Expressed emotion and familial interaction: A study with agoraphobic and obsessive-compulsive patients and their relatives.

Patients with panic disorder with agoraphobia (n = 40) or obsessive- compulsive disorder (n = 61) participated in a 10-min problem-solving interaction with their primary relative. Relatives were categorized as hostile or nonhostile toward the patient on the basis of a measure of expressed emotion (EE). Observed interactions between patients and their hostile relatives, relative to those of dyads with a nonhostile relative, were marked by higher rates of relatives' criticism and of patients' negativity but not by higher rates of negative reciprocity. Analyses of sequences indicated that the dyads with a hostile relative had a higher rate of sequences in which the relative was first critical and the patient then negative than was the case for dyads with nonhostile relatives. Moreover, hostile relatives were more frequently critical than nonhostile relatives whether patients' preceding behavior was positive, negative, or neutral. The findings are consistent with the stress-vulnerability model of the effect of EE on mental health, in that patients living with a high EE relative appear to be exposed to higher levels of interpersonal stress. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

"Marital interaction and depression": Correction to Schmaling and Jacobson.

Reports an error in "Marital interaction and depression" by Karen B. Schmaling and Neil S. Jacobson (Journal of Abnormal Psychology, 1990[Aug], Vol 99[3], 229-236). In this article, the measures in Table 1 were incorrectly listed. The third and fourth measures ought to read "Wife DAS" and "Husband DAS," respectively. (The following abstract of the original article appeared in record 1991-01471-001.) In this article, patterns of marital interaction as a function of depression and marital satisfaction are examined. The purpose of the study was to separate dysfunctional marital interaction patterns that were unique to depression from those that were associated with marital distress. The presence or absence of a depressed wife was crossed with level of marital satisfaction (distressed or nondistressed) to produce four groups of subject couples. Couples in which the wife was depressed exhibited more depressive behavior than did nondepressed couples, but only during discussion of a high conflict (as opposed to neutral) topic. Sex?×?Depression Level?×?Marital Satisfaction interactions were found for aggressive behavior: Depressed women in nondistressed relationships exhibited behavior that was characteristic of maritally distressed couples (high rates of aggression). In contrast, the husbands of these women exhibited behavior that one would expect in happily married couples (low rates of aggression). We failed to replicate previous findings that depressive behavior served a coercive function, although distressed couples, regardless of depression status, exhibited all the usual signs of negative dysfunctional interaction. [An erratum for this article will appear in Journal of Abnormal Psychology, 1990 (Nov), Vol 99(4). The measures in Table 1 were incorrectly listed in the original article.] (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Gender moderates the relationship between testosterone and marital interaction.

Higher testosterone levels are related to assertiveness and dominance. Given the relevance of those behavioral correlates to spouses' daily transactions, links between testosterone levels and marital interaction were explored among 92 newlywed couples. Marital problem-solving and social support transactions were assessed, and saliva was collected and assayed for testosterone. Whether marital behavior was related to husbands' and wives' testosterone levels was examined. The link between spouses' testosterone and their behavior was contingent on the partner's testosterone levels. Husbands exhibited more adaptive problem-solving behaviors and social support provision when husbands and wives were concordant for lower testosterone levels. In contrast, wives exhibited more adaptive support provision when spouses had discordant testosterone levels such that wives had higher levels and husbands had lower levels. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Couple communication and female problem drinking: A behavioral observation study.

Couples with alcohol and relationship problems often report poor communication, yet little is known about the communication of maritally distressed couples in which the woman abuses alcohol (MDWA couples). Compared with maritally distressed couples without alcohol problems (MDNA) and couples with neither problem (NDNA), MDWA couples showed a distinctive pattern of negative communication. Similar to MDNA men, MDWA men spoke negatively to their partners but listened positively to their partners much like NDNA men. MDWA women listened negatively, much as MDNA women did, but spoke positively, like NDNA women did. The interactions of MDWA couples can be characterized as a male-demand-female-withdraw pattern, which is a gender reversal of the female-demand-male-withdraw pattern often observed in MDNA couples. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Marital quality, parenting, and adolescent internalizing problems: A three-wave longitudinal study.

The present 3-wave, 3-year longitudinal study examined direct and indirect associations between marital quality, parenting, and adolescent internalizing problems, taking into account bidirectional associations between these concepts. Data were used from 428 Dutch families, consisting of 2 biological parents and 2 adolescents with mean ages of 13.4 and 15.2 years (at Time 1). Results from structural equation modeling analyses showed that low marital quality at Time 1 was directly related to adolescent internalizing problems at Time 2 in oldest siblings. However, support was not found for any indirect associations through parenting or for longitudinal associations from adolescent internalizing problems to parents' marital quality. Results are discussed in terms of implications for understanding the mechanism by which marital quality is related to adolescent internalizing problems. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Social Networks, Structural Interdependence, and Marital Quality Over the Transition to Marriage: A Prospective Analysis.

This study examined the relationship between couples' network interdependence and marital quality in a sample of 347 couples that were recruited at the time of their first marriage. Husbands and wives completed separate, self-administered questionnaires at home. Analyses are based on data collected at the time of marriage, at the first anniversary, and at the second anniversary. Results indicated that after marriage, husbands' and wives' friend and family networks became increasingly interdependent. Moreover, the interdependence of the friend and family networks at marriage predicted wives' marital quality at the first anniversary, whereas wives' marital quality at the first anniversary predicted the interdependence of the friend network at the second anniversary. No significant longitudinal relations were observed for husbands. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Marital interaction in alcoholic and nonalcoholic couples: Alcoholic subtype variations and wives' alcoholism status.

The authors examined problem-solving marital interactions of alcoholic and nonalcoholic couples (N = 132). Four alcoholic groups (husband alcoholic with antisocial personality disorder or not, paired with alcoholic or nonalcoholic wives) were compared with each other and with a both-spouses-nonalcoholic group. Consistent with the alcoholic subtypes hypothesis, couples with an antisocial alcoholic husband had higher levels of hostile behavior regardless of wives' alcoholism status. In contrast, rates of positive behaviors and the ratio of positive to negative behaviors were greatest among couples in which either both or neither of the spouses had alcoholic diagnoses and were lowest among alcoholic husbands with nonalcoholic wives. Discussion focuses on possible mechanisms linking antisocial alcoholism and discrepant alcoholic diagnoses to poorer marital outcomes. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

When Accuracy Hurts, and When It Helps: A Test of the Empathic Accuracy Model in Marital Interactions.

This study tested predictions from W. Ickes and J. A. Simpson's (1997, 2001) empathic accuracy model. Married couples were videotaped as they tried to resolve a problem in their marriage. Both spouses then viewed a videotape of the interaction, recorded the thoughts and feelings they had at specific time points, and tried to infer their partner's thoughts and feelings. Consistent with the model, when the partner's thoughts and feelings were relationship-threatening (as rated by both the partners and by trained observers), greater empathic accuracy on the part of the perceiver was associated with pre-to-posttest declines in the perceiver's feelings of subjective closeness. The reverse was true when the partner's thoughts and feelings were nonthreatening. Exploratory analyses revealed that these effects were partially mediated through observer ratings of the degree to which partners tried to avoid the discussion issue. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Marital conflict and preadolescent behavioral competence: Maternal knowledge as a longitudinal mediator.

The present study considered whether maternal knowledge mediated the relation between overt marital conflict and preadolescent behavioral competence. Four years of self-report data were collected from 133 mothers and their preadolescents, beginning when the preadolescents were in 4th grade. Marital conflict, maternal knowledge, and preadolescent behavioral competence were assessed at all 4 time points in order to apply a stringent methodology for assessing longitudinal mediating patterns. The results indicated that maternal knowledge mediated the relation between marital conflict and preadolescent behavioral competence. Thus, the present study identified one possible process through which marital conflict may affect preadolescent behavior. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Adult Attachment and Marital Interaction as Predictors of Whole Family Interactions During the Transition to Parenthood.

This study examined the role of parental adult attachment and couples' prenatal and postnatal marital interactions in predicting the quality of family interactions 24 months after the birth of the couple's first child. Father's prenatal marital withdrawal and mother's postnatal marital withdrawal were associated with less adaptive family interactions at 24 months. Families with fathers who had an insecure attachment, as assessed by the Adult Attachment Interview, showed less positive and more negative interactions at 24 months, but only when there were higher levels of negative escalation in the couple's marriage prenatally. Findings are discussed in terms of the importance of exploring the transition to parenthood at the broader family level. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Conflict and love: Predicting newlywed marital outcomes from two interaction contexts.

Research on marital interaction has focused primarily on couples in conflict contexts to understand better processes associated with concurrent and longitudinal outcomes such as marital stability and quality. Although this work has consistently revealed particular emotions (e.g., contempt) or behavioral sequences (e.g., demand/withdraw) predictive of later marital distress, it largely has neglected to take positive contexts into consideration. The present longitudinal study begins to address this gap in the literature by directly comparing newlywed behaviors from a conflict-resolution interaction with those from a love-paradigm interaction to predict relationship satisfaction and divorce proneness approximately 15 months later. Results showed that actor and partner negative (contempt) and positive (affection) emotions elicited in both positive (i.e., love) and negative (i.e., conflict) interaction contexts emerged as unique predictors of relationship quality and stability for both husbands and wives. Moreover, using a linear growth model, the temporal course of positive emotion during the love context, but not the conflict context, was predictive of later relationship satisfaction. Implications for future marital research and intervention are discussed. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Marital status and satisfaction five years following a randomized clinical trial comparing traditional versus integrative behavioral couple therapy.

Objective: To follow distressed married couples for 5 years after their participation in a randomized clinical trial. Method: A total of 134 chronically and seriously distressed married couples were randomly assigned to approximately 8 months of either traditional behavioral couple therapy (TBCT; Jacobson & Margolin, 1979) or integrative behavioral couple therapy (IBCT; Jacobson & Christensen, 1998). Marital status and satisfaction were assessed approximately every 3 months during treatment and every 6 months for 5 years after treatment. Results: Pre- to posttreatment effect sizes on marital satisfaction were d = 0.90 for IBCT and d = 0.71 for TBCT, which were not significantly different. However, data through 2-year follow-ups revealed statistically significant superiority of IBCT over TBCT in relationship satisfaction, but subsequent data showed increasing similarity and nonsignificant differences in outcome. At 5-year follow-up for marital satisfaction relative to pretreatment, effect sizes were d = 1.03 for IBCT and d = 0.92 for TBCT; 50.0% of IBCT couples and 45.9% of TBCT couples showed clinically significant improvement. Relationship status, obtained on all 134 couples, revealed that 25.7% of IBCT couples and 27.9% of TBCT couples were separated or divorced. These follow-up data compared favorably to other, long-term results of couple therapy. Conclusion: TBCT and IBCT both produced substantial effect sizes in even seriously and chronically distressed couples. IBCT produced significantly but not dramatically superior outcomes through the first 2 years after treatment termination but without further intervention; outcomes for the 2 treatments converged over longer follow-up periods. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Effects of Behavioral Marital Therapy: A Meta-Analysis of Randomized Controlled Trials.

This meta-analysis summarizes results from 30 randomized experiments that compare behavioral marital therapy with no-treatment control with distressed couples. Results showed that behavioral marital therapy is significantly more effective than no treatment (d=.585). Although behavioral marital therapy research studies tend to be conducted under conditions that are less clinically representative than other samples of studies, representativeness was not significantly related to outcome. However, evidence also suggested that publication bias may exist in this literature whereby small sample studies with small effects are systematically missing compared with other studies. This bias may inflate the effects of behavioral marital therapies reported in previous meta-analyses, though we also explore a number of alternative explanations for this small sample bias. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Husbands' and wives' alcohol use disorders and marital interactions as longitudinal predictors of marital adjustment.

In this longitudinal study, the relationships among wives' and husbands' lifetime alcoholism status, marital behaviors, and marital adjustment were tested. Participants were 105 couples from the Michigan Longitudinal Study (MLS), an ongoing multimethod investigation of substance use in a community-based sample of alcoholics, nonalcoholics, and their families. At baseline (T1), husbands and wives completed a series of diagnostic measures, and lifetime diagnosis of alcohol use disorder (AUD, as defined in the Diagnostic and Statistical Manual of Mental Disorders, 4th ed.), was assessed. Couples completed a problem-solving marital interaction task 3 years later at T2, which was coded for the ratio of positive to negative behaviors. Couples also completed a measure of marital adjustment at T4 (9 years after T1 and 6 years after T2). Results showed that husbands' lifetime AUD predicted lower levels of their wife's positive marital behaviors 3 years later but was not related to their own or their wife's marital adjustment 9 years from baseline. By contrast, wives' lifetime AUD had direct negative associations with their own and their husband's marital satisfaction 9 years later, and wives' marital behaviors during the problem-solving task predicted their own and their husband's marital satisfaction 6 years later. Findings indicate that marital adjustment in alcoholic couples may be driven more by the wives' than the husbands' AUD and marital behavior. Implications for intervention with alcoholic couples were discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Marital satisfaction, recovery from work, and diurnal cortisol among men and women.

Design: Multilevel modeling was used to model relationships between salivary cortisol, daily diary ratings of work experiences, and Marital Adjustment Test scores (Locke & Wallace, 1959), in a sample of 60 adults who sampled saliva 4 times per day over 3 days. Results: Among women but not men, marital satisfaction was significantly associated with a stronger basal cortisol cycle, with higher morning values and a steeper decline across the day. For women but not men, marital satisfaction moderated the within-subjects association between afternoon and evening cortisol level, such that marital quality appeared to bolster women's physiological recovery from work. For both men and women, evening cortisol was lower than usual on higher-workload days, and marital satisfaction augmented this association among women. Men showed higher evening cortisol after more distressing social experiences at work, an association that was strongest among men with higher marital satisfaction. Conclusion: This work has implications for the study of physiological recovery from work, and also suggests a pathway by which marital satisfaction influences allostatic load and physical health. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Problem-Solving Skills and Affective Expressions as Predictors of Change in Marital Satisfaction.

Specific skills and affective expressions coded from the problem-solving interactions of 172 newlywed couples were examined in relation to 8-wave, 4-year trajectories of marital satisfaction. Effects varied as a function of whether husbands' versus wives' topics were under discussion and whether husbands' versus wives' satisfaction was predicted, but results indicate that skills, affect, and their statistical interaction account for unique variance in rates of change in marital satisfaction. The interaction between positive affect and negative skills was particularly robust, indicating that (a) low levels of positive affect and high levels of negative skills foreshadowed particularly rapid rates of deterioration and that (b) high levels of positive affect buffered the effects of high levels of negative skills. Findings suggest specific targets for intervention in programs for developing marriages. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Marital status and quality in middle-aged women: Associations with levels and trajectories of cardiovascular risk factors.

The current study compared cardiovascular risk profiles and trajectories (i.e., within-person changes) of women who were married or cohabitating and who had high relationship satisfaction with those of women with moderate or low satisfaction and with those of women who were single, divorced, and widowed. Participants were 493 women from the Healthy Women Study, a prospective investigation of health during and after the menopausal transition. Risk factors were measured across more than 5 occasions and 13 years, on average. Data were analyzed using a multilevel modeling technique. Overall, women in relationships with high satisfaction had lower levels of biological, lifestyle, and psychosocial risk factors when compared with the other groups. In some cases, women in satisfying marriages also showed a lower risk trajectory on risk factors relative to other women. Hence, marriage appears to confer health benefits for women, but only when marital satisfaction is high. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The drinking partnership and marital satisfaction: The longitudinal influence of discrepant drinking.

The objective was to determine whether discrepancies between husbands' and wives' past-year heavy drinking predicted decreased marital satisfaction over time. Participants (N = 634) were recruited at the time they applied for their marriage licenses. Couples completed questionnaires about their alcohol use and marital satisfaction at the time of marriage and again at their 1st and 2nd anniversaries. Generalized estimating equation models were used to evaluate the association between discrepancies in husbands' and wives' heavy drinking in the year prior to marriage and marital satisfaction at the 1st wedding anniversary and the association between discrepancies in heavy alcohol use in the 1st year of marriage and marital satisfaction at the 2nd wedding anniversary. In these prospective time-lagged analyses, discrepancies in husbands' and wives' heavy drinking predicted decreased marital satisfaction over time while controlling for heavy drinking. Over time, these couples may be at greater risk for decreased marital functioning that may lead to relationship dissolution. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Marital status, pregnancy planning, and role overload: A mediated-moderation model of parenting satisfaction.

This longitudinal study investigated the presence of a moderating effect of pregnancy planning on the relationship between marital status and parenting satisfaction of couples experiencing the transition to parenthood and verified whether this moderating effect is mediated by role overload. Data were collected from 150 Canadian couples during the 3rd trimester of pregnancy and at 9 months postpartum. Findings reveal that when the pregnancy is planned, the poorer parenting satisfaction reported by cohabiting fathers in comparison with their married counterparts can be explained by cohabiting men’s higher levels of role overload. Women’s levels of parenting satisfaction are also influenced by their own and their partner’s experiences of role overload. Results are discussed in terms of the respective values and lifestyles of cohabiting and married couples and specifically in terms of their different attitudes toward egalitarianism. (PsycINFO Database Record (c) 2010 APA, all rights reserved)