OJD  Vol.5 No.2 , May 2016
Gender Differences in Observed and Perceived Stress and Coping in Couples with a Depressed Partner
Abstract: Recent results show higher perceived stress and more dysfunctional coping in depressed individuals, and suggest that dyadic approaches focused on enhancing couples coping can be useful in treating depression. At the same time, a long tradition of research on couples with a depressed partner suggests potential differences between couples who are more or less maritally distressed, as well as due to the gender of depressed spouse. The present study investigates the association of gender and marital satisfaction with stress and coping patterns in couples with a depressed partner by comparing 4 groups (maritally distressed and non-distressed couples in which either the male or female partner was suffering from depression). Both questionnaires and observed marital interaction tasks were used to assess all constructs. Evidence was found for greater stress and stress generating coping practices for depressed individuals and more dysfunctional dyadic coping in maritally distressed couples. In addition, we identified gender-related patterns associated with depression and marital distress that may be important in working with couples. Coping oriented couples approaches may benefit from consideration of gender differences to maximize therapeutic effectiveness with a range of couples with a depressed partner.
Cite this paper: Gabriel, B. , Bodenmann, G. and Beach, S. (2016) Gender Differences in Observed and Perceived Stress and Coping in Couples with a Depressed Partner. Open Journal of Depression, 5, 7-20. doi: 10.4236/ojd.2016.52002.

[1]   Almeida, D. M., & Kessler, R. C. (1998). Everyday Stressors and Gender Differences in Daily Distress. Journal of Personality and Social Psychology, 75, 670-680.

[2]   American Psychiatric Association (1994). Diagnostic and Statistical Manual of Mental Disorders (4th ed.). Washington, DC: American Psychiatric Association.

[3]   Bakeman, R., & Gottman, J. M. (1997). Observing Interaction: An Introduction to Sequential Analysis (2nd ed.). New York: Cambridge University Press.

[4]   Beach, S. R. H., Whisman, M. A., & Bodenmann, G. (2014). Couple, Parenting, and Interpersonal Therapies for Depression in Adults: Toward Common Clinical Guidelines within a Stress Generation Framework. In I. A. Gotlib, & C. Hammen (Eds.), Handbook of Depression (3rd ed.: pp. 552-570). New York: Guilford Press.

[5]   Beach, S. R. H., Katz, J., Kim, S., & Brody, G. H. (2003). Prospective Effects of Marital Satisfaction on Depressive Symptoms in Established Marriages: A Dyadic Model. Journal of Social and Personal Relationships, 20, 355-371.

[6]   Beach, S. R. H., Smith, D. A., & Fincham, F. D. (1994). Marital Interventions for Depression: Empirical Foundation and Future Prospects. Applied and Preventive Psychology, 3, 233-250.

[7]   Beach, S. R. H., & O’Leary, K. D. (1993). Dysphoria and Marital Discord: Are Dysphoric Individuals at Risk for Marital Maladjustment? Journal of Marital and Family Therapy, 19, 355-368.

[8]   Beck, A. T., & Steer, R. A. (1987). Beck Depression Inventory—Manual. San Antonio, TX: The Psychological Corporation.

[9]   Benazon, N. R., & Coyne, J. C. (2000). Living with a Depressed Spouse. Journal of Family Psychology, 14, 71-79.

[10]   Bodenmann, G., Meuwly, N., Bradbury, T., Gmelch, S., & Ledermann, T. (2010). Stress, Anger and Verbal Aggression in Intimate Relationships: Moderating Effects of Trait Anger and Dyadic Coping. Journal of Social and Personal Relationships, 27, 408-424.

[11]   Bodenmann, G. (2008). Dyadisches Coping Inventar [Dyadic Coping Inventory]. Manual. Bern: Huber.

[12]   Bodenmann, G., Plancherel, B., Beach, S. R. H., Widmer, K., Gabriel, B., Charvoz, L., Meuwly, N., Hautzinger, M., & Schramm, E. (2008). Effects of Coping-Oriented Couples Therapy on Depression: A Randomized Clinical Trial. Journal of Consulting and Clinical Psychology, 76, 944-954.

[13]   Bodenmann, G., Pihet, S., & Kayser, K. (2006). The Relationship between Dyadic Coping and Marital Quality: A 2-Year Longitudinal Study. Journal of Family Psychology, 20, 485-493.

[14]   Bodenmann, G., Charvoz, L., Widmer, K., & Bradbury, T. N. (2004). Differences in Individual and Dyadic Coping among Low and High Depressed, Partially Remitted, and Nondepressed Persons. Journal of Psychopathology and Behavioral Assessment, 26, 75-85.

[15]   Bodenmann, G. (2000). Stress und Coping bei Paaren [Stress and Coping in Couples]. Göttingen: Hogrefe.

[16]   Bodenmann, G. (1997). Kodiersystem zur Erfassung des emotionalen supportiven dyadischen Copings (SEDC). Erweiterte und adaptierte Version. Unveröffentlichtes Manual. Fribourg: Universität Fribourg.

[17]   Bortz, J. (1993). Statistik [Statistic]. Berlin: Springer.

[18]   Bourquard, E., Bodenmann, G., & Perrez, M. (1992-2005). CAOS. Computer Aided Observation System. Fribourg: Univer sität Fribourg.

[19]   Carver, C. S., Scheier, M. F., & Weintraub, J. K. (1989). Assessing Coping Strategies: A Theoretically Based Approach. Journal of Personality and Social Psychology, 56, 267-283.

[20]   Christensen, A., & Shenk, J. L. (1991). Communication, Conflict, and Psychological Distance in Nondistressed, Clinic, and Divorcing Couples. Journal of Consulting and Clinical Psychology, 59, 458-463.

[21]   Christensen, A., & Heavey, C. L. (1990). Gender and Social Structure in the Demand/Withdraw Pattern of Marital Conflict. Journal of Personality and Social Psychology, 59, 73-81.

[22]   Cohen, J. (1960). A Coefficient of Agreement for Nominal Scales. Educational and Psychological Measurement, 20, 37-46.

[23]   Cohen, J. (1988). Statistical Power Analysis for the Behavioral Sciences (2nd ed.). New York: Erlbaum.

[24]   Coyne, J. C., Thompson, R., & Palmer, S. C. (2002). Marital Quality, Coping with Conflict, Marital Complaints, and Affection in Couples with a Depressed Wife. Journal of Family Psychology, 16, 26-37.

[25]   Cranford, J. A. (2004). Stress-Buffering or Stress-Exacerbation? Social Support and Social Undermining as Moderators of the Relationship between Perceived Stress and Depressive Symptoms among Married People. Personal Relationships, 11, 23-40.

[26]   Davila, J., Karney, B. R., Hall, T. W., & Bradbury, T. N. (2003). Depressive Symptoms and Marital Satisfaction: Within-Subject Associations and the Moderating Effects of Gender and Neuroticism. Journal of Family Psychology, 17, 557- 570.

[27]   Eldridge, K. A., & Christensen, A. (2002). Demand-Withdraw Communication during Couple Conflict: A Review and Analysis. In P. Noller, & J. A. Feeney (Eds.), Understanding Marriage: Developments in the Study of Couple Interaction (pp. 289-322). New York: Cambridge University Press.

[28]   Falconier, M. K., Nussbeck, F., & Bodenmann, G. (2013). Immigration Stress and Relationship Satisfaction in Latino Couples: The Role of Dyadic Coping. Journal of Social and Clinical Psychology, 32, 813-843.

[29]   Felsten, G. (2002). Minor Stressors and Depressed Mood: Reactivity Is More Strongly Correlated than Total Stress. Stress and Health: Journal of the International Society for the Investigation of Stress, 18, 75-81.

[30]   Gabriel, B., Beach, S. R. H., & Bodenmann, G. (2010). Depression, Marital Satisfaction and Communication in Couples: Investigating Gender Differences. Behavior Therapy, 41, 306-316.

[31]   Gottman, J. M. (1994). What Predicts Divorce? Hillsdale, NJ: Erlbaum.

[32]   Hahlweg, K. (1996). Fragebogen zur Partnerschaftdiagnostik (PFB) [Partnership questionnaire]. Göttingen: Hogrefe.

[33]   Hammen, C. (2006). Stress Generation in Depression: Reflections on Origins, Research, and Future Directions. Journal of Clinical Psychology, 62, 1065-1082.

[34]   Hautzinger, M., Bailer, M., Worall, H., & Keller, F. (1996). Beck-Depression-Inventar (BDI). Testhandbuch [Beck Depression Inventory (BDI). Manual]. Bern: Huber.

[35]   Johnson, S. L., & Jacob, T. (2000). Sequential Interactions in the Marital Communication of Depressed Men and Women. Journal of Consulting and Clinical Psychology, 68, 4-12.

[36]   Johnson, S. L., & Jacob, T. (1997). Marital Interactions of Depressed Men and Women. Journal of Consulting and Clinical Psychology, 65, 15-23.

[37]   Kanner, A. D., Coyne, J. C., Schaefer, C., & Lazarus, R. S. (1981). Comparison of Two Modes of Stress Measurements: Daily Hassles and Uplifts versus Major Life Events. Journal of Behavioral Medicine, 4, 1-39.

[38]   Kenny, D. A., Kashy, D. A., & Cook, W. L. (2006). Dyadic Data Analysis. New York: Guilford.

[39]   Ko, L., & Lewis, M. (2011). The Role of Giving and Receiving Emotional Support in Depressive Symptomatology in Older Couples: An Application of the Actor-Partner Interdependence Model. Journal of Personality and Social Psychology, 28, 83-99.

[40]   McCall, M. E., & Struthers, N. J. (1994). Sex, Sex-Role Orientation and Self-Esteem as Predictors of Coping Style. Journal of Social Behavior & Personality, 9, 801-810.

[41]   Monroe, S. M., & Simons, A. D. (1991). Diathesis-Stress Theories in the Context of Life Stress Research: Implications for the Depressive Disorders. Psychological Bulletin, 110, 406-425.

[42]   Moos, R. H., Schutte, K. K., Brennan, P. L., & Moos, B. S. (2005). The Interplay between Life Stressors and Depressive Symptoms among Older Adults. The Journals of Gerontology: Series B: Psychological Sciences and Social Sciences, 60B, 199-206.

[43]   Neff, L. A., & Karney, B. R. (2005). Gender Differences in Social Support: A Question of Skill or Responsiveness? Journal of Personality and Social Psychology, 88, 79-90.

[44]   Papageorgiou, C., & Wells, A. (2003). An Empirical Test of a Clinical Metacognitive Model of Rumination and Depression. Cognitive Therapy and Research, 27, 261-273.

[45]   Pasch, L. A., & Bradbury, T. N. (1998). Social Support, Conflict, and the Development of Marital Dysfunction. Journal of Consulting and Clinical Psychology, 66, 219-230.

[46]   Ptacek, J. T., Smith, R. E., & Dodge, K. L. (1994). Gender Differences in Coping with Stress: When Stressor and Appraisals Do Not Differ. Personality and Social Psychology Bulletin, 20, 421-430.

[47]   Rehman, U. S., Gollan, J., & Mortimer, A. R. (2008). The Marital Context of Depression: Research, Limitations, and New Directions. Clinical Psychology Review, 28, 179-198.

[48]   Rohde, P., Lewinsohn, P. M., Tilson, M., & Seeley, J. R. (1990). Dimensionality of Coping and Its Relation to Depression. Journal of Personality and Social Psychology, 58, 499-511.

[49]   Tamres, L. A., Janicki, D., & Helgeson, W. S. (2002). Sex Differences in Coping Behavior: A Meta-Analytic Review and an Examination of Relative Coping. Personality and Social Psychology Review, 6, 2-30.

[50]   Verhofstadt, L. L., Buysse, A., & Ickes, W. (2007). Social Support in Couples: An Examination of Gender Differences Using Self-Report and Observational Methods. Sex Roles, 57, 267-282.

[51]   Vingerhoets, A. J., & Van Heck, G. L. (1990). Gender, Coping and Psychosomatic Symptoms. Psychological Medicine, 20, 125-135.

[52]   Whisman, M. A. (2001). Depression and Marital Distress: Findings from Clinical and Community Studies. In S. R. H. Beach (Ed.), Marital and Family Process in Depression (pp. 3-24). Washington DC: American Psychological Association.

[53]   Wittchen, H. U., Zaudig, M., Schramm, E., Spengler, P., Mombour, W., Klug, J., & Horn, R. (1990). Strukturiertes Klinisches Interview für DSM-III-R (SKID) [Structured Clinical Interview (SCID)]. Weinheim: Beltz Test Gesellschaft.