Better together
Relationship quality and mental health among cardiac patients and spouses
Bibliographic Data
| ID | 21320000 |
|---|---|
| Authors | Karen Bouchard (0000-0002-7213-0934, University of Ottawa Heart Institute Ottawa Ontario Canada), Alexandre Gareau (0000-0003-2517-5109, Laval University Laval Québec City Canada), Karolina Sztajerowska (University of Ottawa Ottawa Ontario Canada), Paul S Greenman (0000-0002-1852-5193, Université du Québec en Outaouais Gatineau Québec City Canada), Kathleen Lalande (0000-0002-5667-4149, University of Ottawa Heart Institute Ottawa Ontario Canada), Heather Tulloch (0000-0001-7466-8554, University of Ottawa Heart Institute Ottawa Ontario Canada, corresponding author) |
| Year | 2023 |
| Volume | 62 |
| Issue | 4 |
| Pages | 1624-1639 |
| Publication date | 2023-12-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Family Process (JOURNAL) |
| Journal identifiers | ISSN: 0014-7370 • E-ISSN: 1545-5300 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1111/famp.12836 |
| PMID | 36404415 |
| OpenAlex | W4309510076 |
| Language | EN |
| Citations received | 1 |
| References cited | 85 |
Reductions in marital relationship quality are pervasive post‐cardiac event. It is not yet understood how relationship quality is linked to mental health outcomes in couples where one member has established cardiovascular disease (CVD) and the interdependence within dyads is seldom measured. This research is required as psychological distress has been independently linked to CVD incidence, morbidity, and mortality. This study assessed associations of relationship quality with depression and anxiety among patients with CVD and their spouses. Participants completed questionnaires measuring four dimensions of relationship quality and mental health. Data were analyzed using an Actor‐Partner Interdependence Model with hierarchical moderation analyses. 181 dyads ( N = 362 participants) comprised the study sample. Most patients had coronary artery disease (66.3%) and 25.9% were female. Patients reported higher relationship satisfaction and fewer anxiety symptoms than did spouses. Patients and spouses with high dyadic consensus and affectional expression reported fewer mental health symptoms, but only when the other partner also perceived high levels of consensus and affectional expression in the relationship. Patients and spouses with low dyadic cohesion reported worse mental health symptoms (actor effects), but those effects were no longer significant when both the patient and the spouse appraised the relationship as having high levels of dyadic cohesion. Taken together, relationship quality is linked to mental health symptoms in patients with CVD and their spouses. Longitudinal and experimental studies are now warranted to further substantiate the cross‐sectional findings of this study
Anxiety · Depression (economics) · Distress · Mental health · Moderation · Multilevel model · Partner effects · Psychiatry · Social support · Spouse · Attachment and Relationship Dynamics · Clinical Psychology · Family Dynamics and Relationships · Family Support in Illness · Medicine · Psychology · Social Psychology
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| Unique citing works | 1 |
|---|---|
| Citations per year | 0,5 |
| Citation span | 2024 - 2024 (1) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 1 |