Skip to main content
Log in

Marital satisfaction and psychophysiological responsiveness in spouses of patients with chronic pain

  • Published:
International Journal of Rehabilitation and Health

Abstract

The primary purpose of this study was to investigate the relationship between spouse marital satisfaction and spouse solicitousness to their physiological responsiveness during marital interactions about pain. Twenty-six couples engaged in a series of structured marital interactions about neutral and pain-related topics while monitored for skin conductance (SC) and heart rate (HR). There was strong support for the role of spouses’ marital satisfaction in predicting their physiological responsiveness. The more satisfied a spouse, the more physiologically reactive the spouses were when listening to the patient describe pain, and the less reactive when responding to it. Dissatisfied spouses demonstrated the opposite pattern. They autonomically deactivated when hearing about the pain and became reactive when responding to it. Solicitousness was not a significant predictor of the spouses’ physiological responsiveness. Block’s (1981) proposed physiological mechanism for the origin of solicitousness in spouses did not receive support. It appears that responding in any fashion may lessen the magnitude of arousal in maritally satisfied spouses, whereas dealing with pain-related topics produces unpleasant arousal in dissatisfied spouses.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Ahern, D. K., and Follick, M. J. (1985). Distress in spouses of chronic pain patients.Int. J. Family Ther. 7: 247–257.

    Article  Google Scholar 

  • Andreassi, J. L. (1980).Psychophysiology: Human Behavior and Physiological Response, Oxford University Press, New York.

    Google Scholar 

  • Batson, C. D., and Coke, J. S. (1983). Empathic motivation of helping behavior. In Cacioppo, J. T., and Petty, R. E. (eds.),Social Psychophysiology: A Sourcebook, Guilford Press, New York, pp. 417–433.

    Google Scholar 

  • Berger, S. M. (1962). Conditioning through vicarious instigation.Psychol. Bull. 69: 450–466.

    Google Scholar 

  • Block, A. R. (1981). An investigation of the response of the spouse to chronic pain behavior.Psychosom. Med. 43: 415–422.

    PubMed  Google Scholar 

  • Block, A. R., Kremer, E. F., and Gaylor, M. (1980). Behavioral treatment of chronic pain: The spouse as a discriminative cue for pain behavior.Pain 9: 243–252.

    Article  PubMed  Google Scholar 

  • Derogatis, L. R. (1983).SCL-90-R Administration, Scoring, and Procedures Manual-II for the Revised Version. Clinical Psychology Research, Towson, MD.

    Google Scholar 

  • Flor, H., Kerns, R. D., and Turk, D. C. (1987). The role of spouse reinforcement, perceived pain, and activity levels of chronic pain patients.J. Psychosom. Res. 31: 251–259.

    Article  PubMed  Google Scholar 

  • Flor, H., Breitenstein, C., Birbaumer, N., and Furst, M. (1995). A psychophysiological analysis of spouse solicitousness towards pain behaviors, spouse interaction, and pain perception.Behav. Ther. 26: 255–272.

    Article  Google Scholar 

  • Fordyce, W. E. (1976).Behavioral Methods for Chronic Pain and Illness, Mosby, St. Louis.

    Google Scholar 

  • Kerns, R. D., and Turk, D. C. (1984). Chronic pain and depression: Mediating role of the spouse.J. Marriage Family 46: 845–852.

    Article  Google Scholar 

  • Kerns, R. D., Turk, D. C., and Rudy, T. E. (1985). The West Haven-Yale Multidimensional Pain Inventory (MPI).Pain 23: 345–356.

    Article  PubMed  Google Scholar 

  • Khatami, M., and Rush, A. J. (1978). A pilot study of the treatment of outpatients with chronic pain: Symptom control, stimulus control, and social systems intervention.Pain 5: 163–172.

    Article  PubMed  Google Scholar 

  • Kremer, E. F., Sieber, W., and Atkinson, J. H. (1985). Spousal perpetuation of chronic pain behavior.Int. J. Family Ther. 7: 258–270.

    Article  Google Scholar 

  • Lacey, J. I., and Lacey, B. C. (1974). On heart rate and behavior: A reply to Elliot.J. Person. Soc. Psychol. 30: 1–18.

    Article  Google Scholar 

  • Levenson, R. W., and Gottman, J. M. (1983). Marital interaction: Physiological linkage and affective exchange.J. Person. Soc. Psychol. 45: 587–597.

    Article  Google Scholar 

  • Levenson, R. W., and Gottman, J. M. (1985). Physiological and affective predictors of change in relationship satisfaction.J. Person. Soc. Psychol. 49: 85–94.

    Article  Google Scholar 

  • Locke, H. J., and Wallace, K. M. (1959). Short marital adjustment and prediction tests: Their reliability and validity.Marriage Family Living 21: 251–255.

    Article  Google Scholar 

  • Lousberg, R., Schmidt, A. J., and Groenman, N. H. (1992). The relationship between spouse solicitousness and pain behavior: Searching for more experimental evidence.Pain 51(1): 75–79.

    Article  PubMed  Google Scholar 

  • Maruta, T., Osborne, D., Swanson, D. W., and Halling, J. M. (1981). Chronic pain patients and spouses: Marital and sexual adjustment.Mayo Clin. Proc. 56: 307–310.

    PubMed  Google Scholar 

  • Romano, J. M., Turner, J. A., Friedman, L. S., Bulcroft, R. A., Jensen, M. P., Hops, H., and Wright, S. F. (1992). Sequential analysis of chronic pain behaviors and spouse responses.J. Consult. Clin. Psychol. 60(5): 777–782.

    Article  PubMed  Google Scholar 

  • Turk, D. C., and Flor, H. (1984). Etiological theories and treatment for chronic back pain. II. Psychological models and interventions.Pain 19: 209–233.

    Article  PubMed  Google Scholar 

  • Venables, P. H., and Christie, M. J. (1973). Mechanisms, instrumentation, recording techniques and quantification of responses. In Prokasy, W. F., and Raskin, D. C. (eds.),Electrodermal Activity in Psychological Research, Academic Press, New York, pp. 1–124.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Stampler, D.B., Wall, J.R., Cassisi, J.E. et al. Marital satisfaction and psychophysiological responsiveness in spouses of patients with chronic pain. Int J Rehab Health 3, 159–170 (1997). https://doi.org/10.1007/BF02766063

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02766063

Key words

Navigation