Depressive symptoms in early marriage: Predictions from relationship confidence and negative marital interaction.

The authors proposed a model of depressive symptoms in early marriage in which relationship confidence, defined as perceived couple-level efficacy to manage conflicts and maintain a healthy relationship, mediates the effect of negative marital interactions on depressive symptoms. The model was tested in a sample of 139 couples assessed prior to marriage and 1 year later. As predicted, relationship confidence demonstrated simple negative associations with negative marital interaction and depressive symptoms for all participants. Longitudinal path analyses supported the mediational model for women only. In women but not men, negative marital interaction indirectly had an impact on depressive symptoms through the mediator of relationship confidence. Findings suggest that relationship confidence may be important to understanding links between marital distress and depressive symptoms, especially in women. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The nature and predictors of the trajectory of change in marital quality over the first 4 years of marriage for first-married husbands and wives.

Both spouses from 198 first-married newlywed couples provided information regarding marital quality and depressive symptoms for at least 2 of 4 annual assessments. Husbands and wives showed equal rates of linear decline in marital quality. For both husbands and wives, decreases in marital quality were accompanied by increases in the severity of depressive symptoms, even with controls for the severity of symptoms not linked to depression. In contrast to previous evidence, plausible longitudinal causal paths between depressive symptoms and marital quality were generally nonsignificant and did not differ between husbands and wives. It is proposed that future studies of marital quality adopt a doubly developmental perspective in which attention is directed to the trajectory of change in "risk factors" for marital distress, the trajectory of change in marital quality, and the link between these 2 trajectories. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Interrelations and moderators of longitudinal links between marital satisfaction and depressive symptoms among couples in established relationships.

Extending research based on newlywed couples, this study investigated longitudinal associations between marital satisfaction and depressive symptoms in a community sample of 296 couples in established relationships (M = 13.25 years, SD = 5.98) with children (M age = 11.05 years, SD = 2.31). Support was found for reciprocal relations between marital satisfaction and depressive symptoms in couples with established relationships. Further extending previous work, the study showed that relationship length and hostile marital conflict were significant moderators of these linkages. Husbands in longer term relationships were more vulnerable to depressive symptoms in the context of marital problems compared with husbands in shorter term relationships. At higher levels of marital conflict, the negative relationship between marital satisfaction and depressive symptoms was strengthened. Reflecting an unexpected finding, increased conflict buffered spouses from marital dissatisfaction in the context of depressive symptoms. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Revisiting the effect of marital support on depressive symptoms in mothers and fathers: A genetically informed study.

This article uses a genetically informed design to evaluate whether (1) the well-documented association between marital support and depressive symptoms is accounted for by genetic and/or shared environmental selection, (2) gender differences are found after controlling for selection effects, and (3) parenthood moderates any nonshared environmental relation between depressive symptoms and marital support. We used a sample of 1,566 pairs of same-sexed, married twins from the Australian Twin Registry to evaluate our hypotheses that (1) the predicted effect of marital support on depressive symptoms is not fully an artifact of selection, (2) the etiological sources accounting for this effect differ between husbands and wives, and (3) parenthood status moderates the effect of marital support on depressive symptoms adjusting for selection effects. The results support the first hypotheses. However, after controlling for selection, the effect of marital support on depressive symptoms was not significantly different for husbands and wives. Parenthood moderated the effect of marital support, such that after controlling for selection, marital support is more strongly associated with depressive symptoms for full-time parents than nonfull-time parents. (PsycINFO Database Record (c) 2011 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)     

Marital distress and DSM-IV psychiatric disorders in a population-based national survey.

The associations between marital distress and Diagnostic and Statistical Manual of Mental Disorders (4th ed.; DSM-IV; American Psychiatric Association, 1994) Axis I psychiatric disorders were evaluated in a United States population-based survey of married individuals in which there was no upper age exclusionary criterion (N = 2,213). Marital distress was associated with (a) broad-band classifications of anxiety, mood, and substance use disorders and (b) all narrow-band classifications of specific disorders except for panic disorder, with the strongest associations obtained between marital distress and bipolar disorder, alcohol use disorders, and generalized anxiety disorder. The association between marital distress and major depressive disorder increased in magnitude with increasing age; there was no evidence that the association between marital distress and other psychiatric disorders was moderated by gender or age. Results support continued research on the association between couple functioning and mental health. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Understanding general and specific connections between psychopathology and marital distress: A model based approach.

Marital distress is linked to many types of mental disorders; however, no study to date has examined this link in the context of empirically based hierarchical models of psychopathology. There may be general associations between low levels of marital quality and broad groups of comorbid psychiatric disorders as well as links between marital adjustment and specific types of mental disorders. The authors examined this issue in a sample (N = 929 couples) of currently married couples from the Minnesota Twin Family Study who completed self-report measures of relationship adjustment and were also assessed for common mental disorders. Structural equation modeling indicated that (a) higher standing on latent factors of internalizing (INT) and externalizing (EXT) psychopathology was associated with lower standing on latent factors of general marital adjustment for both husbands and wives, (b) the magnitude of these effects was similar across husbands and wives, and (c) there were no residual associations between any specific mental disorder and overall relationship adjustment after controlling for the INT and EXT factors. These findings point to the utility of hierarchical models in understanding psychopathology and its correlates. Much of the link between mental disorder and marital distress operated at the level of broad spectrums of psychopathological variation (i.e., higher levels of marital distress were associated with disorder comorbidity), suggesting that the temperamental core of these spectrums contributes not only to symptoms of mental illness but to the behaviors that lead to impaired marital quality in adulthood. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Emotional Expressiveness and Neuroticism: Do They Predict Marital Quality?

This study examines how neuroticism and emotional expressiveness relate to perceptions of marital quality. Data were gathered from a sample of 197 Israeli couples. Wives scored higher than husbands on neuroticism and emotional expressiveness, but no significant gender differences were found in perceived marital quality. Structural equation models were estimated to examine the effect of both spouses' neuroticism and expressiveness on their own and on their spouse's evaluation of marital quality. Neuroticism was a strong predictor of both spouses' perceived marital quality. Wives' perceived marital quality was positively associated with both their own and their husbands' emotional expressiveness. In contrast, husbands' perceived marital quality was associated neither with their own nor with their wives' expressiveness. (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)     

Does who you marry matter for your health? Influence of patients' and spouses' personality on their partners' psychological well-being following coronary artery bypass surgery.

Research suggests that presurgical personality attributes influence postsurgical well-being in both patients and their spouses in the context of coronary artery bypass grafting (CABG) surgery. The authors hypothesized that a spouse's characteristics would influence a partner's psychological well-being, regardless of whether he or she was the patient or the caregiver. In this study, 111 male patients and their caregiver spouses completed measures of neuroticism, optimism, perceived marital satisfaction, and depression prior to elective CABG. Follow-up was conducted at 18 months. As expected, higher caregiver presurgical neuroticism predicted higher patient depressive symptoms at follow-up, with caregiver's concurrent 18-month affect controlled for. Likewise, higher patient presurgical neuroticism predicted higher caregiver depressive symptoms at follow-up. Additionally, higher patient presurgical depressive symptoms and lower presurgical optimism contributed to greater caregiving burden. Relationship satisfaction moderated these effects. These results suggest that partners' personality traits are important determinants of both patients' and their caregiving spouses' well-being. (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.     

Reciprocal influences between parents' marital problems and adolescent internalizing and externalizing behavior.

The present study examines reciprocal associations between marital functioning and adolescent maladjustment using cross-lagged autoregressive models. The research involved 451 early adolescents and their families and used a prospective, longitudinal research design with multi-informant methods. Results indicate that parental conflicts over child rearing predicted adolescent depressive symptoms and delinquency. In turn, these adolescent problems exacerbated parental conflicts over child rearing. Furthermore, conflict over child rearing served as the nexus through which more generalized marital dissatisfaction and adolescent adjustment problems were reciprocally interrelated. This research replicates earlier observations that marital problems intensify adolescent maladjustment and extends the literature by demonstrating that adolescent problems also predict marital conflict and ultimately marital dissatisfaction. In sum, the present study demonstrates that marital dissatisfaction, conflict over child rearing, and early adolescent adjustment difficulties are interwoven in a dynamic family system marked by reciprocity along these dimensions. (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)     

Marital quality moderates genetic and environmental influences on the internalizing spectrum.

Poor marital quality is a reliable correlate of internalizing problems, but the etiology of this association has yet to be examined. Marital distress may exert its influence by acting as a stressor that enables the expression of latent genetic risk for internalizing psychopathology. The authors examined this question using 379 twin pairs, assessed for marital quality, symptoms of major depression (MD), generalized anxiety disorder (GAD), panic attacks (PA), and neuroticism (N). A phenotypic factor analysis confirmed that one factor best accounted for the variance shared between MD, GAD, PA, and N. After accounting for genetic influences on the general Internalizing factor, there were residual genetic influences on N but no specific genetic influences on any other individual internalizing syndrome. The authors found overlap between the genetic influences on marital quality and the internalizing spectrum. Finally, biometrical moderation models revealed that genetic effects on the Internalizing factor increased as the marital quality deteriorated (marital quality high: h2 = 0.05; marital quality low: h2 = 0.29), suggesting that those with a genetic predisposition to internalizing syndromes may be more likely to express this predisposition in the context of a dissatisfying marriage. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

More differences about gender differences in marriage: A reply to Beach, Davey, and Fincham (1999).

S. R. H. Beach, A. Davey, and F. D. Fincham (see record 1999-15264-018) suggest that my (L. A. Kurdek, 1998; see record 1998-11410-003) failure to replicate their finding that the prospective links between depressive symptoms and marital quality differ between husbands and wives was due, in part, to the selection of a time lag that was too long and a sample that was homogenous on risk factors. Accordingly, the author reexamined the prospective links between depressive symptoms and marital quality using only a 1-year time lag and an expanded sample (N?=?406) that included spouses in first marriages and remarriages with appreciable variability on depressive symptoms. There was still no evidence that husbands and wives differed in the pattern of these prospective links. The author also addresses concerns that the growth-curve analyses did not provide a good fit to the observed data, speculates about reasons for the differences in findings, and makes recommendations for future longitudinal work in this area. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Neuroticism and depressive symptoms among spouse caregivers: Do health behaviors mediate this relationship?

This study examined the mediating role of health behaviors in the relationship between neuroticism and depressive symptoms among spouse caregivers. Path analysis was used to test a model of the caregiver stress process among 233 caregivers of people with dementia. Results indicate that neuroticism has a significant direct effect on depressive symptoms and also indirectly influences depressive symptoms through health behaviors and perceived stress. When individual health behaviors were examined in the path model, only physical activity served a significant mediating role. These findings suggest that neuroticism may lead to depressive symptoms among caregivers partly through declines in physical activity. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Spousal associations between functional limitation and depressive symptom trajectories: Longitudinal findings from the Study of Asset and Health Dynamics Among the Oldest Old (AHEAD).

Objective: To examine spousal associations between functional limitation and depressive symptom trajectories in a national sample of older long-term married couples. Design: We used 14.5-year longitudinal data on functional limitations and depressive symptoms from 1,704 couples participating in the Study of Asset and Health Dynamics Among the Oldest Old (AHEAD). Main Outcome Measures: Activities of daily living and a short version of the Center for Epidemiologic Studies Depression scale were used. Results: Between-person difference findings corroborate previous research by showing that levels and changes in functional limitations and depressive symptoms are closely interrelated among wives and husbands. Our results further demonstrate sizable associations in levels and changes in functional limitations and depressive symptoms between spouses. For example, functional limitation levels in one spouse were associated with depressive symptom levels in the other spouse. Spousal associations remained after controlling for individual (age, education, cognition) and spousal covariates (marriage duration, number of children) and did not differ between women and men. Conclusion: Our findings highlight the important role of marital relationships in shaping health trajectories in old age because they show that some of the well-documented between-person differences in functional limitations and depressive symptoms are in fact related to spouses. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Perceived social isolation makes me sad: 5-year cross-lagged analyses of loneliness and depressive symptomatology in the Chicago Health, Aging, and Social Relations Study.

We present evidence from a 5-year longitudinal study for the prospective associations between loneliness and depressive symptoms in a population-based, ethnically diverse sample of 229 men and women who were 50–68 years old at study onset. Cross-lagged panel models were used in which the criterion variables were loneliness and depressive symptoms, considered simultaneously. We used variations on this model to evaluate the possible effects of gender, ethnicity, education, physical functioning, medications, social network size, neuroticism, stressful life events, perceived stress, and social support on the observed associations between loneliness and depressive symptoms. Cross-lagged analyses indicated that loneliness predicted subsequent changes in depressive symptomatology, but not vice versa, and that this temporal association was not attributable to demographic variables, objective social isolation, dispositional negativity, stress, or social support. The importance of distinguishing between loneliness and depressive symptoms and the implications for loneliness and depressive symptomatology in older adults are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Parental acceptance, postpartum depression, and maternal sensitivity: Mediating and moderating processes.

Mothers (n=92), fathers (n=84), and their infants (60% male) participated in a longitudinal study of postpartum depression and maternal sensitivity. Mothers completed questionnaire measures of remembered parental acceptance, depressive symptoms, and infant distress to novelty and limits. Mothers and partners reported on marital aggression and avoidance. Maternal sensitivity was observed in the laboratory at 6 months. Characteristics of mothers, partners, and infants combined to predict postpartum depression and maternal sensitivity. Remembered parental rejection predicted postpartum depressive symptoms with prenatal depression controlled; self-esteem mediated this effect. Paternal acceptance buffered against postpartum depression when infants were highly reactive and when partners were aggressive. Paternal acceptance reduced the impact of postpartum depression on maternal sensitivity; having an aggressive marital partner exacerbated the effect. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Moderators of the link between marital hostility and change in spouses’ depressive symptoms.

This study examined the moderating roles of marital warmth and recent life events in the association between observed marital hostility and changes in spouses’ depressive symptoms over 3 years. Using the actor-partner interdependence model (APIM), structural equation models (N = 416 couples) suggested that husbands’ marital hostility was significantly related to increases in wives’ depressive symptoms. Moderator analyses showed that husbands’ warmth and wives’ warmth moderate the association between marital hostility and change in wives’ depressive symptoms. The association between husbands’ hostility and increases in wives’ depressive symptoms was stronger under conditions of lower levels of husbands’ warmth than under conditions of higher levels of husbands’ warmth. This same pattern was found for wives’ warmth. Regarding life events, the association between wives’ hostility and increases in husbands’ depressive symptoms was stronger for couples with more recent life events than for couples with fewer recent life events. Practical and empirical implications are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)