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Loneliness is relatively common among older adults in the United States, and there can be significant physical, psychological, and cognitive impairments associated with feelings of loneliness. Consequently, this study seeks to uncover determinants of loneliness, particularly the impact of couples' negative and positive marital experiences (i.e., marital strain and strength) over the life course on loneliness in later adulthood. To accomplish this goal, an integrated analytical framework is utilized, incorporating growth curves within an actor-partner interdependence model, to capture the initial level and the rate of change in marital strain and strength over a period of 25 years (from 1991 to 2015) with a sample of 257 couples in enduring, long-term marriages. Couples first participated in the Iowa Youth and Family Project in 1989 and most recently participated in the Later Adulthood Study in 2015. The confirmatory factor analyses showed that latent constructs of marital strain and marital strength are distinct constructs. The univariate growth curve analyses showed that there were significant interindividual variations in the initial level (1991) and rate of change (1991-2015) in marital strain and marital strength for both husbands and wives. While the initial level and rate of change in perceived marital strain from 1991 to 2015 was generally of consequence for both spouses' loneliness in 2015 (actor and partner effects), only actor effects were noted for marital strength. Findings are discussed as they relate to health policies and interventions focusing on the well-being of married couples in later life.
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http://dx.doi.org/10.1111/famp.12410 | DOI Listing |
Asia Pac J Oncol Nurs
December 2025
Nursing Department, The Third Xiangya Hospital, Central South University, Changsha, China.
Objective: To identify latent subgroups of financial toxicity among patients with hematologic malignancies, examine associated sociodemographic and clinical predictors, and explore the relationship between financial toxicity and anxiety-depression symptoms.
Methods: A cross-sectional study was conducted among 486 patients with hematologic malignancies recruited through convenience sampling from provincial-level hospitals in Hunan Province, China. Participants completed the General Information Questionnaire, the Patient-Reported Outcome Financial Toxicity (PRO-FT) Scale, the Patient Health Questionnaire-4 (PHQ-4), and the Perceived Social Support Scale (PSSS).
Eur J Oncol Nurs
August 2025
Xiangya School of Nursing, Central South University, Changsha, Hunan, China. Electronic address:
Purpose: Parental problem-solving is strongly associated with their psychosocial adjustment when facing their children's cancer. However, a comprehensive understanding of the major problems parents encounter and how they address these problems remains limited. This study aimed to explore parental problem-solving experiences during their children's cancer treatment processes.
View Article and Find Full Text PDFBMC Geriatr
August 2025
Department of Business Administration, National Changhua University of Education, Changhua, Taiwan.
Background: Caregivers caring for patients with dementia could experience depressive symptoms, distress from patients' behavioral symptoms, and physical morbidities. Factors associated with a caregiving burden are complex and vary with time because burden is a subjective measure influenced by physical, economic, and psychosocial strain and has an interaction among caregiver resources, vulnerabilities, and care demands. The purpose of this study was to elucidate the association of patients' and caregivers' factors especially the severity of behavior and psychiatric symptoms of dementia (BPSD) and specific activities of daily living items impairment with a moderate or even severe caregiving burden.
View Article and Find Full Text PDFDrawing attention to the complex and multidimensional lives of older Black women, this study examines the extent to which workplace discrimination influences their mental health (i.e., depression and anxiety symptoms).
View Article and Find Full Text PDFFront Psychol
July 2025
North China University of Science and Technology Affiliated Hospital Orthopedics, Tangshan, Hebei Province, China.
Background: Almost half of stoma caregivers develop anxiety or depression, yet follow-up still centers on patients and offers caregivers little structured support. Social isolation-worsened by the pandemic and likely to grow as colorectal-cancer ostomies rise-appears central to this distress, but its role in caregiver programs has never been tested. We therefore assessed a 12-week multidisciplinary accompaniment program and measured how much reducing isolation improves caregivers' skills and emotional wellbeing.
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