Dyadic Loneliness and Changes to HbA1c Among Older US Couples: The Role of Marital Support as Stress Buffer

Abstract

Objectives: Both experiencing loneliness and having a lonely partner can be psychosocial stressors, with implications for health. Yet, marital support may buffer against the cardiometabolic effects of loneliness. This study examines (1) whether own and/or partner’s loneliness predict changes in HbA1c over 4 years and (2) whether marital support moderates these effects. Methods: Actor–partner interdependence models analyzed data from 1,854 older couples who provided psychosocial and biomarker data at two timepoints (2008/2012 or 2010/2014) of the Health and Retirement Study. Results: Neither partner’s loneliness predicted changes in HbA1c overall. However, significant interactions indicated that both own baseline loneliness and partner’s baseline loneliness predicted significant increases to HbA1c over 4 years among those who reported below-average marital support. Discussion: Both the experience of loneliness and loneliness of a dyadic partner may have longitudinal consequences for cardiometabolic health. However, these effects are contingent upon perceived quality of the marriage, specifically marital support.

Keywords

biomarkers cardiovascular disease marriage well-being

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References

Allison

P. D.

(1990). Change scores as dependent variables in regression analysis. Sociological Methodology, 20, 93-114. doi:10.2307/271083

Allison

P. D.

(2003). Missing data techniques for structural equation modeling. Journal of Abnormal Psychology, 112(4), 545-557. doi: 10.1037/0021-843X.112.4.545

Ayalon

Shiovitz-Ezra

Palgi

(2013). Associations of loneliness in older married men and women. Aging & Mental Health, 17(1), 33-39. doi: 10.1080/13607863.2012.702725

Berscheid

Reis

H. T.

(1998). Attraction and close relationships. In Gilbert

D. T.

Fiske

S. T.

Lindzey

(Eds.), The handbook of social psychology (4th ed.) (Vol. 2, pp. 193-281). McGraw-Hill.

Cacioppo

J. T.

Hughes

M. E.

Waite

L. J.

Hawkley

L. C.

Thisted

R. A.

(2006). Loneliness as a specific risk factor for depressive symptoms: Cross-sectional and longitudinal analyses. Psychology and Aging, 21(1), 140-151. doi:10.1037/0882-7974.21.1.140

Cacioppo

J. T.

Fowler

J. H.

Christakis

N. A.

(2009). Alone in the crowd: The structure and spread of loneliness in a large social network. Journal of Personality and Social Psychology, 97(6), 977-991. doi: 10.1037/a0016076

Choi

Yorgason

J. B.

Johnson

D. R.

(2016). Marital quality and health in middle and later adulthood: Dyadic associations. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 71(1), 154-164. doi:10.1093/geronb/gbu222

Crimmins

Faul

Kim

J. K.

Weir

(2017). Documentation of blood-based biomarkers in the 2014 health and retirement study. Survey Research Center, Institute for Social Research, University of Michigan.

Das

(2019). Loneliness does (not) have cardiometabolic effects: A longitudinal study of older adults in two countries. Social Science & Medicine, 223, 104-112. doi:10.1016/j.socscimed.2018.10.021

10.

de Jong-Gierveld

(1987). Developing and testing a model of loneliness. Journal of Personality and Social Psychology, 53(1), 119-128. doi:10.1037/0022-3514.53.1.119

11.

Donovan

N. J.

Rentz

D. M.

Sperling

R. A.

Marshall

G. A.

Glymour

M. M.

(2017). Loneliness, depression and cognitive function in older U.S. adults. International Journal of Geriatric Psychiatry, 32(5), 564-573. doi:10.1002/gps.4495

12.

Hammen

(2006). Stress generation in depression: Reflections on origins, research, and future directions. Journal of Clinical Psychology, 62(9), 1065-1082. doi:10.1002/jclp.20293

13.

Hawkley

L. C.

Cacioppo

J. T.

(2010). Loneliness matters: A theoretical and empirical review of consequences and mechanisms. Annals of Behavioral Medicine, 40(2), 218-227. doi:10.1007/s12160-010-9210-8

14.

Hawkley

L. C.

Capitanio

J. P.

(2015). Perceived social isolation, evolutionary fitness and health outcomes: A lifespan approach. Philosophical Transactions of the Royal Society B: Biological Sciences, 370(1669), 20140114. doi: 10.1098/rstb.2014.0114

15.

Hawkley

L. C.

Thisted

R. A.

Masi

C. M.

Cacioppo

J. T.

(2010). Loneliness predicts increased blood pressure: 5-year cross-lagged analyses in middle-aged and older adults. Psychology and Aging, 25(1), 132-141. doi: 10.1037/a0017805

16.

Holt-Lunstad

Smith

T. B.

Baker

Harris

Stephenson

(2015). Loneliness and social isolation as risk factors for mortality: A meta-analytic review. Perspectives on Psychological Science, 10(2), 227-237. doi: 10.1177/1745691614568352

17.

L. T.

Bentler

P. M.

(1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6(1), 1-55. doi: 10.1080/10705519909540118

18.

Hughes

M. E.

Waite

L. J.

Hawkley

L. C.

Cacioppo

J. T.

(2004). A short scale for measuring loneliness in large surveys. Research on Aging, 26(6), 655-672. doi: 10.1177/0164027504268574

19.

Johnson

(2005). Two‐wave panel analysis: Comparing statistical methods for studying the effects of transitions. Journal of Marriage and Family, 67(4), 1061-1075. doi: 10.1111/j.1741-3737.2005.00194.x

20.

Kenny

D. A.

Cook

(1999). Partner effects in relationship research: Conceptual issues, analytic difficulties, and illustrations. Personal Relationships, 6(4), 433-448. doi: 10.1111/j.1475-6811.1999.tb00202.x

21.

Kiecolt-Glaser

J. K.

Wilson

S. J.

(2017). Lovesick: How couples’ relationships influence health. Annual Review of Clinical Psychology, 13(1), 421-443. doi:10.1146/annurev-clinpsy-032816-045111

22.

Lee

Cagle

J. G.

(2017). Validating the 11-Item Revised University of California Los Angeles Scale to assess loneliness among older adults: An evaluation of factor structure and other measurement properties. The American Journal of Geriatric Psychiatry, 25(11), 1173

23.

Liu

Waite

(2014). Bad marriage, broken heart? Age and gender differences in the link between marital quality and cardiovascular risks among older adults. Journal of Health and Social Behavior, 55(4), 403-423. doi: 10.1177/0022146514556893

24.

Luo

Hawkley

L. C.

Waite

L. J.

Cacioppo

J. T.

(2012). Loneliness, health, and mortality in old age: A national longitudinal study. Social Science & Medicine, 74(6), 907-914. doi:10.1016/j.socscimed.2011.11.028.

25.

Margelisch

Schneewind

K. A.

Violette

Perrig-Chiello

(2017). Marital stability, satisfaction and well-being in old age: Variability and continuity in long-term continuously married older persons. Aging & Mental Health, 21(4), 389-398. doi:10.1080/13607863.2015.1102197

26.

Mayo Medical Laboratories (2018). https://www.mayocliniclabs.com/test-catalog/.

27.

Mitchell

U. A.

Ailshire

J. A.

Crimmins

E. M.

(2019). Change in cardiometabolic risk among Blacks, Whites, and Hispanics: Findings from the health and retirement study. The Journals of Gerontology: Series A, 74(2), 240-246. doi:10.1093/gerona/gly026

28.

Moorman

S. M.

(2016). Dyadic perspectives on marital quality and loneliness in later life. Journal of Social and Personal Relationships, 33(5), 600-618. doi:10.1177/0265407515584504

29.

O’Luanaigh

O’Connell

Chin

A. V.

Hamilton

Coen

Walsh

J. B.

Coakley

Molloy

Scott

Cunningham

C. J.

Lawlor

B. A.

(2012). Loneliness and vascular biomarkers: The Dublin healthy ageing study. International Journal of Geriatric Psychiatry, 27(1), 83-88. doi:10.1002/gps.2695

30.

Pearlin

L. I.

Menaghan

E. G.

Lieberman

M. A.

Mullan

J. T.

(1981). The stress process. Journal of Health and Social Behavior, 22(4), 337-356. doi:10.2307/2136676.

31.

Perissinotto

C. M.

Stijacic Cenzer

Covinsky

K. E.

(2012). Loneliness in older persons: A predictor of functional decline and death. Archives of Internal Medicine, 172(14), 1078-1083. doi:10.1001/archinternmed.2012.1993

32.

Pinquart

Sörensen

(2001). Influences on loneliness in older adults: A meta-analysis. Basic and Applied Social Psychology, 23(4), 245-266. doi:10.1207/S15324834BASP2304_2

33.

Russell

D. W.

(1996). UCLA Loneliness Scale (Version 3): Reliability, validity, and factor structure. Journal of Personality Assessment, 66(1), 20-40. doi: 10.1207/s15327752jpa6601_2

34.

Santos-Oliveira

Purdy

Da Silva

M. P.

dos Anjos Carneiro-Leão

A. M.

Machado

Einarson

T. R.

(2011). Haemoglobin A1c levels and subsequent cardiovascular disease in persons without diabetes: A meta-analysis of prospective cohorts. Diabetologia, 54(6), 1327-1334. doi:10.1007/s00125-011-2078-8

35.

Smith

Ryan

Sonnega

Weir

(2017). Psychosocial and lifestyle questionnaire 2006-2016: Documentation report core section LB. Survey Research Center, Institute for Social Research, University of Michigan.

36.

Sonnega

Faul

J. D.

Ofstedal

M. B.

Langa

K. M.

Phillips

J. W.

Weir

D. R.

(2014). Cohort profile: The Health and Retirement Study (HRS). International Journal of Epidemiology, 43(2), 576-585. doi:10.1093/ije/dyu067

37.

Stokes

J. E.

(2017a). Marital quality and loneliness in later life: A dyadic analysis of older married couples in Ireland. Journal of Social and Personal Relationships, 34(1), 114-135. doi:10.1177/0265407515626309

38.

Stokes

J. E.

(2017b). Two-wave dyadic analysis of marital quality and loneliness in later life: Results from The Irish Longitudinal Study on Ageing. Research on Aging, 39(5), 635-656. doi:10.1177/0164027515624224

39.

Tampubolon

Maharani

(2018). Trajectories of allostatic load among older Americans and Britons: Longitudinal cohort studies. BMC Geriatrics, 18(1), 1-10. doi:10.1186/s12877-018-0947-4

40.

Valtorta

N. K.

Kanaan

Gilbody

Ronzi

Hanratty

(2016). Loneliness and social isolation as risk factors for coronary heart disease and stroke: systematic review and meta-analysis of longitudinal observational studies. Heart, 102, 1009-1016. doi:10.1136/heartjnl-2015-308790

41.

Walen

H. R.

Lachman

M. E.

(2000). Social support and strain from partner, family, and friends: Costs and benefits for men and women in adulthood. Journal of Social and Personal Relationships, 17(1), 5-30. doi:10.1177/0265407500171001

42.

Whisman

M. A.

(2010). Loneliness and the metabolic syndrome in a population-based sample of middle-aged and older adults. Health Psychology, 29(5), 550-554. doi:10.1037/a0020760

43.

Williams

Umberson

(2004). Marital status, marital transitions, and health: A gendered life course perspective. Journal of Health and Social Behavior, 45(1), 81-98. doi:10.1177/002214650404500106

44.

Wilson

S. J.

Peng

Andridge

Jaremka

L. M.

Fagundes

C. P.

Malarkey

W. B.

Belury

M. A.

Kiecolt-Glaser

J. K.

(2020). For better and worse? The roles of closeness, marital behavior, and age in spouses’ cardiometabolic similarity. Psychoneuroendocrinology, 120 104777. doi:10.1016/j.psyneuen.2020.104777

45.

Xia

(2018). Loneliness, social isolation, and cardiovascular health. Antioxidants & Redox Signaling, 28(9), 837-851 doi: 10.1089/ars.2017.7312

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