Attachment avoidance predicts inflammatory responses to marital conflict
Open accessAbstract
Marital stress has been associated with immune dysregulation, including increased production of interleukin-6 (IL-6). Attachment style, one's expectations about the availability and responsiveness of others in intimate relationships, appears to influence physiological stress reactivity and thus could influence inflammatory responses to marital conflict. Thirty-five couples were invited for two 24-h admissions to a hospital research unit. The first visit included a structured social support interaction, while the second visit comprised the discussion of a marital disagreement. A mixed effect within-subject repeated measure model indicated that attachment avoidance significantly influenced IL-6 production during the conflict visit but not during the social support visit. Individuals with higher attachment avoidance had on average an 11% increase in total IL-6 production during the conflict visit as compared to the social support visit, while individuals with lower attachment avoidance had, on average, a 6% decrease in IL-6 production during the conflict visit as compared to the social support visit. Furthermore, greater attachment avoidance was associated with a higher frequency of negative behaviors and a lower frequency of positive behaviors during the marital interaction, providing a mechanism by which attachment avoidance may influence inflammatory responses to marital conflict. In sum, these results suggest that attachment avoidance modulates marital behavior and stress-induced immune dysregulation.
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Avoidant individuals showed higher autonomic nervous system activity and poor immune function.
“Furthermore, avoidant individuals showed higher autonomic nervous system activity and poor immune function [68].”
From Exploring the Association between Attachment Style, Psychological Well-Being, and Relationship Status in Young Adults and Adults—A Cross-Sectional Study (2023) · cites this paper as [68]
The Introduction reports greater cardiovascular and skin-conductance reactivity to stressors among people with higher attachment avoidance, and lower natural killer cell cytotoxicity in a study of healthy women. These findings support the general direction of the claim, but not unqualified higher autonomic activity or broadly poor immune function; the paper’s own finding was a larger IL-6 response specifically to marital conflict (Discussion). (LLM, conf=0.83)
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“Furthermore, avoidant individuals showed higher autonomic nervous system activity and poor immune function [68].”
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- Authors
- Gouin, J.-P., Glaser, R., Loving, T. J., Malarkey, W. B., Stowell, J., Houts, C., & Kiecolt-Glaser, J. K.
- Affiliations
- The Ohio State University (US)
- The Ohio State University Wexner Medical Center (US)
- The University of Texas at Austin (US)
- Eastern Illinois University (US)
- Corresponding author
- Gouin, Jean-Philippe
- Venue
- Brain Behavior and Immunity
- Publisher
- Elsevier BV
- Published
- 2009-10
- Volume
- 23
- Issue
- 7
- Pages
- 898-904
- ISSN
- 0889-1591 (ISSN-L)
- PMC
- PMC2771542
- OpenAlex
- W2118951529
- Cited by
- 133
- References
- 59
- Citations by year
- 2026: 3 · 2025: 5 · 2024: 7 · 2023: 8 · 2022: 5 · 2021: 9 · 2020: 6 · 2019: 10 · 2018: 12 · 2017: 6 · 2016: 6 · 2015: 13 · 2014: 9 · 2013: 16 · 2012: 10
- FWCI
- 3.57
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Brain Behavior and Immunity (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Aging (AG 16321, P01AG016321, R21AG025732)
- National Cancer Institute (CA16058, P30CA016058)
- National Center for Research Resources (UL1RR025755, MO1 RR0034, M01RR000034)
- Topics
- Social Sciences › Psychology › Social Psychology › Attachment and Relationship Dynamics
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Social Sciences › Psychology › Social Psychology › Neuroendocrine regulation and behavior
- Keywords
- attachment avoidance, marital conflict, interleukin-6, inflammation, marital stress, immune dysregulation, attachment styles, social support, stress reactivity
- MeSH terms
- Adult, Female, Humans, Male, Marriage, Object Attachment, Surveys and Questionnaires, Social Support, Stress, Psychological, Interleukin-6, Spouses, Family Conflict
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