The association between the quality of people’s close relationships and their physical health is well established. But from a psychological perspective, how do close relationships impact physical ...health? This article summarizes recent work seeking to identify the relationship processes and psychological mediators and moderators of the links between close relationships and health, with an emphasis on studies of married and cohabitating couples. We begin with a brief review of a recent meta-analysis of the links between marital quality and health. We then describe our strength and strain model of marriage and health, homing in on one process—partner responsiveness—and one moderator—adult attachment style—to illustrate ways in which basic relationship science can inform our understanding of how relationships impact physical health. We conclude with a brief discussion of promising directions in the study of close relationships and health.
•Women and men have different interpretations of what it means to trust someone.•Being able to self-disclose is more essential to women’s understanding of trust.•Women are more sensitive to ...benevolence when forming interpersonal trust judgments.•Women respond to benevolent others with greater disclosure-based trust than do men.•Disclosure-based trust is associated with higher relationship quality and wellbeing.
Across four studies (N = 4,727), we investigate gender differences in interpersonal trust in work relationships. Drawing on gendered socialization experiences, we propose that feeling able to engage in self-disclosure (disclosure-based trust) is a more fundamental aspect of interpersonal trust for women than for men. Because self-disclosure entails social and emotional risks, we further expect and find that female trustors are more sensitive to others’ benevolence when forming interpersonal trust judgments. Lastly, we show that these gender differences in disclosure-based trust and benevolence sensitivity are associated with divergent responses to benevolent others. Specifically, we test a moderated mediation model and find that benevolent supervisors are associated with higher quality supervisor relationships and greater well-being for women than for men, mediated through higher levels of disclosure-based trust. We discuss the implications of these findings for work relationships and career outcomes.
Past work has shown that perceived responsiveness is a key predictor of relational outcomes. However, this work has focused solely on average levels of responsiveness and never studied the role of ...responsiveness variability (consistency of responsiveness) in intimate relationships. The present study addressed this gap by investigating the long-held but scarcely tested tenet that responsiveness variability and average responsiveness play differential roles in romantic attachment. New romantic couples (N = 151) reported partner-specific attachment anxiety and avoidance in six sessions. Every evening during the 3-week period in between the first two sessions, participants reported perceived partner responsiveness, allowing us to assess both average responsiveness and responsiveness variability. Our findings provided the first empirical evidence that responsiveness variability uniquely predicted increases in partner-specific attachment anxiety, whereas average responsiveness uniquely predicted decreases in partner-specific attachment avoidance. Average responsiveness and responsiveness variability continued to predict attachment orientations assessed about half a year later.
Introduction:
Intraluminal thrombolytic therapy is the first step treatment of thrombotic malfunction of tunneled hemodialysis catheters (THC). The factors that affect catheter restoration and also ...catheter survival following thrombolytic therapy are not well described. In this study, we aimed to reveal the predictors that affect the success of the procedure and also present post-restoration catheter patency after intraluminal thrombolytic administration.
Method:
This retrospective study included 62 patients with tunneled THC thrombosis treated with alteplase between 2017 and2020 in the study center. Age, comorbidities, the use of antiplatelet and anticoagulants, a history of catheter thrombosis, time on dialysis, the duration of the catheter were investigated as possible predictors of procedural success. The independent predictive factors for procedural success were evaluated by using backward stepwise likelihood ratio logistic regression analysis. Primaryand assisted patencieswere presented with Kaplan-Meier graphs.
Results:
Thrombolityc was administered to 62 patients 102 times. The median primary patency from the first thrombolytic administration to a second catheter thrombosis was 9 months (range 1-20 months). The overall median patency was 12 months (range 2-23 months). The overall procedural success rate was 79.4% (81/102).Multivariate analyses revealed that a history of prior catheter thrombosis was the only risk factor for procedural success (OR: 0.49; 95% CI: 0.26-0.91; p = 0.004). The need for a second dwell time among patients with prior history of thrombolysis was significantly higher compared to patients without a history of catheter thrombosis (12/26 patients, 46.2% and 6/55 patients, 10.9%; respectively; p = 0.001).
Conclusion:
The success of thrombolysis in subsequent de novo THC thrombosis decreases in patients who previously required intraluminal thrombolytic administration. Identifying patient subgroups with a high risk for THC thrombosis may be useful to investigate effective secondary prevention strategies.
A growing literature shows that even the symbolic presence of an attachment figure facilitates the regulation of negative affect triggered by external stressors. Yet, in daily life, pernicious ...stressors are often internally generated-recalling an upsetting experience reliably increases negative affect, rumination, and susceptibility to physical and psychological health problems. The present research provides the first systematic examination of whether activating the mental representation of an attachment figure enhances the regulation of affect triggered by thinking about upsetting memories. Using 2 different techniques for priming attachment figure representations and 2 types of negative affect measures (explicit and implicit), activating the mental representation of an attachment figure (vs. an acquaintance or stranger) after recalling an upsetting memory enhanced recovery-eliminating the negative effects of the memory recall (Studies 1-3). In contrast, activating the mental representation of an attachment figure before recalling an upsetting memory had no such effect (Studies 1 and 2). Furthermore, activating the mental representation of an attachment figure after thinking about upsetting memories reduced negative thinking in a stream of consciousness task, and the magnitude of the attachment-induced affective recovery effects as assessed with explicit affect measures predicted mental and physical health in daily life (Study 3). Finally, a meta-analysis of the 3 studies (Study 4) showed that the regulatory benefits conferred by the mental representation of an attachment figure were weaker for individuals high on attachment avoidance. The implications of these findings for attachment, emotion regulation, and mental and physical health are discussed.
Heritage language speakers may feel anxiety about using their heritage language in different settings due to monolingual ideologies, family attitudes, language proficiency, and many other factors. ...However, the experience of those enrolling in heritage language classes has yet to be known in detail. This study examined heritage language anxiety (HLA) toward speaking skills among Turkish heritage language learners (HLLs). A descriptive design was used to seek the HLA level and its relations with various variables such as the home language, communicative language with friends, self-perceived proficiency, age, gender, grade level, birthplaces of children and parents, age of acquisition (AoA), book-reading and movie-watching languages. Three hundred and three school-age bilingual Turkish children in Germany participated in the study. The results demonstrated that the HLA level of the target group was low. In addition, in-class HLA was significantly higher than out-of-class. Moreover, HLA levels significantly differed in terms of the father's birthplace, the communicative language with friends, self-perceived proficiency, and the movie-watching language. Despite evident differences regarding the book-reading language and birthplace of the mother, these were not statistically significant. Also, no relationship was observed between HLA and some variables: Age, grade level, and AoA. This initial study attempted to comprehend the complex patterns behind the language anxiety concept in the context of Turkish immigrants in Germany and heritage language education (HLE). In conclusion, interaction via heritage language (HL) and access to HLE may contribute to reducing HLA. However, paradoxically, while HLE may alleviate general HLA, it may cause more in-class anxiety due to sociocultural and pedagogical factors.
New-onset postoperative atrial fibrillation (POAF) is common after cardiac surgery. Early identification of its risk factors during the preoperative period would help in reducing the associated ...morbidity, mortality, and healthcare costs.
This study aimed to identify the predictors of POAF following open cardiac surgery, with emphasis on biochemical parameters.
A total of 1191 patients with no preoperative atrial fibrillation (AF) and undergoing open cardiac surgery for any reason were included in this retrospective study. Data on clinical and biochemical parameters, the occurrence of new-onset AF, and its clinical course were retrieved from the hospital database.
During the early postoperative period 330 patients (27.7%) developed atrial fibrillation, at median third postoperative day (range 1-6 days) and 217 (65.8%) responded to treatment. Multivariate analysis identified the following as the significant independent predictors of any POAF: EF < 60% (Odds ratio (OR), 2.6), valvular intervention (OR, 2.4), liver failure (OR, 2.4), diabetes (OR, 1.6), low hematocrit (OR, 2.1), low thrombocyte (OR, 5.6), low LDL (OR, 1.6), high direct bilirubin (OR, 2.0), low GFR (OR, 1.6), and high CRP (OR, 2.0). Following parameters emerged as significant independent predictors of persistent AF: EF < 60% (OR, 1.9), diabetes (OR, 2.1), COPD (OR, 1.8), previous cardiac surgery (OR, 3.1), valvular intervention (OR, 2.4), low hematocrit (OR, 1.9), low LDL (OR, 2.1), high HbA1c (OR, 2.0), and high CRP (OR, 2.7).
Certain parameters assessed during preoperative physical and laboratory examinations have the potential to be used as markers of POAF.
Atherosclerotic true aneurysms of the superficial femoral artery (SFA) and profunda femoris artery (PFA) are rare and difficult to detect. The synchronous presence of SFA and PFA aneurysms is even ...rarer. Herein, we present a case with ipsilateral true SFA and PFA aneurysms diagnosed with rupture. A review of the international literature is made, and the diagnosis and treatment options of this rare condition are discussed. A 75-year-old male was admitted to our hospital with an aneurysm on the distal SFA and the ipsilateral PFA, as well as a hematoma around the PFA. It was difficult to determine the source of the rupture before surgery, even with proper imaging. Successful ligation of the PFA and an aneurysmectomy followed by a bypass grafting for the SFA were performed. An intraoperative examination revealed that the SFA aneurysm had ruptured. In elderly males with a history of ectasia or aneurysm on the aorta or peripheral arteries, a synchronous aneurysm on the SFA or the PFA should be suspected.
Decades of research indicate that individuals adhere to existing states (“status quo bias”) and value them more (“endowment effect”). The present work is the first to investigate status quo ...preference within the context of trade-offs in mate choice. Across seven studies (total N = 1,567), participants indicated whether they would prefer remaining with a current partner possessing a particular set of traits (e.g., high trustworthiness, low attractiveness) or switching to an alternative partner possessing opposite traits. Preference for a given trait was highest when the individual representing the status quo (one’s romantic partner or an interaction partner) possessed that trait. Concerns about hurting the partner, ambiguity avoidance, and biased construal of the partner and the alternative predicted status quo preference and disapproval of the current partner by network members eliminated this effect. These findings indicate that when it comes to matters of the heart, we tend to love what we currently have.
Integrating the suffocation model of marriage with research on residential mobility, the current studies examined for the first time whether long-term romantic relationships are more central for ...residentially mobile (vs. stable) individuals (total N across three studies = 5,366; age range = 18–95). In Study 1, individuals who moved away from their place of birth (vs. not) were more likely to first confide in their spouse over other network members on important matters. In Study 2, history of frequent residential moves was associated with greater importance ascribed to romantic partners in the attachment hierarchy. In Study 3, the slope of perceived partner responsiveness predicting eudaimonic well-being got steeper as residential mobility increased. By showing the role of residential mobility in romantic relationships, our findings highlight the importance of studying socioecological factors to gain a deeper understanding of how relationship processes unfold.
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