People whose marital interactions are light on the positive may have an 8.5 percent greater risk of suffering heart attack or stroke than those with a surfeit of good feelings. (Credit: Ed Yourdon/Flickr)

Lack of wedded bliss linked to heart attack risk

People in unhappy marriages may have thicker carotid arteries and be at higher risk of heart disease, research suggests.

“Growing evidence suggests that the quality and patterns of one’s social relationships may be linked with a variety of health outcomes, including heart disease,” says Thomas Kamarck, professor of psychology at the University of Pittsburgh.

“The contribution of this study is in showing that these sorts of links may be observed even during the earliest stages of plaque development (in the carotid artery) and that these observations may be rooted not just in the way that we evaluate our relationships in general, but in the quality of specific social interactions with our partners as they unfold during our daily lives.”

Given the size of the effect in the study and the relationship between carotid artery plaque and disease, the findings indicate that those with marital interactions light on the positive may have an 8.5 percent greater risk of suffering heart attack or stroke than those with a surfeit of good feelings.

Happy hearts, healthy hearts

“These findings may have wider implications,” says Nataria Joseph, who recently completed a postdoctoral fellowship under Kamarck and is the lead author of the paper in Psychosomatic Medicine.

“It’s another bit of support for the thought that marital or serious romantic relationships play a significant role in overall health. Biological, psychological, and social processes all interact to determine physical health.”

The study included 281 healthy, employed, middle-aged adults who were married or living with a partner in a marital-like relationship. Their interactions were monitored hourly over the course of four days, with the partners rating their interactions as positive or negative.

Relationships and health

Carotid artery thickness was also measured. Those partners reporting more negative interactions were found to have thicker carotids. These associations could not be accounted for by other behavioral or biological risk factors and were also independent of marital interaction frequency, nonmarital social interaction, or personality factors. The findings were consistent across age, sex, race, and education level.

There are limitations to the study, because it is a cross-sectional study with all the data collected at one point in time. Causality, therefore, has not been proven, though a strong correlation has been established, Joseph says.

“What it does show, is that health care providers should look at relationships as a point of assessment. They are likely to promote health or place health at risk.”

Source: University of Pittsburgh

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