{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T21:07:57Z","timestamp":1786396077728,"version":"build-2736575974"},"reference-count":40,"publisher":"BMJ","issue":"9","funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["NIA U01AG009740"],"award-info":[{"award-number":["NIA U01AG009740"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100010661","name":"Horizon 2020 Framework Programme","doi-asserted-by":"publisher","award":["101057529"],"award-info":[{"award-number":["101057529"]}],"id":[{"id":"10.13039\/100010661","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["J Epidemiol Community Health"],"accepted":{"date-parts":[[2026,4,7]]},"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Depressive symptoms can contribute to poor cardiovascular health (CVH) but prior research largely focused on individual-based studies. Yet, health behaviours and outcomes are interlinked within social relationships, particularly in spouses. This study examined how depressive symptoms in opposite-sex spouses may jointly and uniquely impact CVH over time.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We analysed 4360 opposite-sex spousal dyads in the Health and Retirement Study\u2014a prospective cohort of middle-aged and older adults (2004\u20132016). Depressive symptoms were measured at baseline (2004\/2006) using the 8-item Center for Epidemiologic Studies-Depression scale. CVH scores (range: 0\u2013100; higher scores=better\u2009CVH), based on body mass index, blood pressure, fasting glucose, total cholesterol and smoking were assessed across three follow-up waves (2006\/2008\u20132014\/2016; 8-year follow-up period). We used the Actor\u2013Partner Interdependence Model and latent growth curve modelling to examine how both spouses\u2019 depressive symptoms were associated with subsequent CVH, adjusting for sociodemographics and prior cardiovascular disease.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In wives, a one-unit increment in depressive symptoms at baseline was associated with lower CVH scores (\u03b2=\u22121.25; 95%\u2009CI \u22121.60 to \u22120.91) at Wave 2. Similar associations were observed in husbands (\u03b2=\u22121.19; 95%\u2009CI \u22121.58 to \u22120.81). Wives\u2019 depressive symptoms were also associated with lower husbands\u2019 CVH scores (\u03b2=\u22120.39; 95%\u2009CI \u22120.70 to \u22120.07), while husbands\u2019 depressive symptoms were associated with faster CVH decline in wives over time (\u03b2=\u22120.08; 95%\u2009CI \u22120.14 to \u22120.03). No other significant spousal effects were found.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Depressive symptoms in both spouses may contribute to one\u2019s own and one\u2019s partner\u2019s CVH, with distinct gender-specific patterns. These results may inform targeted dyadic interventions to optimise CVH in middle-aged and older opposite-sex couples.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/jech-2025-225333","type":"journal-article","created":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T17:20:45Z","timestamp":1777915245000},"page":"689-696","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Dyadic associations of depressive symptoms and cardiovascular health trajectories in middle-aged and older couples"],"prefix":"10.1136","volume":"80","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5200-7325","authenticated-orcid":false,"given":"Yenee","family":"Soh","sequence":"first","affiliation":[{"name":"Harvard T H Chan School of Public Health, Boston, Massachusetts, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard Norman","family":"Jones","sequence":"additional","affiliation":[{"name":"Brown University Warren Alpert Medical School, Providence, Rhode Island, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9239-7476","authenticated-orcid":false,"given":"Izzuddin M","family":"Aris","sequence":"additional","affiliation":[{"name":"Department of Population Medicine, Harvard Medical School, Boston, Massachusetts, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ichiro","family":"Kawachi","sequence":"additional","affiliation":[{"name":"Harvard T H Chan School of Public Health, Boston, Massachusetts, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henning","family":"Tiemeier","sequence":"additional","affiliation":[{"name":"Harvard T H Chan School of Public Health, Boston, Massachusetts, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,5,4]]},"reference":[{"key":"2026081002300734000_80.9.689.1","doi-asserted-by":"publisher","DOI":"10.1161\/cir.0000000000001303"},{"key":"2026081002300734000_80.9.689.2","doi-asserted-by":"crossref","unstructured":"Lloyd-Jones DM , Allen NB , Anderson CAM , et al . 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