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A Dyadic Investigation of Depressed Affect and Interspousal Behavior in Couples With Chronic Back Pain.

Publication ,  Journal Article
Post, KM; Smith, DA; Burns, JW; Porter, LS; Keefe, FJ
Published in: Ann Behav Med
October 3, 2022

BACKGROUND: Depression and marital discord are characteristic not only of individuals with chronic low back pain (ICPs) but also of their spouses. PURPOSE: We examined actor-partner interdependence models to evaluate associations among depressed affect and criticism and support of partners at the same time point (concurrent effects) and 3 hr later (lagged effects). Fully dyadic models were used to account for both within-person and cross-spouse associations among depressed affect, criticism, and support for ICPs and spouses. We also examined the direction of the relationships (depressed affect predicting behavior and behavior predicting depressed affect) all while controlling for pain intensity, pain behavior, and the prior dependent variable. METHODS: ICPs (n = 105) and their spouses completed electronic diary measures of depressed affect and behavior (criticism and support) five times a day for 2 weeks. Hierarchical linear modeling with person-mean centering was used for data analysis. RESULTS: Within the same 3 hr epoch, more depressed affect was related to higher criticism and generally less support. Lagged analyses suggested bidirectional relationships between spouse's own depressed affect and spouse's own criticism of ICPs. Spouse depressed affect was also associated with decreased support received from ICPs. Pain behavior and pain intensity were also related to depressed affect, criticism, and support especially concurrently. CONCLUSIONS: Theories and interventions need to address not only ICP depressed affect but also spouse depressed affect, as spouse depressed affect may be a stress generating precursor to criticism and support.

Duke Scholars

Published In

Ann Behav Med

DOI

EISSN

1532-4796

Publication Date

October 3, 2022

Volume

56

Issue

10

Start / End Page

1002 / 1013

Location

England

Related Subject Headings

  • Spouses
  • Public Health
  • Pain Measurement
  • Low Back Pain
  • Interpersonal Relations
  • Humans
  • Depression
  • 52 Psychology
  • 42 Health sciences
  • 17 Psychology and Cognitive Sciences
 

Citation

APA
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ICMJE
MLA
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Post, K. M., Smith, D. A., Burns, J. W., Porter, L. S., & Keefe, F. J. (2022). A Dyadic Investigation of Depressed Affect and Interspousal Behavior in Couples With Chronic Back Pain. Ann Behav Med, 56(10), 1002–1013. https://doi.org/10.1093/abm/kaab100
Post, Kristina M., David A. Smith, John W. Burns, Laura S. Porter, and Francis J. Keefe. “A Dyadic Investigation of Depressed Affect and Interspousal Behavior in Couples With Chronic Back Pain.Ann Behav Med 56, no. 10 (October 3, 2022): 1002–13. https://doi.org/10.1093/abm/kaab100.
Post KM, Smith DA, Burns JW, Porter LS, Keefe FJ. A Dyadic Investigation of Depressed Affect and Interspousal Behavior in Couples With Chronic Back Pain. Ann Behav Med. 2022 Oct 3;56(10):1002–13.
Post, Kristina M., et al. “A Dyadic Investigation of Depressed Affect and Interspousal Behavior in Couples With Chronic Back Pain.Ann Behav Med, vol. 56, no. 10, Oct. 2022, pp. 1002–13. Pubmed, doi:10.1093/abm/kaab100.
Post KM, Smith DA, Burns JW, Porter LS, Keefe FJ. A Dyadic Investigation of Depressed Affect and Interspousal Behavior in Couples With Chronic Back Pain. Ann Behav Med. 2022 Oct 3;56(10):1002–1013.
Journal cover image

Published In

Ann Behav Med

DOI

EISSN

1532-4796

Publication Date

October 3, 2022

Volume

56

Issue

10

Start / End Page

1002 / 1013

Location

England

Related Subject Headings

  • Spouses
  • Public Health
  • Pain Measurement
  • Low Back Pain
  • Interpersonal Relations
  • Humans
  • Depression
  • 52 Psychology
  • 42 Health sciences
  • 17 Psychology and Cognitive Sciences