Gender differences in the relationships of cardiovascular symptoms and somatosensory amplification to mortality

Symptoms of angina and dyspnea predict coronary artery disease and death less well in women than in men. Greater somatosensory amplification - a psychosocial propensity to report symptoms of physical discomfort - may lead women to report relatively high levels of angina and dyspnea for reasons unrelated to coronary disease, reducing their associations with mortality. We assessed this hypothesis in a nationally representative survey of U.S. adults. When stratified by gender, angina and dyspnea significantly predicted mortality among men, but predicted it less well among women. After adjusting for amplification, cardiovascular symptoms did not predict mortality among women, but amplification was positively associated with mortality among older women.     

Prospective associations between marital adjustment and life satisfaction

Actor and partner effects for the 2‐year longitudinal associations between marital adjustment and life satisfaction were evaluated in a population‐based sample of middle‐aged and older adults (N = 1,385 couples). Results showed that (a) higher marital adjustment at baseline predicted higher life satisfaction at follow‐up, (b) higher life satisfaction at baseline predicted higher marital adjustment at follow‐up, (c) marital adjustment more strongly predicted life satisfaction than life satisfaction predicted marital adjustment for women, and (d) higher partner marital adjustment at baseline predicted higher life satisfaction at follow‐up. Results suggest that marital adjustment and life satisfaction influence one another in a bidirectional fashion and that the direction is predominantly from marital adjustment to life satisfaction in women.