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Individual-Level and Couple-Level Chronic Condition Discordance: Longitudinal Links to Perceived Control

Chronic condition discordance (i.e., the extent that two or more conditions have non-overlapping self-management requirements) has adverse mental health implications but little is known about mechanisms accounting for these links. We considered how chronic condition discordance at the individual lev...

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Autores principales: Polenick, Courtney, Birditt, Kira, Turkelson, Angela, Shattuck, Sadie, Kales, Helen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7741391/
http://dx.doi.org/10.1093/geroni/igaa057.2234
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author Polenick, Courtney
Birditt, Kira
Turkelson, Angela
Shattuck, Sadie
Kales, Helen
author_facet Polenick, Courtney
Birditt, Kira
Turkelson, Angela
Shattuck, Sadie
Kales, Helen
author_sort Polenick, Courtney
collection PubMed
description Chronic condition discordance (i.e., the extent that two or more conditions have non-overlapping self-management requirements) has adverse mental health implications but little is known about mechanisms accounting for these links. We considered how chronic condition discordance at the individual level and the couple level (i.e., between spouses) was associated with perceived control among 2,676 couples from three waves (2006, 2010, and 2014) of the Health and Retirement Study. Dyadic growth curve models revealed that when wives had greater individual-level discordance, they reported lower initial health-related control and personal mastery and steeper reductions in personal mastery. When husbands had greater individual-level discordance, they reported lower initial health-related control and faster declines in health-related control and personal mastery, and wives had faster declines in personal mastery. When there was greater couple-level discordance, wives reported lower initial health-related control. Targeting increases in perceived control among older couples managing complex conditions may be beneficial. Part of a symposium sponsored by Dyadic Research on Health and Illness Across the Adult Lifespan Interest Group.
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spelling pubmed-77413912020-12-21 Individual-Level and Couple-Level Chronic Condition Discordance: Longitudinal Links to Perceived Control Polenick, Courtney Birditt, Kira Turkelson, Angela Shattuck, Sadie Kales, Helen Innov Aging Abstracts Chronic condition discordance (i.e., the extent that two or more conditions have non-overlapping self-management requirements) has adverse mental health implications but little is known about mechanisms accounting for these links. We considered how chronic condition discordance at the individual level and the couple level (i.e., between spouses) was associated with perceived control among 2,676 couples from three waves (2006, 2010, and 2014) of the Health and Retirement Study. Dyadic growth curve models revealed that when wives had greater individual-level discordance, they reported lower initial health-related control and personal mastery and steeper reductions in personal mastery. When husbands had greater individual-level discordance, they reported lower initial health-related control and faster declines in health-related control and personal mastery, and wives had faster declines in personal mastery. When there was greater couple-level discordance, wives reported lower initial health-related control. Targeting increases in perceived control among older couples managing complex conditions may be beneficial. Part of a symposium sponsored by Dyadic Research on Health and Illness Across the Adult Lifespan Interest Group. Oxford University Press 2020-12-16 /pmc/articles/PMC7741391/ http://dx.doi.org/10.1093/geroni/igaa057.2234 Text en © The Author(s) 2020. Published by Oxford University Press on behalf of The Gerontological Society of America. http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Abstracts
Polenick, Courtney
Birditt, Kira
Turkelson, Angela
Shattuck, Sadie
Kales, Helen
Individual-Level and Couple-Level Chronic Condition Discordance: Longitudinal Links to Perceived Control
title Individual-Level and Couple-Level Chronic Condition Discordance: Longitudinal Links to Perceived Control
title_full Individual-Level and Couple-Level Chronic Condition Discordance: Longitudinal Links to Perceived Control
title_fullStr Individual-Level and Couple-Level Chronic Condition Discordance: Longitudinal Links to Perceived Control
title_full_unstemmed Individual-Level and Couple-Level Chronic Condition Discordance: Longitudinal Links to Perceived Control
title_short Individual-Level and Couple-Level Chronic Condition Discordance: Longitudinal Links to Perceived Control
title_sort individual-level and couple-level chronic condition discordance: longitudinal links to perceived control
topic Abstracts
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7741391/
http://dx.doi.org/10.1093/geroni/igaa057.2234
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