Depression, Marital Satisfaction and Communication in Couples: Investigating Gender Differences

The correlation between depression and dysfunctional marital interaction is well documented, but only a few studies have examined gender-related differences in marital interaction patterns of couples with a depressed partner. In this paper we examined differences in observed marital communication in a sample of 62 Swiss couples presenting for treatment of depression. There were 16 maritally distressed couples with a depressed wife, 21 maritally nondistressed couples with a depressed wife, 18 maritally distressed couples with a depressed husband, and 7 maritally nondistressed couples with a depressed husband. Marital interaction behavior was found to depend on gender, depression, marital distress, as well as gender of the depressed partner. Our results suggest the need for a gender-sensitive model of the link between marital interaction and depression.     

Marital problem-solving behavior in depression and marital distress

The present study examined the effects of depression and marital distress on behavior during a marital problem-solving interaction. A complete factorial design combined the presence or absence of a depressed wife with the presence or absence of marital distress, to produce four groups of participant couples. An increase in depressive behavior was the sole unique contribution of a depressed wife, occurring regardless of the level of marital distress. Increased aggressive behavior and decreased facilitative behavior were found to characterize the interactions of maritally distressed couples and were not influenced by depression. Resolution-oriented behavior remained unchanged as a result of either depression or marital distress. The results indicate that marital distress, in addition to depression, should be considered as a source of dysfunctional behavior in marital interactions involving depressed individuals.     

Verbal Aggression in Marriages A Comparison of Violent,Distressed but Nonviolent,and Nondistressed Couples

This study examines verbal aggression in the disputes of abusive couples. Verbal aggression is defined as both a predispositional trait and a relational pattern, so it is viewed within a system theory framework. Specifically, the study considers the relationship between verbal aggression and marital distress, the level of agreement between couples in reporting their verbally aggressive behavior, and the level and type of reciprocity in their verbal aggression. A sample of 82 couples representing violent, nonviolent distressed, and nondistressed relationships completed self-report instruments on verbal aggression and argumentativeness for themselves and their spouses and marital satisfactionfor themselves. Results show that abusive couples experience less marital satisfaction, less accurately recall each other's behavior, and have significant reciprocity in their verbal aggression compared to nonviolent distressed and nondistressed couples.     

Distress and aggression during dating conflict: A test of the coercion hypothesis

Research with clinically depressed and maritally discordant couples suggests that women's distressed behaviors function to suppress their partners' subsequent aggressive responses. We applied this coercion hypothesis to a nonclinical sample of dating couples (N = 288). We further examined whether these effects were gender‐specific, and whether distressed and aggressive behaviors differ within physically violent versus nonviolent relationships. Women but not men reported engaging in elevated rates of distress in response to partner aggression during past dating conflicts. However, both women and men expected distressed behavior to suppress partner aggression during future conflicts. Expectations about the functional effects of distressed behavior did not differ for participants with physically violent partners versus nonviolent partners. However, participants in violent relationships reported enacting more distressed behaviors and had greater expectations for partner verbal aggression during future conflicts than did participants in nonviolent relationships. Future research may identify the early onset of dysfunctional interaction patterns in couples and concomitant psychological distress.     

"You" and "I" need to talk about "us": Linguistic patterns in marital interactions

Links between pronoun use, relationship satisfaction, and observed behavior were examined during 2 problem-solving interactions in which 134 distressed and 48 nondistressed couples participated. Results supported hypotheses that distressed and nondistressed couples would use pronouns at significantly different rates, and that rates would also differ for partners depending on whose topic was being discussed. Actor–partner interdependence models (APIMs; D. A. Kenny, 1996 ) revealed actor and partner effects of pronoun use on satisfaction and observed positivity and negativity. Interestingly, I-focus pronouns were found to be linked with satisfaction in distressed partners and dis satisfaction in nondistressed partners. The pattern of findings was otherwise largely consistent across topics and levels of distress. These findings have implications for both future research and clinical interventions.     

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.     

Couples in Therapy: Actor-Partner Analyses of the Relationships Between Adult Romantic Attachment and Marital Satisfaction

This study was the first to investigate the relationship between adult romantic attachment and marital satisfaction in a clinical sample of 172 distressed couples seeking therapy. Fifty-six therapy-seeking nondistressed couples were also assessed for comparison. Analyses of variance showed that attachment avoidance was a distinctive characteristic of distressed couples. Actor-partner analyses revealed that attachment avoidance (for men and women) and attachment anxiety (for women only) were predictive of marital dissatisfaction for distressed couples. Gender-stereotype discordant partner effects were also found. Results suggest that attachment orientations (especially avoidance) are relevant predictors of marital dissatisfaction in distressed couples seeking therapy, and that couple therapists can gain important information by assessing partners’ attachment orientations.     

Exploration of a Marital Typology: Implications for Marital Functioning in a Multi-Ethnic Sample

Marital conflict is associated with multiple negative outcomes for couples, including marital dissatisfaction and divorce. Little research, however, has examined conflict in Hispanic/Latino couples or its association with marital satisfaction, which creates an unfortunate knowledge gap for clinicians working with diverse client groups. The present study sought to examine both marital conflict and satisfaction using a sample of 231 European American (EA; n = 108) and Hispanic/Latino (H/L; n = 123) couples. Through observational coding, couples were placed into four groups based on their type of conflict management strategies: Harmonious, Withdrawn, Conflictual-Expressive, or Conflictual-Hostile. For both ethnic groups, couples in the Harmonious group were nondistressed and couples in the Conflictual-Hostile group were in the distressed range of marital satisfaction. Cross-ethnic differences emerged. EA couples experienced distress when both hostile (Conflictual-Hostile) and nonhostile conflict (Conflictual-Expressive) communication types were observed, while only hostile conflict was associated with distress for the H/L group. H/L couples reported similar levels of satisfaction in both the Harmonious and Conflictual-Expressive groups. H/L couples also fell within the distressed range when withdrawn communication patterns were observed; however, this was not the case for EA couples. These differences suggest that both types of conflict are associated with marital distress for EA couples, whereas hostile conflict and withdrawn behavior appear to be more negatively associated with marital satisfaction in H/L couples. Results provide support for the use of an observational coding system with H/L and EA couples and also suggest the importance of understanding how differences in expressions of conflict across ethnicities may relate to marital satisfaction.     

Spouse disclosure patterns in distressed and nondistressed couples

Abstract

To determine whether spouses in nondistressed marriages show greater equity and reciprocity of exchange and a greater degree of congruence than spouses experiencing marital distress, interactive patterns of self-disclosing behavior were examined using the Self-Disclosure Coding System. Clinical wives were found to disclose greater percentages of self-references and at a higher rate than their husbands, and discriminant function analysis correctly discriminated 80% of these spouses. In contrast, the disclosure patterns of nonclinical partners could not be distinguished, indicating greater equity of exchange. Examination of within-couple reciprocity patterns revealed highly similar topographical patterns of disclosure among the nondistressed couples but not among the distressed partners. Finally, the association between content intimacy and affective manner of presentation was stronger for the nondistressed husbands (r = .81) and wives (r = .97) than for the distressed husbands (r = .10) and wives (r = .36), indicating greater clarity of self-revelations among nondistressed couples. These findings are discussed within the context of equity, communication, and behavioral exchange views of marital adjustment.     

The Partners for Life Program: A Couples Approach to Cardiac Risk Reduction

Morbidity and mortality are reliably lower for the married compared with the unmarried across a variety of illnesses. What is less well understood is how a couple uses their relationship for recommended lifestyle changes associated with decreased risk for illness. Partners for Life compared a patient and partner approach to behavior change with a patient only approach on such factors as exercise, nutrition, and medication adherence. Ninety‐three patients and their spouses/partners consented to participate (26% of those eligible) and were randomized into either the individual or couples condition. However, only 80 couples, distributed across conditions, contributed data to the analyses, due to missing data and missing data points. For exercise, there was a significant effect of couples treatment on the increase in activity and a significant effect of couples treatment on the acceleration of treatment over time. In addition, there was an interaction between marital satisfaction and treatment condition such that patients who reported higher levels of marital distress in the individuals condition did not maintain their physical activity gains by the end of treatment, while both distressed and nondistressed patients in the couples treatment exhibited accelerating gains throughout treatment. In terms of medication adherence, patients in the couples treatment exhibited virtually no change in medication adherence over time, while patients in the individuals treatment showed a 9% relative decrease across time. There were no condition or time effects for nutritional outcomes. Finally, there was an interaction between baseline marital satisfaction and treatment condition such that patients in the individuals condition who reported lower levels of initial marital satisfaction showed deterioration in marital satisfaction, while non satisfied patients in the couples treatment showed improvement over time.     

Temporal Linkages Between Wives' Pursuit and Husbands' Withdrawal During Marital Conflict

This study examined the association between wives' pursuit and husbands' withdrawal during marital conflict discussions, and the affects associated with these behaviors. Ten distressed and 10 nondistressed couples completed a videotaped interaction in which the wives requested changes in husbands' behaviors. Results showed sequential dependencies between wives' pursuit and husbands' withdrawal, but distressed couples, as compared to nondistressed couples, did not engage in stronger pursuit/withdrawal patterns. Distressed husbands showed the highest proportions of anxious affects. The findings are discussed with reference to the affective context of the pursuit/withdrawal pattern.     

The quantity and quality of marital interaction related to marital satisfaction: A behavioral analysis

An assessment instrument is presented for the evaluation of the quantity and quality of dyadic interaction, as well as for the daily recording of behaviors presented and omitted which influence marital satisfaction. Comparison of data from ten happy couples and from ten couples entering therapy indicated two distinct dysfunctional patterns among distressed couples, with significantly different patterns of time-together and positive/negative ratios differentiating the happy versus therapy groups. Independent behavioral recording for 14 consecutive days significantly increased husband-wife agreement on a traditional adjustment questionnaire without significantly increasing or decreasing the level of satisfaction being assessed. There was no difference between groups as to interspousal agreement on amount of time together. However, the happy couples agreed on daily quality ratings of the 72 15-minute segments significantly more often than did the distressed couples. Couples at the extremes of the happy-distressed continuum reported rewarding and punishing, respectively, in response to the partners presence, regardless of behaviors emitted. Midrange happy couples defined "pleasant" as positive behaviors presented; midrange distressed couples defined "pleasant" as negative behaviors omitted. Theoretical and clinical implications of behavioral analysis of sequential patterns are discussed.     

A Clinical approach to marital problems: Evaluation and management

Abstract

This study reviews two instruments designed to assess marital complaints as related to marital behavior: the Areas of Change Questionnaire (AC) and the Comprehensive Areas of Change Questionnaire (CAC). Although the AC is a reliable measure, it evaluates only 13 of the 29 categories of marital problems (Mead&;Vatcher, 1985) described by Geiss and O'Leary (1981). The CAC was developed to measure all 29 categories. Fifty distressed and 50 nondistressed couples were administered the CAC and the Marital Adjustment Test (MAT: Locke&;Wallace, 1959). The CAC is reliable overall, r=.84 and 20 out of 29 categories are reliable r=.40 or greater. Test-retest reliability was greater than r=.82 for all but one scoring method and for 21 of the 29 categories for all respondents with 2 additional categories stable for men and 2 different categories stable for women. The CAC differentiates distressed from nondistressed couples M=59.96 and 11.74 and individuals M=29.98 and 5.87, respectively. The CAC correlates with the MAT r=? .50 and ? .67 for nondistressed and distressed couples, respectively, when 5 extreme scores were removed from the distressed sample. Clinical utility of the CAC is discussed and further research into the nature of marital complaints is recommended.     

Revisiting the relationship between depressive symptoms and marital communication using an experimental paradigm: The moderating effect of acute sad mood

Although research has consistently demonstrated an association between depression and negative marital interactions, it remains unclear whether marital behaviors are specifically associated with depression, above and beyond the effects of a troubled marital relationship. Past research investigating this question has produced inconsistent results. In the present study, we re-examine this question and suggest that one possible reason for past inconsistencies is that across different investigations, samples may have differed in the acute mood state of the depressed partner. It is possible that the marital communication behaviors associated with depression only become evident during acute sad mood states. Seventy-one heterosexual couples who varied on marital satisfaction levels and wife depressive symptoms were videotaped during two marital problem-solving discussions, one of which was preceded by a sad mood induction for the wife. As predicted, results revealed a unique relationship between negative communication patterns and depressive symptoms only when wives had received a sad mood induction. Findings are discussed in light of interpersonal theories of depression.     

The areas of change questionnaire: A cross-cultural comparison of israeli and american distressed and nondistressed couples

Abstract

This study examines Israeli couples' presenting complaints about their relationship, their perceptions of one another's complaints and perceptual accuracy between actual and perceived complaints, using the Areas of Change Questionnaire (ACQ). Samples were obtained of both distressed and nondistressed couples. Each sample met stringent criteria for categorization as distressed and nondistressed. Normative data for both samples are examined and areas of similarities and differences are discussed. The instrument is found to discriminate distressed and nondistressed Israeli couples. Results are compared with a previous study of American distressed and nondistressed couples. The American finding that women desire more change in marriage is not replicated in the Israeli sample, nor the American finding that distress and stage in the life cycle are related. However, there is an indication in both samples that men, compared to women, perceive more requests for change. Men in both cultures also feel more change is asked of them than they themselves ask in return.     

Dysfunctional beliefs, self-monitoring, and marital conflict

Relationships among relationship beliefs, self-monitoring and conflict behavior were examined in 74 married couples. It was predicted that dysfunctional relationship beliefs would be negatively correlated with marital satisfaction and that high self-monitoring spouses would endorse more dysfunctional relationship beliefs and display more disagreeing and leadership conflict behavior. Dysfunctional beliefs were negatively correlated with satisfaction but low and high self-monitors did not differ in their conflict behavior. Discriminant analyses indicated that marital distress was a function of endorsement of dysfunctional relationship beliefs; decreased satisfaction with decisions; increased conflict relevance; and increased impression management reflected in high self-monitoring orientations among husbands and wives’ beliefs that their husbands were not behaving “normally.” The contribution of gender and impression management to marital distress is discussed. This study was funded by a University of Wisconsin-Madison faculty research grant awarded to the author.     

Marital interaction: physiological linkage and affective exchange

Thirty married couples were studied during naturalistic interactions to determine the extent to which variation in marital satisfaction could be accounted for by physiological and affective patterns between and within spouses. The authors hypothesized that (a) compared to nondistressed couples' interactions, distressed couples' interactions would show greater physiological interrelatedness or "linkage," more negative affect, and more reciprocity of negative affect and (b) these differences would be more pronounced when the interaction was high in conflict (discussing a marital problem) as opposed to low in conflict (discussing the events of the day). Heart rate, skin conductance, pulse transmission time, and somatic activity from both spouses were analyzed using bivariate time-series techniques to derive a measure of physiological linkage. Self-report affective data (obtained using a video-recall procedure) were analyzed using sequential analyses to derive a measure of affect reciprocity. The hypotheses were strongly supported; 60% of the variance in marital satisfaction was accounted for using measures of physiological linkage alone. Additional nonredundant variance was accounted for by the other physiological and affective measures.     

His and her marriage: A multivariate study of gender and marital satisfaction

This study examined gender differences in marital satisfaction using the multidimensional marital inventory ENRICH. Contrary to previous research, the results indicated that men are somewhat more satisfied with their marriages than women. The findings also suggest that religion is a more important part of the marriage for men, whereas women esposed egalitarian roles to a greater extent. A significant interaction was found between marital distress and gender on the Sexual Relationship, Communication, Parenting and Children, and Equalitarian Roles scales, indicating that these areas may be particularly important in distressed couples. The differences in husbands' and wives' marital satisfaction found in this study are consistent with research suggesting that men obtain greater mental health benefits from marriage than do women. The explanation of the obtained gender differences are discussed with regard to measurement issues, sampling procedures, and power and task inequities. Sampling and differences in marital tasks and power are cited as the best explanations of the findings.     

A context-informed approach to the study of negative-feedback seeking in depression

The purpose of the current study was to examine the link between negative-feedback seeking (NFS) and depression using a behavioural task that addressed many of the limitations of existing measures of NFS, to use a remitted-depressive design to determine whether NFS is a temporary or stable feature of depression, and to examine the role of personality and contextual variables (e.g., marital quality, spousal characteristics) in NFS. Using a sample of 59 couples (12 wife currently depressed, 20 wife remitted-depressed, and 27 wife never-depressed), we designed a task that correlated with an established measure of NFS and was able to distinguish between non-depressed and currently depressed wives. Using this behavioural task, we found that NFS is stably associated with depression and that relationship and partner characteristics may protect depressed individuals from engaging in destructive interpersonal patterns.     

Depression and power in mariage

To investigate the association between depression and power within marriage, fourteen couples in which the female partner was depressed were compared with fourteen non-depressed couples on a range of variables which assessed power bases, processes and outcomes, three domains identified in Cromwell and Olson's (1975) analysis of marital power. Compared with non-depressed couples, those containing a depressed female partner had distinctive profiles, and a subset of the characteristics of these couples was uniquely associated with depression and quite distinct from the couples' levels of marital satisfaction. The results are discussed in terms of theories of power in relationships and are seen to highlight the importance of including marital therapy as part of a treatment package for married women with depression.