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Short Research Report

Mealtime Behavior and Depressive Symptoms in Late-Life Marriage

Published Online:https://doi.org/10.1024/1662-9647/a000285

Abstract. This study examined whether one spouse’s mealtime behaviors were associated with their own and their partner’s depressive symptoms among older, married couples. We examined gender differences in these associations and tested marital satisfaction as a mediator of these associations. 101 couples self-reported mealtime behavior (number of meals, snacks, fast-food meals, and meals eaten alone), depressive symptoms, and marital satisfaction. Results of the actor partner interdependence model revealed a statistically significant actor effect of the number of fast-food meals on depressive symptoms and a significant partner effect of the number of fast-food meals and the number of meals eaten alone on depressive symptoms. There were also gender differences: Husbands’ marital satisfaction mediated the effect of meals eaten alone on depressive symptoms; wife’s marital satisfaction mediated the effect of the husband’s meals eaten alone, and wife’s number of fast-food meals on the wife’s depressive symptoms. Findings have implications for dyadic interventions to improve depressive symptoms.

References

  • Ackard, D. M., Neumark-Sztainer, D., Story, M., & Perry, C. (2003). Overeating among adolescents: Prevalence and associations with weight-related characteristics and psychological health. Pediatrics, 111(1), 67–74. https://doi.org/10.1542/peds.111.1.67 First citation in articleCrossrefGoogle Scholar

  • Adams, K. B., Sanders, S., & Auth, E. (2004). Loneliness and depression in independent living retirement communities: Risk and resilience factors. Aging & Mental Health, 8(6), 475–485. https://doi.org/10.1080/13607860410001725054 First citation in articleCrossrefGoogle Scholar

  • Akbaraly, T. N., Brunner, E. J., Ferrie, J. E., Marmot, M. G., Kivimaki, M., & Singh-Manoux, A. (2009). Dietary pattern and depressive symptoms in middle age. The British Journal of Psychiatry: The Journal of Mental Science, 195(5), 408–413. https://doi.org/10.1192/bjp.bp.108.058925 First citation in articleCrossrefGoogle Scholar

  • August, K. J., Rook, K. S., Franks, M. M., & Stephens, M. A. P. (2013). Spouses’ involvement in their partners’ diabetes management: Associations with spouse stress and perceived marital quality. Journal of Family Psychology, 27(5), 712–721. https://doi.org/10.1037/a0034181 First citation in articleCrossrefGoogle Scholar

  • August, K. J., & Sorkin, D. H. (2010). Marital status and gender differences in managing a chronic illness: The function of health-related social control. Social Science & Medicine, 71(10), 1831–1838. https://doi.org/10.1016/j.socscimed.2010.08.022 First citation in articleCrossrefGoogle Scholar

  • Barrett-Connor, E., Suarez, L., & Criqui, M. H. (1982). Spouse concordance of plasma cholesterol and triglyceride. Journal of Chronic Diseases, 35(5), 333–340. https://doi.org/10.1016/0021-9681(82)90004-2 First citation in articleCrossrefGoogle Scholar

  • Conklin, A. I., Forouhi, N. G., Surtees, P., Khaw, K.-T., Wareham, N. J., & Monsivais, P. (2014). Social relationships and healthful dietary behaviour: Evidence from over-50s in the EPIC cohort, UK. Social Science & Medicine, 100, 167–175. https://doi.org/10.1016/j.socscimed.2013.08.018 First citation in articleCrossrefGoogle Scholar

  • Cornelius, T., Desrosiers, A., & Kershaw, T. (2016). Spread of health behaviors in young couples: How relationship power shapes relational influence. Social Science & Medicine, 165, 46–55. https://doi.org/10.1016/j.socscimed.2016.07.030 First citation in articleCrossrefGoogle Scholar

  • Crawford, G. B., Khedkar, A., Flaws, J. A., Sorkin, J. D., & Gallicchio, L. (2011). Depressive symptoms and self-reported fast-food intake in midlife women. Preventive Medicine, 52(3–4), 254–257. https://doi.org/10.1016/j.ypmed.2011.01.006 First citation in articleGoogle Scholar

  • Erzen, E., & Çikrikci, Ö. (2018). The effect of loneliness on depression: A meta-analysis. International Journal of Social Psychiatry, 64(5), 427–435. https://doi.org/10.1177/0020764018776349 First citation in articleCrossrefGoogle Scholar

  • Fiese, B. H., Foley, K. P., & Spagnola, M. (2006). Routine and ritual elements in family mealtimes: Contexts for child well‐being and family identity. New Directions for Child and Adolescent Development, 2006(111), 67–89. https://doi.org/10.1002/cd.156 First citation in articleCrossrefGoogle Scholar

  • Fowles, E. R., Timmerman, G. M., Bryant, M., & Kim, S. (2011). Eating at fast-food restaurants and dietary quality in low-income pregnant women. Western Journal of Nursing Research, 33(5), 630–651. https://doi.org/10.1177/0193945910389083 First citation in articleCrossrefGoogle Scholar

  • Franks, M. M., Sahin, Z. S., Seidel, A. J., Shields, C. G., Oates, S. K., & Boushey, C. J. (2012). Table for two: Diabetes distress and diet-related interactions of married patients with diabetes and their spouses. Families, Systems, & Health, 30(2), 154–165. https://doi.org/10.1037/a0028614 First citation in articleCrossrefGoogle Scholar

  • Fulkerson, J. A., Sherwood, N. E., Perry, C. L., Neumark-Sztainer, D., & Story, M. (2004). Depressive symptoms and adolescent eating and health behaviors: A multifaceted view in a population-based sample. Preventive Medicine, 38(6), 865–875. https://doi.org/10.1016/j.ypmed.2003.12.028 First citation in articleCrossrefGoogle Scholar

  • Fulkerson, J. A., Strauss, J., Neumark-Sztainer, D., Story, M., & Boutelle, K. (2007). Correlates of psychosocial well-being among overweight adolescents: the role of the family. Journal of Consulting and Clinical Psychology, 75(1), 181–186. https://doi.org/10.1037/0022-006X.75.1.181 First citation in articleCrossrefGoogle Scholar

  • Hoang, D., Kristoffersen, I., & Li, I. W. (2019). All in the mind? Estimating the effect of mental health on health behaviours. Social Science & Medicine, 225, 69–84. https://doi.org/10.1016/j.socscimed.2019.02.017 First citation in articleCrossrefGoogle Scholar

  • Holway, G. V., Umberson, D., & Donnelly, R. (2018). Health and health behavior concordance between spouses in same-sex and different-sex marriages. Social Currents, 5(4), 319–327. https://doi.org/10.1177/2329496517734570 First citation in articleCrossrefGoogle Scholar

  • Jiang, Y., Terhorst, L., Donovan, H. S., Weimer, J. M., Choic, C.-W. J., Schulz, R., Given, B., & Sherwood, P. R. (2013). Locke-Wallace Short Marital-Adjustment Test: Psychometric evaluation in caregivers for persons with primary malignant brain tumor. Journal of Nursing Measurement, 21(3), 502–515. https://doi.org/10.1891/1061-3749.21.3.502 First citation in articleCrossrefGoogle Scholar

  • Katz, J. N., Chang, L. C., Sangha, O., Fossel, A. H., & Bates, D. W. (1996). Can comorbidity be measured by questionnaire rather than medical record review? Medical Care, 34(1), 73–84. https://doi.org/10.1097/00005650-199601000-00006 First citation in articleCrossrefGoogle Scholar

  • Kelley, H. H., & Thibaut, J. W. (1978). Interpersonal relations: A theory of interdependence, Wiley. First citation in articleGoogle Scholar

  • Kenny, D. A., Kashy, D. A., & Cook, W. L. (2006). Dyadic data analysis, Guilford Press. First citation in articleGoogle Scholar

  • Kiecolt-Glaser, J. K., Derry, H. M., & Fagundes, C. P. (2015). Inflammation: Depression fans the flames and feasts on the heat. American Journal of Psychiatry, 172(11), 1075–1091. https://doi.org/10.1176/appi.ajp.2015.15020152 First citation in articleCrossrefGoogle Scholar

  • Kiecolt-Glaser, J. K., Gouin, J.-P., & Hantsoo, L. (2010). Close relationships, inflammation, and health. Neuroscience & Biobehavioral Reviews, 35(1), 33–38. https://doi.org/10.1016/j.neubiorev.2009.09.003 First citation in articleCrossrefGoogle Scholar

  • Kiecolt-Glaser, J. K., & Newton, T. L. (2001). Marriage and health: His and hers. Psychological Bulletin, 127(4), 472–503. https://doi.org/10.1037/0033-2909.127.4.472 First citation in articleCrossrefGoogle Scholar

  • Kiecolt-Glaser, J. K., & Wilson, S. J. (2017). Lovesick: How couples’ relationships influence health. Annual Review of Clinical Psychology, 13, 421–443. https://doi.org/10.1146/annurev-clinpsy-032816-045111 First citation in articleCrossrefGoogle Scholar

  • Kim, H. C., Kang, D. R., Choi, K. S., Nam, C. M., Thomas, G. N., & Suh, I. (2006). Spousal concordance of metabolic syndrome in 3141 Korean couples: A nationwide survey. Annals of Epidemiology, 16(4), 292–298. https://doi.org/10.1016/j.annepidem.2005.07.052 First citation in articleCrossrefGoogle Scholar

  • Kim, J.-H., Cho, M. J., Hong, J. P., Bae, J. N., Cho, S.-J., Hahm, B.-J., Lee, D.-W., Park, J.-I., Lee, J.-Y., Jeon, H. J., & Chang, S. M. (2015). Gender differences in depressive symptom profile: Results from nationwide general population surveys in Korea. Journal of Korean Medical Science, 30(11), 1659–1666. https://doi.org/10.3346/jkms.2015.30.11.1659 First citation in articleCrossrefGoogle Scholar

  • Krueger, P. M., & Chang, V. W. (2008). Being poor and coping with stress: Health behaviors and the risk of death. American Journal of Public Health, 98(5), 889–896. https://doi.org/10.2105/AJPH.2007.114454 First citation in articleCrossrefGoogle Scholar

  • Kuroda, A., Tanaka, T., Hirano, H., Ohara, Y., Kikutani, T., Furuya, H., Obuchi, S. P., Kawai, H., Ishii, S., Akishita, M., Tsuhi, T., & Iijima, K. (2015). Eating alone as social disengagement is strongly associated with depressive symptoms in Japanese community-dwelling older adults. Journal of the American Medical Directors Association, 16(7), 578–585. https://doi.org/10.1016/j.jamda.2015.01.078 First citation in articleCrossrefGoogle Scholar

  • Ledermann, T., Macho, S., & Kenny, D. A. (2011). Assessing mediation in dyadic data using the actor-partner interdependence model. Structural Equation Modeling, 18(4), 595–612. https://doi.org/10.1080/10705511.2011.607099 First citation in articleCrossrefGoogle Scholar

  • Lewinsohn, P. M., Seeley, J. R., Roberts, R. E., & Allen, N. B. (1997). Center for Epidemiologic Studies Depression Scale (CES-D) as a screening instrument for depression among community-residing older adults. Psychology and Aging, 12(2), 277–287. https://doi.org/10.1037/0882-7974.12.2.277 First citation in articleCrossrefGoogle Scholar

  • Lewis, M. A., McBride, C. M., Pollak, K. I., Puleo, E., Butterfield, R. M., & Emmons, K. M. (2006). Understanding health behavior change among couples: An interdependence and communal coping approach. Social Science & Medicine, 62(6), 1369–1380. https://doi.org/10.1016/j.socscimed.2005.08.006 First citation in articleCrossrefGoogle Scholar

  • Li, Y., Lv, M.-R., Wei, Y.-J., Sun, L., Zhang, J.-X., Zhang, H.-G., & Li, B. (2017). Dietary patterns and depression risk: A meta-analysis. Psychiatry Research, 253, 373–382. https://doi.org/10.1016/j.psychres.2017.04.020 First citation in articleCrossrefGoogle Scholar

  • Liu, C., Xie, B., Chou, C.-P., Koprowski, C., Zhou, D., Palmer, P., Sun, P., Guo, Q., Duan, L., Sun, X., & Johnson, A. (2007). Perceived stress, depression and food consumption frequency in the college students of China Seven Cities. Physiology & Behavior, 92(4), 748–754. https://doi.org/10.1016/j.physbeh.2007.05.068 First citation in articleCrossrefGoogle Scholar

  • Ljungberg, T., Bondza, E., & Lethin, C. (2020). Evidence of the importance of dietary habits regarding depressive symptoms and depression. International Journal of Environmental Research and Public Health, 17(5), 1616–1634. https://doi.org/10.3390/ijerph17051616 First citation in articleCrossrefGoogle Scholar

  • Locke, H. J., & Wallace, K. M. (1959). Short marital-adjustment and prediction tests: Their reliability and validity. Marriage and Family Living, 21(3), 251–255. https://doi.org/10.2307/348022 First citation in articleCrossrefGoogle Scholar

  • Macario, E., & Sorensen, G. (1998). Spousal similarities in fruit and vegetable consumption. American Journal of Health Promotion, 12(6), 369–377. https://doi.org/10.4278/0890-1171-12.6.369 First citation in articleCrossrefGoogle Scholar

  • Markey, C. N., Gomel, J. N., & Markey, P. M. (2008). Romantic relationships and eating regulation: An investigation of partners’ attempts to control each others’ eating behaviors. Journal of Health Psychology, 13(3), 422–432. https://doi.org/10.1177/1359105307088145 First citation in articleCrossrefGoogle Scholar

  • Maxwell, M. A., & Cole, D. A. (2009). Weight change and appetite disturbance as symptoms of adolescent depression: Toward an integrative biopsychosocial model. Clinical Psychology Review, 29(3), 260–273. https://doi.org/10.1016/j.cpr.2009.01.007 First citation in articleCrossrefGoogle Scholar

  • Meyler, D., Stimpson, J. P., & Peek, M. K. (2007). Health concordance within couples: A systematic review. Social Science & Medicine, 64(11), 2297–2310. https://doi.org/10.1016/j.socscimed.2007.02.007 First citation in articleCrossrefGoogle Scholar

  • Molendijk, M., Molero, P., Ortuño Sánchez-Pedreño, F., Van der Does, W., & Angel Martínez-González, M. (2018). Diet quality and depression risk: A systematic review and dose-response meta-analysis of prospective studies. Journal of Affective Disorders, 226, 346–354. https://doi.org/10.1016/j.jad.2017.09.022 First citation in articleCrossrefGoogle Scholar

  • Muthén, L., & Muthén, B. (2017). Mplus (Version 8) [computer software], Muthén & Muthén. First citation in articleGoogle Scholar

  • Ouwens, M. A., van Strien, T., & van Leeuwe, J. F. J. (2009). Possible pathways between depression, emotional and external eating. A structural equation model. Appetite, 53(2), 245–248. https://doi.org/10.1016/j.appet.2009.06.001 First citation in articleCrossrefGoogle Scholar

  • Pachucki, M. A., Jacques, P. F., & Christakis, N. A. (2011). Social network concordance in food choice among spouses, friends, and siblings. American Journal of Public Health, 101(11), 2170–2177. https://doi.org/10.2105/AJPH.2011.300282 First citation in articleCrossrefGoogle Scholar

  • Peek, M. K., & Markides, K. S. (2003). Blood pressure concordance in older married Mexican‐American couples. Journal of the American Geriatrics Society, 51(11), 1655–1659. https://doi.org/10.1046/j.1532-5415.2003.51520.x First citation in articleCrossrefGoogle Scholar

  • Peek, M. K., Stimpson, J. P., Townsend, A. L., & Markides, K. S. (2006). Well-being in older Mexican American spouses. The Gerontologist, 46(2), 258–265. https://doi.org/10.1093/geront/46.2.258 First citation in articleCrossrefGoogle Scholar

  • Polivy, J. (1996). Psychological consequences of food restriction. Journal of the American Dietetic Association, 96(6), 589–592. https://doi.org/10.1016/S0002-8223(96)00161-7 First citation in articleCrossrefGoogle Scholar

  • Reczek, C., & Umberson, D. (2012). Gender, health behavior, and intimate relationships: Lesbian, gay, and straight contexts. Social Science & Medicine, 74(11), 1783–1790. https://doi.org/10.1016/j.socscimed.2011.11.011 First citation in articleCrossrefGoogle Scholar

  • Roberson, P. N. E., Shorter, R. L., Woods, S., & Priest, J. (2018). How health behaviors link romantic relationship dysfunction and physical health across 20 years for middle-aged and older adults. Social Science & Medicine, 201, 18–26. https://doi.org/10.1016/j.socscimed.2018.01.037 First citation in articleCrossrefGoogle Scholar

  • Robles, T. F., Slatcher, R. B., Trombello, J. M., & McGinn, M. M. (2014). Marital quality and health: A meta-analytic review. Psychological Bulletin, 140(1), 140–187. https://doi.org/10.1037/a0031859 First citation in articleCrossrefGoogle Scholar

  • Rokach, A. (1998). Loneliness in singlehood and marriage. Psychology, 35(2), 2–17. https://doi.org/10.1521/jscp.1998.17.1.75 First citation in articleGoogle Scholar

  • Sánchez-Villegas, A., Toledo, E., de Irala, J., Ruiz-Canela, M., Pla-Vidal, J., & Martínez-González, M. A. (2012). Fast-food and commercial baked goods consumption and the risk of depression. Public Health Nutrition, 15(3), 424–432. https://doi.org/10.1017/S1368980011001856 First citation in articleCrossrefGoogle Scholar

  • Smith, K. R., & Zick, C. D. (1994). Linked lives, dependent demise? Survival analysis of husbands and wives. Demography, 31(1), 81–93. https://doi.org/10.2307/2061909 First citation in articleCrossrefGoogle Scholar

  • Stimpson, J. P., Masel, M. C., Rudkin, L., & Peek, M. K. (2006). Shared health behaviors among older Mexican American spouses. American Journal of Health Behavior, 30(5), 495–502. https://doi.org/10.5993/AJHB.30.5.6 First citation in articleCrossrefGoogle Scholar

  • Tani, Y., Sasaki, Y., Haseda, M., Kondo, K., & Kondo, N. (2015). Eating alone and depression in older men and women by cohabitation status: The JAGES longitudinal survey. Age and Ageing, 44(6), 1019–1026. https://doi.org/10.1093/ageing/afv145 First citation in articleCrossrefGoogle Scholar

  • Torvik, F. A., Gustavson, K., Røysamb, E., & Tambs, K. (2015). Health, health behaviors, and health dissimilarities predict divorce: results from the HUNT study. BMC Psychology, 3(1), 1–9. https://doi.org/10.1186/s40359-015-0072-5 First citation in articleCrossrefGoogle Scholar

  • Tucker, K., Spiro, A., & Weiss, S. T. (1995). Variation in food and nutrient intakes among older men: Age, and other socio-demographic factors. Nutrition Research, 15(2), 161–176. https://doi.org/10.1016/0271-5317(95)92582-5 First citation in articleCrossrefGoogle Scholar

  • Umberson, D. (1992). Gender, marital status and the social control of health behavior. Social Science & Medicine, 34(8), 907–917. https://doi.org/10.1016/0277-9536(92)90259-S First citation in articleCrossrefGoogle Scholar

  • Waite, L. J. (1995). Does marriage matter? Demography, 32(4), 483–507. https://doi.org/10.2307/2061670 First citation in articleCrossrefGoogle Scholar

  • Westmaas, J. L., Wild, T. C., & Ferrence, R. (2002). Effects of gender in social control of smoking cessation. Health Psychology, 21(4), 368–376. https://doi.org/10.1037/0278-6133.21.4.368 First citation in articleCrossrefGoogle Scholar

  • Yorgason, J. B., & Choi, H. (2016). Health contributions to marital quality: Expected and unexpected links. In J. BookwalaEd., Couple relationships in the middle and later years: Their nature, complexity, and role in health and illness (pp. 177–196). American Psychological Association. https://doi.org/10.1037/14897-010 First citation in articleCrossrefGoogle Scholar