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Couples’ perceptions of each other’s depressive symptoms: Empathic accuracy and assumed similarity bias
Abstract
The link between depressive symptoms and relationship functioning has been well-documented. Evidence for affective concordance in depressive symptoms between partners suggests that couples are aware of each other’s mood and symptoms; however, there have been no direct tests of the extent to which couples accurately perceive their partner’s mental health. The present study assessed spouses’ empathic accuracy and assumed similarity bias in rating each other’s depressive symptoms using the truth and bias actor-partner interdependence model for indistinguishable dyads. We hypothesized that husbands and wives would show significant assumed similarity but not significant empathic accuracy when rating their partner’s depressive symptoms. Participants were 55 racially and ethnically diverse heterosexual couples ( N = 110 individuals) with a child between the ages of 10–16 recruited from the community. Results did not provide evidence for empathic accuracy in rating a spouse’s depressive symptoms. Instead, we found significant assumed similarity, such that ratings of a spouse’s depressive symptoms were associated with one’s own level of depressive symptoms. We also found evidence of directional bias, such that, on average, spouses overestimated each other’s level of depressive symptoms. These preliminary findings suggest that couples may not be particularly attuned to their partner’s subjective ratings of depression-related thoughts, feelings, and behaviors. Future research should explore the processes accounting for partners’ perceptions of each other’s mental health, and the impact of these perceptions on relationship functioning.
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A new theory of cognitive biases, called error management theory (EMT), proposes that psychological mechanisms are designed to be predictably biased when the costs of false-positive and false-negative errors were asymmetrical over evolutionary history. This theory explains known phenomena such as men's overperception of women's sexual intent, and it predicts new biases in social inference such as women's underestimation of men's commitment. In Study 1 (N = 217), the authors documented the commitment underperception effect predicted by EMT. In Study 2 (N = 289), the authors replicated the commitment bias and documented a condition in which men's sexual overperception bias is corrected. Discussion contrasts EMT with the heuristics and biases approach and suggests additional testable hypotheses based on EMT.
The association between marital dissatisfaction and 12-month prevalence rates of Diagnostic and Statistical Manual of Mental Disorders (3rd ed., rev., 1987) Axis I psychiatric disorders was examined in married respondents from the National Comorbidity Survey (N = 2,538). Results indicate that marital dissatisfaction was associated with the presence of any disorder, any mood disorder, any anxiety disorder, and any substance-use disorder; dissatisfaction was also associated with 7 of 12 specific disorders for women and 3 of 13 specific disorders for men. To evaluate the unique association between marital dissatisfaction and psychiatric disorders, analyses were conducted controlling for comorbid disorders. Covariance analyses generally attenuated the bivariate associations between marital dissatisfaction and specific disorders and groupings of disorders. Results indicate that marital dissatisfaction was uniquely related to major depression and posttraumatic stress disorder for women and dysthymia for men.
The authors first describe individual differences in the structure of the self. In the independent self-construal, representations of others are separate from the self. In the interdependent self-construal, others are considered part of the self (H. Markus & S. Kitayama, 1991). In general, men in the United States are thought to construct and maintain an independent self-construal, whereas women are thought to construct and maintain an interdependent self-construal. The authors review the psychological literature to demonstrate that many gender differences in cognition, motivation, emotion, and social behavior may be explained in terms of men’s and women’s different self-construals. Recognition of the interdependent self-construal as a possible alternative conception of the self may stimulate new investigations into the ways the self influences a person’s thinking, feeling, and behaving.
The primary mechanism of change in emotion-focused couples therapy (EFT-C) is described as one partner accessing and expressing vulnerability, with the other partner responding affiliatively, with compassion, acceptance, validation, and support. These interactions are assumed to restructure the negative, rigid interactional cycle that usually brings couples to therapy and helps build a positive emotional bond. The primary aim of this study was to test whether for this process to occur, partners need to accurately perceive their spouse's experiences of vulnerability during therapy. Specifically, it examined the factors (i.e., tracking accuracy, assumed-similarity bias, and directional bias) shaping partners' perceptions of their spouse's vulnerability and whether accurate perceptions predict positive session outcomes during EFT-C. Data from 36 couples who took part in the York Emotional Injury Project were analyzed. Following each session, clients reported their own experience of vulnerability as well as their perceptions of their partners' vulnerability. Session outcome was defined as the extent to which clients reported resolution. Using a multilevel Truth and Bias model, the results indicated that partners accurately perceived changes in their spouses' expressions of vulnerability (i.e., significant tracking accuracy). Interestingly, partners' perceptions were also tied to their own expressions of vulnerability (i.e., significant assumed-similarity bias) and tended to underestimate the level of their partners' vulnerability expressions (i.e., significant negative mean-level bias). Using a multilevel Response Surface Analysis, we found that accuracy regarding partners' vulnerability was associated with higher levels of resolution.
The interpersonal consequences associated with emotional suppression (ES) may indicate that perceivers accurately detect targets' use of ES. However, ES involves hiding emotional experiences and expressions and consequently provides few explicit cues for perceivers. Thus, perceivers may exhibit relatively poor accuracy in detecting targets' ES and instead base perceptions of targets' ES on their own use of ES-a bias called projection. In the current study, participants completed measures of trait ES, engaged in an emotionally relevant discussion with their intimate partner, and then reviewed the discussion to rate their own and their partners' (targets') state ES within each 30s of the discussion. Perceptions of targets' state ES were more strongly predicted by perceivers' own state ES (projection bias) than the targets' reported use of ES (tracking accuracy), particularly for perceivers' high in trait ES. This pattern of projection bias resulted in perceivers overestimating the level of targets' state ES. These results indicate that perceptions of ES are generated more from perceivers' rather than targets' use of ES, suggest informant-based ES assessments have important limitations, and advance understanding of the interpersonal effects of ES. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
Background and objectives:
Social factors have demonstrated to affect pain intensity and quality of life of pain patients, such as social support or the attitudes and responses of the main informal caregiver. Similarly, pain has negative consequences on the patient's social environment. However, it is still rare to include social factors in pain research and treatment. This study compares patient and caregivers' accuracy, as well as explores personality and health correlates of empathic accuracy in patients and caregivers.
Materials and methods:
The study comprised 292 chronic pain patients from the Pain Clinic of the Vall d'Hebron Hospital in Spain (main age = 59.4 years; 66.8% females) and their main informal caregivers (main age = 53.5 years; 51.0% females; 68.5% couples).
Results:
Patients were relatively inaccurate at estimating the interference of pain on their counterparts (t = 2.16; p = 0.032), while informal caregivers estimated well the patient's status (all differences p > 0.05). Empathic accuracy on patient and caregiver status did not differ across types of relationship (i.e., couple or other; all differences p > 0.05). Sex differences in estimation only occurred for disagreement in pain severity, with female caregivers showing higher overestimation (t = 2.18; p = 0.030). Patients' health status and caregivers' personality were significant correlates of empathic accuracy. Overall, estimation was poorer when patients presented higher physical functioning. Similarly, caregiver had more difficulties in estimating the patient's pain interference as patient general and mental health increased (r = 0.16, p = 0.008, and r = 0.15, p = 0.009, respectively). Caregiver openness was linked to a more accurate estimation of a patient's status (r = 0.20, p < 0.001), while caregiver agreeableness was related to a patient's greater accuracy of their caregivers' pain interference (r = 0.15, p = 0.009).
Conclusions:
Patients poorly estimate the impact of their illness compared to caregivers, regardless of their relationship. Some personality characteristics in the caregiver and health outcomes in the patient are associated with empathic inaccuracy, which should guide clinicians when selecting who requires more active training on empathy in pain settings.
How depressive symptoms unfold within a couple during the perinatal events of pregnancy, childbirth, and early parenthood is poorly understood. In this prospective study, we aim to investigate the reciprocal relation between maternal and paternal depressive symptomatology, specifically how symptoms in 1 partner relate to subsequent symptom level changes in the other partner throughout the perinatal period. Further, we aim to identify parents who are particularly vulnerable to the development of disruptive processes of negative mood states. Data were collected from 1,036 mothers and 878 fathers participating in the Little in Norway study from midpregnancy until 12 months postpartum. Depressive symptoms were assessed at 7 time points (4 prenatally) in both parents. Partner-related attachment was measured early in pregnancy. By using an autoregressive latent trajectory modeling approach, accounting for time invariant confounding, we found mothers' depressive symptoms late in pregnancy to predict elevated symptom levels in fathers 6 weeks after birth, with a small effect size. No other time-adjacent effects were observed among partners at other time points or with the opposite directionality. However, moderation analyses revealed that among parents characterized by insecure partner-attachment styles, additional cross-lagged pathways were evident during pregnancy and throughout the first year of parenthood. Clinicians need to be aware of fathers' vulnerability to symptom development in instances of maternal perinatal depressive states at the time around childbirth, and tailor preventive and treatment efforts to address both parents' needs. Further, particular attention should be directed to parents with heightened susceptibility to prolonged depression contagion processes.
The current study sought to expand upon research on motivated empathic (in)accuracy by testing assumptions underlying the empathic accuracy model, namely if a perceiver’s level of empathic accuracy is variable and might be associated with different outcomes depending the situation. More specifically, the model assumes that (a) the perception of threat in the thoughts/feelings of an interaction partner can result in a lower level of empathic accuracy, and (b) empathic accuracy can both improve and harm situational well-being on the personal and relationship level. These assumptions were tested in a laboratory-based study in which couples participated in a conflict interaction task and reported on their thought processes during a video-review task. All participants also completed a similar standard-stimulus task. A shift in participants’ motivation to be accurate to a motivation to be inaccurate in response to perceived threat could not be detected. Men’s higher levels of empathic accuracy for non-threatening feelings of their female partner were predictive of an increased feeling of closeness in men. Women’s higher levels of empathic accuracy for non-threatening feelings of the male partner were predictive for a better mood in women. A harmful effect of empathic accuracy for threatening thoughts/feelings on situational well-being was not found.
Objectives:
Childhood maltreatment, that is neglect and abuse, are associated with difficulties in adult relationship functioning. We tested whether childhood maltreatment changes the presence of a relationship protective mechanism, called motivated inaccuracy. It describes a decrease in romantic couples' empathic accuracy, (EA), that is, their correct understanding of the partners' thoughts and feelings, in situations that pose a potential threat to the stability of the relationship. With this, couples seem to protect their relationship stability from their partners' potentially destabilizing mental contents.
Method:
Romantic couples were videotaped while discussing (a) their favorite film-genre (neutral/positive), (b) their most relevant fear of the past year (personally threatening), and (c) a reason that might lead to a break-up in their relationship (relationship-threatening). EA was measured by the overlap between participants' judgments of their partners' feelings and the partners' self-rated actual feeling, using a continuous video rating of the interactions. Childhood neglect and abuse were retrospectively assessed by a questionnaire.
Results:
Overall, participants decreased their EA for each other in the relationship-threatening versus personally threatening conversation, replicating motivated inaccuracy. However, when individuals with high levels of reported childhood neglect felt threatened by the relationship-threatening condition, they did not show this relationship protective mechanism, that is, they showed maintained EA scores. Abuse in childhood did not influence the presence of motivated inaccuracy.
Conclusions:
Childhood neglect might influence adult romantic relationship functioning by leading to a lack of motivated inaccuracy during relationship-threatening situations. An altered threat coping strategy might cause the inability to protect oneself from relationship-threatening information. (PsycINFO Database Record
Background
Depression and anxiety are common and have a significant impact on the individual and wider society. One theory proposed to explain a heightened risk for depression and anxiety is affective concordance in couples (e.g. influence of shared mood states, shared health beliefs). Whilst research has shown concordance for severe psychiatric illnesses and general mood in couples, little attention has been given to concordance for common psychiatric conditions such as depression and anxiety. The aims of this study were to test affective concordance in couples and examine potential influences on concordance.
Methods
Study design is a 1-year cross-sectional study of anxiety and depression consultations in primary care. Data were obtained from a validated primary care database of recorded consultations. Outcome was the presence of an anxiety or depression Read Code (GP recorded reason for consultation) in the female (within the couple dyad), and exposure was a recorded Read Code of anxiety or depression in the male. Logistic regression was used to test associations with odds ratios (OR) and 95% confidence intervals (95% CI) reported. Statistical adjustment was carried out on potential influences of concordance; age, environment (deprivation), healthcare behaviour (consultation frequency), and comorbidity.
Results
A population of 13,507 couples were identified in which 927 people consulted for anxiety and 538 for depression. Logistic regression showed a 3 times increase in odds of an anxiety consultation in females if their male partner had also consulted OR 2.98 (95% CI 2.15 to 4.13). For depression females were over 4 times the odds of consulting if their male partner had also consulted OR 4.45 (95% CI 2.79 to 7.09). Adjustment within a multivariable model showed some reduction in odds; concordant anxiety was reduced to 2.5 times odds OR 2.48 (95%CI 1.76 to 3.50) and depression reduced to OR 3.39 (2.07 to 5.54).
Conclusion
Results show significant associations for affective concordance in couples. Factors influencing concordance are comorbidity and environmental factors, however reasons for deciding to consult (positive or negative) are unknown. This study highlights the patients’ social context as a factor in consultations for anxiety and depression and gives support to the consideration of the patient’s household as an influence on mental health.
Empathic accuracy (EA; Ickes & Hodges, 2013) is the extent to which people accurately perceive their peers' thoughts, feelings, and other inner mental states. EA has particularly interested researchers in the context of romantic couples. Reviews of the literature suggest a possible link between romantic partners' EA and their relationship satisfaction (Ickes & Simpson, 2001; Sillars & Scott, 1983). To assess the magnitude of this association and examine possible moderators, we performed a meta-analytic review of 21 studies (total N = 2,739 participants) that examined the association between EA and satisfaction. We limited our review to studies measuring EA using the dyadic interaction paradigm (Ickes, Stinson, Bissonnette, & Garcia, 1990). We found a small but significant association between the two (r = .134, p < .05). Subsequent moderation analyses demonstrated that EA for negative emotions (one's accuracy when assessing a partner's negative emotions) was more closely related to satisfaction (r = .171, p < .05) than EA for positive ones (r = .068, p > .1). The association was also stronger in relationships of moderate length, suggesting that EA may be more meaningful when relationships are consolidating but before they become stable. Gender and procedural variations on the dyadic interaction paradigm did not moderate the association, and there was no difference depending on whether the association was between EA and perceivers' or targets' satisfaction (i.e., actor or partner effects). We discuss the implications of these findings and offer recommendations for future EA studies. (PsycINFO Database Record
In 2 studies involving 96 married couples (Study 1) and 118 romantic couples (Study 2), we investigated partners’ perceptions of each others’ recently experienced emotions. In both studies, both individuals within each couple independently provided reports of (a) their own recently experienced emotions, (b) their perceptions of their partners’ recently experienced emotions, and (c) the extent to which they had expressed the emotions they had experienced to their partner. We then assessed the extent to which perceptions of partners’ emotions were (a) accurate (i.e., in agreement with partners’ independent reports of their own feelings) and (b) a function of the perceiver’s own emotions (i.e., projected). Significant evidence for both accuracy in perceiving emotions (4 of 7 emotions in Study 1; 8 of 9 emotions in Study 2) and for projection of perceivers’ own emotions onto partners was obtained (5 of 7 emotions in Study 1; 9 of 9 emotions in Study 2). Effects for all remaining emotions trended in the same directions. There was almost no moderation of these effects by targets’ having knowingly expressed the emotions. Implications of the patterning of findings for different emotions for the social functions of accuracy and projection in perceiving emotions are discussed.
Intimates form stable impressions of their romantic partner’s conflict style, which may influence interactions during conflicts and shape expectancies regarding future disagreements. Despite a large body of work comparing relationship outcomes among heterosexual and same-sex couples, research has yet to examine how the validity of these perceptions vary as a function of gender and sexual orientation. The present study examines perceptual accuracy and bias in perceptions of conflict style among same-sex female (Ndyads=215), same-sex male (Ndyads=113), and heterosexual (Ndyads=93) couples. Although members of same-sex and heterosexual couples exhibited some similarity in accuracy and bias in perceptions, a number of compelling differences suggest that the gender and the sexual orientation of a couple shape perceptions of partner conflict style.
Individuals’ reaction tendencies in emotional situations may influence their social rela- tionships. In two studies, we examined whether perceived similarity in emotional reaction tendencies between the self and a close other was associated with individuals’ emotional well-being. Participants rated how the self and a close other (mother in Study 1; a self- nominated close other in Study 2) would react in various situations. Individuals who perceived greater similarity between the self and the close other reported more positive affect, less negative affect, lower perceived stress, and higher life satisfaction than those who perceived less self–other similarity. Furthermore, stress exposure moderated the effects of self–other similarity on perceived stress. In summary, greater perceived similarity with one’s close others seems beneficial for social–emotional adaptation.
Coyne's (1976a) interactional theory of depression states that depressed people induce a negative mood in others through social interaction and hence elicit rejection from them. A meta-analysis was conducted to ssess the relationship between (1) depression and negative mood in others, (2) depression and rejection by others, and (3) negative mod and rejection by others. The results indicate strong support for the rejection component of the theory, but rather modest support for the negative mood induction hypothesis. Negative mood seems to show a curvilinear (inverted-U) relationship with depression
On average, older adults are less accurate than younger adults at recognizing emotions from faces or voices. We challenge the view that such differences in emotion-recognition tasks reflect differences in empathic accuracy (the ability to infer other people's feelings): Empathic accuracy relies not only on sensory cues (e.g., emotional expressions) but also on knowledge about the target person. Using smartphone-based measures, we assessed empathic accuracy in younger and older couples' daily lives and found that younger adults' empathic accuracy was higher than older adults' empathic accuracy when their partners were visibly present. During the partners' absence, however, when judgments relied exclusively on knowledge of those partners, no age differences emerged, and performance in both age groups was still more accurate than chance. We conclude that across adulthood, sensory information and knowledge differentially support empathic accuracy. Laboratory emotion-recognition tasks may therefore underestimate older adults' empathic competencies.
This study examines the association between marital quality and personal well-being using meta-analytic techniques. Effects from 93 studies were analyzed. The average weighted effect size r was .37 for cross-sectional and .25 for longitudinal effects. Results indicate that several variables moderate the association between marital quality and personal well-being, including gender, participants’ marital duration, source of measurement, data collection year, and dependent variable. These results suggest that longitudinal effects are more likely to be uncovered when using standard measurement and that future research should use samples homogenous in marital length. The longitudinal finding that the strength of the association is stronger when personal well-being is treated as the dependent variable supports previous theorizing.
Are depressive symptoms associated with more biased or more accurate interpersonal perceptions? Both members of committed heterosexual couples (N = 78) reported on their perceptions of their partner's commitment and behavior daily across a 3-week period. Using the partner's reports as the benchmark, participants who reported more depressive symptoms not only underestimated their partner's commitment and overestimated their partner's negative behavior (greater directional bias) but were also more accurate in tracking changes in their partner's commitment and behavior across days (greater tracking accuracy). More negative perceptions of the partner's commitment and behavior was also associated with increases in relationship insecurity and depressed mood, particularly when the partner also reported lower commitment and more negative behavior. These results indicate that depressive symptoms are associated with both more accurate and more biased interpersonal perceptions and suggest that more accurate detection and more biased magnification of interpersonal threat has important implications for the maintenance of depressed mood.
Previous research suggests that people in close relationships with depressed others are at heightened risk for developing depression themselves. This phenomenon has been termed contagious depression. The purpose of the current investigation was twofold: (1) to more rigorously test a direct contagion model by controlling for concurrent relationship satisfaction, and (2) to examine reassurance-seeking as a potential moderator of contagion. 105 undergraduate dating couples completed measures of depression, relationship satisfaction, and reassurance-seeking tendencies. Results suggested a significant correspondence between partners' levels of depressive symptoms, even after controlling for relationship satisfaction. Further, reassurance-seeking tendencies moderated contagion within couples. That is, high reassurance-seeking target individuals were more vulnerable to contagion via their partners than low reassurance-seeking targets. (PsycINFO Database Record (c) 2010 APA )
Transmission of depressive symptoms among spouses is well documented. In accordance with the transactional stress model, cognitive appraisals were tested as indirect effects in transmission. In 82 couples (age range women: 23–44, men: 26–55), both partners’ stress appraisals and depressive symptoms were assessed at three measurement points throughout assisted-reproduction treatment. Relations among partners’ variables were tested using the actor-partner interdependence model. Findings indicated positive transmission effects of depressive symptoms from men to women across both measurement intervals. A positive transmission effect of stress appraisals from men to women was observed from before until after the pregnancy test. Women’s stress appraisals mediated part of the transmission of depressive symptoms from men to women. Men’s stress appraisals, however, were unrelated to women’s earlier depressive symptoms. Men’s earlier depressive symptoms might have operated as cues for women’s adjustment of their own stress appraisals, which then predicted women’s increased depressive symptoms. Using the transactional model as a framework for the study of emotional transmission may help to gain a better understanding of its underlying mechanisms and possible gender or role effects involved. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
Seventy-four married couples reviewed videotapes of their problem-solving discussions and described self and partner on-line thoughts and feelings. Scores were derived measuring empathic accuracy, assumed similarity, and shared cognitive focus. As expected, the results showed that more highly educated partners and those married for shorter time periods achieved superior empathic accuracy. In contrast, assumed similarity was significantly related to the positivity of relationship judgments, such as relationship satisfaction, and to the positivity of the verbal behavior. Several mediational models were tested, the results of which showed that shared cognitive focus mediated the link between relationship length and empathic accuracy. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
A meta-analysis of 40 findings from 36 studies (N= 4,952) provided substantial overall support for the proposition that depressive symptoms and mood are contagious. Contagion appeared most pronounced in studies of depressive symptoms (vs. depressive mood). Contagion of depressive mood appears to depend on methodological approach, with strongest to weakest results in the following order: transcript studies, audio/ videotape studies, studies using actual strangers, studies using actual friends/acquaintances, and confederate studies. Contagion of depressed mood/symptoms held across combinations of target × respondent gender. There was very tentative evidence that contagion was specific to depressive versus other symptom/moods. Based in part on our meta-analytic findings, we summarize possible explanations of the phenomenon from cognitive, behavioral, and interpersonal viewpoints and elucidate some clinical implications.
The actor–partner interdependence model (APIM) is a model of dyadic relationships that integrates a conceptual view of interdependence with the appropriate statistical techniques for measuring and testing it. In this article we present the APIM as a general, longitudinal model for measuring bidirectional effects in interpersonal relationships. We also present three different approaches to testing the model. The statistical analysis of the APIM is illustrated using longitudinal data on relationship specific attachment security from 203 mother–adolescent dyads. The results support the view that interpersonal influence on attachment security is bidirectional. Moreover, consistent with a hypothesis from attachment theory, the degree to which a child’s attachment security is influenced by his or her primary caregiver is found to diminish with age.
The Marital Discord Model of Depression maintains that marital discord is an important antecedent in the development of depression. Although empirical evidence supports this premise, none of this research has been done with Latinos. The purpose of this study was to test the longitudinal relationship between marital satisfaction and depression among 99 Brazilian women. Using structural equation modeling, results indicated that marital satisfaction was a strong predictor of depression 2 years later. Marital satisfaction was also related to cooccurring depression. These results provide evidence that the Marital Discord Model of Depression is an appropriate theoretical model for the conceptualization of marital discord and depression with Latina women and suggest the potential utility of using couples therapy for treating depression among this population.
This study investigated emotion during interpersonal conflicts between mates. It addressed questions about how clearly couples express emotion (encoding), how accurately they recognize each other's emotion (decoding), and how well they distinguish between types of negative emotion. It was theorized that couples express and perceive both: (a) event-specific emotions, which are unique to particular people on particular occasions, and (b) contextual-couple emotions, which reflect the additive effect of emotions across different events and across both partners. Eighty-three married couples engaged in a series of two conflict conversations. Self-report ratings, observer ratings, and partner ratings were used to assess two types of negative emotion: hard emotion (e.g., angry or annoyed) and soft emotion (e.g., sad or hurt). Couples were reasonably accurate in encoding, decoding, and in distinguishing between types of emotion. Emotion expression was strongly associated with general levels of contextual-couple emotion summed across two conversations, whereas emotion perception was more closely tied to specific events. Hard emotion was readily perceived when it was overtly expressed, and soft emotion could sometimes be recognized even when it was not expressed clearly.
To examine affectivity in marital interaction, 267 couples participated in laboratory-based marital conflicts and afterward rated their own and their spouses' emotions of positivity, anger, sadness, and fear. Actor-Partner Interdependence Models (Cook & Kenny, 2005) estimated empathic accuracy and assumed similarity effects, with symptoms of depression tested as a moderator. Depressive symptoms moderated spouses' ratings of their partners' negative emotions such that assumed similarity was higher and empathic accuracy was lower in the context of elevated depressive symptoms. The results suggest that depression may influence spouses' judgments of how closely linked partner emotions are (i.e., assumed similarity) and spouses' abilities to accurately perceive their partners' negative emotions (i.e., empathic accuracy), potentially contributing to the established marital dysfunction-psychological distress cycle.
We examine the link between depression and empathic accuracy, the ability to infer other people's thoughts and feelings, as a possible mechanism underlying gender differences in the association between depression and interpersonal difficulties within intimate relationships. Fifty-one heterosexual couples completed questionnaires assessing depressive symptoms and participated in both a lab and a daily diary procedure assessing empathic accuracy. In the lab measures, women's (but not men's) higher levels of depressive symptoms were associated with lower empathic accuracy regarding partners' thoughts and feelings. In the daily diary data, women's depressive symptoms were specifically associated with lower levels of empathic accuracy for negative feelings but not for positive feelings, and with lower levels of their partners' empathic accuracy for the women's negative feelings. Men's depressive symptoms were again unrelated to levels of empathic accuracy. Our findings suggest that depressive symptoms may have a stronger impact on interpersonal perception in intimate relationships among women than among men.
We present a new model for the general study of how the truth and biases affect human judgment. In the truth and bias model, judgments about the world are pulled by 2 primary forces, the truth force and the bias force, and these 2 forces are interrelated. The truth and bias model differentiates force and value, where the force is the strength of the attraction and the value is the location toward which the judgment is attracted. The model also makes a formal theoretical distinction between bias and moderator variables. Two major classes of biases are discussed: biases that are measured with variables (e.g., assumed similarity) and directional bias, which refers to the extent to which judgments are pulled toward 1 end of the judgment continuum. Moderator variables are conceptualized as variables that affect the accuracy and bias forces but that do not affect judgments directly. We illustrate the model with 4 examples. We discuss the theoretical, empirical, methodological, measurement, and design implications of the model.
This article reviews the research literature and theory concerned with accuracy of judgments in romantic relationships. We initially propose a model of cognition in (romantic) relationships that distinguishes between 2 forms of accuracy: mean-level bias and tracking accuracy. We then report the results of meta-analyses of research on heterosexual, romantic relationships, which used external benchmarks and reported levels of tracking accuracy (98 studies) and/or mean-level bias (48 studies). The results revealed robust overall effect sizes for both tracking accuracy (r = .47) and positive mean-level bias (r = .09). As expected, the effects were substantial and positive for tracking accuracy across 6 judgmental categories, whereas signed mean-level bias was negative for the interaction attributions (e.g., love, communication). The results showed, as expected, that these 2 forms of accuracy were independent-the 2 kinds of effect size derived from the same set of 38 studies were uncorrelated. As expected, gender, relationship length, and relationship evaluations moderated mean-level bias across studies but (unexpectedly) not for tracking accuracy. In the Discussion we evaluate the prior model in light of the findings, other research, moderating variables (such as self-esteem), the role of projection, the early stages of mate selection, metacognition, and the rationality and nature of motivated cognition. We conclude that our model, findings, and analyses help to resolve the apparent paradox that love is both riven with illusions and rooted in reality, and support both evolutionary and social psychological approaches to understanding cognition in romantic relationships.
This study of married couples investigated the short-term predictive validity of the partner-report and self-report scales of the Conflict Communication Inventory and compared the validity of these scales with the validity of observer ratings. A sample of 83 married couples completed two problem-solving conversations. Self-report, partner-report, and observer ratings from Conversation 1 were used to predict behavior in Conversation 2, as rated by a separate panel of observers. The short-term predictive validity of partner-report ratings was extremely high and indistinguishable from the validity of observer ratings. Self-report ratings also demonstrated good validity, albeit slightly lower than other methods. Both partner-report and self-report scores explained a substantial amount of variance in concurrent observer ratings of communication after controlling for relationship satisfaction.
Extending research based on newlywed couples, this study investigated longitudinal associations between marital satisfaction and depressive symptoms in a community sample of 296 couples in established relationships (M = 13.25 years, SD = 5.98) with children (M age = 11.05 years, SD = 2.31). Support was found for reciprocal relations between marital satisfaction and depressive symptoms in couples with established relationships. Further extending previous work, the study showed that relationship length and hostile marital conflict were significant moderators of these linkages. Husbands in longer term relationships were more vulnerable to depressive symptoms in the context of marital problems compared with husbands in shorter term relationships. At higher levels of marital conflict, the negative relationship between marital satisfaction and depressive symptoms was strengthened. Reflecting an unexpected finding, increased conflict buffered spouses from marital dissatisfaction in the context of depressive symptoms.
This study aims to investigate correlates of pain-related empathic accuracy in spouses of chronic pain patients. Specifically, analyses addressed: (1) the correlates of pain-related empathic accuracy, (2) the relation between pain-related empathic accuracy, and patient and spouse adaptational outcomes, and (3) the relation between pain-related empathic accuracy and relational outcomes.
Fifty-eight chronic pain patients (28 women and 30 men) were filmed while participating in a simulated occupational lifting task. Patients were asked to report their level of pain while lifting canisters partially filled with sand. Spouses were later asked to view the video record of their partner's performance and to estimate their partner's level of pain. Empathic accuracy was defined in terms of the overall discrepancy between patients' pain ratings and spouses' pain estimates, and by the degree of covariation between patients' pain ratings and spouses' pain estimates across trials.
Analysis revealed that patients' pain severity, catastrophizing, fear of pain, and level of disability were significant correlates of empathic accuracy. Higher levels of pain-related empathic accuracy were associated to negative adaptational outcomes for chronic pain patients. With regard to the spouse, empathic accuracy was associated with the spouses' perceiving that they express less punitive responses when the patient is in pain. Empathic accuracy was not significantly related to relational outcomes.
The results of this study suggest that empathic accuracy is associated with negative outcomes for the patient, and might not be an important correlate of marital satisfaction in couples in which one of the partners is suffering from chronic pain.
Empathic accuracy research indicates that partners achieve only moderate success at reading each other's thoughts. The current study identifies specific patterns of online thought that contribute to empathic inaccuracy during conflict interactions. Married/cohabiting partners completed a conflict interaction and reported their own thoughts during video‐assisted recall of the interaction, also inferring the thoughts of the other partner. Content analysis of these online thoughts demonstrated a high degree of mindfulness about the process of communication, along with a perspective bias, in which partners tended to construe their own communication as constructive and the other partner's communication as avoidant and confrontational. Specific mind‐reading errors linked to both the thematic content and affective tone of online thought predicted lower overall empathic accuracy.
The association between relationship functioning and depressive symptoms is well established. This study examined the effects of the Marriage Checkup, a brief two‐session Assessment and Feedback relationship intervention, on depressive symptoms. Two hundred and nine married couples participated in the Marriage Checkup and were randomized into Treatment (N = 108) and Waitlist‐Control Conditions (N = 101). Compared to the control condition, intervention participants reported significant improvements in depressive symptoms (d = 0.55), with an even greater effect for those who were reporting more severe baseline depression symptoms (d = 0.67). These outcomes are comparable to those within long‐term individual psychotherapy, couple therapy, and pharmacology trials, making this the briefest intervention to date to demonstrate significant improvements in depressive symptoms. Clinical implications are discussed.
Causal sequencing between relationship satisfaction and depressive symptoms has important ramifications for couples therapy. Using dyadic data from the Pairfam study (N = 1,876 German couples), an auto-regressive cross-lagged model was used to test the causal sequencing of these associations annually across four years. Although depressive symptoms had a significant bidirectional association with relationship satisfaction both within and between partners, depressive symptoms tended to serve as a stronger and more consistent predictor of relationship satisfaction than the reverse direction. Thus, clinically focusing on reducing depressive symptoms in couples’ therapy may serve to help prevent future deterioration in relationship quality.
This study examined couples' perceptions of each other's daily affect, using a daily diary methodology. Specifically, we tested the extent to which couples accurately inferred how their partner was feeling (empathic accuracy) and the extent to which spouses used their own feelings as a gauge for how their partner was feeling (assumed similarity). We also tested for indirect accuracy in couples' perceptions; that is, that assumed similarity in the context of actual similarity leads to empathic accuracy. Participants were 51 couples who completed daily diaries for seven consecutive nights. Results based on the Actor-Partner Interdependence Model indicated that couples showed both empathic accuracy and assumed similarity in their perception of their partner's positive affect; however, they used assumed similarity in rating their partner's hard negative (anger, hostility) and soft negative (sadness, fear) affect. Furthermore, tests of indirect accuracy found that wives were indirectly accurate in perceiving their husbands' positive affect and both husbands and wives were indirectly accurate in perceiving each other's hard negative affect because they were biased. Complementing laboratory studies, the present study highlights that examining couples' perceptions of each other's feelings in contexts of daily life, and differentiating positive and negative emotions, can further our understanding of the role of emotions for healthy relationship functioning.
© 2018 Family Process Institute.
The core interpersonal dysfunction in borderline personality disorder (BPD) has not yet been conclusively explained. We used a naturalistic dyadic paradigm to test for the presence of functional empathic inaccuracy in BPD, which is a reduced understanding of the partner’s feelings in relationship-threatening situations. A total of 64 heterosexual couples (N = 128) were videotaped while engaging in (a) neutral (favorite films), (b) personally threatening (personal fears), and (c) relationship-threatening (separation from partner) conversations. Females were either diagnosed with BPD or healthy controls. Empathic accuracy (EA) was measured from the recorded interactions. Healthy couples’ EA was lower during relationship-threatening compared with personally threatening situations. In contrast, women with BPD showed increased EA, relative to the controls, for relationship- versus personally threatening situations. Reduced EA in response to relationship-threatening situations is likely to be relationship protective. This mechanism appears to be defective in women with BPD, which might explain the interpersonal difficulties experienced by BPD individuals.
The perception that a partner is supportive, tied to beneficial relational and personal outcomes, may be shaped by reality (the partner's actual support) but is often also biased. Using T. V. West and D. A. Kenny's (2011) truth-and-bias model, the balance between truth and one bias type—the tendency to maintain perceived mutuality by projecting one's own supportiveness onto one's partner—was examined. It was hypothesized that this balance will be altered by the behavior's psychological significance and by the scope of the behavior being judged. In a 35-day diary, 80 couples reported perceived and provided emotional/practical support. Participants' judgments included less biased projection when they addressed behaviors of lower emotional significance or greater contextual specificity.
It has been suggested that variables that predict marital dissatisfaction may also serve to predict depression symptoms, especially in women. The current study explored, in a community sample of married individuals, the associations among marital dissatisfaction, depression symptoms, and perceptions of marital communication styles (i.e., self-silencing and the demand–withdraw communication pattern). Analyses were conducted separately by sex in order to test for expected sex differences. For men and women, depression symptoms were correlated with self-silencing and wife-demand and husband-withdraw communication; furthermore, for women, self-silencing mediated the association between marital dissatisfaction and depression symptoms. As expected, depression symptoms were more highly associated with being in the demanding role for women than for men. Results suggest that perceptions of interactions with one’s spouse, as well as gender-related expectations of how both husband and wife should interact, may be important phenomena to address when considering depression and marital dissatisfaction in both men and women.
Styles of handling conflict are highly consequential to marital success. The behavioral model predicts that spouses' accuracy in perceptions of each other will be associated with marital quality, whereas the benevolent perception model predicts that benevolent perceptions, even when objectively inaccurate, will be associated with marital quality. To investigate the role of perceptions of marital conflict styles, 194 couples married for less than five years completed self- and partner-reports of conflict styles and marital satisfaction. Results indicated that spouses were both accurate (i.e., seeing the self the same as one's partner sees the self) and biased (i.e., seeing the partner the same as one sees the self) in their perceptions of each others' conflict styles. Little support existed for the accuracy model of perception and marital satisfaction, but more consistent support was obtained for the benevolent perception model in which more positively toned perceptions, regardless of their consistency with partners' self-perceptions, were associated with higher marital satisfaction. Results of actor-partner interdependence analyses revealed numerous actor effects for conflict styles and satisfaction, and partner effects for the styles of conflict engagement and withdrawal and partners' marital satisfaction.
The CES-D scale is a short self-report scale designed to measure depressive symptomatology in the general population. The items of the scale are symptoms associated with depression which have been used in previously validated longer scales. The new scale was tested in household interview surveys and in psychiatric settings. It was found to have very high internal consistency and adequate test- retest repeatability. Validity was established by pat terns of correlations with other self-report measures, by correlations with clinical ratings of depression, and by relationships with other variables which support its construct validity. Reliability, validity, and factor structure were similar across a wide variety of demographic characteristics in the general population samples tested. The scale should be a useful tool for epidemiologic studies of de pression.
Distressed and nondistressed couples held discussions of their major marital problem. During these discussions, the speaker rated his/her intent and the listener rated the impact of each statement. Distressed couples were more negative in both their intent and impact ratings than the nondistressed couples. However, distressed couples did not have more mismatch errors than non-distressed couples. Mismatch errors or differences in intent and impact were most likely to occur when the receiver of the message evaluated the message more negatively than it was intended regardless of the group. The results provide some support for both the semantic and behavioral exchange theories of marital discord.
This research investigated accuracy, projection bias, and base-rate utilization in spouses' perceptions of end-stage renal disease patients' preferences for life-sustaining medical treatment in hypothetical conditions of declining health. Multilevel models revealed that spouses' perceptions were largely biased, determined by their own preferences for the patients' treatment (projection bias) and by typical treatment preferences (base-rate utilization). Both biases, however, served as indirect routes to a modest degree of accuracy. Moreover, spouses who overestimated patients' preferences for life-sustaining treatment and who perceived patients' preferences as consistent with their own reported higher levels of marital adjustment than did those who were less biased. Results suggest that spouses' biases in judgments of patients' treatment preferences may promote accuracy and marital adjustment functionally.
ABSTRACT People are motivated to understand each other's psychological states as well as each other's personality traits. As a consequence, the more traditional study of accuracy in trait inference can be complemented by, and potentially benefit from, the insights provided by the more recent study of empathic accuracy. Findings in this area suggest that future research should devote more attention to (a) the history of the perceiver-target relationship; (b) the perceiver's desired future relationship with the target; (c) the possibility that perceivers have little or no “metaknowledge” regarding their own empathic ability; and (d) the possibility that, under certain conditions, perceivers might be motivated to be inaccurate, rather than accurate, in their inferences about other people's dispositions.
The association between actual and perceptual personality similarity and perceptual accuracy on relationship satisfaction is examined in 191 couples. Self- and partner ratings of personality were assessed using the Revised NEO Personality Inventory (P. T. Costa & R. R. McCrae, 1992) and relationship satisfaction using the Relationship Assessment Scale (S. S. Hendrick, A. Dicke, & C. Hendrick, 1998). Actual and perceptual similarity and perceptual accuracy were quantified using the index of profile agreement (R. R. McCrae, 1993) and L. J. Cronbach and G. C. Gleser's (1953) D-indices. These indices showed large variability in personality profiles within couples and considerable perceptual accuracy between raters. Actual similarity was positively associated with female relationship satisfaction, controlling for personality traits of both partners. Moreover, partial support was obtained for the positive associations between perceptual similarity and accuracy and relationship satisfaction.
Forty five couples in which both partners were complaining of marital discord and in which the wife met DSM-III diagnostic criteria for either major depression and/or dysthymia participated in 15–20 treatment sessions. Couples were randomly assigned to marital therapy (BMT, n=15), individual cognitive therapy for the depressed wife (CBT, n=15), or wait-list control group (WL, n=15). Women in both cognitive therapy and marital therapy experienced significantly greater reductions in depressive symptomatology than did women in the wait-list control group. In addition women in marital therapy had significantly greater increases in marital adjustment than either women in cognitive therapy or women in the wait-list condition. Of special importance in this report, and complimenting our earlier work, were process analyses which indicated that reductions in level of depression among wives in the marital therapy condition were mediated by increases in marital adjustment. Further, exploratory analyses suggested that pre-therapy levels of marital variables and dysfunctional cognitions could predict differential response to marital therapy and cognitive therapy.
Although concordance between husbands' and wives' mental health problems is often reported, questions remain about the nature of these relations. Extending research in this area, this study examined dynamic-longitudinal pathways among husbands' and wives' depressive symptoms and marital satisfaction as a moderator of associations. Participants were 296 heterosexual couples. Husbands and wives reported on their depressive symptoms and marital satisfaction. Results from dynamic bivariate latent difference score analyses indicated unidirectional longitudinal coupling such that higher levels of husbands' depressive symptoms predicted subsequent elevations in wives' depressive symptoms over time. This relation was stronger among couples reporting marital distress as compared to couples reporting higher marital satisfaction. The findings underscore the importance of considering one's spouses' depressive symptoms in treatment efforts.
The authors gave the CES-D, a self-report depression symptom scale, to 515 people drawn from a longitudinal community survey. The subjects were also interviewed using the Schedule for Affective Disorders and Schizophrenia (SADS). From the information collected on the SADS, the subjects were given diagnoses based on Research Diagnostic Criteria. The results indicate a modest relationship between self-reported symptoms of depression and the diagnosis of a major or minor depression. However, the groups defined as "cases" by such reports also include many people with other diagnoses or with no diagnoses at all. Thus, symptom scales are useful for the screening of depressed persons in research studies but are only rough indicators of clinical depression in the community.