Having a Happy Spouse Is Associated With Lowered Risk of Mortality. Olga Stavrova. Psychological Science, March 21, 2019. https://doi.org/10.1177/0956797619835147
Abstract: Studies have shown that individuals’ choice of a life partner predicts their life outcomes, from their relationship satisfaction to their career success. The present study examined whether the reach of one’s spouse extends even further, to the ultimate life outcome: mortality. A dyadic survival analysis using a representative sample of elderly couples (N = 4,374) followed for up to 8 years showed that a 1-standard-deviation-higher level of spousal life satisfaction was associated with a 13% lower mortality risk. This effect was robust to controlling for couples’ socioeconomic situation (e.g., household income), both partners’ sociodemographic characteristics, and baseline health. Exploratory mediation analyses pointed toward partner and actor physical activity as sequential mediators. These findings suggest that life satisfaction has not only intrapersonal but also interpersonal associations with longevity and contribute to the fields of epidemiology, positive psychology, and relationship research.
Keywords: life satisfaction, mortality, dyadic analyses, couples, open materials
Research has consistently shown that life satisfaction is associated with longevity (for a review, see Diener & Chan, 2011). For example, meta-analyses of long-term prospective studies have shown that higher life satisfaction predicts lower risk of mortality over decades (Chida & Steptoe, 2008). Although this literature has demonstrated an intrapersonal effect of life satisfaction (i.e., an effect of an individual’s life satisfaction on that individual’s mortality), it is less clear whether life satisfaction has interpersonal effects as well. In particular, does an individual’s life satisfaction affect the mortality risk of his or her spouse?
Epidemiological studies have demonstrated the importance of contextual characteristics (e.g., neighborhood characteristics; Bosma, Dike van de Mheen, Borsboom, & Mackenbach, 2001) for individuals’ longevity. Adopting the interpersonal perspective (Zayas, Shoda, & Ayduk, 2002), I propose that the characteristics (e.g., life satisfaction) of the people who are close to an individual can also make up that person’s context and, potentially, affect his or her life outcomes. For example, life satisfaction has been associated with healthy behaviors such as physical exercise (Kim, Kubzansky, Soo, & Boehm, 2017). Given that spouses tend to affect each other’s lifestyle (Jackson, Steptoe, & Wardle, 2015), having a happy spouse might increase one’s likelihood of engaging in healthy behaviors. In addition, happiness has been associated with helping behavior (O’Malley & Andrews, 1983). Hence, having a happy partner might be related to experiencing support from that partner and, consequently, might improve one’s health and longevity.
Indeed, a recent study found that spousal life satisfaction was associated with individuals’ self-rated health (Chopik & O’Brien, 2017), although such interpersonal effects were not detected for doctor-diagnosed chronic conditions (Chopik & O’Brien, 2017) or for inflammation markers (Uchino et al., 2018). None of the existing studies have explored whether spousal life satisfaction predicts individuals’ mortality. The present research examined this question using panel data of approximately 4,400 elderly couples in the United States. In addition, a set of exploratory mediation analyses tested the role of partner support as well as partner and actor physical activity as potential mechanisms for such an association.
Finally, it is possible that the level of spousal life satisfaction per se matters much less than the extent to which it is similar to individuals’ own life satisfaction. A growing body of research has underscored the level of congruence between partners’ dispositional characteristics as an important factor for their relationship and life outcomes (Dyrenforth, Kashy, Donnellan, & Lucas, 2010). Therefore, in an additional set of analyses, I explored whether the level of actor-partner similarity in life satisfaction was associated with actor mortality.
Discussion
Previous research has shown that individuals’ career success and relationship and life satisfaction are predicted by their spouses’ dispositional characteristics (Dyrenforth et al., 2010; Solomon & Jackson, 2014). The present research suggests that spouses’ reach might extend even further. A dyadic survival analysis using the data from 4,374 couples showed that having a spouse who was more satisfied with life was associated with reduced mortality.
What explains this interpersonal effect of life satisfaction? Exploratory mediation analyses established partner and actor physical activity as sequential mediators. One partner’s life satisfaction was associated with his or her increased physical activity, which in turn was related to increased physical activity in the other partner, which predicted that partner’s mortality. Yet, given the correlational nature of these data, these results should be interpreted with caution.
It is noteworthy that the effect of spousal life satisfaction was comparable in size to the effects of other well-established predictors of mortality, such as education and income (in the present study, HRs = 0.90 for partner life satisfaction, 0.93 for household income, and 0.91 for actor education). In fact, spousal life satisfaction predicted mortality as strongly as (and even more robustly than) an individual’s own life satisfaction and as strongly as basic personality traits, such as neuroticism and extraversion, predicted mortality in previous work (Jokela et al., 2013).
Although most existing research on predictors of mortality has focused nearly exclusively on individuals’ own characteristics, the present analyses revealed that the characteristics of a person who is close to an individual, such as a spouse, might be an equally important determinant of that individual’s mortality. Continuing this line of research, future studies might explore whether the interpersonal effect of life satisfaction on mortality is restricted to (marital) dyads or whether it extends to larger social networks.
To conclude, happiness is a desirable trait in a romantic partner, and marriage to a happy person is more likely to last than is marriage to an unhappy person (Lucas, 2005). The present study showed that having a happier spouse is associated not only with a longer marriage but also with a longer life.
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Alcohol Use May be Beneficial after all
If one restricts the focus to alcohol-related illnesses, it makes
sense that any level of alcohol consumed increases the rate of these
illnesses. Even if alcohol always increases the risk of alcohol-related
diseases, it may still be associated with a boost in overall health.
This would explain why wealthy individuals, and affluent countries, both consume more alcohol and have a longer life expectancy.
In my own unpublished analysis of the connection between alcohol and
life expectancy at birth, I found no evidence that countries with a
higher proportion of drinkers, or with higher alcohol consumption per
person, paid a price in lost life expectancy.
When the analysis was restricted to the wealthier half of countries -
that drink more - I found that those countries that consumed more
alcohol had a significantly higher life expectancy (even with national
wealth, and religion, statistically controlled). Residents of countries
where more of the people drank alcohol also lived significantly longer.
[...]
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