Love hurts: Spats with spouse may worsen chronic symptoms

May 18, 2018

Arguing with your husband or wife literally may be—or cause—“a pain in the neck.” Indeed, even if you and your spouse don’t have a knockdown, drag-out fight, you may continue to feel the physical effects long after the apologies and makeup sex, according to a report released on May 15 by the Penn State Center for Healthy Aging.

The researchers have found that, for those with chronic conditions such as arthritis or diabetes, arguments with those who are near and dear may intensify physical symptoms.

After dividing research subjects into two groups of older individuals—one group with arthritis and one with diabetes —the academicians found that the patients who felt more tension in their relationships with their spouses also reported worse symptoms.

“It was exciting that we were able to see this association in two different data sets—two groups of people with two different diseases,” said Lynn Martire,a  professor of Human Development and Family Studies. “The findings gave us insight into how marriage might affect health, which is important for people dealing with chronic conditions.”

Martire said it’s important to learn more about how and why symptoms of chronic disease are exacerbated. People with osteoarthritis in their knees who experience greater pain become disabled more quickly, and people with diabetes that isn’t controlled have a greater risk for developing complications.

The researchers said that—while previous research has shown a connection between satisfying marriages and better health, both physically and psychologically—there has been little research into how day-to-day experiences impact those with chronic illness.

“We study chronic illnesses, which usually involve daily symptoms or fluctuations in symptoms,” Martire said. “Other studies have looked at the quality of someone’s marriage right now. But we wanted to drill down and examine how positive or negative interactions with your spouse affect your health from day-to-day.”

Data from two groups of participants were used for the study. One group comprised 145 patients with osteoarthritis in the knee, as well as their spouses. The other included 129 patients with type 2 diabetes and their husbands or wives.

Participants in both groups kept daily diaries about their moods, how severe their symptoms were, and whether their interactions with their spouse were positive or negative. The participants in the arthritis and diabetes groups kept their diaries for 22 and 24 days, respectively.

The researchers found that within both groups of participants, patients were in a worse mood on days when they felt more tension than usual with their spouse, which in turn led to greater pain or severity of symptoms.

Additionally, the researchers found that within the group with arthritis, the severity of the patient’s pain also had an effect on tensions with their spouse the following day. When they had greater pain, they were in a worse mood and had greater tension with their partner the next day.

“This almost starts to suggest a cycle where your marital interactions [are characterized by increased tension], you feel like your symptoms are more severe, and the next day you have more marital tension again,” Martire said. “We didn’t find this effect in the participants with diabetes, which may just be due to differences in the two diseases.”

Martire said the results — recently published in the journal Annals of Behavioral Medicine — could potentially help create interventions targeted at helping couples with chronic diseases.

This work was supported by the National Institute on Aging.

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