Current and past depression as predictors of family functioning: a comparison of men and women in a community sample.

The association between family functioning and parental depression has primarily been studied in samples of women. In particular, very little research exists that examines how parent gender and past diagnoses of depression are related to family functioning. The family relationships of 469 couples from a community sample were examined using self- and partner report measures of the marital relationship and youth report and interviewer-rated measures of the parent-youth relationship. Both currently and formerly depressed men and women were shown to have poorer family functioning than nondepressed and never depressed individuals, respectively. Interactions of gender and depression status indicated that depression and poorer marital functioning were more strongly related for women than for men, but there were few gender differences in the parent-youth relationship. The results highlight the need for further research on men's family functioning and suggest that targeting current depressive symptoms in treatment may not be sufficient to resolve marital and parent-youth difficulties that endure after depressive episodes remit.     

Toward an Understanding of Gender Differences in the Impact of Marital Conflict on Health

The present paper addresses the consistent finding that men derive more benefit from marriage in terms of both morbidity and mortality compared to women in U. S. society. Based on the evidence that spousal conflict adversely influences physiology and health, with greater negative impact on wives compared to husbands, we propose that the stronger impact of relationship negativity contributes to the decreased marriage benefit for women. Evidence bearing on two explanations for this differential impact of conflict is reviewed. The relational-interdependence view, proposed by Kiecolt-Glaser and Newton (2001), holds that women are more affected by marital conflict because of their more relationally interdependent self-representations. An alternative view, which we call the subordination-reactivity hypothesis, suggests that women experience greater physiological and psychological reactivity to marital discord because they typically occupy subordinate (lower status and less powerful) positions relative to their husbands. A review of the evidence on the physiological effects of social status is combined with that of the relationship between gender and status, both within society at large and interpersonal relationships specifically, to support the subordination-reactivity hypothesis. Specifically, there is evidence that low social status negatively impacts health and that women generally occupy subordinate status. The relational-interdependence view is re-evaluated and its intersection with the subordination-reactivity hypothesis is explored. Finally, implications and future directions are discussed.     

Mothers' and Fathers' Psychological Symptoms and Marital Functioning: Examination of Direct and Interactive Links with Child Adjustment

A community sample of 51 mother-father dyads with a school-age child rated marital functioning, parental psychological symptoms, and children's adjustment problems. Parents with more psychological symptoms reported lower marital satisfaction levels. Mothers' and fathers' marital functioning and symptomatology individually related to children's adjustment in the expected directions. In addition, interaction tests revealed that, for mothers but not fathers, the combination of poorer marital functioning and higher levels of psychological symptoms amplified the negative effects on children's adjustment problems. These findings support the hypothesis that parental psychopathology and marital adjustment together affect children's functioning in an interactive way, underscoring the need to consider multiple family influences in studies of child development.     

The Meta Marriage: Links Between Older Couples' Relationship Narratives and Marital Satisfaction

Drawing upon a relatively understudied population and a unique observational task, the current study sought to examine how older couples' interactional behaviors during a relationship narrative task were associated with marital satisfaction over time. Using observational data from a sample of 64 older, higher‐functioning married couples, we analyzed a series of Actor–Partner Independence Models (APIM) to explore how couples' interactional behaviors during a relationship narrative task were associated with spouses' marital satisfaction both concurrently and one year later. Analyses revealed that spouses' behaviors (e.g., expressions of positive affect, negative affect, communication skills, engagement) were associated with their self‐reported marital satisfaction both at the time of the narrative and with changes in marital satisfaction. We found particularly robust evidence for the role of husbands' negative affect during the narrative task in predicting changes in both spouses' marital satisfaction over time. Our results indicate that researchers and clinicians should carefully consider the influence of development on the associations between spouses' behaviors and marital satisfaction. Further, those seeking to improve marriages in later life may need to consider the meaningful role that gender appears to play in shaping the marital experiences of older couples.     

Relationship of Parental Alcoholism to Family-of-Origin Functioning and Current Marital Satisfaction

This study examined the relationship between parental alcoholism, family-of-origin functioning, and current marital satisfaction. Results indicated family-of-origin functioning is positively related to marital satisfaction. In addition, individuals with alcoholic parents reported lower family-of-origin functioning, and an interaction between gender and parental alcoholism was found for marital satisfaction.     

The Role of Husbands’ and Wives’ Emotional Expressivity in the Marital Relationship

The current investigation was designed to examine the role of positive and negative emotional expressivity in the marital relationship. Data from 58 married couples were used to assess spouses’ levels of emotional expressivity and how these levels predicted reports of marital functioning. Regression analyses indicated that positive emotional expressivity had limited influence on marital functioning. Negative expressivity, however, had a strong impact on marital love, conflict, and ambivalence. Post-hoc analyses revealed significant differences between pairings in which the husband was high in negative expressivity, irrespective of wives’ negative emotional expressivity, and pairings in which both partners were low in negative emotional expressivity. These findings are discussed with respect to previous research that suggests that wives’ emotional expressivity is the major determinant of marital functioning.     

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. Implications of these results are discussed and directions for further research are offered.     

Marital adjustment and interleukin-6 (IL-6)

Building on prior research that marital functioning is associated with a variety of health outcomes, we evaluated the association between marital adjustment and a marker of inflammation in a sample of married adults between the ages of 35 and 84 years old (N = 415) from the second wave of the population-based Survey of Midlife Development in the United States (MIDUS II). Specifically, we evaluated associations between positive (i.e., partner support) and negative (i.e., partner strain) dimensions of marital adjustment and interleukin-6 (IL-6) separately for men and women, and whether these associations were moderated by age. Results indicated that (a) marital adjustment was not associated with IL-6 in men, (b) age moderated the association between marital adjustment and IL-6 in women, (c) partner support and partner strain were associated with IL-6 in younger women, and (d) partner support but not partner strain was uniquely associated with IL-6 in younger women. The associations between marital adjustment and IL-6 in younger women were significant when controlling for demographic variables, health status indicators, health behaviors, depressive symptoms, and perceived stress. These findings suggest that IL-6 may be a useful biomarker for studying health-relevant biological responses within intimate relationships, and that young women, in particular, may exhibit increased inflammation when partner support is low.     

Matters of the variable heart: respiratory sinus arrhythmia response to marital interaction and associations with marital quality

Maintenance of relationship quality requires self-regulation of emotion and social behavior, and women often display greater effort in this regard than do men. Furthermore, such efforts can deplete the limited capacity for self-regulation. In recent models of self-regulation, resting level of respiratory sinus arrhythmia, quantified as high-frequency heart rate variability (HF-HRV), is an indicator of self-regulatory capacity, whereas transient increases in HF-HRV reflect self-regulatory effort. To test these hypotheses in marriage, 114 young couples completed measures of marital quality and a positive, neutral, or negative initial marital task, preceded and followed by resting baseline assessments of HF-HRV. Couples then discussed a current marital disagreement. Resting HF-HRV was correlated with marital quality, suggesting that capacity for self-regulation is associated with adaptive functioning in close relationships. For women but not men, the negative initial task produced a decrease in resting HF-HRV. This effect was mediated by the husbands' negative affect response to the task and their ratings of wives as controlling and directive. When the subsequent disagreement discussion followed the negative initial task, women displayed increased HF-HRV during the discussion but a decrease when it followed the neutral or positive task. The valence of the initial task had no effect on men's HF-HRV during disagreement. Negative marital interactions can reduce women's resting HF-HRV, with potentially adverse health consequences. Women's reduced health benefit from marriage might reflect the depleting effects on self-regulatory capacity of their greater efforts to manage relationship quality.     

Intimacy maturity and its correlates in young married couples

Intimate relationships, like the individuals who participate in them, are conceived of as following developmental processes. Five dimensions of intimacy--that is, relationship orientation, caring-concern, commitment, sexuality, and communication--are identified, and an approach to assessing relationship maturity on each of these dimensions is described. In a study of 31 young married couples, scores on each dimension of intimacy maturity were analyzed in relation to gender, gender role (as assessed through an adaptation of the Bem Sex Role Inventory; Bem, 1974), and marital adjustment. There were no significant differences between husbands and wives on any of the intimacy or marital adjustment scales and only a marginal difference on one gender role scale (agency). Patterns of correlations among intimacy, marital adjustment, and gender role scores varied by gender. Not only do there appear to be two marriages (his and hers) in every marriage, but the correlates of these marriages also vary.     

Cardiovascular Reactivity During Marital Conflict in Laboratory and Naturalistic Settings: Differential Associations with Relationship and Individual Functioning Across Contexts

Cardiovascular reactivity during spousal conflict is considered to be one of the main pathways for relationship distress to impact physical, mental, and relationship health. However, the magnitude of association between cardiovascular reactivity during laboratory marital conflict and relationship functioning is small and inconsistent given the scope of its importance in theoretical models of intimate relationships. This study tests the possibility that cardiovascular data collected in laboratory settings downwardly bias the magnitude of these associations when compared to measures obtained in naturalistic settings. Ambulatory cardiovascular reactivity data were collected from 20 couples during two relationship conflicts in a research laboratory, two planned relationship conflicts at couples’ homes, and two spontaneous relationship conflicts during couples’ daily lives. Associations between self‐report measures of relationship functioning, individual functioning, and cardiovascular reactivity across settings are tested using multilevel models. Cardiovascular reactivity was significantly larger during planned and spontaneous relationship conflicts in naturalistic settings than during planned relationship conflicts in the laboratory. Similarly, associations with relationship and individual functioning variables were statistically significantly larger for cardiovascular data collected in naturalistic settings than the same data collected in the laboratory. Our findings suggest that cardiovascular reactivity during spousal conflict in naturalistic settings is statistically significantly different from that elicited in laboratory settings both in magnitude and in the pattern of associations with a wide range of inter‐ and intrapersonal variables. These differences in findings across laboratory and naturalistic physiological responses highlight the value of testing physiological phenomena across interaction contexts in romantic relationships.     

His and Her Perspectives: Gender Ideology, Work-to-Family Conflict, and Marital Satisfaction

This study examines the relationships between gender ideology, work-to-family conflict, and marital satisfaction. We hypothesize that gender ideology will moderate relationships between both the respondent’s work-to-family conflict and their spouse’s work-to-family conflict in predicting marital satisfaction, and that spouses’ gender ideologies will interact in predicting marital satisfaction. The hypotheses are addressed using data from a random sample of U.S. dual-earner couples (N?=?156) in a western state. The findings indicate that the more egalitarian women’s gender ideologies, the stronger the negative relationship between women’s marital satisfaction and women’s work-to-family conflict. The results also indicate that the dependence of men’s marital satisfaction on wives’ gender ideologies varies according to men’s own gender ideologies. Implications of the study are discussed.     

Exploring Gender Bias Against Women: Ethics for Marriage and Family Therapy

During the past 15 years, the negative implications of the female gender role, as demonstrated by marital dissatisfaction and mental health problems, have been documented extensively in the social science, psychology, and feminist literatures. In this article, developmental and psychological assumptions about women that are fundamental to current marriage and family therapy practice are explored. The authors call attention to the absence of substantive knowledge about women's development and to the ethical risks associated with reliance on traditional gender role notions in work with female clients. Ethical guidelines for reducing bias in therapy, especially with couples and families, are offered to counselors and therapists for evaluation and refinement of professional gender role sensitivity.     

Demographic Influences on Psychiatric Diagnoses Among Youth Served in California Systems of Care

We examined the influences of demographic factors on diagnostic assignment among youth served in California public mental health systems after adjusting for the effects of county characteristics and standardized symptom and functioning indices. The sample consisted of 12,106 youth with severe emotional disturbance being served in integrated and coordinated service systems in 13 counties of California. African Americans were overrepresented in the sample relative to the ethnic characteristics of the counties and Asian Americans were under-represented. Results from logistic regression analyses showed that gender, age, and ethnicity affected the assignment of eight categories of clinical diagnosis at admission. However, standardized measurement of clinical status and functioning had little relationship to clinicians' assignment of diagnosis. Whereas no significant gender and age differences were found on broadband CBCL syndromes, ethnically diverse youth differed on CBCL internalizing and externalizing scores. Youth's role functioning as assessed by the CAFAS also significantly differed by gender, age, and ethnicity.     

Psychological Well-Being in a Sample of Male and Female Office Workers

This questionnaire study used a model of mental health proposed by Warr (1987, 1993) to examine how 8 aspects of the work situation (principal environmental influences, PEIs) were associated with psychological well-being, measured on several dimensions. It is hypothesized that the importance of different PEIs for well-being will be influenced by gender, particularly the relationship between control and work-related mental health. The results of multiple regression analysis indicated similarities and differences in the association of PEIs with well-being in males and females. In the male sample, control at work was significantly associated with all dimensions of work-related mental health; but in the female sample, it was not associated with any dimension of mental health. The influence of gender is discussed.     

Marital Therapy and Marital Power: Constructing Narratives of Sharing Relational and Positional Power

Scholars continue to emphasize in their conceptualizations of marital power the capacity to exert influence in the marital relationship based on the control of valued resources and status (positional power). Much less attention has been given to the capacity to exert authority in the marital relationship through the context of an intimate relationship and the opportunities for influence it provides (relational power). Strategies are suggested for co-authoring narratives with couples in the process of therapy that create opportunities for them to share these bases of power within their families in ways that free them from the negative constraints associated with cultural discourses about gender and power.     

Marital Functioning and Physical Health: Implications for Social and Personality Psychology

Marriage – the most important adult relationship in most people’s lives – has been theorized to affect biological processes, physical health, and mortality. This article highlights key findings in marriage and health research, focusing on the interpersonal processes through which marriage has been proposed to affect health. A model of marriage and health is presented that incorporates both main and stress-moderating effects of negative marital experiences –marital strain– and positive marital experiences –marital strength. Although many more studies have investigated marital strain than marital strength, current evidence suggests that both have potent effects on biology and health. The article concludes with a discussion of implications of this research for social and personality psychology, focusing on insights that may be gained from basic relationship science. Examples of three areas of relationship research – intimacy processes, commitment processes, and dyadic analysis – and their potential relevance for marriage and health research are presented.     

Marital Conflict and Health in Taiwan: A Dyadic Longitudinal Analysis

Marital conflict is predictive of physical health; however, there are few studies that demonstrate this relationship in Chinese cultures. The purpose of this study was to test the effect of marital conflict on physical health among couples in Taiwan. This study utilized dyadic data of 239 married couples from three waves of a longitudinal study on work and family issues conducted in Taiwan. This study used participant’s reports of marital conflict at time 2, depressive symptoms at time 3, and physical health at time 4. Using a time-sequential method of analysis, results indicated that marital conflict was indirectly predictive of physical health 2 years later, with depressive symptoms fully mediating this relationship for husbands and wives. There were no significant partner effects or gender differences. The findings of this study provide evidence that the quality of marital relationships is important for the physical wellbeing of couples in Chinese cultures.     

Friendships and Romantic Relationships of Black and White Adolescents

Prior research on adolescent peer relationships has focused on interpersonal dimensions of friendships but not of romantic relationships, and has rarely examined minority groups. We used a random sample of 122 adolescents to examine race and gender differences in friendships, romantic relationships, and the congruence between closest friendship and romantic relationship on five interpersonal domains: mutual support, self-disclosure, hurtful conflict, fear of betrayal, and interpersonal sensitivity. Significant race by gender differences in the difference between relationship type for both positive and negative dimensions of relationships were found. White girls reported significantly higher levels of self-disclosure in their friendship ties in comparison to romantic relationship, whereas white boys reported nearly equivalent levels. In comparison to white adolescents, Black adolescent girls and boys had similar levels of self-disclosure in their romantic relationships as their same-sex friendships. With regards to negative elements of relationships, girls reported more hurtful conflict in romance than friendship, whereas boys reported an opposite pattern. Results highlight the importance of consideration of race and gender influences on youth interpersonal skills within peer and romantic relationships.     

What Are the Costs of Marital Conflict and Dissolution to Children's Physical Health?

Do parental marital conflict and dissolution influence the risk trajectory of children's physical health risk? This paper reviews evidence addressing this question in the context of understanding how early environmental adversities may trigger a succession of risks that lead to poor health in childhood and greater risk for chronic health problems in adulthood. We first review existing evidence linking marital conflict and dissolution to offspring's physical health outcomes. Next, we provide evidence supporting biopsychosocial pathways that may link marital conflict and dissolution with accelerated health risk trajectories across the lifespan. Specifically, we posit that consequential to the stresses associated with marital conflict and disruption, parenting practices are compromised, leading to offspring deficits in affective, behavioral, and cognitive domains. These deficits, in turn, are hypothesized to increase health risk through poor health behaviors and by altering physiological stress-response systems, including neuroendocrine, cardiovascular, and neurotransmitter functioning. On the basis of the available direct evidence and theoretically plausible pathways, it appears that there is a cost of marital conflict and disruption to children's health; however, more comprehensive investigations are needed to further elucidate this relationship. In the final section, we address limitations in the current literature and identify research that is needed to better evaluate the association between marital conflict and dissolution and children's physical health.