Perceived partner responsiveness alters the association between marital distress and well-being in dementia spousal caregivers

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dc.citation.articleNumber100271en_US
dc.citation.journalTitleComprehensive Psychoneuroendocrinologyen_US
dc.citation.volumeNumber20en_US
dc.contributor.authorLai, Vincent D.en_US
dc.contributor.authorPaoletti-Hatcher, Jensineen_US
dc.contributor.authorWu-Chung, E. Lydiaen_US
dc.contributor.authorMahant, Iteeen_US
dc.contributor.authorArgueta, Daniel L.en_US
dc.contributor.authorBrice, Kelly N.en_US
dc.contributor.authorDenny, Bryan T.en_US
dc.contributor.authorGreen, Charlesen_US
dc.contributor.authorMedina, Luis D.en_US
dc.contributor.authorSchulz, Paul E.en_US
dc.contributor.authorStinson, Jennifer M.en_US
dc.contributor.authorHeijnen, Cobi J.en_US
dc.contributor.authorFagundes, Christopher P.en_US
dc.date.accessioned2024-11-20T15:52:01Zen_US
dc.date.available2024-11-20T15:52:01Zen_US
dc.date.issued2024en_US
dc.description.abstractCaregivers for spouses with Alzheimer's disease and related dementias (ADRD) experience drastic changes in the marital relationship that may put them at risk for worsening well-being. Perceived partner responsiveness, or feeling cared for, understood, and appreciated by one's spouse, may help mitigate these effects. In this study, we investigated the associations between marital distress, perceived partner responsiveness, and psychological and physiological well-being indicators among ADRD spousal caregivers. Method A sample of 161 caregivers provided blood samples and completed self-report measures of marital distress, perceived partner responsiveness, and depressive symptoms. We tested hypotheses in our sample cross-sectionally based on two theoretical frameworks. Results Testing the marital discord model of depression, caregivers who reported greater marital distress also reported more depressive symptoms, and this association was stronger as participants reported lower perceived partner responsiveness. Caregivers who reported greater marital distress exhibited elevated proinflammatory cytokine production by in vitro lipopolysaccharide (LPS)-stimulated peripheral blood leukocytes at low levels of perceived partner responsiveness, but not mean or high levels. Testing the vulnerability-stress-adaptation model, caregivers who reported more depressive symptoms also reported greater marital distress. Further, caregivers who exhibited elevated LPS-stimulated proinflammatory cytokine production reported greater marital distress at mean and high levels of perceived partner responsiveness, but not low levels. These patterns of results held even when accounting for the dementia stage and reported hours of caregiving per day. Discussion This study's findings contribute to the body of research examining interpersonal factors that shape health and well-being among the caregiver population.en_US
dc.identifier.citationLai, V. D., Paoletti-Hatcher, J., Wu-Chung, E. L., Mahant, I., Argueta, D. L., Brice, K. N., Denny, B. T., Green, C., Medina, L. D., Schulz, P. E., Stinson, J. M., Heijnen, C. J., & Fagundes, C. P. (2024). Perceived partner responsiveness alters the association between marital distress and well-being in dementia spousal caregivers. Comprehensive Psychoneuroendocrinology, 20, 100271. https://doi.org/10.1016/j.cpnec.2024.100271en_US
dc.identifier.digital1-s2-0-S266649762400047X-mainen_US
dc.identifier.doihttps://doi.org/10.1016/j.cpnec.2024.100271en_US
dc.identifier.urihttps://hdl.handle.net/1911/118041en_US
dc.language.isoengen_US
dc.publisherElsevieren_US
dc.rightsExcept where otherwise noted, this work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives (CC BY-NC-ND) license. Permission to reuse, publish, or reproduce the work beyond the terms of the license or beyond the bounds of fair use or other exemptions to copyright law must be obtained from the copyright holder.en_US
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/en_US
dc.subject.keywordMarital distressen_US
dc.subject.keywordPerceived partner responsivenessen_US
dc.subject.keywordDepressive symptomsen_US
dc.subject.keywordProinflammatory cytokine productionen_US
dc.subject.keywordDementia spousal caregiversen_US
dc.titlePerceived partner responsiveness alters the association between marital distress and well-being in dementia spousal caregiversen_US
dc.typeJournal articleen_US
dc.type.dcmiTexten_US
dc.type.publicationpublisher versionen_US
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