Change in job and marital experiences and change in psychological distress: A longitudinal study of dual-earner couples.

Are changes in job quality more closely linked to changes in distress for men than for women? Conversely, are changes in marital quality more closely linked to changes in distress for women than for men? These questions were addressed in a longitudinal analysis of a random sample of 210 full-time employed dual-earner couples. Change over time in job role quality was significantly associated with change over time in distress, and the magnitude of the relationship differed little, if at all, by gender. In contrast, change over time in marital role quality was also associated with change in distress, but the magnitude of the association depended on gender. Among full-time employed married women, change in marital experience was more closely linked to change in distress than among their husbands. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Quasi-kin relationships and marital quality in stepfather families.

Tested A. Cherlin's (1978) incomplete institution hypothesis to determine specifically if (a) couples where both spouses have children from a previous marriage (complex) exhibit lower marital quality than couples where only one spouse has children (simple), (b) the marital quality of divorced–remarried couples decreases as the frequency of interaction with quasi-kin (former spouses) increases, and (c) divorced–remarried women exhibit lower marital quality than men. 27 couples from complex stepfamilies and 13 couples from simple stepfamilies were divided into 3 levels of frequency of contact with quasi-kin groups (high, moderate, and low) and completed the Marital Adjustment Test, the Areas of Change Questionnaire, the Life Experiences Survey, and a Quasi-Kin Relationship Questionnaire. Ss from simple stepfamilies registered higher marital quality than Ss from complex stepfamilies. Ss who maintained moderate frequencies of contact with quasi-kin exhibited better marital quality than Ss who maintained either high or low frequencies of contact (these groups did not differ). The prediction that women would exhibit lower marital quality than men was not confirmed. Role strain and the concept of "permeability of boundaries" are used to interpret these findings. (37 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Functional impairment, marital quality, and patient psychological distress as predictors of psychological distress among cancer patients' spouses.

This study investigated contextual determinants of psychological distress among 197 spouses of cancer patients. women, 30–82 years old). It was hypothesized that higher levels of patient functional impairment would lead to greater patient distress. Patient distress, in turn, would lead to lower spouse marital satisfaction and ultimately to higher spouse distress. Spouses completed measures of distress and marital quality at three time points. Cancer patients rated their functional impairment and psychological distress at the same time points. Results indicated that at all time points, greater patient impairment was associated with higher levels of patient distress which, in turn, was related to lower marital satisfaction. However, marital quality was related to spouse distress at only 1 time point, but spouse distress was directly associated with patient distress at each time point. Implications for cancer patients and spouses are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Gender and the relationship between job experiences and psychological distress: A study of dual-earner couples.

Examines the association between job role quality and psychological distress in a sample of 300 full-time employed dual-earner couples, controlling for such individual level variables as age, education, occupational prestige, and marital quality, and for such couple level variables as length of marriage, parental status, and household income. The magnitude of this effect is compared for men and for women. Results indicate that job role quality is significantly negatively associated with psychological distress for women as well as for men and that the magnitude of the effect depends little, if at all, on gender, casting doubt on the widely held view that job experiences more significantly influence men's mental health states than women's. The results are discussed in the context of differentiating between sex and gender differences. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Demand and withdraw communication among couples experiencing husband violence.

Two studies compared marital communication behaviors of violent and nonviolent couples. In Study 1, violent distressed (VD) men reported more husband demand-wife withdraw than did nonviolent men. Distressed men reported less mutual constructive communication and more mutual blame and avoidance than did nondistressed men. Interactions of VD, violent nondistressed (VND), nonviolent distressed (NVD), and nonviolent nondistressed couples were coded in Study 2. VD spouses tended to engage in the most demand and withdraw and the least positive behavior; violent couples had the highest levels of contempt. On some codes, VND couples resembled NVD couples, suggesting that violence without distress may correlate differently with marital communication than violence in combination with distress and that severity of violence is important to consider. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Postpartum psychiatric disorders: Their relationship to psychological adjustment and marital satisfaction in the spouses.

The authors examined mental health and marital quality in an index group of spouses of women with postpartum psychiatric disorders and a control group of men whose wives had recently given birth but had no such disorders. At 6 to 9 weeks postpartum, couples underwent a psychiatric interview and completed self-report measures of psychological symptoms, marital satisfaction, and changes in couple and family functioning since the birth. Index spouses reported more symptoms and had lower Global Assessment of Functioning (R. L. Spitzer, J. B. W. Williams, M. Gibbon, & M. B. First, 1990) scores than controls. Index men reported greater marital dissatisfaction and more change in household routines, recreation, and intimacy with their partners than controls. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Distress in couples coping with cancer: A meta-analysis and critical review of role and gender effects.

Research concerning distress in couples coping with cancer was integrated using meta-analysis and narrative critical appraisal. Individual levels of distress were determined more by gender than by the role of being the person with cancer versus that person's partner. That is, women reported consistently more distress than men regardless of their role (standardized mean difference = 0.31). The association between patient and partner distress within couples was only moderate (r = .29) but is sufficient to warrant further consideration of the notion that these couples react as an emotional system rather than as individuals. It is noteworthy that this association is not moderated by gender. With a general lack of comparison groups, the question of how much distress can be ascribed to the cancer experience cannot be answered decisively; elevations in distress are probably modest. We critically discuss these results, identify important unanswered questions, and indicate directions for future research. Attention needs to be directed toward factors other than cancer as direct influences of distress in these couples and to mediators and moderators of the cancer experience. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Physical aggression and marital dysfunction: A longitudinal analysis.

Shortly after marriage, 56 couples provided data on physical aggression and other predictors of marital adjustment. At 6-month intervals over the next 4 years, spouses reported on their marital quality and stability. Results indicated that marital dysfunction was more common among aggressive than among nonaggressive couples (70% vs. 38%) and among severely aggressive than among moderately aggressive couples (93% vs. 46%). Aggression remained a reliable predictor of marital outcomes after the authors controlled for stressful events and negative communication. These findings help to refine developmental models of marital dysfunction, which often overlook the role of aggression, and can provide information for prevention programs for marital distress, which typically do not distinguish between aggressive and nonaggressive couples. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Marital quality, coping with conflict, marital complaints, and affection in couples with a depressed wife.

This study compared 3 groups of women--outpatient depressed, inpatient depressed, and community control--and their husbands on a range of variables including marital functioning and styles of coping with conflict. Outpatient depressed couples reported greater marital distress and more destructive and less constructive tactics for resolving conflict than did community control couples. They also were more likely to have been previously married and to express regrets about having married their current husbands. There were smaller and less consistent differences for couples with inpatient depressed spouses, although inpatient couples with younger wives were similar to outpatient depressed couples. Both groups of depressed women and their husbands reported fewer expressions of affection and more complaints about the marriage than did control couples. Results are discussed in terms of interpersonal perspectives on depression. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Marital interaction of agoraphobic women: A controlled, behavioral observation study.

Married couples with a female agoraphobic spouse (n = 22) were compared with demographically similar community control couples (n = 21) on self-report and observational measures of marital interaction. Consistent with hypotheses, husbands of agoraphobic women were more critical of their wives than were control husbands, and clinical couples were less likely to engage in positive problem solution than control couples. Contrary to hypothesis, clinical husbands were not less supportive than control husbands. Where general measures of marital distress were concerned, clinical couples, relative to control couples, evinced more distress by self-report, by their higher rate of negative nonverbal behavior, and by their longer sequences of negative exchanges. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Depression and marital functioning: An examination of specificity and gender differences.

Recent work has emphasized the importance of assessing the marital relationships of depressed persons. The present study was designed to examine the specificity to clinical depression of problematic marital functioning and to assess potential gender differences in the marital relationships and spousal interactions of depressed persons. Depressed psychiatric patients, nondepressed medical patients, and nondepressed community control subjects and their spouses completed measures of marital satisfaction and then participated in a 20-min marital interaction task. Subjects then completed measures assessing their postinteraction mood and perceptions of their spouses, and the interactions were scored with respect to the frequency of occurrence of a number of behaviors. The depressed couples differed from the community controls on virtually every measure of marital functioning. Furthermore, although the medical patients and their spouses also reported marital dissatisfaction and exhibited dysfunctional interactional behavior, only the depressed couples were characterized by negative affect following the interactions and by negative appraisals of their spouses' behaviors. This negative affect was particularly pronounced for the depressed women. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Provider role attitudes, marital satisfaction, role overload, and housework: A dyadic approach.

Treating the marital dyad as the unit of analysis, this study examined the within-couple patterning of 272 dual-earner spouses' provider role attitudes and their longitudinal associations with marital satisfaction, role overload, and the division of housework. Based on the congruence of husbands' and wives' provider role attitudes, couples were classified into one of four types: (a) main-secondary, (b) coprovider, (c) ambivalent coprovider, and (d) mismatched couples. Nearly half of all spouses differed in their attitudes about breadwinning. A series of mixed model ANCOVAs revealed significant between- and within-couple differences in human capital characteristics, spouses' perceptions of marital satisfaction and role overload, and the division of housework across 3 years of measurement. Coprovider couples reported higher levels of marital satisfaction and a more equitable division of housework than the other couple groups. Wives in the ambivalent coprovider couples' group reported higher levels of role overload than their husbands to a greater extent than was found in the other couple groups. As the first study to adopt a dyadic approach that considers the meanings that both spouses in dual-earner couples ascribe to paid employment, these findings advance understanding of how dual-earner spouses' provider role attitudes serve as contexts for marital quality, behavior, and role-related stress. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Marital distress and the metabolic syndrome: Linking social functioning with physical health.

Mechanisms by which poor relationship functioning contributes to poor health are not fully understood. We conducted a study to evaluate the association between marital distress and the metabolic syndrome (MetS), which refers to a clustering of characteristics that have individually been shown to be associated with elevated risk of cardiovascular disease and diabetes and which collectively have been shown to increase risk for cardiovascular disease, diabetes, stroke, and mortality. A population-based English sample of couples (N = 671 couples) in which both partners were between the ages of 52 and 79 years old completed a self-report measure of marital distress and a nurse visit that included collection of blood pressure, blood samples, and anthropometric measures. Results indicated that for women, after controlling for demographic variables, greater marital distress was significantly associated with increasing likelihood of meeting criteria for the MetS and with the individual MetS criteria of elevated blood pressure and elevated fasting glucose. The association between marital distress and the MetS remained significant for women when additionally controlling for depressive symptoms and health habits (smoking status, physical activity). Marital distress was not significantly associated with the MetS or any of the individual MetS criteria for men. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Attachment insecurity and perceptions of housework: Associations with marital well-being.

This exploratory study examines the interactive effects of attachment insecurity and perceptions of housework on 2 dimensions of marital well-being--satisfaction and perceptions of fairness. Participants were 148 married couples obtained from an area probability sample as part of a larger study. Multilevel modeling analyses with the couple as the unit of analysis showed that women who scored high and men who scored low on the dimension of attachment anxiety and reported that their spouses performed more routine housework (i.e., prepares meals) also reported being over-benefited. Women who scored high and men who scored low on the dimension of attachment avoidance and reported that their spouses performed more intermittent housework (i.e., yard work) reported greater marital satisfaction. These results highlight the role of attachment orientations in explaining why perceptions of housework may have more or less prominent effects on marital well-being. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Prognostic significance of spouse we talk in couples coping with heart failure.

Recent research suggests that marital quality predicts the survival of patients with heart failure (HF), and it is hypothesized that a communal orientation to coping marked by first-person plural pronoun use (we talk) may be a factor in this. During a home interview, 57 HF patients (46 men and 16 women) and their spouses discussed how they coped with the patients' health problems. Analysis of pronoun counts from both partners revealed that we talk by the spouse, but not the patient, independently predicted positive change in the patient's HF symptoms and general health over the next 6 months and did so better than direct self-report measures of marital quality and the communal coping construct. We talk by the patient and spouse did not correlate, however, and gender had no apparent moderating effects on how pronoun use predicted health change. The results highlight the utility of automatic text analysis in couple-interaction research and provide further evidence that looking beyond the patient can improve prediction of health outcomes. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The relationship between dyadic coping and marital quality: A 2-year longitudinal study.

Previous studies have revealed that the ways couples deal with stress in their lives are significantly associated with their marital quality and overall marital functioning. However, there has been little empirical evidence linking dyadic coping with marital quality over time. This study addresses the relationship between dyadic coping and marital quality among 90 couples over a period of 2 years. The results reveal that dyadic coping was significantly associated with marital quality over 2 years. For women, both their own dyadic coping and that of their partner were significant predictors, whereas for men only their own dyadic coping was predictive. The results are discussed with regard to prevention of marital distress. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Predictors of psychological distress among infertility clinic patients.

One in every 6 couples is infertile, and the literature suggests that a number of individuals experience psychological distress associated with infertility. The purpose of this study was to investigate predictors of psychological distress among infertility clinic patients. Analyses indicated that infertile men (n?=?86) and women (n?=?120) reported greater psychological distress than normative data from the general population. Separate hierarchical multiple regressions revealed that self-blame and avoidance coping was the best predictor of psychological distress among men and women. Increased age and not already having biological children added to the prediction among men but not among women. The limitations and implications of the findings are presented. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Social support, conflict, and the development of marital dysfunction.

How spouses help each other contend with personal difficulties is an unexplored but potentially important domain for understanding how marital distress develops. Newly married couples participated in 2 interaction tasks: a problem-solving task in which spouses discussed a marital conflict and a social support task in which spouses discussed personal, nonmarital difficulties. Observational coding of these interactions showed that wives' support solicitation and provision behaviors predicted marital outcomes 2 years later, independent of negative behaviors during marital problem-solving discussions. In addition, couples who exhibited relatively poor skills in both behavioral domains were at particular risk for later marital dysfunction. These results suggest that social support exchanges should be incorporated into social learning analyses of marriage and into programs designed to prevent marital distress. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Workload and the trajectory of marital satisfaction in newlyweds: Job satisfaction, gender, and parental status as moderators.

Stress, on average, is bad for relationships. Yet stress at work is not always associated with negative relationship outcomes. The premise of the current study was that associations between workload and trajectories of marital satisfaction depend on circumstances that may constrain or facilitate partners' ability to negotiate their multiple roles. We hypothesized that the covariance between changes in workload and marital satisfaction over time should be moderated by (a) the extent to which spouses like their work, (b) their parental status, and (c) their gender. Analyses drawing upon eight waves of data on workload, work satisfaction, and marital satisfaction from 169 newlywed couples assessed over four years confirmed these predictions. Specifically, across couples, demands at work covaried positively with marital satisfaction for spouses who were more satisfied with their jobs. For nonparent couples, increases in husbands' workload covaried with increases in marital satisfaction for both spouses. For parent couples, however, increases in husbands' workload covaried with declines in marital satisfaction for both spouses. Unexpectedly, for parent couples, increases in wives' workload corresponded with increased marital satisfaction. Finally, consistent with predictions, wives were more affected by their husbands' workload than vice versa. Thus, tension between work and marriage is not inevitable, instead depending on circumstances that facilitate or impair performance in multiple roles. Couples, employers, and practitioners should recognize the role that external circumstances play in determining how work and marital life interact. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Model generation and testing to probe neural circuitry in the cingulate cortex of postmortem schizophrenic brain

How spouses help each other contend with personal difficulties is an unexplored but potentially important domain for understanding how marital distress develops. Newly married couples participated in 2 interaction tasks: a problem-solving task in which spouses discussed a marital conflict and a social support task in which spouses discussed personal, nonmarital difficulties. Observational coding of these interactions showed that wives' support solicitation and provision behaviors predicted marital outcomes 2 years later, independent of negative behaviors during marital problem-solving discussions. In addition, couples who exhibited relatively poor skills in both behavioral domains were at particular risk for later marital dysfunction. These results suggest that social support exchanges should be incorporated into social learning analyses of marriage and into programs designed to prevent marital distress.