Family versus intimate partners: Estimating who matters more for health in a 20-year longitudinal study.

Sarah B Woods, Jacob B Priest, Patricia N E Roberson
Author Information
  1. Sarah B Woods: University of Texas Southwestern Medical Center. ORCID
  2. Jacob B Priest: University of Iowa.
  3. Patricia N E Roberson: University of Tennessee.

Abstract

This study tested the extent to which the emotional climate (positive and negative relationship quality) in family relationships and intimate partnerships are each uniquely linked to specific domains of aging health outcomes, over and above the impact of earlier health. Data included partnered participants who completed all three waves of the Midlife Development in the United States (MIDUS). We used measures of family and intimate partner strain and support, at MIDUS 1, 2, and 3, and estimated the effects of each on subsequent morbidity and health appraisal (i.e., 10 and 20 years later). Autoregressive cross-lagged paths were modeled using maximum likelihood estimation with robust standard errors. Family strain was associated with later health in both the morbidity, χ²(35) = 411.01, < .001; root mean square error of approximation (RMSEA) = .062, comparative fit index (CFI) = .952; standardized root-mean-square residual (SRMR) = .034 and health appraisal, χ²(35) = 376.80, < .001; RMSEA = .058, CFI = .956; SRMR = .032 models. Morbidity and health appraisal also predicted later family emotional climate, reciprocally. Intimate partner emotional climate-health pathways were nonsignificant at each wave, in both models. Results are novel and may be the first to indicate the quality of family relationships are a more powerful predictor of aging health than the quality of intimate partnerships. Findings implicate the health of adults should be considered in the systemic context of families. (PsycINFO Database Record (c) 2020 APA, all rights reserved).

References

  1. Soc Sci Med. 2018 Mar;201:18-26 [PMID: 29427892]
  2. Int J Behav Dev. 2014 Mar 1;38(2):195-202 [PMID: 24910483]
  3. J Marital Fam Ther. 2012 Jan;38(1):265-80 [PMID: 22283390]
  4. Curr Opin Psychol. 2017 Feb;13:49-53 [PMID: 28813293]
  5. Fam Process. 2019 Mar;58(1):79-99 [PMID: 29577264]
  6. Health Psychol. 2004 Nov;23(6):599-611 [PMID: 15546228]
  7. Curr Dir Psychol Sci. 2015 Feb;24(1):45-51 [PMID: 26366047]
  8. Health Psychol. 2013 May;32(5):499-513 [PMID: 23646833]
  9. Soc Sci Med. 2019 Sep;237:112452 [PMID: 31398508]
  10. Psychosom Med. 2019 Jan;81(1):2-6 [PMID: 30570570]
  11. Annu Rev Clin Psychol. 2017 May 8;13:421-443 [PMID: 28301763]
  12. Health Psychol. 2018 Mar;37(3):262-270 [PMID: 29369676]
  13. Psychol Bull. 2014 Jan;140(1):140-187 [PMID: 23527470]
  14. J Fam Issues. 2018 Apr;39(6):1573-1597 [PMID: 29593370]
  15. Fam Syst Health. 2014 Jun;32(2):235-40 [PMID: 24955692]
  16. Psychother Psychosom. 2010;79(3):136-48 [PMID: 20185970]
  17. J Marriage Fam. 2013 Feb 1;75(1):127-141 [PMID: 24700968]
  18. Am Psychol. 2017 Sep;72(6):567-577 [PMID: 28880103]
  19. J Cardiovasc Nurs. 2008 May-Jun;23(3):258-65 [PMID: 18437068]
  20. Health Psychol. 2013 Oct;32(10):1067-75 [PMID: 23914811]
  21. Am Psychol. 2017 Sep;72(6):531-542 [PMID: 28880100]
  22. Soc Sci Med. 2015 Oct;142:232-40 [PMID: 26318212]
  23. Psychosom Med. 2019 Jan;81(1):7-15 [PMID: 29916964]
  24. Psychol Bull. 2001 Jul;127(4):472-503 [PMID: 11439708]
  25. Annu Rev Sociol. 2010 Aug 1;36:139-157 [PMID: 21921974]
  26. Am Psychol. 2017 Sep;72(6):517-530 [PMID: 28880099]
  27. PLoS Med. 2010 Jul 27;7(7):e1000316 [PMID: 20668659]
  28. J Marital Fam Ther. 2018 Apr;44(2):336-352 [PMID: 28758686]
  29. J Behav Med. 2001 Aug;24(4):361-82 [PMID: 11523333]
  30. Soc Sci Med. 2016 Sep;165:119-127 [PMID: 27509579]
  31. J Health Soc Behav. 2016 Sep;57(3):373-89 [PMID: 27601411]

Grants

  1. P01 AG020166/NIA NIH HHS
  2. /John D. and Catherine T. MacArthur Foundation Research Network

MeSH Term

Adult
Aged
Aging
Emotions
Family Relations
Female
Health Status
Humans
Interpersonal Relations
Longitudinal Studies
Male
Middle Aged
Sexual Partners
United States

Word Cloud

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