Predicting mild and severe husband-to-wife physical aggression.

Nonordered multinomial logistic models were used to estimate the odds of mild and severe husband-to-wife physical aggression in 11,870 White men. Being younger, having a lower income, and having an alcohol problem significantly increased the odds of either mild or severe physical aggression. A drug problem uniquely increased the risk of severe physical aggression. Marital discord and depressive symptomatology, but not work stress, further increased the odds of both mild and severe physical aggression, with marital discord being the most influential psychological variable. Compared with mildly physically aggressive men, those who were severely physically aggressive earned lower income, were more likely to report an alcohol or a drug problem, and had more marital discord and depressive symptomatology. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Prospective associations between marital discord and depressive symptoms in middle-aged and older adults.

Data from both spouses in a population-based sample of middle-aged and older adults (N = 1,869 couples) were used to evaluate the 2-year prospective association between marital discord and depressive symptoms. Nested path analyses indicated that (a) baseline marital discord predicted one's own depressive symptoms at follow-up, (b) baseline depressive symptoms predicted one's own marital discord at follow-up, (c) baseline depressive symptoms predicted partners' marital discord at follow-up, and (d) there were no gender differences in the magnitudes of the pathways between one's own baseline depressive symptoms and one's own marital discord at follow-up or between one's own baseline marital discord and one's own depressive symptoms at follow-up. These results suggest a bidirectional longitudinal association between marital discord and depressive symptoms in middle-aged and older adults. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Maternal depressive symptomatology over the transition to parenthood: Assessing the influence of marital satisfaction and marital sex role traditionalism.

This longitudinal study examined the importance of the marital context in predicting maternal depressive symptomatology, as assessed with marital satisfaction and the endorsement of traditional sex role beliefs about the marriage, in 142 first-time mothers and their husbands or partners. Data were collected during pregnancy and at 6 weeks and 9 months infant age. Maternal and paternal reports about the marriage were assessed, and analyses were done on the way in which marital context scores interacted with earlier and concurrent levels of maternal depressive symptomatology. A hierarchical multiple regression analysis revealed that the final model explained 57% of the variance; marital context contributed 18% of the variance beyond that of earlier symptom levels in predicting mothers' depressive symptoms 9 months after the birth of the first child. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Maternal depressive symptoms and depressive symptoms in adolescents

The relationship between maternal depressive symptoms and rates of adolescent (15-16 years) depressive symptoms was studied in a birth cohort of 934 New Zealand children. There was a clear correlation between maternal depressive symptoms and subsequent depressive symptoms in adolescent females (r = .44) but no association (r = -.01) between maternal depressive symptoms and depressive symptoms in adolescent males. Subsequent analysis suggested that the correlation between maternal depression and depressive symptoms in adolescent females was largely explained by the associations of both measures with a series of social and contextual factors including social disadvantage, marital discord and family adversity. It is concluded that maternal depression is only associated with depression in adolescence insofar as maternal depression is associated with social disadvantage, marital discord or family adversity.     

Communication and intimacy in the marriages of depressed patients.

Marital discord is common among depressed patients. To explain the concurrence of depression and marital discord, it was hypothesized that depressed patients and their spouses have weak relationship-coping abilities, specifically communication, problem solving, and capacity for intimacy. 17 depressed patients and their spouses were compared with 17 control couples on a communication task, an intimacy interview, and self-reports of marital satisfaction. Results indicated that, compared with control Ss, the depressed patients and their spouses (1) reported greater marital dissatisfaction, (2) demonstrated poorer communication and problem-solving ability, and (3) were more likely to have an impaired capacity for establishing and maintaining intimacy. The implications for understanding the development of depression and marital discord are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Relationship functioning moderates the association between depressive symptoms and life stressors.

Data from 172 newlywed couples were collected over the first 4 years of marriage to test how behaviors demonstrated during marital interactions moderate associations between depressive symptoms and subsequent life stressors. Depressive symptoms and behaviors coded from problem-solving and social support interactions were analyzed as predictors of nonmarital stressors that were interpersonal and dependent on the participant's actions. Behavioral codes were found to moderate 3 of 16 symptom-to-life event associations for husbands. Husbands' reports of more depressive symptoms predicted greater levels of stress when husbands' positive affect and hard negative affect during problem-solving were relatively infrequent and when wives made frequent displays of positive behaviors during husbands' support topics. These effects remained after controlling for marital satisfaction. For wives, behavioral moderators did not interact with depressive symptoms to predict changes in stress, but marital satisfaction consistently interacted with depressive symptoms to predict future stressors beyond interpersonal behaviors. Specifically, for wives, stress generation was more evident when relationship satisfaction was low than when it was high. Our results, though different for men and women, suggest that relationship functioning can alter associations between depressive symptoms and life stress in the early years of marriage. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Work-related stress and depression among practicing emergency physicians: an international study

STUDY OBJECTIVE: To compare the levels of work-related stress and depression reported by practicing emergency physicians in three survey sites and to determine the effects of gender and marital status on the stress and depression experienced by these physicians. DESIGN: Cross-sectional mail surveys. SETTING AND PARTICIPANTS: Seven hundred sixty-four practicing emergency physicians from the United States, 91 fellows in full-time practice from Australasia, and 154 consultants and 47 senior registrars from the United Kingdom. INTERVENTION: Administration of questionnaires requesting demographic information and including an inventory to assess work-related stress and a scale to measure depressive symptomatology. MEASUREMENTS AND MAIN RESULTS: A 3 x 2 x 2 multivariate analysis of variance performed to compare scores on the stress inventory and depression scale simultaneously by survey site, gender, and marital status revealed significant differences in stress and depression by survey site and marital status. Univariate analyses of variance revealed significant differences in both stress and depression among the three survey sites and in depression by marital status. Adjusted means indicated that physicians from the United Kingdom reported higher levels of stress and depression than physicians from the United States and Australasia. Physicians from the United States and Australasia did not differ with respect to stress or depression. Physicians who were not married reported higher levels of depression than married physicians. No large mean differences, actual or adjusted, were found for any of the grouping factors. CONCLUSION: Statistical differences among practicing emergency physicians from the United States, Australasia, and the United Kingdom were observed, but the actual levels of work-related stress and depression were similar and did not appear severe. Marriage was associated with lower levels of depressive symptomatology.     

Interspousal aggression, marital discord, and child problems.

The association between interspousal aggression and child problems was assessed after controlling for parent's general marital discord. Participants were 87 couples requesting marital therapy who had children between 5 and 12 years old. Spouses completed measures of marital aggression, marital discord, child problems, and family demographics. Marital aggression contributed unique variance to the prediction of conduct disorder, personality disorder, inadequacy-immaturity, and clinical levels of problematic child behavior after marital discord, child's age, child's sex, and Marital Discord?×?Child's Sex interaction were controlled. The theoretical implications of these findings are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Predicting couples' response to marital therapy: A comparison of short- and long-term predictors.

Identified predictors of couples' response to marital therapy at termination and 4 yrs posttreatment for 55 couples receiving either behavioral or insight-oriented marital therapy. Couples were more likely to remain maritally distressed at termination if either spouse reported high levels of negative marital affect or depressive symptomatology at intake. Couples were more likely to be divorced or maritally distressed 4 yrs after completing therapy if spouses' intake measures reflected high levels of negative marital affect, poor problem-solving skills, low psychological resilience, high levels of depression, low emotional responsiveness, or if neither spouse was employed at a semiskilled or higher level position. Termination measures of negative marital affect and poor communication skills also predicted couples' status at 4-yr follow-up. Joint contingency tables relating predictors to outcome were constructed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Efficacy of a tiered therapy defibrillator system used to treat recurrent ventricular arrhythmias refractory to drugs

This study identified predictors of couples' response to marital therapy at termination and 4 years posttreatment for 55 couples receiving either behavioral or insight-oriented marital therapy. Couples were more likely to remain maritally distressed at termination if either spouse reported high levels of negative marital affect or depressive symptomatology at intake. Couples were more likely to be divorced or maritally distressed 4 years after completing therapy if spouses' intake measures reflected high levels of negative marital affect, poor problem-solving skills, low psychological resilience, high levels of depression, low emotional responsiveness, or if neither spouse was employed at a semiskilled or higher level position. Termination measures of negative marital affect and poor communication skills also predicted couples' status at 4-year follow-up. Joint contingency tables relating predictors to outcome were constructed.     

Social support, life events, and depressive symptoms: A 1-year prospective study.

Examined associations between life events, social support, and depressive symptoms in a sample of 709 married women. Ss were administered the SCL-90, a life events scale, a social support scale, and a marital conflict scale in 1981 and again 1 yr later. For a sample of 473 Ss who initially were relatively asymptomatic and reported nonconflicted marital relationships, life events and social support were significant prospective predictors of depressive symptomatology (assessed 1 yr later). In contrast, identical analyses performed on the full, unselected sample yielded discrepant, likely misleading, results. The implications of these findings for the longitudinal study of dynamically interactive processes are discussed. (32 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Relations between spouses' depressive symptoms and marital conflict: A longitudinal investigation of the role of conflict resolution styles.

This study investigated longitudinal relations between spouses' depressive symptoms and styles of conflict resolution displayed by husbands and wives in marital conflict, including angry, depressive, and constructive patterns of expression. Behavioral observations were made from a community sample of 276 couples during marital conflict resolution tasks once a year for 3 years. Couples were observed engaging in a major and minor conflict resolution task. Constructive, angry, and depressive conflict resolution styles were derived from the behavioral observation coding. Couples self-reported on depressive symptoms and marital dissatisfaction. Path analyses provided support for an extension of the marital discord model of depression (Beach, Sandeen, & O'Leary, 1990). Specifically, angry, depressive, and constructive styles of conflict each mediated the link between marital dissatisfaction and depressive symptoms. Significant cross-spouse effects were found. Implications for the treatment of depressed and/or relationally discordant couples are discussed. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Marital discord and well-being in older adults: Is the association confounded by personality?

The associations between marital discord and multiple measures of well-being (depression, anxiety, life satisfaction, and self-esteem) were evaluated in a population-based sample of 416 couples in which the husband was 65 years or older. Results indicated that greater marital discord was associated with greater depression and lower life satisfaction and self-esteem. Furthermore, the associations between marital discord and well-being remained significant when statistically controlling for the rival explanation of the Big Five personality traits. Finally, there was little evidence for gender differences in the magnitude of the associations between marital discord and well-being. Findings suggest that marital discord is an important correlate of multiple measures of well-being in older individuals and that this association is not confounded by the Big Five personality traits. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Life stress, current problems, problem solving, and depressive symptoms: An integrative model.

Hypothesized that a strong association would exist between level of current problems and depressive symptoms in a direct fashion (i.e., the more problems an S had, the higher the likelihood that he/she would experience depressive symptomatology). The model was tested by administering the Beck Depression Inventory, the Life Experiences Survey, and measures of problem-solving behavior and attitudes and current problems to 205 undergraduates. Results from a path analysis generally support the model. Negative life stress was associated with depressive symptoms in both a direct and an indirect manner via level of current problems. Current problems had a significant direct impact on depressive symptoms and an indirect influence via problem solving. The model accounted for 42% of the variance associated with the prediction of depressive symptoms. It is suggested, however, that because the measures were self-report, social desirability factors cannot be ruled out. (18 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Depressive symptoms and marital satisfaction in the context of chronic disease: A longitudinal dyadic analysis.

These analyses examined the longitudinal relationships between depressive symptoms and marital satisfaction over a 2-year period as experienced by 315 patients with end-stage renal disease and their spouses. Using multilevel modeling, the authors examined both individual and cross-partner effects of depressive symptoms and marital satisfaction on patients and spouses, testing bidirectional causality. Results indicate that mean and time-varying depressive symptoms of both patients and spouses were associated with their own marital satisfaction. Although mean marital satisfaction was associated with own depressive symptoms for both patients and spouses, time-varying marital satisfaction did not affect depressive symptoms for either patients or spouses. Significant cross-partner effects reveal that both mean enduring and time-varying depressive symptoms of the spouse affected marital satisfaction of the patient. Findings highlight the complex nature of the relationship between depressive symptoms and marital satisfaction in late-life couples. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Relationship satisfaction instability and depression.

In this study, we explored whether the degree of temporal instability in relationship satisfaction might add to our understanding of the well-documented association between relationship quality and depression. We hypothesized that greater relationship satisfaction instability would be associated with higher depressive symptoms, controlling for mean satisfaction levels. We conducted 12 weekly assessments of relationship satisfaction and depressive symptoms in a sample of 131 cohabiting and married women, and used intraindividual standard deviations of scores over the 12 weeks as an index of instability. Results indicated that, as hypothesized, relationship satisfaction instability predicted variance in depressive symptoms beyond that predicted by mean satisfaction; women whose weekly relationship satisfaction fluctuated more widely tended to have higher depressive symptoms. In comparison, temporal instability in depressive symptoms did not predict variance in relationship satisfaction beyond that predicted by mean depressive symptoms. Prospective analyses tentatively suggested that satisfaction instability may precede rather than follow elevated depressive symptoms. Results suggest the utility of assessing relationship satisfaction instability in future studies exploring links between marital quality and depression. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Loneliness as a specific risk factor for depressive symptoms: Cross-sectional and longitudinal analyses.

The extent to which loneliness is a unique risk factor for depressive symptoms was determined in 2 population-based studies of middle-aged to older adults, and the possible causal influences between loneliness and depressive symptoms were examined longitudinally in the 2nd study. In Study 1, a nationally representative sample of persons aged 54 and older completed a telephone interview as part of a study of health and aging. Higher levels of loneliness were associated with more depressive symptoms, net of the effects of age, gender, ethnicity, education, income, marital status, social support, and perceived stress. In Study 2, detailed measures of loneliness, social support, perceived stress, hostility, and demographic characteristics were collected over a 3-year period from a population-based sample of adults ages 50-67 years from Cook County, Illinois. Loneliness was again associated with more depressive symptoms, net of demographic covariates, marital status, social support, hostility, and perceived stress. Latent variable growth models revealed reciprocal influences over time between loneliness and depressive symptomatology. These data suggest that loneliness and depressive symptomatology can act in a synergistic effect to diminish well-being in middle-aged and older adults. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The role of differentiation of self in marital adjustment.

In the present investigation, Murray Bowen's (1978) theoretical propositions about the relationship between differentiation of self and quality of marital relationships were tested. Couples' levels of differentiation explained substantial variance in marital adjustment: 74% of variance in husband marital adjustment scores and 61 % of variance in wife marital adjustment scores were accounted for by couple differentiation of self-scores. Greater husband emotional cutoff uniquely accounted for husband and wife marital discord. Contrary to family systems theory, actual couples were no more similar on differentiation than were randomly matched couples. Finally, greater complementarity among couples along the specific dimensions of emotional cutoff and emotional reactivity predicted greater marital distress. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Gender-specific pathways between maternal depressive symptoms, family discord, and adolescent adjustment.

Relations among maternal depressive symptoms, family discord, and adolescent psychological adjustment were examined in a sample of 443 middle adolescents and their mothers. Histories of maternal depressive symptoms, gathered at 3 occasions with 6-month intervals, were related to subsequent adolescent reports of depressive symptoms, conduct problems, and academic difficulties for girls but not for boys. Mediational tests indicated that girls' greater vulnerability to family discord (e.g., marital discord, low family intimacy, parenting impairments) accounted for the impact of maternal depressive symptoms on their social and emotional adjustment. Analyses suggest that family discord is a strong mediator in the development of girls' conduct disturbances and a modest mediator of girls' depressive symptoms. Results are discussed within a framework that integrates interpersonal models of parental depressive symptoms with the gender intensification hypothesis. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Longitudinal prediction of marital discord from premarital expressions of affect.

Theoretical and empirical analyses suggest that affective features of dyadic communication bear importantly on relationship satisfaction. A circumplex model that originated in research on the structure of affect was first replicated using data from premarital problem-solving discussions. Negativity, Positivity, and Disengagement emerged as the 3 primary factors. Multiple regression analyses, controlling for premarital relationship satisfaction, showed affective Disengagement at premarriage to be negatively associated with marital satisfaction at 18 (n?=?84) and 30 (n?=?72) mo after marriage. Negativity of premarital affective expression correlated negatively with premarital satisfaction (n?=?88) but not with postmarital satisfaction. Two variables formed by combining affect factors contributed to the prediction of 30-mo marital satisfaction. Elements associated with current marital satisfaction appear to differ from those associated with later marital satisfaction. (PsycINFO Database Record (c) 2010 APA, all rights reserved)