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Negative behavior during marital conflict is associated with immunological down-regulation.
Abstract
Although increased morbidity and mortality have been reliably associated with social isolation and less satisfying personal relationships, relatively little is known about the underlying biopsychosocial mechanisms. We assessed problem-solving behaviors and changes in immune function in 90 newlywed couples who were admitted to a hospital research unit for 24 hours. Subjects who exhibited more negative or hostile behaviors during a 30-minute discussion of marital problems showed greater decrements over 24 hours relative to low negative subjects on four functional immunological assays (natural killer cell lysis, blastogenic response to two mitogens, and the proliferative response to a monoclonal antibody to the T3 receptor), as well as larger increases in the numbers of total T lymphocytes and helper T lymphocytes. High negative subjects had higher antibody titers to latent Epstein-Barr virus than low negative subjects, consistent with down-regulated immune function. Women were more likely to show negative immunological changes than men. The discussion of marital problems also led to larger increases in blood pressure that remained elevated longer in high negative subjects than low negative subjects. Positive or supportive problem-solving behaviors were not related to either immunological or blood pressure changes. These physiological differences were particularly noteworthy because marital satisfaction was high in both groups, and couples had been selected on the basis of stringent mental and physical health criteria. These data provide additional support for the link between personal relationships and immune function.
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“Kiecolt-Glaser et al. (1993) and, more recently, Nealey-Moore et al. (2007) observed increased heart rate (HR) and blood pressure (BP) in response to couple conflict in both men and women, as did Flor et al. (1995) in chronic pain patients and healthy controls.”
From Sex-specific effects of intranasal oxytocin on autonomic nervous system and emotional responses to couple conflict (2013) · cites this paper as Kiecolt-Glaser et al., 1993
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“14 15–17 For example, significant declines in natural killer (NK) cell numbers and activity have been observed during periods of high stress (e.g., marital conflict 18,19 ).”
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“…cooccurring with GAD may contribute to this chronicity by negatively impacting psychological (Beach, Wamboldt, Kaslow, Heyman, & Reiss, 2006) and physical well-being (e.g., Kiecolt-Glaser et al., 2005; Kiecolt-Glaser et al., 1993) and potentially impeding therapeutic alliance (Eames & Roth, 2000).”
Background
Metadata
- Authors
- Kiecolt-Glaser, J. K., Malarkey, W. B., Chee, M., Newton, T., Cacioppo, J. T., Mao, H. Y., & Glaser, R.
- Affiliations
- The Ohio State University (US)
- Venue
- Psychosomatic Medicine
- Published
- 1993-09
- Volume
- 55
- Issue
- 5
- Pages
- 395-409
- ISSN
- 0033-3174 (ISSN-L)
- OpenAlex
- W2107486018
- Cited by
- 409
- References
- 2
- Citations by year
- 2025: 14 · 2024: 6 · 2023: 5 · 2022: 3 · 2021: 3 · 2020: 13 · 2019: 10 · 2018: 12 · 2017: 9 · 2016: 10 · 2015: 10 · 2014: 16 · 2013: 11 · 2012: 22
- FWCI
- 5.21
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychosomatic Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (MH-44660, P01MH044660)
- National Cancer Institute (CA-16058-09, P30CA016058)
- National Center for Research Resources (MO1 RR 00034, M01RR000034)
- Topics
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Social Sciences › Psychology › Social Psychology › Attachment and Relationship Dynamics
- Life Sciences › Neuroscience › Biological Psychiatry › Tryptophan and brain disorders
- Keywords
- marital conflict, negative behavior, hostility, immune function, newlyweds, problem-solving behavior, natural killer cells, T cells, blood pressure, sex differences, biopsychosocial mechanisms, interpersonal relationships
- MeSH terms
- Adult, Blood Pressure, Conflict, Psychological, Female, Heart Rate, Hostility, Humans, Immunocompetence, Interpersonal Relations, Male, Marriage, Psychoneuroimmunology, Down-Regulation
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