symptoms in middle-aged and older adults: findings across China, the US, and Europe |
| title_fullStr | Spousal concordance in adverse childhood experiences and the association with depressive symptoms in middle-aged and older adults: findings across China, the US, and Europe |
| title_full_unstemmed | Spousal concordance in adverse childhood experiences and the association with depressive symptoms in middle-aged and older adults: findings across China, the US, and Europe |
| title_short | Spousal concordance in adverse childhood experiences and the association with depressive symptoms in middle-aged and older adults: findings across China, the US, and Europe |
| title_sort | spousal concordance in adverse childhood experiences and the association with depressive symptoms in middle aged and older adults findings across china the us and europe |
| topic | intra-familiar ACEs extra-familiar ACEs spousal concordance depressive symptoms middle-aged and older |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1158590/full |
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