Marital interaction and depression

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 X Depression Level X 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. In general, the findings suggested that marital distress rather than depression per se may be responsible for the dysfunctional interaction patterns frequently observed in depressed couples.     

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.     

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.     

Repeating the Errors of Our Parents? Family‐of‐Origin Spouse Violence and Observed Conflict Management in Engaged Couples*

Based on a developmental social learning analysis, it was hypothesized that observing parental violence predisposes partners to difficulties in managing couple conflict. Seventy-one engaged couples were assessed on their observation of parental violence in their family of origin. All couples were videotaped discussing two areas of current relationship conflict, and their cognitions during the interactions were assessed using a video-mediated recall procedure. Couples in which the male partner reported observing parental violence (male-exposed couples) showed more negative affect and communication during conflict discussions than couples in which neither partner reported observing parental violence (unexposed couples). Couples in which only the female partner reported observing parental violence (female-exposed couples) did not differ from unexposed couples in their affect or behavior. Female-exposed couples reported more negative cognitions than unexposed couples, but male-exposed couples did not differ from unexposed couples in their reported cognitions.     

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.     

Couples’ Negative Interaction Behaviors and Borderline Personality Disorder

Borderline personality disorder (BPD) is a severe mental health problem predisposing to dysfunctional interaction behaviors and negative couple outcomes. This study aimed to assess, through direct observation, the quality of relationships of couples in which women were diagnosed with BPD. The sample consisted of 28 couples in which the woman had BPD, and 82 community couples. Couples’ interactions were coded using three scales—withdrawal/ avoidance, dominance, and criticism/attack/conflict—from the Global Couple Interaction Coding System. Couples in which the women had BPD evidenced significantly more negative behaviors, particularly dominance behaviors, than community couples. Moreover, in BPD couples, women adopted Criticism/Attack/Conflict behaviors more frequently than men.     

Depression und Paarbeziehung

The close relationship between depressive disorders and couple relationships has been well proved empirically.Conflicts and problems within the couples'relationship can be a significant trigger for depression. In additition, the quality of the relationship is often markedly impaired by depressive disorders, in many cases far beyond the depressive phase.The couples'relationship also influences significantly the course of depressions, especially when the disorders are not yet chronic.The link between depression and couples'relationship seems to be stronger and more evident for women than for men. Furthermore there seem to be patterns of interaction in couples with a depressed partner, which differ from those in healthy or other clinical comparison groups or distressed couples without depression.These patterns need further exploration with regard to different subgroups of depressed patients and phases of depression.Couples' therapy has been proved to be effective in the treatment of depression on the symptomatic and on the relationship level.Conjoint assessment and counselling sessions with depressed patients and their partners should be conducted regularly.For patients suffering from an ‘anaclitic’,‘sociotropc’form of depression couples' therapy in a more narrow sense is usually indicated. In the treatment of depressives of the ‘autonomous’ ‘introjective’ type partners should be included into treatment for the assessment and the working through of specific conflicts concerning the relationship.     

Fight-seeking motivation in dating partners with an aggressive relationship

The author studied aggression among dating couples to determine if partners' fight-seeking motivation could explain the phenomenon. Intact dating couples were classified as aggressive if either partner reported having perpetrated 2 or more acts of assaultive violence in the past year. The author asked participants to rate the extent to which they and their partners intentionally physically or verbally fought with one another, felt calmer after physical or verbal conflict with their partners, and sought to increase sensory stimulation by taking part in high-risk activities. Together, these ratings constituted a measure of fight-seeking motivation. Results of a logistic regression analysis showed that couples classified as aggressive (48%) had relationships longer in duration than did nonaggressive couples. In addition, both men and women in aggressive relationships had greater fight-seeking motivation than did individuals in nonaggressive relationships.     

Social Involvement, Disclosure of Sexual Orientation, and the Quality of Lesbian Relationships

Gay and lesbian political activists encourage lesbians to "come out" and get involved. Is this good advice for lesbian couples? In these secondary analyses of data collected form 784 lesbian couples in 1979 for the American Couples Study (Blumstein & Schwartz, 1983), we examined whether social involvement and disclosure of sexual orientation were systematically associated with the quality of women's relationships. We predicted and found that partners matched on level of social involvement were happier than mismatched couples. The extent of women's social involvement had a curvilinear association with relationship quality: moderately involved couples were the most satisfied. Contrary to predictions, lesbians who had disclosed to a greater number of important others did not have more satisfying romantic relationships, nor did partner matching on self-disclosure enhance relationship quality.     

A Test of Positive Illusions Versus Shared Reality Models of Relationship Satisfaction Among Gay, Lesbian, and Heterosexual Couples

According to the positive illusions model ( Murray, Holmes, & Griffin, 1996a ), people in romantic relationships are more satisfied when they view their partners more favorably than the partners see themselves. By contrast, shared reality theory ( Hardin & Conley, 2001 ) emphasizes the benefits of perceiving a partner as the partner sees himself or herself. We analyzed archived data from the American Couples Study ( Blumstein & Schwartz, 1983 ) to test the applicability of the positive illusions model to gay and lesbian relationships. Structural equation models demonstrated that the positive illusions model effectively explains relationships among lesbian, gay, heterosexual cohabitating, and married couples.     

IS SEXUAL ORIENTATION A MATTER OF CHOICE?

Ninety women in lesbian and heterosexual couples were compared on relationship values, views of same-gender and cross-gender intimate relationships, and perceived choice of sexual orientation. Both groups reported similar values, levels of self-esteem, and capacity for intimacy. The majority in both groups described their relationships with women as more emotionally and intellectually intimate than those with men. A majority of women in lesbian couples (58%) and a third of women in heterosexual couples reported choosing the orientation of their current sexual relationship. Women with male partners did not perceive major differences between homosexual and heterosexual relationships, citing sexual attraction as the primary reason they chose a male partner. In contrast, many women with female partners characterized lesbian relationships as more intimate and equal, and less gender-role stereotyped, frequently citing these characteristics, along with sexual attraction, as reasons for their relationship preference.     

A comparison of the quality of intrusive memories in post-traumatic stress disorder and depression

As in post-traumatic stress disorder (PTSD), intrusive memories (IMs) also play an important role in depression. Evidence about the comparative quality of IMs in PTSD and depression is limited and inconsistent. A total of 28 adults with PTSD, 29 with depression, and 30 controls identified intrusive and voluntary segments of narrative memories of key events. Self-report and language measures of memory quality were obtained. Depressed and PTSD participants reported higher frequency of IMs and higher IM-related interference than controls. IMs in PTSD participants were distinguished from depressed and control participants by higher self-rated distress, higher self-rated sensory quality, and a higher proportion of sensory words in the narrative. The depressed and control groups did not differ on IM quality. PTSD IM segments had more sensory content than voluntary segments and fewer temporal markers. The IM segments of the depressed and control groups had fewer temporal markers than the voluntary segments. Depression severity predicted fewer sensory words in the IM after considering peri-event dissociation and arousal but did not add to the prediction of other IM qualities. A strong sensory quality is a distinctive feature of IMs in PTSD but not in depression. Basic sensory processes contribute to the intrusiveness of remembering in PTSD but not in depression.     

“Date nights” take two: The maintenance function of shared relationship activities

One‐hundred and ninety‐six individuals (Study 1) and 83 couples (Study 2) reported on their shared relationship activities—activities that individuals engage in with their partner to facilitate closeness in their romantic relationships. Couples also reported on the quality of their shared activities and relationships 3 months later (Study 2). Results indicated that shared activities help to sustain relationships, and do so beyond threat‐based maintenance strategies (i.e., accommodation). Activities that were satisfying, stress‐free, and increased closeness predicted greater relationship quality concurrently and longitudinally. However, positive activity and relationship outcomes depended on the degree to which partners were dedicated to the activity, indicating that shared activities sustain relationship quality only when partners are responsive and want to share relationship activities.     

Prenatal paternal depression

Prenatal depressive symptoms, anxiety, anger and daily hassles were investigated in 156 depressed and non-depressed pregnant women and their depressed and non-depressed partners (fathers-to-be). Depressed versus non-depressed fathers had higher depression, anxiety and daily hassles scores. Although the pregnant women in general had lower anxiety, anger and daily hassles scores than the men, the scores on the measures for depressed fathers and depressed mothers did not differ. Paternal depression appeared to have less effect than maternal depression on their partners’ scores. However, the similarity between the scores of depressed mothers and depressed fathers highlights the importance of screening for depression in fathers-to-be as well as mothers-to-be during pregnancy.     

The Contextual Role of Depression within Couples Experiencing Partner Violence

Despite previous research suggesting a link between intimate partner violence (IPV) and depression within romantic relationships, few studies have examined the role of depression in couples experiencing violence. Using dyadic data of 129 heterosexual couples seeking couples therapy for high conflict including physical IPV, depressive symptoms were evaluated as a moderator in the association between psychological and physical IPV. Results indicated that moderate and high reports of women's depressive symptoms provided a context, while men's psychological abuse toward them moved from low to high, for women to be more physically abusive toward their partners. Further, low reports of women's depressive symptoms provided a context, while men's psychological abuse toward them moved from low to high, for women to be less physically abusive toward their partners. Better understanding the role of depression and how it may offer a context for physical violence assists helping professionals in holistically addressing violence within romantic relationships.     

Couples' Disease: The Experience of Living with a Partner with Chronic Depression

This study is concerned with the impact of chronic depression on partners. Thirteen male and female participants who lived with a partner with chronic depression were interviewed. Data were analyzed using thematic analysis. Findings highlighted a need for caregivers to be more centrally involved in their partner's care, given that they face stigma, shifts in role identity, and uncertainty, which all potentially threaten the level of support they can give their partner. In this sense, depression might be described as a “couples disease,” suggesting that couples therapy and group support for partners should be more widely available to help reduce the burden on partners and potentially prevent relationship breakdown.     

Adult attachment and emotional control

The connection between attachment style and affect regulation, proposed by attachment theorists, was explored in the context of long-term dating relationships. Seventy-two couples completed questionnaire measures of attachment (using a four-group forced-choice item, together with scales tapping Comfort with closeness, and Anxiety over relationships) and emotional control (in which subjects rated own and partner's control of anger, sadness, and anxiety, and the extent to which partners wanted them to control these emotions). Couples in which both partners endorsed insecure attachment styles (using the forced-choice measure) reported greater emotional control than did couples with two secure partners. Data from the attachment scales also supported the link between insecure attachment and emotional control: Comfort with closeness was negatively related both to one's own emotional control and to perceptions that partners wanted subjects to control their sadness; Anxiety over relationships was associated with perceptions that partners controlled sadness and wanted subjects to control their anger and sadness. The link between insecure attachment and the control of negative emotion remained significant when the frequency of experiencing such emotion was controlled. The association between attachment dimensions and other responses to negative emotions was also explored, and was consistent with attachment theory.     

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.     

Empathic accuracy of intimate partners in violent versus nonviolent relationships

This study compared the empathic accuracy of men and women who had perpetrated physical intimate partner violence with that of partners in nonviolent but distressed and nonviolent and nondistressed relationships. Examined was the empathic accuracy (a) of partners for one another’s thoughts and feelings during a relationship problem discussion in the laboratory, (b) of partners’ empathic accuracy for each other with the empathic accuracy of objective observers who watched the couples’ interactions, and (c) the males’ empathic accuracy for their female partner to their empathic accuracy for female strangers. No significant group differences were found among women’s empathic accuracy, but the data suggest that violent men exhibit poor empathic accuracy when attempting to understand their female partner’s thoughts and feelings.