The Relationship Between Media Food Marketing Influence and Unhealthy Food Intake in Parent–Adolescent Dyads: An Actor–Partner Interdependence Model

To assess interdependent effects of autonomous motivation to limit sugar-sweetened beverage (SSB) consumption in relation to SSB and healthy beverage (HB) intake in mother-adolescent and father-adolescent dyads. Adopting a dyadic cross-sectional design, the actor-partner interdependence modelling (APIM) approach was used to construct and analyse two APIM for mother-adolescent and father-adolescent dyads. The first model assessed actor effects (individual's autonomous motivation associated with his/her own beverage intake) and partner effects (individual's autonomous motivation associated with another family member's beverage consumption) of autonomous motivation on SSB consumption. The second model assessed actor and partner effects of autonomous motivation on HB intake. Two Internet-based surveys were completed in participant households.ParticipantsData from a demographically representative US sample of parent-adolescent dyads (1225 mother-adolescent dyads, 424 father-adolescent dyads) were used. In the first model (autonomous motivation on SSB consumption), actor effects were significant for adolescents, but not for parents. Partner effects were significant for mother-adolescent, but not father-adolescent dyads. In the second model (autonomous motivation on HB intake), actor effects were significant for adolescents and parents in all dyadic combinations. Regarding partner effects, adolescent autonomous motivation had a significant effect on HB intake for mothers and fathers. In addition, maternal autonomous motivation had a significant effect on adolescent HB intake. No partner effects for HB were identified for fathers. We found significant interdependent effects of autonomous motivation in relation to SSB and HB intake in mother-adolescent and father-adolescent dyads for eleven out of sixteen pathways modelled.

본 연구는 부부의 결혼만족도와 알코올 사용에 있어 주관적 행복감의 매개효과를 검증한 선행연구의 후속으로 진행된 연구로서 우울의 매개적 효과를 검증하는 것이다. 이를 위해 한국아동패널 7차 자료 중 1066 쌍의 짝자료(dyadic data)를 활용하여 변인 간 자기효과(actor effect)와 상대방효과(partner effect)를 검증하였 다. 자기-상대방 상호의존모형(Actor-Partner Interdependence Models: APIM)을 활용한 연구결과는 다음과 같다. 첫째, 부부의 결혼만족도와 우울의 관계에서 자기효과와 상대방 효과 모두 유의한 영향을 미쳤다. 둘째, 부부의 결혼만족도와 알코올 사용의 관계에서 부부 모두에서 자기효과만 유의한 영향을 미쳤다. 셋째, 부부의 우울과 알코올 사용의 관계에서 아내와 남편의 자기효과와 상대방 효과 모두에서 유의한 영향을 미쳤 다. 마지막으로 부부의 결혼만족도와 알코올 사용의 관계에서 우울의 매개효과가 검증되었다. 이와 같은 결과는 밀접한 상호작용이 일어나는 부부를 대상으로 한 연구의 경우, 짝자료를 분석단위로 해야 할 필요성과 알코올 사용과 부부관계 역동에 대한 탐색이 필요함을 시사한다. 본 연구는 기존의 연구에서 다루지 않았던 짝자료의 특징을 고려할 수 있는 연구 모형을 설정하여 부부를 한 단위로 하여 각 변인 간의 관계에서 자기효과와 상대방 효과를 확인하였으며 자기효과와 상대방효과 간 상대적 크기를 비교하여 부부의 상호 간의 영향력을 확인하였다는 데에 의의가 있다.This study was performed as the follow-up research of actor and partner effects of couples marital satisfaction on alcohol use. The purpose of this study was to verify actor and partner effects of couples’ marital satisfaction and depression on alcohol use. The sample consisted of 1,066 couples from the seventh wave of Korean Children Panel Study. Data were analyzed via actor-partner interdependence models(APIM). The findings illustrated that the actor and partner effects of marital satisfaction on depression were significant in wives and husbands. They also revealed that actor effects was significant in relation to wives’ marital satisfaction on alcohol use. Moreover, partner effects and actor effects of depression on alcohol use for wives and husbands was significant. Finally, the mediating effect of depression between marital satisfaction and alcohol use was verified. The results imply the need for dyadic data analysis for wives and husbands and the need for investigation of marital dynamic process on alcohol use. This study was meaningful in that APIM was verified with dayadic data of couples which were not managed in the previous researches, and actor and partner effects were significantly identified.

Dyadic effects of family resilience on post-traumatic stress symptoms among breast cancer patients and their primary family caregivers: A cross-sectional study.

Methodological and statistical challenges have been identified in family research when the parental dyad is under study. The purposes of this article are to review the literature on methodological and statistical procedures in research on families, and to introduce an analysis technique that is new to the nursing literature, the actor-partner interdependence model (APIM). The use and interpretation of the APIM method is illustrated through an example of families of young children with asthma. In the APIM an actor effect is the impact a person has on his or her own outcome, whereas a partner effect is the impact a member of a dyad has on his or her partner's outcome. The main findings from the data example indicate that family adaptation is influenced by the actor effect of resiliency factors (sense of coherence and family hardiness), the partner effect of caregiving demands, as well as by both the actor and partner effects of family demands. The APIM method gives new insight into how parental data can be analyzed by taking both the individual and the partner contribution into account when studying family phenomena. Knowing how outcomes may be influenced not only by individuals (via an actor effect) but also by their partners (through a partner effect) enriches our understanding of how families function.

339 Background: Drawing on the Health Belief Model, greater perceived illness threat typically motivates healthier behaviors. In couples, these effects may be interdependent, with one partner’s perceived threat influencing both their own and their partner’s health behaviors. However, no study has tested this interdependent association among prostate cancer (PCa) survivors and partners. This study aimed to 1) examine the interdependent associations between perceived threat and adherence to the Mediterranean (Med) Diet among PCa survivors and partners, and 2) assess whether these associations were moderated by neighborhood socioeconomic deprivation, measured by the Area Deprivation Index (ADI). Methods: We analyzed the secondary data collected from the control arm of a clinical trial (N = 139 survivor–partner dyads) at baseline (T1), 4 (T2), 8 (T3), and 12 (T4) months. We measured perceived threat and Med diet adherence with reliable and valid self-report surveys. At each time point, we fitted structural equation models with Actor-Partner Interdependence Modeling (APIM) to estimate actor effects (one’s perceived threat → one’s own adherence) and partner effects (one’s perceived threat → partner’s adherence). All models adjusted for family income; missing data were imputed via Random Forest. We then added ADI as a dichotomous moderator (high vs. low deprivation) to test interaction effects. Results: Main Effects. Lower perceived threat was associated with higher Med diet adherence for both survivors and partners. Significant actor effects (one’s perceived threat → one’s own adherence) occurred for survivors at T2 (p = 0.013) and for partners at T1 (p = 0.008) and T2 (p < 0.001). A partner effect (one’s perceived threat → their partner’s adherence) emerged at T2: partners’ lower threat was related to survivors’ greater adherence (p = 0.037). Moderation by ADI. In high-deprivation neighborhoods, survivors’ actor (p < 0.001) and partner (p = 0.036) effects at T2 were amplified—i.e., among survivors, the perceived threat was more strongly associated with both their own and their partners’ Med diet adherence. Conversely, for partners in deprived areas, both actor effects at T2 (p = 0.006) and partner effects at T3 (p = 0.026) and T4 (p = 0.017) were attenuated. Conclusions: After PCa treatment, the more threatened or worried individuals felt, the less likely they were to follow the Med Diet, suggesting that emotional or cognitive responses to PCa experience might interfere with adherence to healthy eating. This relationship was moderated by high neighborhood deprivation and in opposite directions for survivors and partners. Targeted dietary interventions for PCa survivors and partners require a dual focus, addressing the psychological challenges tied to their perception of PCa and the practical barriers from limited neighborhood resources.

The Effect of Screen Viewing Duration and Self-Efficacy in Limiting Screen Viewing on Loneliness in Adolescent-Parent Dyads: An Application of the Actor-Partner Interdependence Model

The purpose of this study was to explore the relationship between infertility-related stress and dyadic coping with quality of life (QoL) in couples with infertility issues, and verify gender differences and dyadic interactions in the associations between them. This cross-sectional study included 340 couples who were recruited from the First Affiliated Hospital of Lanzhou University between March 2022 and November 2022. The Fertility Problem Inventory, Dyadic Coping Inventory and FertiQoL were used to measure infertility-related stress, dyadic coping and QoL. The Actor-Partner Interdependence Model was used to analyze the effects of infertility-related stress and dyadic coping on the couple's own QoL (actor effect) as well as on their partner's QoL (partner effect). Female patients perceived significantly lower levels of QoL and dyadic coping than those of husbands. There was no statistically significant difference in the infertility-related stress between wives and husbands. Husbands' infertility-related stress had actor and partner effects on their own and their wives' QoL, while wives' infertility-related stress only had an actor effect on their own QoL. Husbands' dyadic coping had both actor effect and partner effects on their own and their wives' QoL, meanwhile wives' dyadic coping had both actor effect and partner effects on their own and their husbands' QoL. Husbands' QoL was impacted by their own infertility-related stress, dyadic coping and their wives' dyadic coping. Whereas wives' QoL was influenced by infertility-related stress and dyadic coping from both their own and their spouses. Therefore, elevating the level of dyadic coping may contribute to improving QoL for both husbands and wives. Moreover, enhancing the ability to cope with infertility-related stress might be useful for husbands and indirectly contribute to wives' QoL.

We examine how three types of marital commitment—personal, structural, and moral—are associated with perceptions of fairness in chores ( N = 1,839 married couples or 3,678 spouses). Using the Actor–Partner Interdependence Model, we find distinct relationships by type of marital commitment and gender. For personal commitment, both actor and partner effects were positively associated with wives’ perceived fairness of chores, with actor effects more influential to perceptions of fairness for wives versus husbands. For structural commitment, actor and partner effects were negatively associated with husbands’ perceived fairness of chores, with actor effects more influential to perceptions of fairness for husbands versus wives. For moral commitment, actor effects were positively associated with husbands’ perceived fairness, without any gender differences found. Given that employed wives continue to do the disproportionate amount of housework, we discuss how differences by gender in marital commitment explain perceptions of fairness in household chores.

Objective Health literacy (HL), skills for accessing, appraising and using health information in health decision-making is implicated in adolescents’ health behaviors. HL skills develop through scaffolding, modeling, practice and opportunity. Therefore, adolescents’ HL skills are likely closely tied to parents’ HL and health behaviors. Yet, no studies have examined the dyadic interdependence of the relationship between HL and health behaviors between parents and adolescents. The purpose of this study was to determine the interdependence of adolescents’ and parents’ HL and health behaviors. Methods and Measures Data were collected from 300 parent-adolescent dyads via Qualtrics Panel. Dyads completed identical measures of their HL, diet, physical activity, sedentary activity, cigarette-smoking, vaping, and alcohol binge-drinking behaviors. Data were analyzed using Pearson correlations and the Actor-Partner Interdependence Model. Results Within-dyad correlations were significant for HL and all health behaviors assessed. After controlling for covariates and partner effects, adolescents’ HL was related to their sugar-sweetened beverage intake, sedentary activity, and substance use. After controlling for covariates and actor effects, adolescents’ HL was related to parents’ sedentary activity, binge-drinking, and vaping while parents’ HL was related to adolescents’ sedentary activity. Conclusion Our results suggest that there is interdependence in these relationships especially for risk behaviors.

This study was conducted to examine the level of infertility stress, marital adjustment, depression, and quality of life in infertile couples and assess the actor and partner effects in these areas using the actor-partner interdependence model. Cross-sectional study. Participants were 121 infertile couples. After pilot study, data were collected from November 2012 to March 2013 using the following questionnaires: the Fertility Quality of Life, Fertility Problem Inventory, Revised Dyadic Adjustment Scale, and Beck Depression Inventory. There was a gender difference in infertility stress, depression, and quality of life. Infertility stress had actor and partner effects on the quality of life. Marital adjustment had an actor effect on the quality of life for the wives. Depression had actor and partner effects on quality of life for the wives, but only an actor effect for the husbands. This study found that there were actor and partner effects of infertility stress, marital adjustment, and depression on the quality of life in infertile couples. These findings may help nurses be aware of such effects and can be used as a baseline data in the development of nursing interventions for infertile couples.

ObjectiveWomen diagnosed with breast cancer younger than 45 years (young breast cancer survivors—YBCS) and their biological relatives face significant stressors. Although family support is an important coping resource, little is known about YBCS’ and relatives’ support and whether it is interdependent. The study described family support in YBCS and their biological relatives; identified demographic, clinical, and psychosocial predictors of support; and determined the interdependence of support in YBCS‐relatives family units.MethodsData were collected from a random sample of YBCS and their first‐ or second‐degree female relatives. Actor‐partner interdependence models (APIM) explored predictors and interdependence of YBCS’ and relatives’ family support in dyads (YBCS and relative) and triads (YBCS and two relatives).ResultsAmong n = 310 YBCS and n = 431 first‐ or second‐degree relatives, family support was higher in triads compared to dyads. APIMs identified actor effects in dyads, and actor and partner effects in triads. Across all family units, YBCS’ higher self‐efficacy was associated with higher YBCS support (actor effect) and relative support (partner effect); YBCS’ prior diagnosis of depression was associated with lower YBCS and relative support (actor and partner effect); cost‐related lack of access to care was associated with lower support among YBCS (actor effect) and relatives (actor and partner effect).ConclusionsFamily support was interdependent and was affected by self‐efficacy, depression, and access to care. Interventions should include YBCS and relatives, enhance self‐efficacy and access to care.

By using actor–partner interdependence modeling (APIM), we examined the effects of the Dark Triad traits, psychopathy, narcissism, and Machiavellianism on two mate retention (MR) domains, cost-inflicting (C-I B) and benefit-provisioning behaviors (B-P B) as well as overall mate retention (OMR) on the sample of 100 heterosexual romantic couples. These effects were examined first without and then with the control of the overlap between the traits. The results show that actor effects of the Dark Triad traits on MR were stronger in men, and regarding partner effects, the Dark Triad traits in men exerted more frequent MR in women than women’s Dark Triad traits in men. In line with our prediction, psychopathy had the strongest actor and partner effects on MR behaviors, both in men and women. Considering MR domains, we found actor effects on C-I B only in men, whereas actor effects on B-P B in both men and women. The Dark Triad traits, especially in men, exerted stronger partner effects on C-I B than on B-P B domain. Almost all actor and partner effects of psychopathy and narcissism remained significant after the control for the overlap between the traits, whereas all actor effects of Machiavellianism became nonsignificant. In both sets of analyses, without and with the control for the overlap between these traits, the most frequent plausible dyadic patterns were actor-only and couple pattern.

To explore the effects of disability, depressive, anxiety and stress symptoms on patients' and their partners' quality of life (QoL) using the actor-partner interdependence model (APIM). A cross-sectional study using actor-partner interdependence model. We recruited 183 dyads of stroke survivors and their family caregivers in Indonesia. The World Health Organization Disability Assessment (WHODAS 2.0), Depression, Anxiety and Stress (DASS-42) and Rand Short Form Health Survey (SF-36) were used to measure disability, depressive, anxiety and stress symptoms and QoL of stroke survivors and family caregivers. The actor-partner interdependence model was tested using multilevel modelling. The actor-partner interdependence mediation model (APIMeM) was applied to estimate the direct and indirect effect. Disability had actor effects on stroke survivor's overall QoL and partner effect on family caregiver's overall QoL. More severe disability of stroke survivors was associated with a lower overall QoL of their own and that of family caregiver's overall QoL. Depressive symptoms of stroke survivors had actor effects on stroke survivors' overall QoL and partner effects on family caregivers' overall QoL. Actor and partner effects also exist on family caregiver's depression symptoms to their own overall QoL and stroke survivor's overall QoL. Moreover, higher anxiety symptoms were associated with lower levels of their own and partner's overall QoL in both stroke survivors and family caregivers. Stroke survivor's stress symptoms also negatively associated with their own and family caregiver's overall QoL. However, a family caregiver's stress without a partner effects on stroke survivor's overall QoL. The APIMeM analysis showed that disability of stroke survivors directly decreased their own overall, physical (PCS) and mental QoL (MCS). Also, disability mediated by stroke survivor's depression, anxiety and stress symptoms decreased both stroke survivor's and family caregiver's physical (PCS) and mental QoL (MCS). The findings suggest that stroke survivors and family caregivers may influence each other during the caregiving process and social life. The disability of stroke survivors, and the depression, anxiety and stress symptoms of stroke survivors and family caregivers affect their own QoL and their partners' QoL. Disability of stroke survivors directly decreased their own overall, physical (PCS) and mental QoL (MCS). Also, it indirectly via stroke survivor's depression, anxiety and stress symptoms decreased both stroke survivor's and family caregiver's physical (PCS) and mental QoL (MCS). Dyadic actor-partner interdependence models have shown promising potential to predict the QoL among patients and family caregivers. The dyadic effects of disability, depression, anxiety and stress symptoms on the QoL of stroke survivors and family caregivers can be applied to guide the future development of nursing intervention addressed decreasing depression, anxiety and stress symptoms to optimize health outcomes among stroke survivors and their family caregivers.

The effects of actor-partner’s meal production focus on satisfaction with food related life in cohabiting couples

This study aimed to identify the actor and partner effects of health status, marital satisfaction, and self efficacy on retirement preparation in middle aged couples using the Actor-Partner Interdependence Model. Participants were 121 middle aged couples living in Seoul, Gyeonggi-do and Daegu City, Korea. All measures were self-administered. The collected data were analyzed using SPSS 20.0 and AMOS 20.0. 1) Wife's self efficacy and marital satisfaction showed direct actor and partner effects on retirement preparation in middle aged couples. Wife's health status showed an indirect actor effect through wife's self efficacy and marital satisfaction on wife's retirement preparation, and showed an indirect partner effect through husband's self efficacy on husband's retirement preparation. 2) Husband's self efficacy and marital satisfaction showed only direct actor effect on retirement preparation. Health status among the husbands showed an indirect actor effect on husband's retirement preparation through their self efficacy and marital satisfaction, and an indirect partner effect through wife's marital satisfaction on wife's retirement preparation. 3) The actor effect size of health status on self efficacy and marital satisfaction was larger among husband's than wife's. Additionally, the partner effect size of health status on self efficacy and marital satisfaction was different between the two groups; however, the actor and partner effect size of self efficacy and marital satisfaction on retirement preparation was the same for husband and wife. The results of this study indicate that nursing intervention strategies for improving self efficacy and marital satisfaction are strongly needed to enhance retirement preparation of middle aged couples in Korean community.