Skip to main content
Log in

Family support and cardiovascular responses in married couples during conflict and other interactions

  • Published:
International Journal of Behavioral Medicine Aims and scope Submit manuscript

Abstract

This study examined the relation between perceived support from family and cardiovascular (CV) responses to interaction in 45 married couples, 24 to 50 years old. Gender-specific median splits on Family Support scores from the Brief Social Support Questionnaire defined high versus low support groups. CV responses were obtained from both spouses during baseline and 3 stressors: reading control, conversing about events of the day, and conflict discussion. Men with low support had higher systolic (SBP) and diastolic pressure (DBP) than men with high support or either group of women at baseline and during all task periods (p < .004 and .05). Women with high support did not differ in blood pressure (BP) from women with low support. Men and women with low support had higher vascular resistance indexes (VRI) than those with high support, during all periods (p < .0015), and reported lower dyadic satisfaction and total dyadic adjustment. Because a disproportionate number of non-While participants reported low family support, secondary analyses that included race as a covariate were conducted. Covarying for race did not produce substantial results for any of the measures (SBP,p < .05; DBP,p < .058; VRI, p < .021). Post-hoc analyses were also conducted, in which the marital dyad was considered the unit of analysis. For these analyses, in which both spouses’ perceptions of family support as high or low were considered together, the wife’s perceived support did not influence the husband’s BP, whereas his perceived support did influence his BP (ps < .03). For VRI in both men and women, the spouses’ support level, as well as the participant’s own support level, affected responses (ps < .02). Thus, high family support is associated with both marital and CV benefits for both husbands and wives, although husbands may benefit more.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Allen, K. M, Blascovich, J., Tomaka, J., & Kelsey, R. M. (1991). Presence of human friends and pet dogs as moderators of autonomic responses to stress in women. Journal of Personality and Social Psychology, 61, 582–589.

    Article  PubMed  Google Scholar 

  • Ben, S. Y., Davey, S. C, Shipley, M. J., & Marmot, M. G. (1993). Magnitude and causes of mortality differences between married and unmarried men. Journal of Epidemiology and Community Health, 47, 200–205.

    Article  Google Scholar 

  • Berkman, L. F. (1985). The relationship of social networks and social support to morbidity and mortality. In S. Cohen & S. L. Syme (Eds), Social support and health (pp. 241–262). New York: Academic.

    Google Scholar 

  • Berkman, L. F., Leo-Summers, L., & Horwitz, R. I. (1992). Emotional support and survival after myocardial infarction: A prospective, population-based study of the elderly. Annals of internal Medicine, 117, 1003–1009.

    PubMed  Google Scholar 

  • Berkman, L. F., & Syme, S. L. (1979). Social networks, host resistance and mortality: A nine-year follow-up of Alameda County residents. American Journal of Epidemiology, 109, 196–204.

    Google Scholar 

  • Blumenthal, J. A., Burg, M. M., Barefoot, J., Williams, R. B., Haney, T., & Zimet, G. (1987). Social support, Type A behavior, and coronary artery disease. Psychosomatic Medicine, 49, 331–339.

    PubMed  Google Scholar 

  • Brownley, K. A., Light, K. C., & Anderson, N. B. (1996). Social support and hostility interact to influence clinic, work, and home blood pressure in Black and White men and women. Psychophysiology, 33, 433–445.

    Article  Google Scholar 

  • Burman, B., & Margolin, G. (1992) Analysis of the association between marital relationships and health problems: An interactional perspective. Psychological Bulletin, 112. 39–63.

    Article  PubMed  Google Scholar 

  • Carroll, D., Niven, C. A., & Sheffield, D. (1993). Gender, social circumstances and health. In C. A. Niven and D. Carroll (Eds), The health psychology of women (pp. 157–169). Reading, England: Harwood.

    Google Scholar 

  • Casale, P. N., Devereux, R. B., & Milner, M. (1986). Value of electrocardiographic left ventricular mass in predicting cardiovascular morbid events. Annals of Internal Medicine, 105, 173–178.

    PubMed  Google Scholar 

  • Case, R. B., Moses, A. J., Case, N., McDermott, M., & Eberly, S. (1992). Living alone after myocardial infarction: Impact on prognosis. Journal of the American Medical Association, 267, 515–519.

    Article  PubMed  Google Scholar 

  • Chandra, V., Szklo, M., Goldberg, R., & Tonascia, J. (1983). The impact of marital status on survival after an acute myocardial infarction: A population-based study, American Journal of Epidemiology, 117, 320–325.

    PubMed  Google Scholar 

  • Cohen, S. (1988). Psychosocial models of the role of social support in the etiology of physical disease. Health Psychology, 7, 269–297.

    Article  PubMed  Google Scholar 

  • Cohen, S., & Syme, S. L. (1985). Social support and health. Orlando, FL: Academic.

    Google Scholar 

  • Cohen, S., & Willis, T. A. (1985). Stress, social support, and the buffering hypothesis. Psychological Bulletin, 98, 310–357.

    Article  PubMed  Google Scholar 

  • Dressier, W., Dos Santos, J. E., & Viteri, F. E. (1986). Blood pressure, ethnicity and psychosocial resources. Psychosomatic Medicine, 48, 509–519.

    Google Scholar 

  • Edens, J. L., Larkin, K. T., & Abel, J. L. (1992). The effect of social support and physical touch on cardiovascular reactions to mental stress. Journal of Psychosomatic Research, 36, 371–382.

    Article  PubMed  Google Scholar 

  • Ewart, C. K., Burnett, K. F., & Taylor, C. B. (1983). Communication behaviors that affect blood pressure: An A-B-A-B- analysis of marital interaction. Behavior Modification, 7, 331–334.

    Article  PubMed  Google Scholar 

  • Ewart, C. K., Taylor, C.B., Kraemer, H. C., & Agras, W. H. (1984). Reducing blood pressure reactivity during interpersonal conflict: Effects of marital communication training. Behavior Therapy, 15, 473–484.

    Article  Google Scholar 

  • Ewart, C. K.; Taylor, C. B., Kraemer, H. C., & Agras, W. H. (1991). High blood pressure and marital discord: Not being nasty matters more than being nice. Health Psychology, 10, 155–163.

    Article  PubMed  Google Scholar 

  • Fleming, R., Baum, A., Gisriel, M. M., & Gatchel, R. J. (1982). Mediating influences of social support on stress at Three Mile Island. Journal of Human Stress, 8, 14–22.

    PubMed  Google Scholar 

  • Forsyth, R. P. (1971). Regional blood-flow changes during 72 hour avoidance schedules in the monkey. Science, 173, 546–548.

    Article  PubMed  Google Scholar 

  • Frohlich, E. D., (1987). Potential mechanisms explaining the risk of left ventricular hypertrophy. American Journal of Cardiology, 59, 91A-97A.

    Article  PubMed  Google Scholar 

  • Germ, W., Pieper, C., Levy, R., & Pickering, T. G. (1992). Social support in social interaction: A moderator in cardiovascular reactivity. Psychosomatic Medicine, 54, 324–336.

    Google Scholar 

  • Gottman, J. M., & Krokoff, L. J. (1989). Marital interaction and satisfaction: A longitudinal view. Journal of Consulting and Clinical Psychology, 57, 47–52.

    Article  PubMed  Google Scholar 

  • Gottman, J. M., & Levenson, R. W. (1992). Marital processes predictive of later dissolution: Behavior, physiology, and health. Journal of Personality and Social Psychology, 63. 221–233.

    Article  PubMed  Google Scholar 

  • Gottman, J. M., Markman, H., & Notarius, C. (1977). The topography of marital conflict: A sequential analysis of verbal and nonverbal behavior. Journal of Marriage and the Family, 39, 461–477.

    Article  Google Scholar 

  • House, J. S., Robbins, C., & Metzner, H. L. (1982). The association of social relationships and activities with mortality: Prospective evidence from the Tecumseh Community Health Study. American Journal of Epidemiology, 116, 123–140.

    PubMed  Google Scholar 

  • Jenkinson, C. M., Madeley, R. J., Mitchell, J. R. A., & Turner, I. D. (1993). The influence of psychosocial factors on survival after myocardial infarction. Public Health, 107, 305–317.

    Article  PubMed  Google Scholar 

  • Julius, S., Weber, A. B., & Egan, B. M. (1983), Pathophysiology of early hypertension: Implication for epidemiologic research. In F. Gross and T. Strasser (Eds), Mild hypertension: Recent advances (pp. 219–236). New York: Raven.

    Google Scholar 

  • Kamarck, T. W. (1992). Recent developments in cardiovascular reactivity: Contributions from psychometric theory and social psychology. Psychophysiology, 29, 491–503.

    Article  PubMed  Google Scholar 

  • Kamarck, T. W., Manuck, S. B., & Jennings, J. R. (1990). Social support reduces cardiovascular reactivity to psychological challenge: A laboratory model. Psychosomatic Medicine, 52, 42–58.

    PubMed  Google Scholar 

  • Kessler, R. G., & McLeod, J. D. (1985). Social support and mental health in community samples. In S. Cohen & S. L. Syme (Eds), Social support and health (pp. 219–240). New York: Academic.

    Google Scholar 

  • Kiecolt-Glaser, J. K., Garner, W., Speicher, C. E., Penn, G., & Glaser, R. (1984). Psychosocial modifiers of immunocompetence in medical students. Journal of Behavioral Medicine, 9, 5–21.

    Article  Google Scholar 

  • Kiecolt-Glaser, J. K., Kennedy, S., Malkoff, S., Fisher, L., Speicher, C. E., & Glaser, R. (1988). Marital discord and immunity in males. Psychosomatic Medicine, 50, 213–229.

    PubMed  Google Scholar 

  • Kiecolt-Glaser, J. K., Malarkey, W. B., Chee, M., Newton, T., Cacioppo, J. T., Mao, H., & Glaser, R. (1993). Negative behavior during marital conflict is associated with immunological down-regulation. Psychosomatic Medicine, 55, 395–409.

    PubMed  Google Scholar 

  • Kubicek, WG., Karnegis, J. N., Patterson, R. P., Witsoe, D. A., & Mattson, R. H. (1966). Development and evaluation of an impedance cardiac output system. Aerospace Medicine, 37, 1208–1212.

    PubMed  Google Scholar 

  • Lepore, S. J., Allen, K. A., & Evans, G. W. (1993). Social support lowers cardiovascular reactivity to an acute stressor. Psychosomatic Medicine, 55, 518–524.

    PubMed  Google Scholar 

  • Levenson, R. W., & Gottman, J. M. (1983). Marital interaction: Physiological linkage and affective exchange. Journal of Personality and Social Psychology, 45, 587–597.

    Article  PubMed  Google Scholar 

  • Levenson, R. W., & Gottman, J. M. (1985). Physiological and affective predictors of change in relationship satisfaction. Journal of Personality and Social Psychology, 1, 85–94.

    Article  Google Scholar 

  • Levy, D., Garrison, R. J., Savage, D. D., Kannel, W. B., & Castelli, W. P. (1990). Prognostic implications of echocardiographically determined left ventricular mass index in the Framingham Heart Study. New England Journal of Medicine, 322, 1561–1566.

    PubMed  Google Scholar 

  • Light, K. C., & Obrist, P. A. (1980). Cardiovascular response to stress: Effects of opportunity to avoid, shock experience, and performance feedback. Psychophysiology, 17, 243–252.

    Article  PubMed  Google Scholar 

  • Linden, W., Chambers, L., Maurice, F., & Lenz, J. W. (1993). Sex differences in social support, self-deception, and ambulatory cardiovascular reactivity. Health Psychology, 12, 376–380.

    Article  PubMed  Google Scholar 

  • Lynch, J., Thomas, S., Paskewitz, D., Malinow, K., & Long, J. (1982). Interpersonal aspects of blood pressure control. Journal of Nervous and Mental Diseases, 170, 143–153.

    Article  Google Scholar 

  • Malarkey, W. B., Kiecolt-Glaser, J. K., Pearl, D., & Glaser, R. (1994). Hostile behavior during marital conflict alters pituitary and adrenal hormones. Psychosomatic Medicine, 56, 41–51.

    PubMed  Google Scholar 

  • Margolin, G., Burman, B., & Johns, R. S. (1989). Home observations of married couples reenacting naturalistic conflicts. Behavior Assessment, 11, 101–118.

    Google Scholar 

  • Mayne, T. J., O’Leary, A., McCrady, B., Contrada, R., & Labouvie, E. (1997). The differential effects of marital distress on emotional, physiological and immune functions in maritally distressed men and women. Psychology and Health, 12, 277–288.

    Article  Google Scholar 

  • Orth-Gomer, K., & Johnson, J. V. (1987). Social network interaction and mortality: A six year follow-up of the Swedish population. Journal of Chronic Disease, 40, 949–957.

    Article  Google Scholar 

  • Orth-Gomer, K., & Unden, A. L. (1990). Type A behavior, social support, and coronary risk: Interaction and significance for mortality in cardiac patients. Psychosomatic Medicine, 52, 59–72.

    PubMed  Google Scholar 

  • Rabin, L. (1983). Intimate strangers. New York: Harper & Row.

    Google Scholar 

  • Renne, K. S. (1971). Health and marital experiences in an urban population. Journal of Marriage and the Family, 23, 338–350.

    Article  Google Scholar 

  • Ruberman, W., Weinblatte, E., Goldberg, J. D., & Chaudhary, B. S. (1984). Psychosocial influences on mortality after myocardial infarction. New England Journal of Medicine, 311, 552–559.

    PubMed  Google Scholar 

  • Sanders, J. D., Smith, T. W., & Alexander, J. F. (1991). Type A behavior and marital interaction: Hostile-dominant responses during conflict. Journal of Behavioral Medicine, 14, 567–580.

    Article  PubMed  Google Scholar 

  • Sarason, I. G., Levine, H. M., Basham, R. B., & Sarason, B. R. (1983). Assessing social support: The Social Support Questionnaire. Journal of Personality and Social Psychology, 44, 127–139.

    Article  Google Scholar 

  • Sarason, I. G., Sarason, B. R., Shearin, E. N., & Pierce, G. R. (1987). A brief measure of social support: Practical and theoretical implications. Journal of Social and Personal Relationships, 4, 497–510.

    Article  Google Scholar 

  • Schoenbach, V. J., Kaplan, B. H., Fredman, L., & Kleinbaum, D. G. (1986). Social ties and mortality in Evans County, Georgia. American Journal of Epidemiology, 123, 577–591.

    PubMed  Google Scholar 

  • Sherwood, A., Allen, M. T., Fahrenger, J., Kelsey, R. M., Lovallo, W. R., & van Doomen, L. J. P. (1990). Committee report: Methodological guidelines for impedance cardiography. Psychophysiology, 27, 1–23.

    Article  PubMed  Google Scholar 

  • Sherwood, A., Dolan, C. A., & Light, K. C. (1990). Hemodynamic of blood pressure responses during active and passive coping. Psychophysiology, 27, 656–668.

    Article  PubMed  Google Scholar 

  • Smith, T. W., & Brown, P. C. (1991). Cynical hostility, attempts to exert social control, and cardiovascular reactivity in married couples. Journal of Behavioral Medicine, 14, 581–592.

    Article  PubMed  Google Scholar 

  • Sorlie, P. D., Backlund, E., & Keller, J. B. (1995). US mortality by economic, demographic, and social characteristics: The National Longitudinal Mortality Study. American Journal of Public Health, 85, 949–956.

    Article  PubMed  Google Scholar 

  • Spanier, G. B. (1976). Measuring dyadic adjustment: New scales for assessing the quality of marriage and similar dyads. Journal of Marriage and the Family, 38, 15–28.

    Article  Google Scholar 

  • Spitzer, S. B., Llabre, M. M., Ironson, G. H., Gellman, M. D., & Schneiderman, N. (1992). The influence of social situations on ambulatory blood pressure. Psychosomatic Medicine, 54, 79–86.

    PubMed  Google Scholar 

  • Stevenson, J. C, Crook, D., Godsland, I. F., Collins, P., & Whitehead, M. I. (1994). Hormone replacement therapy and the cardiovascular system. Drugs, 47(Suppl. 2), 35–41.

    Article  PubMed  Google Scholar 

  • Uchino, B. N., Cacioppo, J. T., & Kiecolt-Glaser, J. K. (1996). The relationship between social support and physiological processes: A review with emphasis on underlying mechanisms. Psychological Bulletin, 119, 488–522.

    Article  PubMed  Google Scholar 

  • Vogt, T. M., Mullooly, J. P., Ernst, D., Pope, C. R., & Hollis, J. F. (1992). Social networks as predictors of ischemic heart disease, cancer, stroke and hypertension: Incidence, survival and mortality. Journal of Clinical Epidemiology, 45, 659–666.

    Article  PubMed  Google Scholar 

  • Welin, L., Larsson, B., Svardsudd, K., Tibblin, B., & Tibblin, G. (1992). Social network and activities in relation to mortality from cardiovascular diseases, cancer and other causes: A 12 year follow up of the Study of Men Born in 1913 and 1923. Journal of Epidemiology and Community Health, 46, 127–132.

    Article  PubMed  Google Scholar 

  • Williams, R. B., Barefoot, J. C, Califf, R. M., Haney, T. L., Saunders, W. B., Pryor, D. B., Hlatkey, M. A., Siegler, I. C., & Mark, D. B. (1992). Prognostic importance of social and economic resources among medically treated patients with angiographically documented coronary artery disease. Journal of the American Medical Association, 267, 520–524.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Broadwell, S.D., Light, K.C. Family support and cardiovascular responses in married couples during conflict and other interactions. Int. J. Behav. Med. 6, 40–63 (1999). https://doi.org/10.1207/s15327558ijbm0601_4

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1207/s15327558ijbm0601_4

Key words

Navigation