Bert N Uchino

University of Utah | UOU · Department of Psychology

Intensity in adolescent romantic relationships was examined as a long-term predictor of higher adult blood pressure in a community sample followed from age 17 to 31 years. Romantic intensity in adolescence – measured via the amount of time spent alone with a partner and the duration of the relationship – was predicted by parents’ psychologically co...

There is abundant evidence for both cognitive and affective improvements stemming from spending time in nature; however, the mechanism underlying these effects are still under debate. Frameworks such as Attention Restoration Theory (ART; Kaplan 1995) and Stress Recovery Theory (SRT; Ulrich et al. 1991) have been helpful in understanding how restora...

Meta‐analytic evidence indicates that quality social relationships are linked to reduced risk of mortality. Although most of the prior work does not separate out different types of relationships, recent research suggests friendships may be particularly health relevant. In this entry, we provide a general overview on links between friendships and he...

Stress Recovery Theory (SRT) suggests that time spent in nature reduces stress. While many studies have examined changes in stress physiology after exposure to nature imagery, nature virtual reality, or nature walks, this study is the first to examine changes in heart rate (HR) and vagally mediated HR variability, as assessed by Respiratory Sinus A...

Although dispositional optimism and pessimism are associated with cardiovascular disease (CVD), their relative independence and unique contributions to CVD risk are unclear. This study addressed these issues by using multiple indicators of optimism and pessimism and linking them to objective risk factors for CVD. A diverse sample of adults (N = 300...

Higher quality relationships have been linked to improved outcomes; however, the measurement of relationship quality often ignores its complexity and the possibility of co‐occurring positivity and negativity across different contexts. The goal of this study is to test the added benefit of including multiple dimensions, contexts, and perspectives of...

Heart rate variability (HRV) associated with parasympathetic activity (i.e., cardiac vagal tone) is reduced in posttraumatic stress disorder (PTSD), but possible confounding effects of respiration have not been studied sufficiently. Further, reduced parasympathetic inhibition might contribute to elevated heart rate (HR) in PTSD. Finally, reduced HR...

Purpose Active social engagement, both on and offline, is widely recognized as an important buffer against the negative effects of cancer-related stress. Nevertheless, studies show that social stigma can lead to a decrease in available social support following cancer diagnosis. This study examines whether Facebook friends provide continuous, health...

Background Social support and social integration have been linked to lower rates of morbidity and mortality. However, the biological mechanisms responsible for such links need greater attention. Vaccine paradigms provide an integrative window into immune system involvement in the protective influence of social support/integration. Purpose The main...

Blunted cardiovascular responses to stress have been associated with both mental and physical health concerns. This multi‐method, longitudinal study examined the role of chronic social‐developmental stress from adolescence onward as a precursor to these blunted stress responses. Using a diverse community sample of 184 adolescents followed from age...

There is strong evidence linking relationships and emotions to physical health outcomes. What is critically missing is a more comprehensive understanding of how these important psychosocial factors influence disease over the lifespan. In this narrative review, existing lifespan models of social support and emotion regulation are reviewed and integr...

Posttraumatic stress disorder (PTSD) is associated with strain in marriage and similar intimate relationships, and such difficulties could contribute to associations of PTSD with risk of cardiovascular disease (CVD). Heightened cardiovascular reactivity (CVR) during stressful marital interactions may be an important mechanism in this regard. This s...

Theory and research on self‐regulation, emotional adjustment, and interpersonal processes focus increasingly on parasympathetic functioning, using measures of vagally mediated heart rate variability (vmHRV) or respiratory sinus arrhythmia (RSA). This review describes models of vmHRV in these areas, and issues in measurement and analysis. We propose...

Objective: Despite the well-established association between SRH and health, little is known about the potential psychobiological mechanisms responsible for such links, and if these associations differ by age. The main goals of this study were to investigate the links between SRH and ambulatory blood pressure (ABP), if age moderated the risk, and t...

Psychosocial factors predict the development and course of cardiovascular disease, perhaps through sympathetic and parasympathetic mechanisms. At rest, heart rate (HR) is under parasympathetic control, often measured as high-frequency heart rate variability (HF-HRV). During stress, HR is influenced jointly by parasympathetic and sympathetic process...

Transitions in breast cancer care are associated with significant increases in stress and anxiety, and this stress can negatively impact mental and physical health. Social support has been shown to alleviate such distress, but whether, how, and how often social support is accessed through existing support networks is unclear. Our study examines ch...

Objective: Obstructive sleep apnea (OSA), a serious respiratory disorder, confers increased risk of cardiovascular disease and mortality. Adherence to the standard and effective treatment, continuous positive airway pressure (CPAP), is often poor. Personal relationships can influence adherence, but some forms of partner involvement (e.g., support,...

Cardiovascular reactivity (CVR), such as increases in blood pressure, during stressful marital interactions have been identified as a possible mechanism linking marital discord with cardiovascular disease (CVD). Both expressions of and exposure to negative behavior during marital conflict may influence CVR, but analytic approaches to date have not...

Single-dimension measures of marital quality can obscure distinct effects of positive and negative aspects of relationships. The present study extended evidence regarding the two-dimension relationship quality model generally, and the Quality of Relationship Inventory (QRI) Support and Conflict scales in particular, by examining associations with o...

Social relationships and emotions are important to health and disease, but research in this area has largely progressed along parallel and distinct historical paths. These areas are critically linked because relationships are among the most powerful elicitors of health-relevant emotions and emotions can in turn influence relationships for better or...

BACKGROUND Interpersonal positivity and negativity are separable dimensions both recognized as having important effects on health. Though online social interactions and research examining them are increasingly common, no validated instrument has heretofore been developed to examine social support and social negativity specifically in online context...

The protective influence of social relationships on health is widely documented; however, not all relationships are positive, and negative aspects of relationships may be detrimental. Much less is known about the relationships characterized by both positivity and negativity (i.e., ambivalence). This article provides a theoretical framework for cons...

Dispositional mindfulness is conceptualized as an intrapersonal characteristic, specifically the tendency to attend to the present moment and accept experiences without judgment. However, dispositional mindfulness and related traits may also be associated with interpersonal processes, associations that could contribute to beneficial effects on emot...

Objective: Epidemiologic data increasingly supports sleep as a determinant of cardiovascular disease risk. Fewer studies have investigated the mechanisms underlying this relationship using objective sleep assessment approaches. Therefore, the aim of this study was to examine associations between daily blood pressure and both objectively assessed s...

OBJECTIVES: Racial-ethnic differences in physical/mental health are well documented as being associated with disparities; however, emerging conceptual models increasingly suggest that group differences in social functioning and organization contribute to these relationships. There is little work examining whether racial-ethnic groups respond simila...

Introduction Sleep is implicated in the experience of various mood disorders and poor psychological functioning. Observational studies of sleep and affect identify associations between insomnia status and both positive and negative mood. One potential moderating pathway is through the effect of social isolation. Though these relationships have been...

Ambivalent social ties, i.e., whereby a relationship is evaluated simultaneously in positive and negative terms, are a potential source of distress and can perturb health-relevant biological functions. Social interactions at the workplace, in particular with supervisors, are often described in ambivalent terms, but the psychological and psychobiolo...

Individuals working in security fields such as police and military are expected to be vigilant for potential threats. However, there is little data documenting whether individual differences exist and if they translate into greater social vigilance in daily life. This analysis compared social vigilance ratings by 48 men employed in police, security...

Objective: Despite its simplicity, single-item measures of self-rated health have been associated with mortality independent of objective health conditions. However, little is known about the mechanisms potentially responsible for such associations. This study tested the association between self-rated heath and inflammatory markers as biological p...

Background Subjective sleep quality is a predictor of important health outcomes, but little work has examined the social context of sleep that might inform theoretical models and intervention approaches. The present study tested actor-partner models of sleep quality and its links to inflammatory markers. Method Participants were 84 middle-age to o...

Social support is defined as the perceived or actual receipt of social resources (e.g., tangible, emotional) and is one of the most reliable predictors of disease morbidity and mortality. In this chapter, the evidence linking social support to disease is reviewed along with the presentation of a theoretical model which highlights the social, psycho...

Objective: While the implications of social support are increasingly well understood, no meta-analytic review to date has examined the intersection of the social support and sleep literatures. The aims of this meta-analysis were primarily to review the association between social support and sleep and additionally to test several proposed moderator...

Background The quality of interpersonal ties—especially closer relationships—appears to be associated with physical health outcomes. Sleep is one pathway through which relationships and health appear to be linked, but this has been inadequately investigated in the context of dyadic attachment. Purpose The present study examined links between relat...

Introduction Poor sleep is associated with a range of worse physical health outcomes including cardiovascular disease morbidity and mortality. One potential pathway is through the effects of stress. However, findings on the relationship between perceived stress and sleep are mixed with few studies comparing/contrasting specific subjective vs. objec...

The association between active and passive coping and cardiovascular reactivity has been of interest because of its theoretical implications. However, most past studies utilized laboratory manipulations and cross-sectional data. A complementary approach would be to examine individual differences in active and passive coping and their links to lab-b...

Objective: Social support and social integration have been linked to lower rates of morbidity and mortality. However, the biological mechanisms responsible for such links need greater attention to advance theory and unique intervention opportunities. The main aim of this article was to conduct a meta-analytic review of the association between soci...

Life satisfaction has been linked to lower cardiovascular disease mortality. However, much less is known about the biological mechanisms linking life satisfaction to physical health. In addition, the dyadic context of life satisfaction has not been considered despite increasing evidence that partners influence each other in health-relevant ways. Th...

Background The quality of interpersonal ties-especially closer relationships-appears to be associated with physical health outcomes. Sleep is one pathway through which relationships and health appear to be linked, but this has been inadequately investigated in the context of dyadic attachment. Purpose The present study examined links between relati...

Struggles managing conflict and hostility in adolescent social relationships were examined as long-term predictors of immune-mediated inflammation in adulthood that has been linked to long-term health outcomes. Circulating levels of interleukin-6 (IL-6), a marker of immune system dysfunction when chronically elevated, were assessed at age 28 in a c...

The quality of one's familial life, for better or worse, has been linked to physical health. Such associations are evident across a number of acute and chronic conditions and highlight the widespread impact that close relationships have on physical health. However, the field currently lacks a complete understanding of the integrative biological pat...

Provider factors, such as anxiety, may be important in understanding effects of received social support (SS), which are less consistently positive than those of perceived SS. Due to the dyadic nature of support, anxiety on the part of the provider was predicted to influence the effectiveness of received SS. This laboratory study examined effects of...

Introduction Psychosocial factors are increasingly recognised as important determinants of cardiovascular disease risk. The North Texas Heart Study aims to understand the mechanisms responsible for this association with a focus on social vigilance (ie, scanning the environment for social threats). There is also growing interest in supplementing tra...

Objective Short sleep duration has been linked with a wide array of poor mental and physical health outcomes. Such risks, however, may be moderated by demographic factors such as gender and race/ethnicity. In a diverse community sample, the current study examined the relationship between gender, race/ethnicity and objectively measured sleep duratio...

Substantial data link social relationships with mortality but few studies have examined whether these associations are consistent across racial and ethnic groups. The purpose of the present study was to evaluate the presence and form of the social relationship/mortality association in a representative sample of US Black (n = 4,201), non-Hispanic Wh...

Dispositional optimism has been related to beneficial influences on physical health outcomes. However, its links to global sleep quality and the psychological mediators responsible for such associations are less studied. This study thus examined if trait optimism predicted global sleep quality, and if measures of subjective well-being were statisti...

Although existing life span models suggest that positivity in relationships should benefit the health of older adults, much less is known about how relationships that contain both positive and negative aspects (i.e., ambivalent ties) might influence age-associated cardiovascular risk. Given the increased interpersonal stress associated with ambival...

Similarity and familiarity with partner's attitudes (Byrne, Clore, & Smeaton, 1986; Sanbonmatsu, Uchino, & Birmingham, 2011) are linked to positive relationship outcomes, while interpersonal variables have been linked to mental health (e.g., Lakey & Cronin, 2008) Using multilevel models (MLMs), we modeled the associations between these attitudinal...

Although numerous studies of non-Hispanic whites and blacks show that social integration and social support tend to favor longevity, it is unclear whether this general pattern extends to the Mexican American population. Building on previous research, we employed seven waves of data from the Hispanic Established Populations for the Epidemiologic Stu...

Objective: The inverse association between socioeconomic position (SEP) and cardiovascular disease may involve social psychophysiological processes. To test effects of aspects of SEP on physiological reactivity, we experimentally manipulated 3 features of social context related to social hierarchy-social rank or status relative to an interaction p...

Most interventions on relationships and health have focused on altering positive aspects of relationship such as social support. Given the separability of positive and negative aspects of relationships it is less clear if such interventions can also influence relationship negativity. This pilot study of 9 individuals tested the influence of a novel...

Although numerous studies of non-Hispanic Whites and Blacks show that social integration and social support tend to favor longevity, it is unclear whether this general pattern extends to the Mexican American population. Building on previous research, we employed seven waves of data from the Hispanic Established Populations for the Epidemiologic Stu...

Perceived social support has been reliably related to lower rates of morbidity and mortality. However, studies modeling C-reactive protein (CRP) as an important biological pathway linking social support to health have produced inconsistent results. Given purported ethnic/racial differences in sensitivity to social resources, the present study teste...

In this article, we review research and models linking social support to mental health outcomes. Although perceived support has positive influences on mental health, received support has in some contexts demonstrated detrimental links. We discuss potential factors that can influence when receiving support has either beneficial or negative influence...

Objective: Based in interpersonal theory, the present study tested associations of trait affiliation (i.e., warmth vs. hostility) and control (i.e., dominance vs. submissiveness) with ambulatory blood pressure (ABP) and momentary affective experiences. Methods: Ninety-four married couples (mean age 29.6) completed trait affiliation and control m...

Increasing evidence suggests that perceived social isolation or loneliness is a major risk factor for physical and mental illness in later life. This review assesses the status of research on loneliness and health in older adults. Key concepts and definitions of loneliness are identified, and the prevalence, correlates, and health effects of loneli...

Background: Socioeconomic status is robustly associated with rates of death and disease. Psychophysiological stress processes are thought to account for a portion of this association. Purpose: Although positive and supportive relationships can buffer psychophysiological stress responses, no studies have examined whether the quality of a primary...

Our research explored the incidence and appropriateness of the much-maligned confirmatory approach to testing scientific hypotheses. Psychological scientists completed a survey about their research goals and strategies. The most frequently reported goal is to test the non-absolute hypothesis that a particular relation exists in some conditions. As...

This study assessed qualities of adolescent peer relationships as long-term predictors of physical health quality in adulthood. In an intensive multimethod, multireporter study of a community sample of 171 individuals assessed repeatedly from the ages of 13 to 27 years, physical health quality in adulthood was robustly predicted by independent repo...

Online groups can become communities, developing group identification and fostering deindividuation. But is this possible for very large, anonymous groups with low barriers to entry, highly constrained formats, and great diversity of content? Applying social identity theory and social identification and deindividuation effects theory, this study as...

The quality of social relationships and social support appears to be associated with physical health outcomes and sleep quality. Almost all previous research in this area focuses on positive aspects of relationships. The present study thus intended to examine the links between supportive, aversive, ambivalent, and indifferent network ties and sleep...

Marriage decreases cardiovascular morbidity although relationship quality matters. While some marriages contain highly positive aspects (supportive), marriages may also simultaneously contain both positive and negative aspects (ambivalent). Individuals whose spouses or own behavior is ambivalent may not experience the same cardiovascular-protective...

Although the quality of one's social relationships has been linked to important physical health outcomes, less work has been conducted examining family and friends that differ in their underlying positivity and negativity. The main aim of this study was to examine the association between supportive, aversive, and ambivalent family/friends with leve...

The indirect association of marital quality with metabolic syndrome (MetS) through depressive symptoms was examined in 301 middle-aged and older couples. MetS components (i.e., waist circumference, blood pressure, blood draws to assess triglycerides, HDL cholesterol, and fasting glucose) were assessed following a 12-h fast, and were treated as a co...

Attributions for stress in one's life are one of the important determinants of self-regulatory coping processes. Research was conducted to examine the impact of considering a possible cause of stress on attributions and coping behavior. Participants in two studies were prompted to assess the role of a particular cause of their relationship stress (...

Objective: Social control in the health domain refers to attempts by social network members to get an individual to modify their health behaviors. According to the dual effects model of social control, having one's health behavior controlled by others should be related to healthier behavioral change, but might arouse psychological distress as one...

Objective: Posttraumatic stress disorder (PTSD) is associated with increased risk of coronary heart disease (CHD) and difficulties in intimate relationships. Greater frequency and severity of couple conflict and greater cardiovascular reactivity to such conflict might contribute to CHD risk in those with PTSD, but affective and physiological respo...

Depression is associated with lower relationship quality, but this association could overlap with effects of other affective characteristics correlated with depression, specifically anger and hostility. We examined actor and partner associations of depressive symptoms and anger/hostility with relationship quality in 152 Caucasian and 42 African Ame...

The quality of spousal relationships has been related to physical-health outcomes. However, most studies have focused on relationship positivity or negativity in isolation, despite the fact that many close relationships are characterized by both positive and negative aspects (i.e., ambivalence). In addition, most work has not accounted for the reci...

To examine whether subjective sleep quality and sleep duration moderate the association between age and telomere length (TL). Participants completed a demographic and sleep quality questionnaire, followed by a blood draw. Social Neuroscience Laboratory. One hundred fifty-four middle-aged to older adults (age 45-77 y) participated. Participants were...

Objective: Social support is a reliable predictor of cardiovascular health. According to the buffering hypothesis, stress is 1 mechanism by which support is able to affect physiological processes. However, most of the experimental evidence for the hypothesis comes from laboratory studies. Ambulatory blood pressure (ABP) protocols examine participa...

Although the quality of one's own social relationships has been related to cardiovascular morbidity and mortality, whether a partner's social network quality can similarly influence one's cardiovascular risk is unknown. In this study we tested whether the quality of a partner's social networks influenced one's own ambulatory blood pressure (ABP). T...

Objectives: Although perceiving one's social ties as sources of ambivalence has been linked to negative health outcomes, the more specific contexts by which such relationships influence health remain less studied. We thus examined if perceived spousal relationship quality in three theoretically important contexts (i.e., support, capitalization, ev...

We examined potential nonlinear links between age and subjective well-being, and the interpersonal processes (i.e., support, conflict) responsible for such links. One hundred forty-four men and women between the ages of 30–70 completed measures of satisfaction with life, social support (interpersonal support evaluation list), and social negativity...

Epidemiological research suggests that different indicators of socioeconomic status (SES) such as income and education may have independent and/or interactive effects on health outcomes. In this study, we examined both simple and more complex associations (i.e., interactions) between different indicators of SES and ambulatory blood pressure (ABP) d...

Objectives: Health psychology has contributed significantly to understanding the link between psychological factors and health and well-being, but it has not often incorporated advances in relationship science into hypothesis generation and study design. We present one example of a theoretical model, following from a major relationship theory (att...

Social relationships have been reliably related to physical health outcomes. More specifically, relationship positivity and negativity have been associated with disease morbidity and mortality. Our program of research has also highlighted the potential value of considering both positivity and negativity (ambivalence) in linking relationships to hea...