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Marital-role quality and stress-related psychobiological indicators

  • Published:
Annals of Behavioral Medicine

Abstract

Background: The quality of one’s marital relationship is gaining recognition as a potential stressor associated with negative health outcomes.Purpose: In this study, we estimated the relationship between marital-role quality and three psychobiological stress indicators (self-reported stress, cortisol levels, and ambulatory blood pressure).Method: Participants were 105 middle-age adults (67 men, 38 women) who had previously taken part in the Whitehall psychobiology study. Ambulatory monitoring and saliva sampling were carried out over a working day, and marital relationships were assessed with the Marital/Partner Role Quality scales.Results: We found that marital-role concerns (but not marital-role rewards) were related to all three psychobiological stress indicators; results did not vary by gender. Specifically, participants with more marital concerns reported greater stress throughout the day (p=.014), showed an attenuated cortisol increase following waking (p=.042) and a flatter cortisol slope over the day (p=.010), and had elevated ambulatory diastolic blood pressure over the middle of the workday (p=.004), with a similar trend in systolic pressure (p=.069).Conclusions: The results suggest that in addition to the carryover of work stress into domestic life that has been evident for many years, there are also influences of domestic strain on biological function over the working day and evening. Previous research suggests that a possible mechanism linking troubled marriages to health outcomes is depressed immune functioning. This study suggests a second mechanism—poorer stress-related biological response.

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References

  1. Karasek R: Control in the workplace and its health-related aspects. In Sauter SL, Hurrell JJ, Cooper CL (eds),Job Control and Worker Health. New York: Wiley, 1989, 129–159.

    Google Scholar 

  2. Ganster DC: Worker control and well-being: A review of research in the workplace. In Sauter SL, Hurrell JJ, Cooper CL (eds),Job Control and Worker Health. New York: Wiley, 1989, 3–23.

    Google Scholar 

  3. Ganster DC, Schaubroeck J: Work stress and employee health.Journal of Management. 1991,17:235–271.

    Article  Google Scholar 

  4. Frankenhaeuser M, Lundberg U, Fredrikson M, et al.: Stress on and off the job as related to sex and occupational stress in white-collar workers.Journal of Organizational Behavior. 1989,10:321–346.

    Article  Google Scholar 

  5. Steptoe A, Kunz-Ebrecht S, Owen N, et al.: Socioeconomic status and stress-related biological responses over the working day.Psychosomatic Medicine. 2003,65:461–470.

    Article  PubMed  Google Scholar 

  6. Dollard MF, Winefield AH: A test of the demand-control/support model of work stress in correctional officers.Journal of Occupational Health Psychology. 1998,3:243–264.

    PubMed  CAS  Google Scholar 

  7. Karasek RA, Triantis KP, Chaudhry SS: Coworker and supervisor support as moderators of associations between task characteristics and mental strain.Journal of Occupational Behavior. 1982,3:181–200.

    Article  Google Scholar 

  8. Schnall PL, Landsbergis PA, Baker D: Job strain and cardiovascular disease.Annual Review of Public Health. 1994,15:381–411.

    Article  PubMed  CAS  Google Scholar 

  9. Siegrist J: Adverse health effects of high-effort/low-reward conditions.Journal of Occupational Health Psychology. 1986,1:27–41.

    Article  Google Scholar 

  10. Matthews KA: Are sociodemographic variables markers for psychological determinants of health?Health Psychology. 1989,8:641–648.

    Article  PubMed  CAS  Google Scholar 

  11. Kiecolt-Glaser JK, Fisher LD, Ogrocki P, et al.: Marital quality, marital disruption, and immune function.Psychosomatic Medicine. 1987,49:13–34.

    PubMed  CAS  Google Scholar 

  12. Barnett RC, Brennan RT, Raudenbush SW, Marshall NL: Gender and the relationship between marital-role quality and psychological distress.Psychology of Women Quarterly. 1994,18:105–127.

    Article  Google Scholar 

  13. Barnett RC, Raudenbush SW, Brennan RT, Pleck JH, Marshall NL: Change in job and marital experiences and change in psychological distress: A longitudinal study of dual-earner couples.Journal of Personality and Social Psychology. 1995,69:839–850.

    Article  PubMed  CAS  Google Scholar 

  14. Kiecolt-Glaser JK, Newton TL: Marriage and health: His and hers.Psychological Bulletin. 2001,127:472–503.

    Article  PubMed  CAS  Google Scholar 

  15. Barnett RC, Baruch GK: Women’s involvement in multiple roles and psychological distress.Journal of Personality and Social Psychology. 1985,49:135–145.

    Article  PubMed  CAS  Google Scholar 

  16. Perry-Jenkins M, Repetti RL, Crouter AC: Work and family in the 1990s.Journal of Marriage and the Family. 2000,62:981–998.

    Article  Google Scholar 

  17. Klein MH, Hyde JS, Essex MJ, Clark R: Maternity leave, role quality, work involvement, and mental health one year after delivery.Psychology of Women Quarterly. 1998,22:239–266.

    Article  Google Scholar 

  18. Barnett RC, Marshall NL: Men, family-role quality, job role-quality, and physical health.Health Psychology. 1993,12:48–55.

    Article  PubMed  CAS  Google Scholar 

  19. Chodorow N:The Reproduction of Mothering: Psychoanalysis and the Sociology of Gender. Berkeley, CA: University of California Press, 1978.

    Google Scholar 

  20. Gilligan C:In a Different Voice: Psychological Theory and Women’s Development. Cambridge, MA: Harvard University Press, 1982.

    Google Scholar 

  21. Pearlin L: Sex roles and depression. In Datan N, Ginsberg LH (eds),Life-span Developmental Psychology: Normative Life Crises. New York: Academic, 1975, 191–207.

    Google Scholar 

  22. Thoits PA: Identity structures and psychological well-being: Gender and marital status comparisons.Social Psychology Quarterly. 1992,55:236–256.

    Article  Google Scholar 

  23. Barnett RC, Hyde JS: Women, men, work, and family: An expansionist theory.American Psychologist. 2001,56:781–796.

    Article  PubMed  CAS  Google Scholar 

  24. Williams K: Has the future of marriage arrived? A contemporary examination of gender, marriage, and psychological well-being.Journal of Health and Social Behavior. 2003,44:470–487.

    Article  PubMed  Google Scholar 

  25. Stone AA, Shiffman S: Capturing momentary, self-report data: a proposal for reporting guidelines.Annals of Behavioral Medicine. 2002,24:236–243.

    Article  PubMed  Google Scholar 

  26. Kunz-Ebrecht SR, Kirschbaum C, Steptoe A: Work stress, socioeconomic status, and neuroendocrine activation over the working day.Social Science and Medicine. 2004,58:1523–1530.

    Article  PubMed  Google Scholar 

  27. Prussner M, Hellhammer DH, Pruessner JC, Lupien SJ: Self-reported depressive symptoms and stress levels in healthy young men: Associations with the cortisol response to awakening.Psychosomatic Medicine. 2003,65:92–99.

    Article  Google Scholar 

  28. Prussner JC, Hellhammer DH, Kirschbaum C: Burnout, perceived stress, and cortisol responses to awakening.Psychosomatic Medicine. 1999,61:197–204.

    Google Scholar 

  29. Roberts AD, Wessely S, Chalder T, Papadopoulos A, Cleare AJ: Salivary cortisol response to awakening in chronic fatigue syndrome.British Journal of Psychiatry. 2004,184:136–141.

    Article  PubMed  Google Scholar 

  30. Sephton SE, Sapolsky RM, Kraemer HC, Spiegel D: Diurnal cortisol rhythm as a predictor of breast cancer survival.Journal of the National Cancer Institute. 2000,92:994–1000.

    Article  PubMed  CAS  Google Scholar 

  31. Adam EK, Gunnar MR: Relationship functioning and home and work demands predict individual differences in diurnal cortisol patterns in women.Psychoneuroendocrinology. 2001,26:189–208.

    Article  PubMed  CAS  Google Scholar 

  32. Brisson C: Women, work, and CVD. In Schnall PL, Belkic K, Landsbergis P, Baker D (eds),The Workplace and Cardiovascular Diseases (Vol. 15, No. 1). Philadelphia: Hanley and Belfus, 2000, 49–57.

    Google Scholar 

  33. Steptoe A, Lundwall K, Cropley M: Gender, family structure and cardiovascular activity during the working day and evening.Social Science and Medicine. 2000,50:531–539.

    Article  PubMed  CAS  Google Scholar 

  34. Baker B, Helmers K, O’Kelly B, et al.: Marital cohesion and ambulatory blood pressure in early hypertension.American Journal of Hypertension. 1999,12:227–230.

    Article  PubMed  CAS  Google Scholar 

  35. Baumgart P, Kamp J: Accuracy of the SpaceLabs Medical 90217 ambulatory blood pressure monitor.Blood Pressure Monitoring. 1998,3:303–307.

    PubMed  Google Scholar 

  36. Dressendörfer RA, Kirschbaum C, Rohde W, Stahl F, Strasburger C J: Synthesis of a cortisol-biotin conjugate and evaluation as a tracer in an immunoassay for salivary cortisol measurement.Journal of Steroid Biochemistry and Molecular Biology. 1992,43:683–692.

    Article  PubMed  Google Scholar 

  37. Kirschbaum C, Hellhammer DH: Salivary cortisol. In Fink G (ed),Encyclopedia of Stress, Vol. 3. San Diego: Academics, 2000, 379–383.

    Google Scholar 

  38. Hyde JS, Plant EA: Factor structure of Barnett’s Partner Rewards and Concerns scale. Unpublished manuscript.

  39. Barnett RC, Marshall NL, Raudenbush S, Brennan R: Gender and the relationship between job experiences and psychological distress: A study of dual-earner couples.Journal of Personality and Social Psychology. 1993,64:794–806.

    Article  PubMed  CAS  Google Scholar 

  40. Barnett RC, Gareis KC: Full-time and reduced-hours work schedules and marital quality: A study of women physicians with young children.Work and Occupations. 2002,29:364–379.

    Article  Google Scholar 

  41. Watson D, Clark LA, Tellegen A: Development and validation of brief measures of positive and negative affect: the PANAS scales.Journal of Personality and Social Psychology. 1988,54:1063–1070.

    Article  PubMed  CAS  Google Scholar 

  42. Kunz-Ebrecht SR, Kirschbaum C, Marmot M, Steptoe A: Differences in cortisol awakening response on work days and weekends in women and men from the Whitehall II cohort.Psychoneuroendocrinology. 2004,29:516–528.

    Article  PubMed  CAS  Google Scholar 

  43. Mann SJ, James GD, Wang RS, Pickering TG: Elevation of ambulatory systolic blood pressure in hypertensive smokers. A case-control study.Journal of the American Medical Association. 1991,265:2226–2228.

    Article  PubMed  CAS  Google Scholar 

  44. al’Absi M, Hatsukami D, Davis GL, Wittmers LE: Prospective examination of effects of smoking abstinence on cortisol and withdrawal symptoms as predictors of early smoking relapse.Drug and Alcohol Dependence. 2004,73:267–278.

    Article  PubMed  CAS  Google Scholar 

  45. Brennan RT, Barnett RC: Negative affectivity: How serious a threat to self-report studies of psychological distress?Women’s Health: Research on Gender, Behavior, and Policy. 1998,4:369–384.

    CAS  Google Scholar 

  46. Burke MJ, Brief AP, George JM: The role of negative affectivity in understanding relations between self-reports of stressors and strains: A comment on the applied psychology literature.Journal of Applied Psychology. 1993,78:402–412.

    Article  PubMed  CAS  Google Scholar 

  47. Payne R: A longitudinal study of the psychological well-being of unepmloyed men and the mediating effect of neuroticism.Human Relations. 1988,4:119–138.

    Article  Google Scholar 

  48. Schroeder DH, Costa PT: Influence of life event stress on physical illness: Substantive effects or methodological flaws.Journal of Personality and Social Psychology. 1984,46:853–863.

    Article  PubMed  CAS  Google Scholar 

  49. Edwards S, Evans P, Hucklebridge F, Clow A: Association between time of awakening and diurnal cortisol secretory activity.Psychoneuroendocrinology. 2001,26:613–622.

    Article  PubMed  CAS  Google Scholar 

  50. Berardi L, Chau NP, Chanudet X, Vilar J, Larroque P: Ambulatory blood pressure monitoring: A critical review of the current methods to handle outliers.Journal of Hypertension. 1992,10:1243–1248.

    Article  PubMed  CAS  Google Scholar 

  51. Kudielka BM, Broderick JE, Kirschbaum C: Compliance with saliva sampling protocols: Electronic monitoring reveals invalid cortisol daytime profiles in noncompliant subjects.Psychosomatic Medicine. 2003,65:313–319.

    Article  PubMed  Google Scholar 

  52. Kamarck TW, Shiffman S, 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 Psychology. 1998,17:17–29.

    Article  PubMed  CAS  Google Scholar 

  53. Barnett RC: Gender, social roles, and mental and physical health. In Weidner G, Kopp MS, Kristenson M (eds),Heart Disease: Environment, Stress and Gender (Vol. 327). Amsterdam, The Netherlands: IOS Press, 2002, 211–222.

    Google Scholar 

  54. Barnett RC, Davidson H, Marshall NL: Physical symptoms and the interplay of work and family roles.Health Psychology. 1991,10:94–101.

    Article  PubMed  CAS  Google Scholar 

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Author information

Authors and Affiliations

  1. Brandeis University, USA

    Rosalind Chait Barnett Ph.D. & Karen C. Gareis Ph.D.

  2. University College London, UK

    Andrew Steptoe M.A., D.Phil., DSc.

Authors
  1. Rosalind Chait Barnett Ph.D.
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  2. Andrew Steptoe M.A., D.Phil., DSc.
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  3. Karen C. Gareis Ph.D.
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Corresponding author

Correspondence to Rosalind Chait Barnett Ph.D..

Additional information

This research was supported by the Medical Research Council.

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Barnett, R.C., Steptoe, A. & Gareis, K.C. Marital-role quality and stress-related psychobiological indicators. ann. behav. med. 30, 36–43 (2005). https://doi.org/10.1207/s15324796abm3001_5

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  • DOI: https://doi.org/10.1207/s15324796abm3001_5

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