“…In addition to the negative life events previously described, high levels of marital dysfunction have emerged in several studies as significant stressors among RA patients (e.g., Cobb, Miller, & Wieland, 1959; Cobb, Schull, Harburg, & Kasl, 1969; Levitan, 1981; Medsger & Robinson, 1972; Sochet et al, 1969). Examples of marital dysfunction have included physical abuse by a spouse, divorce, and decisions to remain in negative marriages.…”