Open AccessEffects of change in arthritis severity on spouse well-being: The moderating role of relationship closeness.
Author(s) -
Courtney A. Polenick,
Lynn M. Martire,
Rachel C. Hemphill,
Mary Ann Parris Stephens
Publication year - 2015
Publication title -
journal of family psychology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.138
H-Index - 120
eISSN - 1939-1293
pISSN - 0893-3200
DOI - 10.1037/fam0000093
Subject(s) - closeness , spouse , psychology , depressive symptoms , affect (linguistics) , clinical psychology , severity of illness , psychiatry , anxiety , anthropology , mathematical analysis , mathematics , communication , sociology
The severity of a patient's illness may be detrimental for the psychological well-being of the spouse, especially for those in a particularly close relationship. Using 2 waves of data collected from a sample of 152 knee osteoarthritis (OA) patients and their spouses, we examined associations between change in patients' illness severity and change in 3 indicators of spouses' well-being (positive affect, depressive symptoms, and life satisfaction) over a 6-month period. We also tested the hypothesis that spouses' perceived relationship closeness with the patient would moderate these associations. Consistent with our prediction, a high level of relationship closeness exacerbated the negative impact of increases in patient illness severity on spouses' positive affect and depressive symptoms over 6 months. Spouses' life satisfaction declined when patients became more ill, regardless of level of relationship closeness. Our findings highlight the value of examining change in illness as a predictor of change in spouse well-being and the potential downside of relationship closeness for couples living with chronic illness.