Warm Partner Contact Is Related to Lower Cardiovascular Reactivity

Abstract The authors investigated the relationship between brief warm social and physical contact among cohabitating couples and blood pressure (BP) reactivity to stress in a sample of healthy adults (66 African American, 117 Caucasian; 74 women, 109 men). Prior to stress, the warm contact group underwent a 10-minute period of handholding while viewing a romantic video, followed by a 20-second hug with their partner, while the no contact group rested quietly for 10 minutes and 20 seconds. In response to a public speaking task, individuals receiving prestress partner contact demonstrated lower systolic BP, diastolic BP, and heart rate increases compared with the no contact group. The effects of warm contact were comparable for men and women and were greater for African Americans compared with Caucasians. These findings suggest that affectionate relationships with a supportive partner may contribute to lower reactivity to stressful life events and may partially mediate the benefit of marital support on better cardiovascular health.

[1]  W Winkelstein,et al.  Social network and blood pressure: a population study. , 1991, Psychosomatic medicine.

[2]  P. Sorlie,et al.  Marital status and mortality: the national longitudinal mortality study. , 2000, Annals of epidemiology.

[3]  T. W. Smith,et al.  Cardiovascular and electrodermal responses to support and provocation: interpersonal methods in the study of psychophysiological reactivity. , 2000, Psychophysiology.

[4]  S. Ebrahim,et al.  Marital status, change in marital status, and mortality in middle-aged British men. , 1995, American journal of epidemiology.

[5]  M. Silverstein,et al.  Organizational theory social supports and mortality rates: a theoretical convergence. , 1989 .

[6]  Sheldon Cohen,et al.  Psychosocial models of the role of social support in the etiology of physical disease. , 1988, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[7]  Y. Cheung.  Can marital selection explain the differences in health between married and divorced people? From a longitudinal study of a British birth cohort. , 1998, Public health.

[8]  S. Vrana,et al.  Some touching situations: The relationship between gender and contextual variables in cardiovascular responses to human touch , 1998, Annals of behavioral medicine : a publication of the Society of Behavioral Medicine.

[9]  J. Holt-Lunstad,et al.  Social support and age-related differences in cardiovascular function: An examination of potential mediators , 1999, Annals of behavioral medicine : a publication of the Society of Behavioral Medicine.

[10]  D. Pearl,et al.  Hostile behavior during marital conflict alters pituitary and adrenal hormones. , 1994, Psychosomatic medicine.

[11]  S. Folkman,et al.  Stress, appraisal, and coping , 1974 .

[12]  J. Tomaka,et al.  Presence of human friends and pet dogs as moderators of autonomic responses to stress in women. , 1991, Journal of personality and social psychology.

[13]  E. Turkheimer,et al.  Touch relieves stress and pain , 1995, Journal of Behavioral Medicine.

[14]  T. Seeman.  Health Promoting Effects of Friends and Family on Health Outcomes in Older Adults , 2000, American journal of health promotion : AJHP.

[15]  S. Schanberg,et al.  Massage reduces anxiety in child and adolescent psychiatric patients. , 1992, Journal of the American Academy of Child and Adolescent Psychiatry.

[16]  Y. Cheung.  Can marital selection explain the differences in health between married and divorced people? From a longitudinal study of a British birth cohort , 1998 .

[17]  M A Hlatky,et al.  Prognostic importance of social and economic resources among medically treated patients with angiographically documented coronary artery disease. , 1992, JAMA.

[18]  Y. Ben-Shlomo,et al.  Magnitude and causes of mortality differences between married and unmarried men. , 1993, Journal of epidemiology and community health.

[19]  Nicholas Christenfeld,et al.  Social Support Effects on Cardiovascular Reactivity: Is a Stranger as Effective as a Friend? , 1997, Psychosomatic medicine.

[20]  T. Kamarck,et al.  Social support reduces cardiovascular reactivity to psychological challenge: a laboratory model. , 1990, Psychosomatic medicine.

[21]  S. Lepore.  Problems and prospects for the social support-reactivity hypothesis , 1998, Annals of behavioral medicine : a publication of the Society of Behavioral Medicine.

[22]  V. Helgeson.  The effects of masculinity and social support on recovery from myocardial infarction. , 1991, Psychosomatic medicine.

[23]  K. Richards.  Effect of a back massage and relaxation intervention on sleep in critically ill patients. , 1998, American journal of critical care : an official publication, American Association of Critical-Care Nurses.

[24]  J. Kiecolt-Glaser,et al.  Marriage and health: his and hers. , 2001, Psychological bulletin.

[25]  P. Sorlie,et al.  US mortality by economic, demographic, and social characteristics: the National Longitudinal Mortality Study. , 1995, American journal of public health.

[26]  M. Rohrbaugh,et al.  Prognostic importance of marital quality for survival of congestive heart failure. , 2001, The American journal of cardiology.

[27]  C. Thoresen,et al.  Psychosocial predictors of mortality in 83 women with premature acute myocardial infarction. , 1993, Psychosomatic medicine.

[28]  J. Szalai,et al.  The influence of marital adjustment on 3-year left ventricular mass and ambulatory blood pressure in mild hypertension. , 2000, Archives of internal medicine.

[29]  S. Lepore,et al.  Nonevaluative Social Support Reduces Cardiovascular Reactivity in Young Women During Acutely Stressful Performance Situations , 1999, Journal of Behavioral Medicine.

[30]  KERSTIN UVNÄS‐MOBERG,et al.  Physiological and Endocrine Effects of Social Contact , 1997, Annals of the New York Academy of Sciences.

[31]  K. Matthews,et al.  Chronic work stress and marital dissolution increase risk of posttrial mortality in men from the Multiple Risk Factor Intervention Trial. , 2002, Archives of internal medicine.

[32]  T. Laveist,et al.  Extreme Social Isolation, Use of Community-Based Senior Support Services, and Mortality Among African American Elderly Women , 1997, American journal of community psychology.

[33]  S. Folkman,et al.  Stress, Appraisal, and Coping. New York, NY: Springer; , 1984 .

[34]  S. Kasl,et al.  Types of Marital Closeness and Mortality Risk in Older Couples , 2002, Psychosomatic medicine.

[35]  Timothy W. Smith,et al.  Relationship quality moderates the effect of social support given by close friends on cardiovascular reactivity in women , 2002, International journal of behavioral medicine.

[36]  M. Koskenvuo,et al.  Interpersonal conflict as a predictor of work disability: a follow-up study of 15,348 Finnish employees. , 1996, Journal of psychosomatic research.

[37]  T. Pickering,et al.  Research Techniques for Ambulatory Blood Pressure Monitoring , 1989 .

[38]  A. Katcher,et al.  Human Contact and Cardiac Arrhythmia in a Coronary Care Unit , 1977, Psychosomatic medicine.

[39]  J. Kiecolt-Glaser,et al.  Social support as a moderator of the aftereffects of stress in female psychiatric inpatients. , 1984, Journal of abnormal psychology.

[40]  Burton H. Singer,et al.  Social Relationships, Gender, and Allostatic Load Across Two Age Cohorts , 2002, Psychosomatic medicine.

[41]  L. Wilhelmsen,et al.  Independent importance of psychosocial factors for prognosis after myocardial infarction , 2000, Journal of internal medicine.

[42]  D. Carroll,et al.  Task-induced cardiovascular activity and the presence of a supportive or undermining other , 1996 .

[43]  T. W. Smith,et al.  Agency, communion, and cardiovascular reactivity during marital interaction. , 1998, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[44]  N. Christenfeld,et al.  Gender, social support, and cardiovascular responses to stress. , 1999, Psychosomatic medicine.

[45]  J. Johnson,et al.  Social network interaction and mortality. A six year follow-up study of a random sample of the Swedish population. , 1987, Journal of chronic diseases.

[46]  J. Cacioppo,et al.  Marital Stress: Immunologic, Neuroendocrine, and Autonomic Correlates a , 1998, Annals of the New York Academy of Sciences.

[47]  High blood pressure and marital discord: not being nasty matters more than being nice. , 1991, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[48]  A. Moss,et al.  Living Alone After Myocardial Infarction: Impact on Prognosis , 1992 .

[49]  T. Kamarck,et al.  Psychosocial mediators of racial differences in nighttime blood pressure dipping among normotensive adults. , 1999, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[50]  Bert N. Uchino,et al.  The relationship between social support and physiological processes: a review with emphasis on underlying mechanisms and implications for health. , 1996, Psychological bulletin.

[51]  C. Ross.  The Impact of the Family on Health: The Decade in Review , 1990 .

[52]  F. Viteri,et al.  Blood pressure, ethnicity, and psychosocial resources. , 1986, Psychosomatic medicine.

[53]  J. House,et al.  Social relationships and health. , 1988, Science.

[54]  J. Coyne,et al.  Going beyond social support: the role of social relationships in adaptation. , 1986, Journal of consulting and clinical psychology.

[55]  J. Hibbard,et al.  The quality of social roles as predictors of morbidity and mortality. , 1993, Social science & medicine.

[56]  T. Kamarck,et al.  Partner Interactions Are Associated With Reduced Blood Pressure in the Natural Environment: Ambulatory Monitoring Evidence From a Healthy, Multiethnic Adult Sample , 2001, Psychosomatic medicine.

[57]  J. Fisher,et al.  Multidimensional reaction to therapeutic touch in a hospital setting. , 1979, Journal of personality and social psychology.

[58]  W. Kop.  Chronic and acute psychological risk factors for clinical manifestations of coronary artery disease. , 1999, Psychosomatic medicine.

[59]  M. Szklo,et al.  The impact of marital status on survival after an acute myocardial infarction: a population-based study. , 1983, American journal of epidemiology.

[60]  K. Light,et al.  Social support and hostility interact to influence clinic, work, and home blood pressure in black and white men and women. , 1996, Psychophysiology.

[61]  A. Sherwood,et al.  Blood Pressure Reactivity and Marital Distress in Employed Women , 1998, Psychosomatic medicine.

[62]  L. Hawkley,et al.  Loneliness and Health: Potential Mechanisms , 2002, Psychosomatic medicine.

[63]  A. Sherwood,et al.  A Conceptual and Methodological Overview of Cardiovascular Reactivity Research , 1992 .