Living with a depressed person.

Coyne, James C.; Kessler, Ronald C.; Tal, Margalit; Turnbull, Joanne; Wortman, Camille B.; Greden, John F.

doi:10.1037/0022-006x.55.3.347

Cited by 417 publications

(344 citation statements)

References 35 publications

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“…To the extent that the obtained differences reflect true differences, these results suggest that marital satisfaction is more strongly associated with one's own level of psychopathology in comparison with the level of psychopathology of the partner. These findings are important insofar as some theorists have emphasized the importance of the influence of partner's level of psychopathology on marital and family functioning, through mechanisms such as increasing burden (e.g., Coyne et al, 1987) or disrupting family interactions and routines (e.g., Chakrabarti et al, 1993). In comparison, the current findings suggest that whereas both partners' level of psychopathology is associated with both partners' level of marital satisfaction, it is one's own level of psychopathology that is more important for satisfaction.…”

Section: Discussionmentioning

confidence: 99%

“…However, findings did not support a partner effect for anxiety. Coyne et al (1987) reported that people living with a depressed person report feeling burdened in numerous ways and feeling upset by the person's depressive symptoms. It may be that the scope or magnitude of these burdens are not as great for people living with an anxious person, thereby resulting in a lack of association between one person's anxiety and his or her partner's satisfaction.…”

Section: Discussionmentioning

confidence: 99%

“…For example, partner effects have been studied to evaluate the perspective that there are burdens associated with being in a relationship with someone with mental health problems and that these burdens may result in lower relationship satisfaction for the partner (e.g., Chakrabarti, Kulhara, & Verma, 1993;Coyne et al, 1987). Results from prior studies have found that the presence of psychopathology in one person is associated with lower marital satisfaction in the partner (e.g., Bauserman et al, 1995;Coyne, Thompson, & Palmer, 2002;O'Farrell & Birchler, 1987).…”

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confidence: 99%

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Psychopathology and Marital Satisfaction: The Importance of Evaluating Both Partners.

Whisman

Uebelacker

Weinstock

2004

Journal of Consulting and Clinical Psychology

259

199

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Using path analysis and hierarchical linear modeling, the authors evaluated the associations between both partners' level of depression and anxiety, as measured by Minnesota Multiphasic Personality Inventory-2 (MMPI-2) content scales, and both partners' level of marital satisfaction among married couples (N ϭ 774) that participated in the MMPI restandardization study (J. N. Butcher, W. G. Dahlstrom, J. R. Graham, A. Tellegen, & B. Kaemmer, 1989). Results indicated that marital satisfaction was predicted by the person's own level of anxiety and depression (i.e., actor effects) and by his or her spouse's level of depression only (i.e., partner effects). Findings also indicated that (a) there were no significant gender differences in the magnitude of effects, (b) depression effects were significantly stronger than anxiety effects, (c) actor effects were significantly stronger than partner effects, and (d) there were interactions between actor and partner effects for depression only.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Psychopathology and Marital Satisfaction: The Importance of Evaluating Both Partners.

Whisman

Uebelacker

Weinstock

2004

Journal of Consulting and Clinical Psychology

259

199

View full text Add to dashboard Cite

show abstract

“…However, reactions to patients with chronic depression are mainly negative. 28 Depression has also been interpreted as a communication designed to manipulate others into providing resources. 29,30 Following Lewis 27 and Meyer, 31 and citing studies of infants, Klerman concluded: "depression is clearly adaptive, especially for infant primates, including man," 32(p135) but, "My current view is that the adult depressive episode representsanattemptatadaptationthat has failed," 32(p143) presumably because help was not forthcoming.…”

Section: Possible Functions Of Low Mood and Depressionmentioning

confidence: 99%

Is Depression an Adaptation?

Nesse

2000

Arch Gen Psychiatry

733

395

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any functions have been suggested for low mood or depression, including communicating a need for help, signaling yielding in a hierarchy conflict, fostering disengagement from commitments to unreachable goals, and regulating patterns of investment. A more comprehensive evolutionary explanation may emerge from attempts to identify how the characteristics of low mood increase an organism's ability to cope with the adaptive challenges characteristic of unpropitious situations in which effort to pursue a major goal will likely result in danger, loss, bodily damage, or wasted effort. In such situations, pessimism and lack of motivation may give a fitness advantage by inhibiting certain actions, especially futile or dangerous challenges to dominant figures, actions in the absence of a crucial resource or a viable plan, efforts that would damage the body, and actions that would disrupt a currently unsatisfactory major life enterprise when it might recover or the alternative is likely to be even worse. These hypotheses are consistent with considerable evidence and suggest specific tests.

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“…Although our data are limited to patients' selfreports, Coyne et al studied the effects on family members of living with a depressed person [28]; they showed that a measure of family members' emotional reactions to patients' symptoms was a significant independent predictor of the differences of distress between family members living with someone currently in a depressive episode versus someone not experiencing a depressive episode. Further isolated analysis on this measure of subjective burden showed that high rates of family member distress were reduced to almost nothing when controlling for the burden [28]. It is possible that patients' depressive symptoms and their families' way of reacting to these symptoms have a negative and cyclical effect on each other.…”

Section: Discussionmentioning

confidence: 99%

Relationship between symptoms and family relationships in Veterans with serious mental illness

et al. 2016

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Abstract-Little is known about how the symptoms experienced by individuals with serious mental illness (SMI) affect family relationships. This study assessed the association between symptoms and patient perceptions of family relationships. The sample of 226 outpatient Veterans diagnosed with SMI, whose relatives had low contact rates with treatment staff, was enrolled in a study that used shared decision making to consider family involvement in care. We analyzed baseline data using multiple regressions to understand the unique effect that positive, negative, and depressive symptoms have on perceptions of family relationships, including general functioning, problem solving, communication, support, satisfaction, conflict, and distress. Greater depressive and disorganized symptoms were significant, unique predictors of perceptions of poorer communication and problem solving, while higher levels of expressive negative symptoms-blunted affect, lack of spontaneity, and motor retardation-were unique predictors of better communication and problem solving. More depressive symptoms also significantly predicted perceptions of greater family conflict and distress. While we cannot assume causation, these associations underscore the important role of depression and expressive negative symptoms in adopting a family-centered approach in the care of persons with SMI.Clinical Trial Registration: ClinicalTrials.gov: "The effectiveness of FMPO in improving the quality of care for persons with severe mental illness"; NCT00466323; https://clinicaltrials.gov/ct2/show/NCT00466323

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Living with a depressed person.

Cited by 417 publications

References 35 publications

Psychopathology and Marital Satisfaction: The Importance of Evaluating Both Partners.

Psychopathology and Marital Satisfaction: The Importance of Evaluating Both Partners.

Is Depression an Adaptation?

Relationship between symptoms and family relationships in Veterans with serious mental illness

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