Annals of Behavioral Medicine

, Volume 42, Issue 3, pp 285–293 | Cite as

Adult Health in the Context of Everyday Family Life

Original Article



Characteristics of family life are linked both cross-sectionally and prospectively to adult mental and physical health.


This paper discusses social and biological processes that may explain how families influence the health of their members.


We review naturalistic studies of short-term biopsychosocial processes as they unfold within the family.


Day-to-day fluctuations in stressors, demands, and social and emotional experiences in the family are reflected in short-term changes in adult members’ affect and in the activity of biological stress-response systems, particularly the hypothalamic–pituitary–adrenal axis.


To learn how family environments are linked to health, researchers should study the interlacing of different aspects of the everyday lives of family members, including their physiology, emotions, behavior, activities, and experiences.


Stress Health Family Couples Cortisol Daily Naturalistic Spillover HPA axis 



The authors are grateful to Elinor Ochs and the other members of the UCLA Center on the Everyday Life of Families for creating a collaborative and supportive intellectual climate that advanced our work on this topic and to the Alfred P. Sloan Foundation for funding the center over many years. Shu-wen Wang’s work on this paper was supported by a Dissertation Year Fellowship and the Dr. Ursula Mandel Scholarship, both awarded by the UCLA Graduate Division. Darby Saxbe’s work on the paper was funded by Ruth L. Kirschstein Postdoctoral National Research Service Award from NICHD.

Conflict of Interest Statement

The authors have no conflict of interest to disclose.


  1. 1.
    Robles, T.F. & Kiecolt-Glaser, J.K. The physiology of marriage: Pathways to health. Physiology & Behavior. 2003, 79: 409–416.CrossRefGoogle Scholar
  2. 2.
    Logan, J., & Spitze, G. Family ties: Enduring relations between parents and their grown children. Philadelphia: Temple University Press, 1996.Google Scholar
  3. 3.
    Mancini, J. A., & Blieszner, R. Aging parents and adult children: Research themes in intergenerational relations. Journal of Marriage and the Family. 1989, 51(2): 275–290.CrossRefGoogle Scholar
  4. 4.
    Zarit, S. H., & Eggebeen, D. J. Parent-child relationships in adulthood and later years. In M. H. Bornstein, ed. Handbook of parenting. 2nd ed. Mahwah, NJ: Lawrence Erlbaum Associates, 2002: 135–164.Google Scholar
  5. 5.
    Creasey, G., & Reese, M. Mothers’ and fathers’ perceptions of parenting hassles: Associations with psychological symptoms, nonparenting hassles, and child behavior problems. Journal of Applied Developmental Psychology. 1996, 17: 393–406.CrossRefGoogle Scholar
  6. 6.
    Repetti, R. L., Robles, T. F., & Reynolds, B. M. Allostatic processes in the family. Development and Psychopathology. 2011, 23(3):921–938.Google Scholar
  7. 7.
    Ochs, E., Graesch, A., Mittmann, A., Bradbury, T., & Repetti, R. Video ethnography and ethnoarchaeological tracking. In M. Pitt-Catsouphes, E.E. Kossek, & S. Sweet , eds. Handbook of work and family: Multi-disciplinary perspectives and approaches. Mahwah, NJ: Erlbaum, 2006: 387–409.Google Scholar
  8. 8.
    Jones, F., & Fletcher, B. Taking work home: A study of daily fluctuations in work stressors, effects on moods and impacts on marital partners. Journal of Occupational and Organizational Psychology. 1996, 69(1): 89–106.CrossRefGoogle Scholar
  9. 9.
    Whitton, S. W., Stanley, S. M., Markman, H. J., & Baucom, B. R. Women’s weekly relationship functioning and depressive symptoms. Personal Relationships. 2008, 15: 533–550.CrossRefGoogle Scholar
  10. 10.
    Hicks, A. M., & Diamond, L. M. How was your day? Couples’ affect when telling and hearing daily events. Personal Relationships. 2008, 15: 205228.CrossRefGoogle Scholar
  11. 11.
    Lavee, Y., & Ben-Ari, A. Relationship of dyadic closeness with work-related stress: A daily diary study. Journal of Marriage and Family. 2007, 69: 1021–1035.CrossRefGoogle Scholar
  12. 12.
    Thompson, A., & Bolger, N. Emotional transmission in couples under stress. Journal of Marriage and the Family. 1999, 61: 38–48.CrossRefGoogle Scholar
  13. 13.
    Berg, C. A., Wiebe, D. J., Bloor, L., Butner, J., Bradstreet, C., Upchurch, R., Hayes, J., Stephenson, R., Nail, L., & Patton, G. Collaborative coping and daily mood in couples dealing with prostate cancer. Psychology and Aging. 2008, 23: 505516.PubMedCrossRefGoogle Scholar
  14. 14.
    Gleason, M. E. J., Iida, M., Bolger, N., & Shrout, P. E. Supportive equity in close relationships. Personality and Social Psychology Bulletin. 2003, 29: 10361045.PubMedCrossRefGoogle Scholar
  15. 15.
    Savla, J., Almeida, D. M., Davey, A., Zarit, S. H. Daily routine assistance to older parents and everyday hassles. Journals of Gerontology: Social Sciences. 2008, 63: S154-S161.CrossRefGoogle Scholar
  16. 16.
    Roper, S. O., & Yorgason, J. B. Older adults with diabetes and osteoarthritis and their spouses: Effects of activity limitations, marital happiness, and social contacts on partners’ daily mood. Family Relations. 2009, 58(4): 460474.CrossRefGoogle Scholar
  17. 17.
    Koerner, S. S., Shirai, Y., & Kenyon, D. B. Sociocontextual circumstances in daily stress reactivity among caregivers for elder relatives. Journals of Gerontology B: Psychological Sciences. 2010, 65(5): 561–572.CrossRefGoogle Scholar
  18. 18.
    Saxbe, D. E. & Repetti, R. L. No place like home: Home tours correlate with daily patterns of mood and cortisol. Personality and Social Psychology Bulletin. 2010, 36(1): 71–81.PubMedCrossRefGoogle Scholar
  19. 19.
    McEwen, B. S. Protective and damaging effects of stress mediators. New England Journal of Medicine. 1998, 338: 171–179.PubMedCrossRefGoogle Scholar
  20. 20.
    Miller, G. E., Chen, E., & Zhou, E. S. If it goes up, must it come down?: Chronic stress and the hypothalamic-pituitary-adrenocortical axis in humans. Psychological Bulletin. 2007, 133(1): 25–45.PubMedCrossRefGoogle Scholar
  21. 21.
    Bower, J. E., Ganz, P. A., & Aziz, N. Altered cortisol response to psychological stress in breast cancer survivors with persistent fatigue. Psychosomatic Medicine. 2005, 67: 277280.PubMedCrossRefGoogle Scholar
  22. 22.
    Lindeberg, S. I., Eek, F., Lindbladh, E., Ostergren, P. O., Hansen, A. M., & Karlson, B. Exhaustion measured by the SF-36 vitality scale is associated with a flattened diurnal cortisol profile. Psychoneuroendocrinology. 2008, 33: 471–477.PubMedCrossRefGoogle Scholar
  23. 23.
    Lauc, G., Zvonar, K., Vuksic-Mihaljevic, Z., & Flögel, M. Post-awakening changes in salivary cortisol in veterans with and without PTSD. Stress and Health. 2004, 20(2): 99–102.CrossRefGoogle Scholar
  24. 24.
    Sephton, S. E., Sapolsky, R. M., Kraemer, H. C. and Spiegel, D. Diurnal cortisol rhythm as a predictor of breast cancer survival. Journal of National Cancer Institute. 2000, 92: 994–1000.CrossRefGoogle Scholar
  25. 25.
    Matthews, K., Schwartz, J., Cohen, S., & Seeman, T. Diurnal cortisol decline is related to coronary calcification: CARDIA Study. Psychosomatic Medicine. 2006, 68: 657–661.PubMedCrossRefGoogle Scholar
  26. 26.
    Daniel, M., Moore, D. S., Decker, S., Belton, L., DeVellis, B., Doolen, A., & Campbell, M. K. Associations among education, cortisol rhythm, and BMI in blue-collar women. Obesity. 2006, 14(2): 327–35.PubMedCrossRefGoogle Scholar
  27. 27.
    Sapolsky, R. M., Romero, L. M., & Munck, A. U. How do glucocorticoids influence stress responses? Integrating permissive, suppressive, stimulatory, and preparative actions. Endocrine Reviews. 2000, 21(1): 55–89.PubMedGoogle Scholar
  28. 28.
    Ditzen, B., Hoppmann, C., & Klumb, P. Positive couple interactions and daily cortisol: On the stress-protecting role of intimacy. Psychosomatic Medicine. 2008, 70: 883–889.PubMedCrossRefGoogle Scholar
  29. 29.
    Adam, E. K., & Gunnar, M. R. Relationship functioning and home and work demands predict individual differences in diurnal cortisol patterns in women. Psychoneuroendocrinology. 2001, 26: 189–208.PubMedCrossRefGoogle Scholar
  30. 30.
    Barnett, R. C. Steptoe, A. Gareis, K. C. Marital-role quality and stress-related psychobiological indicators. Annals of Behavioral Medicine. 2005, 30: 36–43.PubMedCrossRefGoogle Scholar
  31. 31.
    Vedhara, K., Tuinstra, J., Miles, J. N. V., Sanderman, R. B., & Ranchor, A. V. Psychosocial factors associated with indices of cortisol production in women with breast cancer and controls. Psychoneuroendocrinology. 2006, 31: 299–311.PubMedCrossRefGoogle Scholar
  32. 32.
    Saxbe, D. E., Repetti, R. L., & Nishina, A. Marital satisfaction, recovery from work, and diurnal cortisol among men and women. Health Psychology. 2008, 27(1): 15–25.PubMedCrossRefGoogle Scholar
  33. 33.
    Wang, S., Repetti, R. L., & Campos, B. Links between diurnal cortisol and naturalistic social behavior in the family. Manuscript submitted for publication, 2011.Google Scholar
  34. 34.
    Klumb, P. K., Hoppmann, C., & Staats, M. Work hours affect spouse’s cortisol secretion—For better and for worse. Psychosomatic Medicine. 2006, 68: 742–746.PubMedCrossRefGoogle Scholar
  35. 35.
    Saxbe, D.E., Repetti, R.L., & Graesch, A.P. Time spent in housework and leisure: Links with parents’ physiological recovery from work. Journal of Family Psychology. 2011, 25: 271–281.PubMedCrossRefGoogle Scholar
  36. 36.
    Luecken, L., Suarez, E., Kuhn, C., Barefoot, J., Blumenthal, J., Siegler, I., and Williams, R. Stress in employed women: Impact of marital status and children at home on neurohormone output and home strain. Psychosomatic Medicine. 1997, 59: 352–359.PubMedCrossRefGoogle Scholar
  37. 37.
    Frankenhaeuser, M., Lundberg, U., Fredrikson, M., Melin, B., Tuomisto, M., & Myrsten, A. Stress on and off the job as related to sex and occupational status in white-collar workers. Journal of Organizational Behavior. 1989, 10: 321–346.CrossRefGoogle Scholar
  38. 38.
    Lundberg, U., & Frankenhaeuser, M. Stress and workload of men and women in high-ranking positions. Journal of Occupational Health Psychology. 1999, 4: 142–151.PubMedCrossRefGoogle Scholar
  39. 39.
    Schnall, P. L., Schwartz, J. E., Landsbergis, P. A., Warren, K., & Pickering, T. G. A longitudinal study of job strain and ambulatory blood pressure: Results from a three year follow-up. Psychosomatic Medicine. 1998, 60: 697–706.PubMedCrossRefGoogle Scholar
  40. 40.
    Chandola, T., Brunner, E., & Marmot, M. Chronic stress at work and the metabolic syndrome: Prospective study. British Medical Journal. 2006, 332: 521–524.PubMedCrossRefPubMedCentralGoogle Scholar
  41. 41.
    Hotopf, M. H., & Wessely, S. Stress in the workplace: Unfinished business. Journal of Psychosomatic Research. 1997, 43: 1–6.PubMedCrossRefGoogle Scholar
  42. 42.
    Tennant, C. Work-related stress and depressive disorders. Journal of Psychosomatic Research. 2001, 51, 697–704.PubMedCrossRefGoogle Scholar
  43. 43.
    Goodman, W. B., Crouter, A. C., & The Family Life Project Key Investigators. Longitudinal associations between maternal work stress, negative work-family spillover, and depressive symptoms. Family Relations. 2009, 58: 245258.PubMedCrossRefPubMedCentralGoogle Scholar
  44. 44.
    Albright, C. L., Winkleby, M.A., Ragland, D.R., Fisher, J., & Syme, S. L. Job strain and prevalence of hypertension in a biracial population of urban bus drivers. American Journal of Public Health. 1992, 82: 984–89.PubMedCrossRefPubMedCentralGoogle Scholar
  45. 45.
    Judge, T. A., & Ilies, R. Affect and job satisfaction: A study of their relationship at work and at home. Journal of Applied Psychology. 2004, 89(4): 661–673.PubMedCrossRefGoogle Scholar
  46. 46.
    Song, Z., Foo, M-D., & Uy, M. A. Mood spillover and crossover among dual-earner couples: A cell phone event sampling study. Journal of Applied Psychology. 2008, 93(2): 443–452.PubMedCrossRefGoogle Scholar
  47. 47.
    Bolger, N., DeLongis, A., Kessler, R. C., & Wethington, E. The contagion of stress across multiple roles. Journal of Marriage and Family. 1989, 51: 175–183.CrossRefGoogle Scholar
  48. 48.
    Story, L. B., & Repetti, R. Daily occupational stressors and marital behavior. Journal of Family Psychology. 2006, 20: 690–700.PubMedCrossRefGoogle Scholar
  49. 49.
    Schulz, M. S., Cowan, P. A., Cowan, C. P., & Brennan, R. T. Coming home upset: Gender, marital satisfaction and the daily spillover of workday experience into couple interactions. Journal of Family Psychology. 2004, 18: 250–263.PubMedCrossRefGoogle Scholar
  50. 50.
    Repetti, R. L. Short-term and long-term processes linking job stressors to father-child interaction. Social Development. 1994, 3: 1–15.CrossRefGoogle Scholar
  51. 51.
    Repetti, R. L., & Wood, J. Effects of daily stress at work on mothers’ interactions with preschoolers. Journal of Family Psychology. 1997, 11: 90–108.CrossRefGoogle Scholar
  52. 52.
    Repetti, R. & Saxbe, D. The effects of job stress on the family: One size does not fit all. In R. Crane and E. J. Hill, eds. Handbook of Families & Work: Interdisciplinary Perspectives. Lanham, MD: University Press of America, 2009: 62–78.Google Scholar
  53. 53.
    Wang, S., Repetti, R. L., & Campos, B. Job stress and family social behavior: The moderating role of neuroticism. Journal of Occupational Health Psychology. (2011).Google Scholar
  54. 54.
    Repetti, R. L. Effects of daily workload on subsequent behavior during marital interaction: The roles of social withdrawal and spouse support. Journal of Personality and Social Psychology. 1989, 57(4): 651–659.PubMedCrossRefGoogle Scholar
  55. 55.
    Repetti, R. L. Social withdrawal as a short-term coping response to daily stressors. In H. S. Friedman, ed. Hostility, coping, and health. Washington DC: American Psychological Association, 1992: 151–165.CrossRefGoogle Scholar
  56. 56.
    Steptoe, A., Cropley, M., Griffith, J., & Kirschbaum, C. Job strain and anger expression predict early morning elevations in salivary cortisol. Psychosomatic Medicine. 2000, 62: 286–292.PubMedCrossRefGoogle Scholar
  57. 57.
    Slatcher, R. B., Robles, T. F., Repetti, R. L., & Fellows, M. D. Momentary work worries, marital disclosure, and salivary cortisol among parents of young children. Psychosomatic Medicine. 2010, 72: 887–896.PubMedCrossRefPubMedCentralGoogle Scholar
  58. 58.
    McClintock, M. Menstrual synchrony and suppression. Nature. 1971, 229: 244–5.PubMedCrossRefGoogle Scholar
  59. 59.
    Sbarra, D.A., & Hazan, C. Coregulation, dysregulation, self-regulation: An integrative analysis and empirical agenda for understanding adult attachment, separation, loss, and recovery. Personality and Social Psychology Review. 2008, 12: 141–167.PubMedCrossRefGoogle Scholar
  60. 60.
    Levenson, R.W., Gottman, J.M. Marital interaction: Physiological linkage and affective exchange. Journal of Personality and Social Psychology.1983, 45(3): 587–597.PubMedCrossRefGoogle Scholar
  61. 61.
    Gottman, J. M., Coan, J., Carrere, S., Swanson, C. Predicting marital happiness and stability from newlywed interactions. Journal of Marriage & the Family. 1998, 60(1): 5–22.CrossRefGoogle Scholar
  62. 62.
    Schoebi, D. The coregulation of anger and sadness in marital relationships. Journal of Family Psychology. 2008, 22: 595–604.PubMedCrossRefGoogle Scholar
  63. 63.
    Butner, J., Diamond, L.M, Hicks, A.M. Attachment style and two forms of affect coregulation between romantic partners. Personal Relationships. 2007, 14: 431–455CrossRefGoogle Scholar
  64. 64.
    Larson, R., & Almeida, D. Emotional transmission in the daily lives of families: A new paradigm for studying family process. Journal of Marriage and the Family. 1999, 61(1): 5–20.CrossRefGoogle Scholar
  65. 65.
    Saxbe, D. & Repetti, R.L. For better or worse? Coregulation of couples’ cortisol levels and mood states. Journal of Personality and Social Psychology. 2010, 98(1): 92–103.PubMedCrossRefGoogle Scholar
  66. 66.
    Bolger, N., Zuckerman, A., & Kessler, R. Invisible support and adjustment to stress. Journal of Personality and Social Psychology. 2000, 79(6): 953–961.PubMedCrossRefGoogle Scholar
  67. 67.
    Shrout, P. E., Herman, C. & Bolger, N. The costs and benefits of practical and emotional support on adjustment: A daily diary study of couples experiencing acute stress. Personal Relationships. 2006, 13(1): 115–134.CrossRefGoogle Scholar
  68. 68.
    Meegan, S. P., & Goedereis, E. A. Life task appraisals, spouse involvement in strategies, and daily affect among short-and long-term married couples. Journal of Family Psychology. 2006, 20(2): 319–327.PubMedCrossRefGoogle Scholar
  69. 69.
    Zaider, T.I., Heimberg, R.G., & Iida, M. Anxiety disorders and intimate relationships: A study of daily processes in couples. Journal of Abnormal Psychology. 2010, 119: 163–173.PubMedCrossRefGoogle Scholar
  70. 70.
    Kleiboer, A.M., Kuijer, R.G., Hox, J.J., Jongen, P.J.H., Frequin, S.T.F.M., & Bensing, J.M. Daily negative interactions and mood among patients and partners dealing with multiple sclerosis (MS): The moderating effects of emotional support. Social Science & Medicine. 2007, 64: 389–400.CrossRefGoogle Scholar
  71. 71.
    Chan, C. J., & Margolin, G. The relationship between dual-earner couples’ daily work mood and home affect. Journal of Social and Personal Relations. 1994, 11: 573–586.CrossRefGoogle Scholar

Copyright information

© The Society of Behavioral Medicine 2011

Authors and Affiliations

  • Rena L. Repetti
    • 1
  • Shu-wen Wang
    • 1
  • Darby E. Saxbe
    • 2
  1. 1.Department of PsychologyUniversity of California, Los Angeles (UCLA)Los AngelesUSA
  2. 2.Department of PsychologyUniversity of Southern California, SGM 501Los AngelesUSA

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