Daily Marital Interaction Quality and Carotid Artery Intima-Medial Thickness in Healthy Middle-Aged Adults

Objective To examine the association between marital interaction quality during daily life and subclinical cardiovascular disease (CVD). Studies have shown that marital status and quality of marriage are associated with cardiovascular health. However, little is known about the role of marital interaction quality during daily life in contributing to these effects. Methods The sample consisted of 281 healthy, employed middle-aged adults who were married or living with a partner in a marital-like relationship (mean age = 42.0 years, 88% white, 52% men). Marital interaction quality was assessed using hourly real-time ecological momentary assessments for 4 days, with participants rating their current or recent partner interactions on positive and negative characteristics (e.g., agreeableness and conflict). Carotid artery intima-medial thickness (IMT) was assessed using ultrasound imaging. Results Adjusting for demographics, positive marital interaction was inversely associated with IMT (b = −0.02, F(1,275) = 9.18, p = .002), and negative marital interaction was positively associated with IMT (b = 0.02 F(1,275) = 10.29, p = .001). These associations were not accounted for by behavioral and biological CVD risk factors and were consistent across age, sex, race, and education. The associations were also independent of marital interaction frequency, nonmarital social interaction quality, and personality factors. Global reports of marital quality, in contrast, were not associated with IMT. Conclusions Marital quality as measured during real-time interactions between partners was associated with subclinical CVD in healthy middle-aged adults. This study supports the use of real-time social interaction assessment for characterizing links between social relationships and cardiovascular health.

[1]  Sheri L. Johnson,et al.  Gender specific association of child abuse and adult cardiovascular disease in a sample of patients with basal cell carcinoma. , 2013, Child abuse & neglect.

[2]  P. Pietromonaco,et al.  Close relationship processes and health: implications of attachment theory for health and disease. , 2013, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[3]  D. van Klaveren,et al.  Carotid intima-media thickness for cardiovascular risk assessment: systematic review and meta-analysis. , 2013, Atherosclerosis.

[4]  L. F. Barrett,et al.  Trends in ambulatory self-report: the role of momentary experience in psychosomatic medicine. , 2012, Psychosomatic medicine.

[5]  Timothy W. Smith,et al.  Marital discord and coronary artery disease: a comparison of behaviorally defined discrete groups. , 2012, Journal of consulting and clinical psychology.

[6]  R. Kessler,et al.  Association of childhood adversities and early-onset mental disorders with adult-onset chronic physical conditions. , 2011, Archives of general psychiatry.

[7]  E. Imamoğlu,et al.  Marital Satisfaction Across Three Cultures: Does the Number of Children Have an Impact After Accounting for Other Marital Demographics? , 2011 .

[8]  Jonathan E. Butner,et al.  Affiliation and Control During Marital Disagreement, History of Divorce, and Asymptomatic Coronary Artery Calcification in Older Couples , 2011, Psychosomatic medicine.

[9]  J. Coresh,et al.  Marital Status, Hypertension, Coronary Heart Disease, Diabetes, and Death Among African American Women and Men: Incidence and Prevalence in the Atherosclerosis Risk in Communities (ARIC) Study Participants , 2010, Journal of family issues.

[10]  E. Stamatakis,et al.  Marital status, gender and cardiovascular mortality: Behavioural, psychological distress and metabolic explanations☆ , 2009, Social science & medicine.

[11]  Timothy W. Smith,et al.  Conflict and collaboration in middle-aged and older couples: I. Age differences in agency and communion during marital interaction. , 2009, Psychology and aging.

[12]  Kristopher J Preacher,et al.  Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models , 2008, Behavior research methods.

[13]  M. Marmot,et al.  Negative aspects of close relationships and heart disease. , 2007, Archives of internal medicine.

[14]  K. Schenck-Gustafsson,et al.  Psychosocial stress and atherosclerosis: family and work stress accelerate progression of coronary disease in women. The Stockholm Female Coronary Angiography Study , 2007, Journal of internal medicine.

[15]  M. Rohrbaugh,et al.  Effect of marital quality on eight-year survival of patients with heart failure. , 2006, The American journal of cardiology.

[16]  T. Kamarck,et al.  Application of ecological momentary assessment to the study of marital adjustment and social interactions during daily life. , 2006, Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association.

[17]  T. Kamarck,et al.  Frequency of Spousal Interaction and 3-Year Progression of Carotid Artery Intima Medial Thickness: The Pittsburgh Healthy Heart Project , 2005, Psychosomatic medicine.

[18]  Daniel W. Jones,et al.  Recommendations for blood pressure measurement in humans and experimental animals: Part 1: blood pressure measurement in humans: a statement for professionals from the Subcommittee of Professional and Public Education of the American Heart Association Council on High Blood Pressure Research. , 2005, Hypertension.

[19]  C. Mazure,et al.  Childhood maltreatment as a risk factor for adult cardiovascular disease and depression. , 2004, The Journal of clinical psychiatry.

[20]  K. Matthews,et al.  Marital Status, Marital Quality, and Atherosclerotic Burden in Postmenopausal Women , 2003, Psychosomatic medicine.

[21]  Joseph E Schwartz,et al.  Correspondence between laboratory and ambulatory measures of cardiovascular reactivity: a multilevel modeling approach. , 2003, Psychophysiology.

[22]  K. Matthews,et al.  Marital status and quality in middle-aged women: Associations with levels and trajectories of cardiovascular risk factors. , 2003, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[23]  J. Kiecolt-Glaser,et al.  The physiology of marriage: pathways to health , 2003, Physiology & Behavior.

[24]  K. Matthews,et al.  Social Networks and Marital Status Predict Mortality in Older Women: Prospective Evidence From the Study of Osteoporotic Fractures (SOF) , 2003, Psychosomatic medicine.

[25]  Matthew F. Muldoon,et al.  Psychosocial demands and ambulatory blood pressure: a field assessment approach , 2002, Physiology & Behavior.

[26]  J. Polak,et al.  Intima-media thickness: a tool for atherosclerosis imaging and event prediction. , 2002, The American journal of cardiology.

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

[28]  P. Amato,et al.  Marital Happiness, Marital Duration, and the U-Shaped Curve: Evidence from a Five-Wave Panel Study , 2001 .

[29]  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.

[30]  N. Schneiderman,et al.  Marital stress worsens prognosis in women with coronary heart disease: The Stockholm Female Coronary Risk Study. , 2000, JAMA.

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

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

[33]  T Gustavsson,et al.  A new automated computerized analyzing system simplifies readings and reduces the variability in ultrasound measurement of intima-media thickness. , 1997, Stroke.

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

[35]  M. Carey,et al.  Reliability of the Dyadic Adjustment Scale. , 1993 .

[36]  J. Edelstein,et al.  Ultrasonic-pathological comparison of the human arterial wall. Verification of intima-media thickness. , 1993, Arteriosclerosis and thrombosis : a journal of vascular biology.

[37]  J. Salonen,et al.  Ultrasound B-mode imaging in observational studies of atherosclerotic progression. , 1993, Circulation.

[38]  W. Edwards,et al.  Noninvasive definition of anatomic coronary artery disease by ultrafast computed tomographic scanning: a quantitative pathologic comparison study. , 1992, Journal of the American College of Cardiology.

[39]  R. Kessler,et al.  The Frequency and Determinants of Marital Disagreements in a Community Sample , 1992 .

[40]  R. McCrae,et al.  An introduction to the five-factor model and its applications. , 1992, Journal of personality.

[41]  P Pignoli,et al.  Intimal plus medial thickness of the arterial wall: a direct measurement with ultrasound imaging. , 1986, Circulation.

[42]  Sabine Schulze,et al.  The Science Of Real Time Data Capture Self Reports In Health Research , 2016 .

[43]  R. Slatcher,et al.  Marital quality and health: a meta-analytic review. , 2014, Psychological bulletin.

[44]  Julian F. Thayer,et al.  Matters of the variable heart: respiratory sinus arrhythmia response to marital interaction and associations with marital quality. , 2011, Journal of personality and social psychology.

[45]  T. Kamarck,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. , 1998, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[46]  S. Shiffman,et al.  Ecological Momentary Assessment (Ema) in Behavioral Medicine , 1994 .

[47]  P. Costa,et al.  Revised NEO Personality Inventory (NEO-PI-R) and NEO-Five-Factor Inventory (NEO-FFI) , 1992 .

[48]  G. Spanier.  Measuring Dyadic Adjustment: new scales for assessing the quality of marriage and similar dyads , 1976 .