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

Physical aggression, compromised social support, and 10-year marital outcomes: Testing a relational spillover model

The purpose of the present study was to test a relational spillover model of physical aggression whereby physical aggression affects marital outcomes due to its effects on how spouses ask for and provide support to one another. Newlywed couples (n = 172) reported levels of physical aggression over the past year and engaged in interactions designed to elicit social support; marital adjustment, and stability were assessed periodically over the first 10 years of marriage. Multilevel modeling revealed that negative support behavior mediated the relationship between physical aggression and 10-year marital adjustment levels whereas positive support behavior mediated the relationship between physical aggression and divorce status. These findings emphasize the need to look beyond conflict when explaining how aggression affects relationships and when working with couples with a history of physical aggression who are seeking to improve their relationships

Social support in marriage: Translating research into practical applications for clinicians

How spouses support one another may be important in understanding and preventing marital distress, but has received relatively little attention. Instead, the behavioral model of marriage and corresponding treatment protocols have focused on the importance of good conflict management skills in preventing and treating marital distress. This paper outlines recent research indicating that couples social support skills predict marital outcome two years later, above and beyond conflict management skills. These results indicate that successful prevention and treatment programs may need to incorporate support skills training as well as conflict management training. Practical implications of this research are outlined, and specific techniques are recommended for teaching social support skills to couples

Predictors of participation in premarital prevention programs: The health belief model and social norms

The development of effective programs to prevent marital dysfunction has been a recent focus for marital researchers, but the effective dissemination of these programs to engaged couples has received relatively little attention. The purpose of this study is to determine which factors predict couples\u27 participation in premarital counseling. Predictive factors were derived from the health prevention literature, with a particular focus on the health belief model (HBM). Couples\u27 beliefs and attitudes about premarital counseling were assessed at least six months before their wedding, and participation was assessed after their wedding. Results indicate that the strongest predictors of couples\u27 participation were couples\u27 perceptions of barriers to counseling and whether they had counseling recommended to them. These variables predicted participation even after controlling for important demographic variables. Recommendations for recruiting engaged couples for premarital counseling are made based on the findings

Responses to intimate partners’ attempts to change health behavior: The role of readiness

Intimate partners seeking to influence one another’s health may do so by providing support for positive health behavior and attempting to change negative health behavior (social control). Research findings examining the effectiveness of intimate partners’ attempts to influence health behavior are mixed however, and the purpose of the present research is to examine individuals’ responses to hypothetical health behavior influence attempts by an intimate partner. Specifically, we examine the role of readiness to change, cognitive appraisals, and affective responses to partner change attempts. Undergraduate students (n = 185) who reported infrequent exercise or unhealthy eating habits were asked to respond to a variety of tactics an intimate partner might use to try to change their health behavior. In the first phase of the study, we examine a model wherein individuals’ readiness to change influences their perceptions of, and affective reactions to, attempts to influence health behavior and the subsequent likelihood of making a behavioral change. In Phase 2, we use a within-subjects experimental design to simulate changes in readiness and assess resulting changes to affective and perceptual responses to a variety of hypothetical support and control attempts by an intimate partner. The findings indicate that a comprehensive model that includes readiness to change more fully accounts for variance in how individuals respond to partners’ change attempts. Theoretical and clinical implications are discussed

Social support, problem solving, and the longitudinal course of newlywed marriage

Married couples (N = 172) were observed as newlyweds and again one year later while engaging in 2 problem-solving and 2 personal support discussions. Microanalytic coding of these conversations was used to examine associations between problem-solving and social support behaviors over one year and their relative contributions to 10-year trajectories of self-reported relationship satisfaction and dissolution. Results demonstrated that initially lower levels of positive support behaviors and higher levels of negative support behaviors predicted 1-year increases in negative emotion displayed during problem-solving conversations. Emotions coded from the initial problem-solving conversations did not predict 1-year changes in social support behaviors. Controlling for emotions displayed during problem-solving interactions eliminated or reduced associations between initial social support behaviors and (a) later levels of satisfaction and (b) relationship dissolution. These findings corroborate models that prioritize empathy, validation, and caring as key elements in the development of intimacy (e.g., Reis & Shaver, 1988), and they suggest that deficits in these domains foreshadow deterioration in problem-solving and conflict management. Implications for integrating support and problem-solving in models of relationship change are outlined, as are implications for incorporating social support in education programs for developing relationships