Psychosomatic Medicine · 2008 · 244 citations · 50 references
Social SciencesBehavioral SciencesPsychologyInterpersonal RelationshipsPsychophysiologyStress PhysiologyCouple RelationshipsIntimacyRelationship QualityCohabiting CouplesCouple FunctioningHormonal Stress ResponsesInteraction Effect AnalysisMarital IntimacyPositive Affect In RelationshipsSalivary CortisolWork Organization
The hypothalamic‑pituitary‑adrenal axis and its area‑under‑curve metric are key physiological measures in stress research. The study aimed to test whether intimacy is linked to lower daily salivary cortisol in couples. The authors assessed 51 dual‑earner couples over a week, collecting repeated salivary cortisol samples, intimacy and affect ratings, and work‑related chronic problem data. Intimacy was associated with reduced daily cortisol, its effect moderated by chronic work problems and mediated by positive affect, together explaining 7 % of cortisol variance.
Objective: To determine whether intimacy might be associated with reduced daily salivary cortisol levels in couples, thereby adding to the epidemiologic literature on reduced health burden in happy couples. Methods: A total of 51 dual-earner couples reported time spent on intimacy, stated their current affect quality, and provided saliva samples for cortisol estimation approximately every 3 hours in a 1-week time-sampling assessment. In addition, participants provided data on chronic problems of work organization. Results: Multilevel analyses revealed that intimacy was significantly associated with reduced daily salivary cortisol levels. There was an interaction effect of intimacy with chronic problems of work organization in terms of their relationship with cortisol levels, suggesting a buffering effect of intimacy on work-related elevated cortisol levels. Above this, the association between intimacy and cortisol was mediated by positive affect. Intimacy and affect together explained 7% of daily salivary cortisol variance. Conclusions: Our results are in line with previous studies on the effect of intimacy on cortisol stress responses in the laboratory as well as with epidemiologic data on health beneficial effects of happy marital relationships. HPA axis = hypothalamic-pituitary-adrenal axis; AUC = area under the individual response curve.
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Stress, social support, and the buffering hypothesis.
Sheldon Cohen, Thomas A. Wills · Psychological Bulletin · 1985 · 17.1K citations