Table 2. Actor-Partner effects of depression, quality of life and psychological distress on later depressed mood in couples with a cancer survivor, Medical Expenditures Panel Survey (2004-2012; n=910 dyads).

	95% CI
	Estimate	Lower	Upper	p-value
Depressed mooda
Survivor-->Survivor	12.17	6.56	22.55	<.001
Spouse-->Spouse	15.64	7.49	32.68	<.001
Spouse-->Survivor	4.27	2.01	9.07	<.001
Survivor-->Spouse	1.88	0.87	4.07	0.108
Distressb
Survivor-->Survivor	1.34	1.23	1.46	<.001
Spouse-->Spouse	1.16	1.06	1.27	0.001
Spouse-->Survivor	1.06	0.99	1.13	0.105
Survivor-->Spouse	1.02	0.95	1.09	0.606
Mental HRQoLc
Survivor-->Survivor	0.30	0.20	0.44	<.001
Spouse-->Spouse	0.52	0.35	0.76	<.001
Spouse-->Survivor	0.72	0.53	0.97	0.033
Survivor-->Spouse	0.75	0.55	1.02	0.072
Physical HRQoLc
Survivor-->Survivor	0.68	0.53	0.88	0.003
Spouse-->Spouse	0.56	0.42	0.74	<.001
Spouse-->Survivor	0.68	0.53	0.87	0.002
Survivor-->Spouse	1.08	0.82	1.44	0.570

^aEstimates indicate likelihood of depressed mood at Time 2 for depressed versus not depressed mood at Time 1

^bEstimates indicate likelihood of depressed mood at Time 2 per 1 point difference in distress at Time 1

^cEstimates indicate likelihood of depressed mood at Time 2 per 10 point difference in health-related quality of life (HRQoL) at Time 1

Dependent variable is depressed mood measured at time 2. Models control for age, gender, race/ethnicity, health insurance coverage, % federal poverty level, family size, presence of health conditions, presence of limitations in basic or instrumental activities of daily living, survivor cancer type, survivor treatment status, MEPS panel number, and depressed mood at Time 1. Full model output is available as an online supplement. Time 1 and time 2 were 11 months apart, on average