{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T11:46:14Z","timestamp":1792410374999,"version":"4.4.0"},"reference-count":36,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T00:00:00Z","timestamp":1792368000000},"content-version":"vor","delay-in-days":18,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Geriat Psychiatry"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To examine the longitudinal patterning of depressive symptoms within couples and clarify whether subsequent health risks associated with spousal depressive\u2010symptom concordance reflect the respondent's own symptoms, the spouse's symptoms, or an additional effect of concordance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Using five waves of the China Health and Retirement Longitudinal Study (CHARLS; 2011\u20132020), we identified longitudinal patterns of spousal depressive symptoms using group\u2010based trajectory modeling. Couples were further classified into four baseline depressive\u2010symptom groups according to the depressive\u2010symptom status of the respondent and spouse. Associations with incident mild cognitive impairment (MCI) and all\u2010cause mortality were examined using Cox proportional hazards models. Additional analyses using continuous CES\u2010D\u201010 scores, Fine\u2013Gray competing\u2010risk models, and linear mixed\u2010effects models were conducted to evaluate individual contributions of respondent and spouse symptoms, the robustness of MCI findings, and longitudinal changes in cognitive domains, respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Four relatively stable patterns of spousal depressive symptoms were identified, including concordant and discordant patterns, with no evidence of widespread convergence between spouses over time. Compared with the neither\u2010depressive\u2010symptoms group, both\u2010depressive\u2010symptoms participants (HR\u00a0=\u00a01.22, 95% CI: 1.08\u20131.38) and respondent\u2010only participants (HR\u00a0=\u00a01.25, 95% CI: 1.10\u20131.42) had higher risks of incident MCI, whereas the spouse\u2010only group did not (HR\u00a0=\u00a00.94, 95% CI: 0.82\u20131.07). The risk did not differ significantly between the both\u2010depressive\u2010symptoms and respondent\u2010only groups. Continuous CES\u2010D\u201010 analyses showed that respondent symptom severity, but not spouse symptom severity or the respondent\u2010by\u2010spouse interaction, was associated with incident MCI. No significant association was observed between depressive\u2010symptom groups and all\u2010cause mortality. Cognitive\u2010domain analyses indicated that depressive\u2010symptom groups were associated with poorer baseline cognitive performance but not consistently faster cognitive decline.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Spousal depressive symptoms may show concordance, but discordant patterns can also remain stable over time, providing little evidence of a general pattern of convergence between partners. The association with incident MCI was primarily related to the respondent's own depressive symptoms, with no evidence that the spouse's symptoms independently increased risk or that elevated symptoms in both partners conferred additional risk beyond the respondent's own symptoms.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/gps.70258","type":"journal-article","created":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T11:17:41Z","timestamp":1792408661000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Spousal Concordance in Depressive Symptoms and the Following Cognitive Impairment and Mortality: Evidence From the China Health and Retirement Longitudinal Study"],"prefix":"10.1002","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-7718-0998","authenticated-orcid":false,"given":"Xuechun","family":"Wang","sequence":"first","affiliation":[{"name":"Peking University Sixth Hospital Peking University Institute of Mental Health NHC Key Laboratory of Mental Health (Peking University) National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital)  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tao","family":"Lu","sequence":"additional","affiliation":[{"name":"Shanghai Yangpu District Yanji Community Health Service Center  Shanghai China"},{"name":"Shanghai Yangpu Maternal and Child Healthcare Hospital  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jia","family":"Hu","sequence":"additional","affiliation":[{"name":"Shanghai Yangpu District Mental Health Center Mental Health Center Affiliated to Shanghai University of Medicine &amp; Health Sciences  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yulu","family":"Wang","sequence":"additional","affiliation":[{"name":"Peking University Sixth Hospital Peking University Institute of Mental Health NHC Key Laboratory of Mental Health (Peking University) National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital)  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tingting","family":"Zhang","sequence":"additional","affiliation":[{"name":"Peking University Sixth Hospital Peking University Institute of Mental Health NHC Key Laboratory of Mental Health (Peking University) National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital)  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6075-9826","authenticated-orcid":false,"given":"Miaomiao","family":"Zhao","sequence":"additional","affiliation":[{"name":"Shanghai Mental Health Center Shanghai Jiao Tong University School of Medicine  Shanghai China"},{"name":"Mental Health Branch China Hospital Development Institute Shanghai Jiao Tong University  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7504-0355","authenticated-orcid":false,"given":"Ruoxi","family":"Ding","sequence":"additional","affiliation":[{"name":"Peking University Sixth Hospital Peking University Institute of Mental Health NHC Key Laboratory of Mental Health (Peking University) National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital)  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,19]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(18)32279\u20107"},{"key":"e_1_2_13_3_1","unstructured":"GBD Results Tool https:\/\/vizhub.healthdata.org\/gbd\u2010results\/."},{"key":"e_1_2_13_4_1","unstructured":"Depression https:\/\/www.who.int\/health\u2010topics\/depression\/#tab=tab_2."},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psc.2013.08.008"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2023.01.079"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00127\u2010017\u20101339\u20103"},{"key":"e_1_2_13_8_1","unstructured":"https:\/\/www.stats.gov.cn\/english\/index.html."},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0140\u20106736(05)66665\u20102"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.5582\/bst.2024.01205"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/glv133"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0032902"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2005.08.006"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033\u20102909.133.6.920"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/geronb\/gbw116"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1080\/13607863.2020.1758917"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2022.12.118"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2024.03.097"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/aswp.12183"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2023.8263"},{"issue":"2","key":"e_1_2_13_21_1","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1016\/S0749-3797(18)30622-6","article-title":"Screening for Depression in Well Older Adults: Evaluation of a Short Form of the CES\u2010D (Center for Epidemiologic Studies Depression Scale)","volume":"10","author":"Andresen E. 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