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Erschienen in: Annals of Behavioral Medicine 2/2008

01.04.2008 | Rapid Communications

Is There Something Unique about Marriage? The Relative Impact of Marital Status, Relationship Quality, and Network Social Support on Ambulatory Blood Pressure and Mental Health

verfasst von: Julianne Holt-Lunstad, Ph.D., Wendy Birmingham, B.S., Brandon Q. Jones, B.S.

Erschienen in: Annals of Behavioral Medicine | Ausgabe 2/2008

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Abstract

Background

Having close social relationships and being married specifically have been reliably associated with health benefits including lower morbidity and mortality.

Purpose

The purpose of this study was to examine the influence of marital status, relationship quality, and network support on measures of psychological and cardiovascular health.

Method

We examined ambulatory blood pressure (ABP) among 204 married and 99 single males and females (N = 303).

Results

We found that both marital status and marital quality were important. Married individuals had greater satisfaction with life (SWL) and blood pressure dipping than single individuals. High marital quality was associated with lower ABP, lower stress, less depression, and higher SWL. Importantly, contrasting those who are unmarried with those in low-quality marriages, we find that single individuals had lower ABP—suggesting that single individuals fare better than their unhappily married counterparts. Likewise, having a supportive network did not moderate (i.e., buffer) the effects of being single or unhappily married.

Conclusions

Findings indicate being married per se is not universally beneficial, rather, the satisfaction and support associated with such a relationship is important. However, marriage may be distinctive, as evidence further suggests that support from one’s network does not compensate for the effect of being single. These results highlight the complexities in understanding the influence of social relationships on long-term health, and they may help clarify the physiological pathways by which such associations exist.
Fußnoten
1
Unmarried participants included 12 that were divorced and 1 was widowed. Analyses were repeated dropping these 13 individuals, and our findings were consistent with what is reported.
 
2
Gender was found to significantly predict 24-h and waking SBP. We found no interactions effects between marital status or quality and gender for any of our primary DVs (p > 0.05).
 
3
Pre-hypertensive status did not interact with either marital status or quality on ABP.
 
4
This median split also corresponds well with validity data [23] indicating that 96% of well-adjusted couples had scores above 100 and the 83% of maladjusted couples had scores below 100.
 
5
This finding was moderated by pre-hypertensive/normotensive status such that the effect was strongest among pre-hypertensives. When comparing unmarried to happily married (above the median for MAT and satisfaction) individuals, results were consistent with the overall marital status findings.
 
Literatur
1.
Zurück zum Zitat Berkman LF. The role of social relations in health promotion. Psychosom Med. 1995; 57: 245–254.PubMed Berkman LF. The role of social relations in health promotion. Psychosom Med. 1995; 57: 245–254.PubMed
2.
Zurück zum Zitat House JS, Landis KR, Umberson D. Social relationships and health. Science. 1988; 241: 540–545.PubMedCrossRef House JS, Landis KR, Umberson D. Social relationships and health. Science. 1988; 241: 540–545.PubMedCrossRef
3.
Zurück zum Zitat Johnson NJ, Backlund E, Sorlie PD, Loveless CA. Marital status and mortality: The National Longitudinal Mortality Study. Ann Epidemiol. 2000; 10: 224–238.PubMedCrossRef Johnson NJ, Backlund E, Sorlie PD, Loveless CA. Marital status and mortality: The National Longitudinal Mortality Study. Ann Epidemiol. 2000; 10: 224–238.PubMedCrossRef
4.
Zurück zum Zitat Gove WR, Hughes M, Style Briggs C. Does marriage have positive effects on psychological well-being of the individual? J Health Soc Behav. 1983; 24: 122–131.PubMedCrossRef Gove WR, Hughes M, Style Briggs C. Does marriage have positive effects on psychological well-being of the individual? J Health Soc Behav. 1983; 24: 122–131.PubMedCrossRef
5.
Zurück zum Zitat Robins L, Regier D. Psychiatric disorders in America. New York: Free Press; 1991. Robins L, Regier D. Psychiatric disorders in America. New York: Free Press; 1991.
6.
Zurück zum Zitat Friedman HS, Tucker JS, Schwartz JE, et al. Psychosocial and behavioral predictors of longevity: the aging and death of the “Termites”. Am Psychol. 1995; 50: 69–78.PubMedCrossRef Friedman HS, Tucker JS, Schwartz JE, et al. Psychosocial and behavioral predictors of longevity: the aging and death of the “Termites”. Am Psychol. 1995; 50: 69–78.PubMedCrossRef
7.
Zurück zum Zitat Ross CE, Mirowsky J, Goldsteen K. The impact of the family on health: the decade in review. J Marriage Fam. 1990; 52: 1059–1078.CrossRef Ross CE, Mirowsky J, Goldsteen K. The impact of the family on health: the decade in review. J Marriage Fam. 1990; 52: 1059–1078.CrossRef
8.
Zurück zum Zitat Coyne JC, Rohrbaugh MJ, Shoham V, et al. Prognostic importance of marital quality for survival of congestive heart failure. Am J Cardiol. 2001; 88: 526–529.PubMedCrossRef Coyne JC, Rohrbaugh MJ, Shoham V, et al. Prognostic importance of marital quality for survival of congestive heart failure. Am J Cardiol. 2001; 88: 526–529.PubMedCrossRef
9.
Zurück zum Zitat Gallo LC, Troxel WM, Matthews KA, Kuller LH. Marital status and quality in middle-aged women: associations with levels and trajectories of cardiovascular risk factors. Health Psychol. 2003; 22: 453–463.PubMedCrossRef Gallo LC, Troxel WM, Matthews KA, Kuller LH. Marital status and quality in middle-aged women: associations with levels and trajectories of cardiovascular risk factors. Health Psychol. 2003; 22: 453–463.PubMedCrossRef
10.
Zurück zum Zitat Grewen KM, Girdler SS, Light KC. Relationship quality: effects on ambulatory blood pressure and negative affect in a biracial sample of men and women. Blood Press Monit. 2005; 10: 117–124.PubMedCrossRef Grewen KM, Girdler SS, Light KC. Relationship quality: effects on ambulatory blood pressure and negative affect in a biracial sample of men and women. Blood Press Monit. 2005; 10: 117–124.PubMedCrossRef
11.
Zurück zum Zitat Lepore SJ. Social conflict, social support, and psychological distress: evidence of cross-domain buffering effects. J Pers Soc Psychol. 1992; 63: 857–867.PubMedCrossRef Lepore SJ. Social conflict, social support, and psychological distress: evidence of cross-domain buffering effects. J Pers Soc Psychol. 1992; 63: 857–867.PubMedCrossRef
12.
Zurück zum Zitat Pearlin LI, McCall ME. Occupational stress and marital support: a description of microprocesses. In: Eckenrode J, Gore S, eds. Stress between work and family. New York: Plenum Press; 1990: 39–60. Pearlin LI, McCall ME. Occupational stress and marital support: a description of microprocesses. In: Eckenrode J, Gore S, eds. Stress between work and family. New York: Plenum Press; 1990: 39–60.
13.
Zurück zum Zitat Umberson D. Gender, marital status and the social control of health behavior. Soc Sci Med. 1992; 34: 907–917.PubMedCrossRef Umberson D. Gender, marital status and the social control of health behavior. Soc Sci Med. 1992; 34: 907–917.PubMedCrossRef
14.
Zurück zum Zitat Robels TF, Kiecolt-Glaser JK. The physiology of marriage: pathways to health. Physiol Behav. 2003; 79: 409–416.CrossRef Robels TF, Kiecolt-Glaser JK. The physiology of marriage: pathways to health. Physiol Behav. 2003; 79: 409–416.CrossRef
15.
Zurück zum Zitat Burman B, Margolin G. Analysis of the association between marital relationships and health problems: an interactional perspective. Psychol Bull. 1992; 112: 39–63.PubMedCrossRef Burman B, Margolin G. Analysis of the association between marital relationships and health problems: an interactional perspective. Psychol Bull. 1992; 112: 39–63.PubMedCrossRef
16.
Zurück zum Zitat Perloff D, Sokolow M, Cowan R. The prognostic value of ambulatory blood pressure. JAMA. 1983; 249: 2793–2788.CrossRef Perloff D, Sokolow M, Cowan R. The prognostic value of ambulatory blood pressure. JAMA. 1983; 249: 2793–2788.CrossRef
17.
Zurück zum Zitat Fallo F, Barzon L, Rabbia F. Circadian blood pressure patterns and life stress. Psychother Psychosom. 2002; 71: 350–356.PubMedCrossRef Fallo F, Barzon L, Rabbia F. Circadian blood pressure patterns and life stress. Psychother Psychosom. 2002; 71: 350–356.PubMedCrossRef
18.
Zurück zum Zitat Verdecchia P, Schillaci G, Borgioni C, et al. Gender, day-night blood pressure changes, and left ventricular mass in essential hypertension: dippers and peakers. Am J Hypertens. 1995; 8: 193–196.PubMedCrossRef Verdecchia P, Schillaci G, Borgioni C, et al. Gender, day-night blood pressure changes, and left ventricular mass in essential hypertension: dippers and peakers. Am J Hypertens. 1995; 8: 193–196.PubMedCrossRef
19.
Zurück zum Zitat Ohkubo T, Imai Y, Tsuji I, et al. Relation between nocturnal decline in blood pressure and mortality. Am J Hypertens. 1997; 10: 1201–1207.PubMedCrossRef Ohkubo T, Imai Y, Tsuji I, et al. Relation between nocturnal decline in blood pressure and mortality. Am J Hypertens. 1997; 10: 1201–1207.PubMedCrossRef
20.
Zurück zum Zitat Ohkubo T, Hozawa A, Yamajuchi J, et al. Prognostic significance of the nocturnal decline in blood pressure in individuals with and without high 24-h blood pressure: The Ohasama Study. J Hypertens. 2002; 20: 2183–2189.PubMedCrossRef Ohkubo T, Hozawa A, Yamajuchi J, et al. Prognostic significance of the nocturnal decline in blood pressure in individuals with and without high 24-h blood pressure: The Ohasama Study. J Hypertens. 2002; 20: 2183–2189.PubMedCrossRef
21.
Zurück zum Zitat Verdecchia P, Schillaci G, Borioni C, et al. Nocturnal pressure is the true pressure. Blood Press Monit. 1996; 1: S81–S85. Verdecchia P, Schillaci G, Borioni C, et al. Nocturnal pressure is the true pressure. Blood Press Monit. 1996; 1: S81–S85.
22.
Zurück zum Zitat Cacioppo JT, Malarkey W, Kiecolt-Glaser JK, et al. Heterogeneity in neuroendocrine and immune responses to brief psychological stressors as a function of autonomic cardiac activation. Psychosom Med. 1995; 57: 154–164.PubMed Cacioppo JT, Malarkey W, Kiecolt-Glaser JK, et al. Heterogeneity in neuroendocrine and immune responses to brief psychological stressors as a function of autonomic cardiac activation. Psychosom Med. 1995; 57: 154–164.PubMed
23.
Zurück zum Zitat Locke HJ, Wallace KM. Short marital-adjustment and predication tests: their reliability and validity. Marriage and Family Living. 1959; 21: 251–255.CrossRef Locke HJ, Wallace KM. Short marital-adjustment and predication tests: their reliability and validity. Marriage and Family Living. 1959; 21: 251–255.CrossRef
24.
Zurück zum Zitat Spanier GB. Measuring dyadic adjustment: new scales for assessing the quality of marriage and similar dyads. J Marriage Fam. 1976; 38: 15–28.CrossRef Spanier GB. Measuring dyadic adjustment: new scales for assessing the quality of marriage and similar dyads. J Marriage Fam. 1976; 38: 15–28.CrossRef
25.
Zurück zum Zitat Cohen S, Hoberman HM. Positive events and social supports as buffers of life change stress. J Appl Soc Psychol. 1983; 13: 99–125.CrossRef Cohen S, Hoberman HM. Positive events and social supports as buffers of life change stress. J Appl Soc Psychol. 1983; 13: 99–125.CrossRef
26.
Zurück zum Zitat Radloff SL. The CES-D Scale: a self-report depression scale for research in the general population. Appl Psychol Meas. 1977; 1: 385–401.CrossRef Radloff SL. The CES-D Scale: a self-report depression scale for research in the general population. Appl Psychol Meas. 1977; 1: 385–401.CrossRef
27.
Zurück zum Zitat Diener E, Emmons RA, Larsen RJ. The Satisfaction With Life Scale. J Pers Assess. 1985; 49: 71–75.PubMedCrossRef Diener E, Emmons RA, Larsen RJ. The Satisfaction With Life Scale. J Pers Assess. 1985; 49: 71–75.PubMedCrossRef
28.
Zurück zum Zitat Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983; 24: 385–396.PubMedCrossRef Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983; 24: 385–396.PubMedCrossRef
29.
Zurück zum Zitat White WB, Lund-Johansen P, Omvik P. Assessment of four ambulatory blood pressure monitors and measurements by clinicians versus intraarterial blood pressure at rest and during exercise. Am J Cardiol. 1990; 65: 60–66.PubMedCrossRef White WB, Lund-Johansen P, Omvik P. Assessment of four ambulatory blood pressure monitors and measurements by clinicians versus intraarterial blood pressure at rest and during exercise. Am J Cardiol. 1990; 65: 60–66.PubMedCrossRef
30.
Zurück zum Zitat Kamarck TW, Shiffman SM, Smithline L, et al. Effects of task strain, social conflict, and emotional activation on ambulatory cardiovascular activity: daily life consequences of recurring stress in a multiethnic adult sample. Health Psychol. 1998; 17: 17–29.PubMedCrossRef Kamarck TW, Shiffman SM, Smithline L, et al. Effects of task strain, social conflict, and emotional activation on ambulatory cardiovascular activity: daily life consequences of recurring stress in a multiethnic adult sample. Health Psychol. 1998; 17: 17–29.PubMedCrossRef
31.
Zurück zum Zitat Marler MR, Jacob RG, Lehoczky JP, Shapiro AP. The statistical analysis of treatment effects in 24-hour ambulatory blood pressure recordings. Stat Med. 1988; 7: 697–716.PubMedCrossRef Marler MR, Jacob RG, Lehoczky JP, Shapiro AP. The statistical analysis of treatment effects in 24-hour ambulatory blood pressure recordings. Stat Med. 1988; 7: 697–716.PubMedCrossRef
32.
Zurück zum Zitat Baker B, Helmers K, O’Kelly B, et al. Marital cohesion and ambulatory blood pressure in early hypertension. Am J Hypertens. 1999; 12: 227–230.PubMedCrossRef Baker B, Helmers K, O’Kelly B, et al. Marital cohesion and ambulatory blood pressure in early hypertension. Am J Hypertens. 1999; 12: 227–230.PubMedCrossRef
33.
Zurück zum Zitat MacMahon S, Peto R, Cutler J, et al. Blood pressure, stroke, and coronary heart disease. Part 1, prolonged differences in blood pressure: prospective observational studies corrected for the regression dilution bias. Lancet. 1990; 335: 765–774.PubMedCrossRef MacMahon S, Peto R, Cutler J, et al. Blood pressure, stroke, and coronary heart disease. Part 1, prolonged differences in blood pressure: prospective observational studies corrected for the regression dilution bias. Lancet. 1990; 335: 765–774.PubMedCrossRef
Metadaten
Titel
Is There Something Unique about Marriage? The Relative Impact of Marital Status, Relationship Quality, and Network Social Support on Ambulatory Blood Pressure and Mental Health
verfasst von
Julianne Holt-Lunstad, Ph.D.
Wendy Birmingham, B.S.
Brandon Q. Jones, B.S.
Publikationsdatum
01.04.2008
Verlag
Springer-Verlag
Erschienen in
Annals of Behavioral Medicine / Ausgabe 2/2008
Print ISSN: 0883-6612
Elektronische ISSN: 1532-4796
DOI
https://doi.org/10.1007/s12160-008-9018-y

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