Activity Restriction and Depressive Symptoms in Older Couples

Objective: The present study aimed to clarify the circumstances under which activity restriction (AR) is associated with depressive symptoms among patients with osteoarthritis (OA) and their spouses. Method: A total of 220 older adults with OA and their caregiving spouses participated in the study. The actor–partner interdependence model (APIM) was used to examine the associations between AR stemming from patients’ OA and the depressive symptoms of patients and spouses. The potential moderating role of marital satisfaction also was examined. Results: After accounting for pain severity, health, and life stress of both patients with OA and spouses, higher AR was associated with more depressive symptoms for both patients and spouses. In regard to partner effects, patients whose spouse had higher AR reported more depressive symptoms. In addition, the association of spouses’ and patients’ AR and their own depressive symptoms was moderated by their marital satisfaction. For both patients and spouses, the associ...