Social support, social control and health behavior change in spouses

Our work on support processes in intimate relationships has focused on how partners in committed relationships help one another contend with personal difficulties, and how partners elicit and provide support in their day-to-day interactions. We are particularly interested in how these support skills relate to marital outcomes (Pasch & Bradbury, 1998; Pasch, Harris, Sullivan, & Bradbury, 2004; Sullivan, Pasch, Eldridge, & Bradbury, 1998) and how they relate to behavior change in spouses (Sullivan, Pasch, Johnson, & Bradbury, 2006), especially health behavior changes. In this chapter, we review research examining the effects of social support and social control on spouses\u27 health behaviors, propose a theory to account for discrepancies in these findings, and report initial data examining the usefulness of this theory in understanding the relationship between social support, social control, and partner health behavior

Examining a Ripple Effect: Do Spouses’ Behavior Changes Predict Each Other’s Weight Loss?

Background. Including spouses in obesity treatment has been found to promote weight loss. We assessed whether spouses’ diet and activity changes impacted each other’s weight loss when both members attended an active weight loss program (TOGETHER) or only the primary participant attended treatment (ALONE). Methods. Heterosexual couples () enrolled in an 18-month randomized controlled weight loss trial were weighed and completed measures of dietary intake and physical activity at baseline and 6 months. We conducted dyadic data analyses using the Actor-Partner Interdependence Model. Results. Participants’ weight loss was not predicted by their partners’ behavior changes. However, partners’ weight loss was predicted by their participants’ changes in calorie and fat intake. When partners were coupled with a participant who did not reduce their own calorie and fat intake as much, these partners had higher weight loss when treated in the TOGETHER group but lower weight loss when they were untreated in the ALONE group. There were no reciprocal effects found with physical activity changes. Conclusions. Direct treatment had the greatest impact on participants and partners who were treated. Untreated partners’ weight losses were positively impacted by their spouses’ dietary changes, suggesting a ripple effect from treated spouses to their untreated partners

Power and the gendered division of contraceptive use in Western European couples

Recent research has approached contraceptive use, or “fertility work”, as another household task that is primarily managed by women. Building on the theoretical frameworks of relative resource theory and gender perspectives, this study investigates the association between partners’ power (measured as their relative education, division of housework and decision-making) and the choice of male versus female, or no contraception. Data from the Generations and Gender Survey for four Western European countries (Austria, Belgium, France and Germany; 2005-2010) are used to examine the hypotheses with multinomial logistic diagonal reference models. The results show that man’s and woman’s educational level are equally important predictors for a couple’s contraceptive method choice. Furthermore, the findings suggest that households in which the man performs more housework or the woman has more say in decisions are more likely to rely on male methods or female sterilization, rather than on the more commonly used female reversible methods

Happy House: Spousal Weight and Individual Well-Being

We use life satisfaction and Body Mass Index (BMI) information from three waves of the SOEP to test for social interactions in BMI between spouses. Social interactions require that the cross-partial effect of partner's weight and own weight in the utility function be positive. Using life satisfaction as a utility proxy, semi-parametric regressions show that the correlation between satisfaction and own BMI is initially positive, but turns negative after some threshold. Critically, this latter threshold increases with partner's BMI when the individual is overweight. The negative well-being impact of own BMI is thus lower when the individual's partner is heavier, which is consistent with social contagion effects in weight. However, this cross-partial effect becomes insignificant in instrumental variable regressions, suggesting that the uninstrumented relationship reflects selection on the marriage market or omitted variables, rather than social interactions.Obesity, subjective well-being, BMI, social interactions

Understanding the relativegenerosity of governmentfinancial support to familieswith children

The principal of horizontal equity can be interpreted as requiring that householdswith the same pre-transfer incomes and the same consumption needs should receivethe same post-transfer incomes. We argue the generosity of government financialsupport to families with children should be analysed with respect to such a baseline.Although not without problems, equivalence scales form an important part of such aprocedure. The comparison of financial support to families with children with acorresponding equivalence scale, both over time and between countries, should give amore accurate picture of generosity than comparisons of cash values alone. Wediscuss potential advantages and drawbacks of such comparisons, illustrating withcomparisons of the US and UK systems. The main drawback is that we can onlyevaluate the generosity of support for children relative to that for adults. With thisrestriction, horizontal equity is more likely to be achieved for couples with 1 childthan for those with 2 children. For some groups, the US is more generous to children(relative to adults) than the UK, but this difference is partly generated by the USsystem being less generous to childless households than the UK. The principal of horizontal equity can be interpreted as requiring that householdswith the same pre-transfer incomes and the same consumption needs should receivethe same post-transfer incomes. We argue the generosity of government financialsupport to families with children should be analysed with respect to such a baseline.Although not without problems, equivalence scales form an important part of such aprocedure. The comparison of financial support to families with children with acorresponding equivalence scale, both over time and between countries, should give amore accurate picture of generosity than comparisons of cash values alone. Wediscuss potential advantages and drawbacks of such comparisons, illustrating withcomparisons of the US and UK systems. The main drawback is that we can onlyevaluate the generosity of support for children relative to that for adults. With thisrestriction, horizontal equity is more likely to be achieved for couples with 1 childthan for those with 2 children. For some groups, the US is more generous to children(relative to adults) than the UK, but this difference is partly generated by the USsystem being less generous to childless households than the UK

Partner’s and own education: does who you live with matter for self-assessed health, smoking and excessive alcohol consumption?

This study analyses the importance of partner status and partner’s education, adjusted for own education, on selfassessed health, smoking and excessive alcohol consumption. The relationship between socio-economic factors and health-related outcomes is traditionally studied from an individual perspective. Recently, applying social–ecological models that include socio-economic factors on various social levels is becoming popular. We argue that partners are an important influence on individual health and health-related behaviour at the household level. Therefore, we include partners in the analysis of educational health inequalities. Using data of almost 40,000 individuals (with almost 15,000 Dutch cohabiting couples), aged 25–74 years, who participated in the Netherlands Health Interview Survey between 1989 and 1996, we test hypotheses on the importance of own and partner’s education. We apply advanced logistic regression models that are especially suitable for studying the relative influence of partners’ education. Controlled for own education, partner’s education is significantly associated with self-assessed health and smoking, for men and women. Accounting for both partners’ education the social gradient in self-assessed health and smoking is steeper than based on own or partner’s education alone. The social gradient in health is underestimated by not considering partner’s education, especially for women.

Dissociation and interpersonal autonomic physiology in psychotherapy research: an integrative view encompassing psychodynamic and neuroscience theoretical frameworks

Interpersonal autonomic physiology is an interdisciplinary research field, assessing the relational interdependence of two (or more) interacting individual both at the behavioral and psychophysiological levels. Despite its quite long tradition, only eight studies since 1955 have focused on the interaction of psychotherapy dyads, and none of them have focused on the shared processual level, assessing dynamic phenomena such as dissociation. We longitudinally observed two brief psychodynamic psychotherapies, entirely audio and video-recorded (16 sessions, weekly frequency, 45 min.). Autonomic nervous system measures were continuously collected during each session. Personality, empathy, dissociative features and clinical progress measures were collected prior and post therapy, and after each clinical session. Two-independent judges, trained psychotherapist, codified the interactions\u2019 micro-processes. Time-series based analyses were performed to assess interpersonal synchronization and de-synchronization in patient\u2019s and therapist\u2019s physiological activity. Psychophysiological synchrony revealed a clear association with empathic attunement, while desynchronization phases (range of length 30-150 sec.) showed a linkage with dissociative processes, usually associated to the patient\u2019s narrative core relational trauma. Our findings are discussed under the perspective of psychodynamic models of Stern (\u201cpresent moment\u201d), Sander, Beebe and Lachmann (dyad system model of interaction), Lanius (Trauma model), and the neuroscientific frameworks proposed by Thayer (neurovisceral integration model), and Porges (polyvagal theory). The collected data allows to attempt an integration of these theoretical approaches under the light of Complex Dynamic Systems. The rich theoretical work and the encouraging clinical results might represents a new fascinating frontier of research in psychotherapy