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Argument with Spouse Can Worsen Pain in Osteoarthritis, Diabetes Patients

Fighting with a spouse can worsen pain in people with chronic conditions, such as arthritis or diabetes, according to a new study published in the journal Annals of Behavioral Medicine.

The findings show that in two groups of older individuals — one group with arthritis and one with diabetes — those who felt more tension with their spouse also reported worse symptoms on those days.

“It was exciting that we were able to see this association in two different data sets — two groups of people with two different diseases,” said Dr. Lynn Martire, professor of human development and family studies, Penn State Center for Healthy Aging. “The findings gave us insight into how marriage might affect health, which is important for people dealing with chronic conditions like arthritis or diabetes.”

Martire said it’s important to learn more about how and why symptoms of chronic disease worsen. People with osteoarthritis in their knees who experience greater pain become disabled more quickly, and patients with uncontrolled diabetes have a greater risk for developing complications.

The researchers said that while previous findings have shown a link between satisfying marriages and stronger mental and physical health, little is known how day-to-day interactions with one’s partner can impact those with chronic illness.

“We study chronic illnesses, which usually involve daily symptoms or fluctuations in symptoms,” Martire said. “Other studies have looked at the quality of someone’s marriage right now. But we wanted to drill down and examine how positive or negative interactions with your spouse affect your health from day to day.”

For the study, researchers looked at data from two groups: One group was comprised of 145 patients with knee osteoarthritis and their spouses. The other included 129 patients with type 2 diabetes and their spouses.

Participants in both groups kept daily diaries about their mood, how severe their symptoms were, and whether their interactions with their spouse were positive or negative. The participants in the arthritis and diabetes groups wrote in their diaries for 22 and 24 days, respectively.

The findings show that in both groups, participants were in a worse mood on days when they felt more tension than usual with their spouse, which in turn led to greater pain or severity of symptoms.

In addition, within the osteoarthritis group, the level of the patient’s pain also had an effect on tensions with their spouse the following day. In other words, when patients were in more severe pain, they were in a worse mood and had greater tension with their partner the next day.

“This almost starts to suggest a cycle where your marital interactions are more tense, you feel like your symptoms are more severe, and the next day you have more marital tension again,” Martire said. “We didn’t find this effect in the participants with diabetes, which may just be due to differences in the two diseases.”

Martire said the results could help develop interventions to help couples dealing with chronic diseases.

“We usually focus on illness-specific communications, but looking at tension in a marriage isn’t tied to the disease, it’s not a symptom of the disease itself,” Martire said. “It’s a measure you can get from any couple. It suggests to me that looking beyond the illness, to improve the overall quality of the relationship might have some impact on health.”

Source: Penn State



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