Abstract
This study of 535 older married couples examined the relationship between depression and health and sexual satisfaction directly and when mediated by communication. The sample included 535 older couples who completed a survey questionnaire known as Project Couple Retire. Among the items in the questionnaire were measures of depression, health, perception of sexual intimacy, communication and other demographic information. Results from Structural Equation Modeling indicated that for women, health was a significant predictor of sexual satisfaction. For both genders, the results suggest that depression, when mediated by communication, is a predictor of sexual satisfaction among older couples. Implications for clinicians are discussed.
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References
AARP. (1999). AARP/Modern maturity sexuality survey: Summary of findings. Online document available at http://www.aarp.org/mmaturity/sept_Oct99/greatsex.html. Assessed 2005.
Andreson, E. M., Malmgren, J. A., Carter, W. B., & Patrick, D. L. (1994). Screening for depression in well older adults: Evaluation of a short form of the CES-D. American Journal of Preventative Medicine, 10(2), 77–84.
Arbuckle, J. L. (2006). Amos (Version 7.0) [Computer Program]. Chicago: SPSS.
Barrett, L. L. (2005). Prescription drug use among midlife and older Americans. Washington, DC: American Association of Retired Persons.
Berman, L. A., Wood, E. L., & Hartmann, D. (2008). Women’s sexual health. The guidebook of sexual medicine (pp. 191–211). California: A&W Publishing Group.
Butler, M. H., Davis, S. D., & Seedal, R. B. (2008). Common pitfalls of beginning therapists using enactments. Journal of Marital and Family Therapy, 34(3), 329–352.
Butler, M. H., & Gardner, B. C. (2003). Adapting enactments to couples reactivity: Five developmental stages. Journal of Marital Family Therapy, 29, 311–327.
Byers, E. S. (2005). Relationship satisfaction and sexual satisfaction: A longitudinal study of individuals in long-term relationships. Journal of Sex Research, 42(2), 113–118.
Byrne, B. (2001). Structural equation modeling with AMOS: Basic concepts, applications, and programming. Mahwah, NJ: Lawrence Erlbaum Associates Publishers.
Camacho, M., & Reyes-Ortiz, C. (2005). Sexual dysfunction in the elderly: Age or disease? Sealy Center on Aging, 17, 52–56.
Carstensen, L. L., Gottman, J. M., & Levenson, R. W. (1995). Emotional behavior in long-term marriage. Psychology and Aging, 10, 140–149.
Cavanaugh, J. C., & Blanchard-Fields, F. (2010). Adult development and aging (6th ed.). Belmont, CA: Wadsworth.
Christopher, R. S., & Sprecher, S. (2000). Sexuality in marriage, dating, and other relationships: A decade review. Journal of Marriage and the Family, 62, 999–1017.
Clement, J. P., Fray, E., Paycin, S., Leger, J. M., Therme, J. F., & Dumont, D. (1999). Detection of depression in elderly hospitalized patients in emergency wards in France using the CES-D and the Mini-GDS: Preliminary experiences. International Journal of Geriatric Psychiatry, 14, 373–378.
Davison, S. L., Bell, R. J., LaChina, M., Holden, S. L., & Davis, S. R. (2008). Sexual function in well women: Stratification by sexual satisfaction, hormone use, and menopause status. Journal of Sexual Medicine, 5(5), 1214–1222. doi:10.1111/j.1743-6109.2008.00780.x.
Davison, S. L., Bell, R. J., LaChina, M., Holden, S. L., & Davis, S. R. (2009). The relationship between self-reported sexual satisfaction and general well-being in women. Journal of Sexual Medicine, 6(10), 2690–2697. doi:10.1111/j.1743-6109.2009.01406.x.
DeLamater, J., Hyde, J. S., & Fong, M. (2008). Sexual satisfaction in the seventh decade of life. Journal of Sex and Marital Therapy, 34(5), 439–454. doi:10.1080/00926230802156251.
DeLamater, J., & Sill, M. (2005). Sexual desire in later life. Journal of Sex Research, 42, 138–149.
Dillman, D. A. (2007). Mail and internet surveys: The tailored design method. New York: Wiley.
Dunn, K. M., Croft, P. R., & Hackett, G. I. (1999). Association of sexual problems with social, psychological, and physical problems in men and women: A cross sectional population survey. Journal of Epidemiology and Community Health, 53, 144–148.
Engel, G. L. (1977). The need for a new medical model: A challenge for biomedicine. Science, 196, 129–136.
Engel, G. L. (1980). The clinical application of the biopsychosocial model. The American Journal of Psychiatry, 137, 535–544.
Ferraro, K. F., & Famer, M. M. (1999). Utility of health data from social surveys: Is there a gold standard for measuring morbidity? American Sociological Review, 64, 303–315.
Garos, S., Kluck, A., & Aronoff, D. (2007). Prostate cancer patients and their partners: Differences in satisfaction indices and psychological variables. Journal of Sex Medicine, 4(5), 1394–1403.
Harper, J. M., & Sandberg, J. G. (1999). Depression in mature marriages: Impact and implications for marital therapy. Journal of Marital and Family Therapy, 25(5), 393–406.
Harper, J. M., & Sandberg, J. G. (2009). Depression and communication processes in later life marriages. Aging and Mental Health, 13(4), 546–556.
Hertlein, K. M., Weeks, G. R., & Sendak, S. K. (2009). A clinician’s guide to systemic sex therapy. New York: Routledge.
Hillman, J. (2008). Sexual issues and aging within the context of work with older adult patients. Professional Psychology: Research and Practice, 39(3), 290–297. doi:10.1037/0735-7028.39.3.290.
Himes, C. L. (2010). Aging. New York, NY: Mc-Graw-Hill.
Hoyle, R. H., & Panter, A. T. (1995). Writing about structural equation models. In R. H. Hoyle (Ed.), Structural equation modeling: Concepts, issues, and applications (pp. 158–176). Thousand Oaks, CA: Sage Publications.
Idler, E. L., & Benyamini, Y. (1997). Self-rated health and mortality: A review of twenty-seven community studies. Journal of Health and Social Behavior, 38, 21–37.
Jacoby, S. (2005). Sex in America. Retrieved February 26, 2008 from http://aarpmagazine.org/lifestyle/relationships/sex_in_america.html.
Johnson, S. M., & Zuccarini, D. (2011). EFT for sexual issues: An integrated model of couple and sex therapy. In J. Furrow, B. Bradley, & S. Johnson (Eds.), The emotionally focused casebook (pp. 219–246). New York: Brunner Routledge.
Kalayjian, L. D., & Morrell, M. (2000). Female sexuality and neurological disease. Journal of Sex Education and Therapy, 25(1), 89–95.
Katzin, L. (1990). Chronic illness and sexuality. The American Journal of Nursing, 90(1), 54–59.
Kline, R. B. (2005). Principles and practice of structural equation modeling (2nd ed.). New York: Guilford Publications.
Laidlaw, K., & Pachana, N. A. (2009). Aging, mental health, and demographic change: Challenges for psychotherapists. Professional Psychology: Research and Practice, 40(6), 601–608. doi:10.1037/a0017215.
Laumann, E. O., Paik, A., Glasser, D. B., Kang, J. H., Wang, T., Levinson, B., et al. (2006). A cross-national study of subjective sexual well-being among older men and women: Findings from the global study of sexual attitudes and sexual behaviors. Archives of Sexual Behavior, 35, 145–161.
Laumann, E. O., Paik, A., & Rosen, R. D. (1999). Sexual dysfunction in the United States: Prevalence and predictors. JAMA, 281, 537–544.
Lindau, S. T., Schumm, P., Laumann, E. O., Levinson, W., O’Muircheartaigh, C., & Waite, L. J. (2007). A study of sexuality and health among older adults in the United States. New England Journal of Medicine, 357(8), 762–774.
Litzinger, S., & Gordon, K. C. (2005). Exploring relationships among communication, sexual satisfaction, and marital satisfaction. Journal of Sex and Marital Therapy, 31(5), 409–424. doi:10.1080/00926230591006719.
Markman, H. J., Renick, M. J., Floyd, F. J., Stanley, S. M., & Clements, M. (1993). Preventing marital distress through communication and conflict management training: A 4-and 5-year follow up. Journal of Consulting and Clinical Psychology, 61, 10–11.
Maurice, W. (1999). Sexual medicine in primary care. New York: Mosby.
Metz, M. E., & Dwyer, S. M. (1993). Relationship conflict management patterns among sex dysfunction, sex offender, and satisfied couples. Journal of Sex and Marital Therapy, 19, 104–122.
Metz, M. E., & Epstein, N. (2002). Assessing the role of relationship conflict and in sexual dysfunction. Journal of Sex and Marital Therapy, 28, 139–164.
Mills, T. L. (2001). Comorbid depressive symptomatology: Isolating the effects of chronic medical conditions on self-reported depressive symptoms among community-dwelling older adults. Social Science and Medicine, 53, 569–578.
Mulligan, T., Retchin, S. M., Chinchilli, V. M., & Bettinger, C. B. (1988). The role of aging and chronic disease on sexual dysfunction. Journal of the American Geriatics Society, 36, 522–524.
Murrell, S. A., Meeks, S., & Walker, J. S. (1991). Protective functions of health and self esteem against depression in older adults facing illness or bereavement. Psychology and Aging, 6, 352–360.
National Women’s Health Information Center. (2008) Understanding menopause. Retrieved September 11, 2008 from http://www.womenshealth.gov/menopause/stages/perimenopause.cfm.
Newcomb, M. D., & Locke, T. F. (2001). Intergenerational cycle of maltreatment: A popular concept obscured by methodological limitations. Child Abuse and Neglect, 25, 1219–1240.
Nicolosi, A., Moreira, E. D., Jr, Villa, M., & Glasser, D. B. (2004). A population study of the association between sexual function, sexual satisfaction and depressive symptoms in men. Journal of Affective Disorders, 82, 235–243.
Offman, A., & Matheson, K. (2005). Sexual compatibility and sexual functioning in intimate relationships. Canadian Journal of Human Sexuality, 14(1), 31–39.
Olson, D. H., & Schaefer, M. T. (1981). Assessing intimacy: The PAIR inventory. Journal of Marriage and Family Therapy, 7(1), 47–60.
Parashos, I. A., Stamouli, S., Rogakou, E., Theodotou, R., Nikas, I., & Mougias, A. (2002). Recognition of depressive symptoms in the elderly: What can help the patient and the doctor? Depression and Anxiety, 15(3), 111–116.
Poorman, S. G. (1988). Human sexuality and the nursing process. Norwalk, CT: Appleton & Lange.
Preacher, K., & Leonardelli, G. (2006). Calculation for the sobel test. Retrieved from http://people.ku.edu/~preacher/sobel/sobel.htm.
Purnine, D. M., & Carey, M. P. (1997). Interpersonal communication and sexual adjustment: The roles of understanding and agreement. Journal of Consulting and Clinical Psychology, 65, 1017–1025.
Radloff, L. S., & Teri, L. (1986). Use of the center for epidemiological studies-depression scale with older adults. Clinical Gerontologist, 5(2), 119–136.
Rolland, J. S., & Walsh, F. (2005). Systemic training for healthcare professionals: The Chicago Center for Family Health approach. Family Process, 44(3), 283–301.
Rosen, R. C., & Leiblum, S. R. (1988). A sexual scripting approach to problems of desire. In S. R. Leiblum & R. C. Rosen (Eds.), Sexual desire disorders (pp. 168–191). New York: Guilford.
Santor, D. A., Zuroff, D. C., Ramsay, J. O., Cervantes, P., & Palacios, J. (1995). Examining scale discriminability in the BDI and CES-D as a function of depressive severity. Psychological Assessment, 7, 131–139.
Schulz, R., Martire, L. M., Beach, S. R., & Scheier, M. F. (2000). Depression and mortality in the elderly. Current Directions in Psychological Science, 9, 204–208.
Seidman, S. M. (2003). The aging male: Androgens, erectile dysfunction, and depression. Journal of Clinical Psychology, 64, 31–37.
Snyder, D. K. (1979). Multidimensional assessment of marital satisfaction. Journal of Marriage and the Family, 41, 813–823.
Snyder, D. K. (1997). Marital satisfaction inventory, revised. Los Angeles: Western Psychological Services.
Snyder, D. K., & Regts, J. M. (1990). Personality correlates of marital dissatisfaction: A comparison of psychiatric, martially distressed, and nonclinic samples. Journal of Sex and Marital Therapy, 16(1), 34–43.
Spence, S. H. (1997). Sex and relationships. In W. K. Halford & H. J. Markman (Eds.), Clinical handbook of marriage and couples interventions (pp. 73–105). New York: Wiley.
Sprecher, S., & Cate, R. M. (2004). Sexual satisfaction and sexual expression as predictors of relationship satisfaction and stability. In J. H. Harvey, A. Wenzel, & S. Sprecher (Eds.), The handbook of sexuality in close relationships (pp. 235–256). Mahwah, NJ: Lawrence Erlbaum.
Waite, L. J., & Joyner, K. (2001). Emotional Satisfaction and Physical Pleasure in Sexual Unions: Time Horizon, Sexual Behavior, and Sexual Exclusivity. Journal of Marrisage and the Family, 63, 247–264.
Young, M., Denny, G., Luquis, R., & Young, T. (1998). Correlates of sexual satisfaction in marriage. The Canadian Journal of Human Sexuality, 7, 115–127.
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Scott, V.C., Sandberg, J.G., Harper, J.M. et al. The Impact of Depressive Symptoms and Health on Sexual Satisfaction for Older Couples: Implications for Clinicians. Contemp Fam Ther 34, 376–390 (2012). https://doi.org/10.1007/s10591-012-9198-2
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DOI: https://doi.org/10.1007/s10591-012-9198-2