Marital context and post-infarction quality of life: Is it social support or something more?

The Longitudinal Course of Marital Quality and Stability: A Review of Theory, Method and Research

“…Низкая адаптивность может вести к сохранению и ухудшению стрессорных событий, в то время как высокая может позволить избежать их. <…> Например, было обнаружено, что более низкое качество брака ведет к увеличению сроков восстановления от сердечных приступов [Waltz, 1986]. <…> Эти результаты (с учетом тех, которые обсуждались относительно стрелки А) свидетельствуют о порочном круге: а) где стрессорное событие бросает вызов способности супругов адаптироваться, б) которое влияет на усиление или ослаб-ление этого события, в) которое, в свою очередь, усугубляет вызов и, возможно, разрушает их способность к адаптации.…”

The social environment and health in rheumatoid arthritis: Marital quality predicts individual variability in pain severity

“…Marriage is of benefit over the course of illness when it allows for the regular provision of existential security, meaning, and purpose in life, as well as daily emotional uplifts and opportunities for confiding. The prognostic power of measures of negative spouse behavior, we think, may derive from the fact that these scales discriminate between marriages that do and do not generate a whole gamut of such supportive provisions on a regular basis (43). The sizable stability coefficients of the depression and social support measures in research on chronic illness constitute a problem in the causal ordering of longitudinal data (42,43).…”

“…Diametrically opposite results came from a prospective study by Parker et a1 (41) in which depression as antecedent was related to an exacerbation of the pain experienced by RA patients. Due to the high stability over time of major study variables (42,43), even with comprehensive longitudinal data for causal modeling, it may prove difficult to arrive at unambiguous inferences about the direction of the relation between pain and depression. The concepts of social support and interpersonal stress or social role strains are umbrella terms for causal influences located in the social environment (9,17).…”

The impact of marital status and quality on family functioning in maternal chronic illness

“…The psychoFamily Functioning and Maternal Chronic Illness 439 social benefits of marriage might, in fact, be restricted to happily married individuals, with the unhappily married having lower levels of wellbeing than the unmarried (Coyne & DeLongis, 1986). A happily married family environment might act as a buffer against the emotional impact of the illness (Cohen & McKay, 1983;Umberson, 1992), or individuals in an emotionally close conjugal relationship might have more of their social and emotional needs met and thus better mental health (Waltz, 1986). Research has shown that the social context of marriage promotes the coping behavior of male heart patients (Waltz, 1986).…”

“…These variables have been linked with health and disability (Verbrugge, 1970), happiness and life satisfaction (Beiser, 1974), depression (Reissman & Gerstel, 1985;Verbrugge, 1979), risk for developing a chronic illness (Ewart et al, 1991), and an individual's (Waltz, 1986) and couple's (Coyne & Smith, 1991) level of functioning during illness adjustment. Evidence has suggested that positive outcomes are associated with being married or being happily married.…”