[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-427131-105":3,"detail-sidebar-cat-0-en-105":81,"doc-detail-427131-en":130},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","family-strengths-self-esteem-and-depression-in-older-adults-with-kidneyliver-disability-a-dyadic-analysis","FAMILY STRENGTHS - SELF-ESTEEM - AND DEPRESSION IN OLDER ADULTS WITH KIDNEY/LIVER DISABILITY - A DYADIC ANALYSIS","","Study examines how family strengths shape depressive symptoms through self-esteem in older adults with chronic kidney or liver disease, using 2023 Disability and Life Dynamics Panel data. The dyadic Actor–Partner Interdependence Mediation Model fit both groups, with patients’ and caregivers’ family strengths showing pathways to self-esteem and subsequent symptom reduction. In kidney dyads, patient self-esteem reduced their depression, and caregiver self-esteem was linked to patient outcomes. In liver dyads, both patient and caregiver family strengths reduced depressive symptoms, emphasizing psychosocial targets.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/research-report/","Research & Report",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/family-strengths-self-esteem-and-depression-in-older-adults-with-kidneyliver-disability-a-dyadic-analysis/427131/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/family-strengths-self-esteem-and-depression-in-older-adults-with-kidneyliver-disability-a-dyadic-analysis/427131.png","ImageObject",300,407,{"name":42,"@type":43},"moss~","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-21","2026-09-29",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",9,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What relationship did the study test between family strengths and depression?","Question",{"text":63,"@type":64},"The study tested whether self-esteem mediates how family strengths relate to depressive symptoms in older adults with chronic kidney or liver disease within patient-caregiver dyads.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"How was the analysis conducted for kidney and liver dyads?",{"text":68,"@type":64},"The Actor–Partner Interdependence Mediation Model was applied separately to kidney disease dyads and liver disease dyads to evaluate actor and partner pathways.",{"name":70,"@type":61,"acceptedAnswer":71},"What did the results show for patient and caregiver effects in liver dyads?",{"text":72,"@type":64},"In liver dyads, patients’ family strengths increased self-esteem and reduced their depressive symptoms, while caregivers’ family strengths directly reduced caregivers’ depressive symptoms; no significant partner effects were observed in liver dyads.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},427131,1790991370,{"code":4,"msg":82,"data":83},"success",[84,88,92,96,101,106,111,115,119,122,126],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":93,"show_sort_weight":94,"slug":95},"Exam",70,"exam",{"id":97,"doc_module":4,"doc_module_name":25,"category_name":98,"show_sort_weight":99,"slug":100},5,"Comic",60,"comic",{"id":102,"doc_module":4,"doc_module_name":25,"category_name":103,"show_sort_weight":104,"slug":105},6,"Technology",50,"technology",{"id":107,"doc_module":4,"doc_module_name":25,"category_name":108,"show_sort_weight":109,"slug":110},7,"Healthcare",40,"healthcare",{"id":112,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":113,"slug":114},8,30,"research-report",{"id":55,"doc_module":4,"doc_module_name":25,"category_name":116,"show_sort_weight":117,"slug":118},"Religion & Spirituality",20,"religion-spirituality",{"id":117,"doc_module":4,"doc_module_name":25,"category_name":120,"show_sort_weight":117,"slug":121},"World Cup","world-cup",{"id":123,"doc_module":4,"doc_module_name":25,"category_name":124,"show_sort_weight":123,"slug":125},10,"Lifestyle","lifestyle",{"id":127,"doc_module":4,"doc_module_name":25,"category_name":128,"show_sort_weight":97,"slug":129},19,"General","general",{"code":4,"msg":82,"data":131},{"doc_id":79,"user_id":132,"nickname":42,"user_avatar":133,"doc_module":4,"category_id":112,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":22,"language":139,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":12,"update_tm":143,"read_time":30},962090895452,"https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd","1232 Innovation in Aging, 2025, Vol. 9, No. S2  \nself-esteem (β =0.28, p=.004; β =0.38, p\u003C.001), which in turn reduced their own depressive symptoms (β = −0.48, p\u003C.001;β=−0.28, p=.002).Additionally, patients’ self-esteem was negatively associated with caregivers’ depressive symptoms (β = −0.18, p=.026). In liver disease dyads, patients’ family strengths increased self-esteem (β=0.42, p=.010), decreasing their depressive symptoms (β =−0.58, p\u003C.001; indirect effect β =−0.24, p=.041), while caregivers’ family strengths directly reduced their depressive symptoms (β =−0.25, p=.042). No significant partner effects were observed in liver dyads. Our findings highlight the importance of family strengths and self-esteem in mitigating depressive symptoms among older adults with chronic kidney or liver disease and their caregivers. These results suggest that enhancing family strengthsand supporting self-esteem may be effective strategies to promote psychosocial well-being in this population.  \nAbstract citation ID: igaf122.4119  \nFAMILY STRENGTHS, SELF-ESTEEM, AND  \nDEPRESSION IN OLDER ADULTS WITH KIDNEY/LIVER  \nDISABILITY: A DYADIC ANALYSIS  \nJaeWon Hyun1, Bomgyeol Kim2, Hun Kang1, and  \nJiYeon Choi1, 1. Yonsei University, Seoul, Republic of Korea,  \n2. Yonsei University College of Nursing, Seoul, Republic of Korea Chronic kidney or liver disease often leads to disability status.  \nAs populations age, these challenges increase emotional, physical, and social strain on individuals and family caregivers. While family strengths reduce depressive symptoms, few studies have examined the underlying mechanisms within patient-caregiver dyads affected by these conditions. Using the data from the 2023 Disability and Life Dynamics Panel (DLDP), we examined how self-esteem mediate the relationship between family strengths and depressive symptoms in 161 chronic kidney disease dyads (adults aged ≥50 years undergoing dialysis or post-kidney transplant) and 76 chronic liver disease dyads (adults aged ≥50 years with chronic liver dysfunction). The Actor–Partner Interdependence Mediation Model showed good fit for both groups. In kidney disease dyads, patients’ and caregivers’ family strengths positively influenced their","cbCaimmgeHI9IWnF","https://ap.wps.com/l/cbCaimmgeHI9IWnF","pdf",1088577,"English","# Background\n## Dyadic mechanisms and study aim\n# Methods\n## Data source and dyadic groups\n## Actor–Partner Interdependence Mediation Model\n# Results\n## Kidney disease dyads\n## Liver disease dyads\n# Conclusion\n## Implications for family strengths and self-esteem","[{\"question\":\"What relationship did the study test between family strengths and depression?\",\"answer\":\"The study tested whether self-esteem mediates how family strengths relate to depressive symptoms in older adults with chronic kidney or liver disease within patient-caregiver dyads.\"},{\"question\":\"How was the analysis conducted for kidney and liver dyads?\",\"answer\":\"The Actor–Partner Interdependence Mediation Model was applied separately to kidney disease dyads and liver disease dyads to evaluate actor and partner pathways.\"},{\"question\":\"What did the results show for patient and caregiver effects in liver dyads?\",\"answer\":\"In liver dyads, patients’ family strengths increased self-esteem and reduced their depressive symptoms, while caregivers’ family strengths directly reduced caregivers’ depressive symptoms; no significant partner effects were observed in liver dyads.\"}]","FAMILY STRENGTHS - SELF-ESTEEM - AND DEPRESSION IN OLDER ADULTS WITH KIDNEY/LIVER DISABILITY - A DYADIC ANALYSIS | PDF",1790642931]