| Literature DB >> 35482755 |
Roi Estlein1, Dikla Segel-Karpas2, Roni Elran-Barak3.
Abstract
Drawing on the relational turbulence theory, this study explored the associations of self, partner and relationship uncertainty, and partner interference and facilitation with psychological distress symptoms during the COVID-19 stay-at-home orders. A longitudinal study of 313 individuals was conducted in Israel at three time points, spanning from the first lockdown (April 2020) and through the alleviation of the severe restrictions (June 2020). Multilevel modelling indicated divergent associations between the different sources of relational uncertainty and interdependence and somatization, depression and anxiety. Further analyses pointed to divergent findings regarding how change in self, partner and relationship uncertainty predicted change in somatization, depression and anxiety over the course of the study, depending on whether the three sources of relational uncertainty were analysed separately or simultaneously in the same model. Change in interference from a partner did not predict changes in psychological distress. Theoretical and practical implications of the findings are discussed.Entities:
Keywords: COVID-19; interdependence; psychological distress; relational uncertainty
Year: 2022 PMID: 35482755 PMCID: PMC9111071 DOI: 10.1002/smi.3155
Source DB: PubMed Journal: Stress Health ISSN: 1532-3005 Impact factor: 3.454
Descriptive statistics by wave
| Wave 1 ( | Wave 2 ( | Wave 3 ( | |||||||
|---|---|---|---|---|---|---|---|---|---|
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| Self‐uncertainty | 1.47 | 0.65 | 0.83 | 1.41 | 0.68 | 0.83 | 1.43 | 0.70 | 0.82 |
| Partner uncertainty | 1.43 | 0.65 | 0.86 | 1.38 | 0.61 | 0.87 | 1.37 | 0.61 | 0.87 |
| Relationship uncertainty | 1.81 | 0.83 | 0.80 | 1.77 | 0.86 | 0.83 | 1.72 | 0.84 | 0.82 |
| Interference | 1.67 | 0.67 | 0.82 | 1.60 | 0.60 | 0.81 | 1.58 | 0.59 | 0.83 |
| Facilitation | 3.42 | 0.95 | 0.85 | 3.29 | 1.03 | 0.85 | 3.44 | 1.03 | 0.87 |
| Somatization | 7.56 | 2.23 | 0.74 | 7.11 | 1.89 | 0.78 | 7.40 | 2.24 | 0.78 |
| Depression | 9.63 | 3.42 | 0.80 | 8.91 | 2.79 | 0.85 | 9.09 | 3.70 | 0.84 |
| Anxiety | 10.32 | 3.59 | 0.81 | 9.34 | 3.16 | 0.81 | 9.60 | 3.73 | 0.82 |
Bivariate correlations among the main study variables
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | |
|---|---|---|---|---|---|---|---|---|
| 1. Self‐uncertainty | ||||||||
| 2. Partner uncertainty | 0.56** | |||||||
| 3. Relationship uncertainty | 0.71** | 0.76** | ||||||
| 4. Interference | 0.38** | 0.42** | 0.35** | |||||
| 5. Facilitation | −0.25** | −0.21** | −0.24** | −0.17** | ||||
| 6. Somatization | 0.16** | 0.24** | 0.24** | 0.12* | 0.004 | |||
| 7. Depression | 0.23** | 0.35** | 0.32** | 0.17** | −0.08 | 0.44** | ||
| 8. Anxiety | 0.14* | 0.27** | 0.29** | 0.06 | −0.06 | 0.49** | 0.78** |
Note: N = 313.
*p < 0.05, **p < 0.01.
Relational uncertainty and interference from a partner predicting somatization
| Combined model | Self‐uncertainty | Partner uncertainty | Relationship uncertainty | Interference from a partner | |
|---|---|---|---|---|---|
| Intercept | 12.27*** | 6.73*** | 6.87*** | 6.66*** | 6.91*** |
| Age | 0.03 | 0.06 | 0.07 | 0.06 | 0.07 |
| Education | 0.02 | −0.07 | −0.05 | −0.06 | −0.05 |
| Current financial status | −0.16 | −0.09 | −0.12 | −0.09 | −0.07 |
| Children at home | −0.33 | −0.22 | −0.25 | −0.24 | −0.23 |
| Young child age | 0.02 | 0.02 | 0.02 | 0.02 | 0.03 |
| Oldest child age | −0.02 | −0.12 | −0.11 | −0.11 | −0.13 |
| Relationship duration | 0.04 | 0.05 | 0.04 | 0.04 | 0.02 |
| Relationship satisfaction | −0.24* | −0.37* | −0.34* | −0.35* | −0.33* |
| Loneliness | 0.77* | 0.23* | 0.19* | 0.19* | 0.18* |
| Self‐uncertainty mean | 2.68* | 0.47* | |||
| Partner uncertainty mean | 0.69 | 0.19 | |||
| Relationship uncertainty mean | 1.47* | 0.44* | |||
| Interference from a partner mean | 0.33 | ||||
| Slopes | |||||
| Self‐uncertainty | 3.43** | 0.06 | |||
| Partner uncertainty | 0.15 | 0.18 | |||
| Relationship uncertainty | 0.47 | 0.08 | |||
| Interference from a partner | 0.05 |
Note: The dependent variable is somatization. Coefficients are unstandardized. Cell entries in the intercept category are the change in the intercept attributable to age, education, a change in the participant's employment status from pre to post‐outbreak, financial status before the outbreak, financial status since the outbreak, number of children living at home, ages of youngest and oldest children, relationship duration, relationship satisfaction, and loneliness or the within‐person mean, which represents the between‐person effect on that variable. The cell entries in the slopes category represent the within‐person slope over the course of the study. Self, partner, and relationship uncertainty, and interference from a partner were each assessed in a separate model. N = 313.
*p < 0.05, ***p < 0.001.
Relational uncertainty and interference from a partner predicting depression
| Combined model | Self‐uncertainty | Partner uncertainty | Relationship uncertainty | Interference from a partner | |
|---|---|---|---|---|---|
| Intercept | 7.73*** | 8.08*** | 8.02*** | 7.88*** | 7.34*** |
| Age | 0.02 | 0.04 | 0.05 | 0.02 | 0.09 |
| Education | −0.01 | 0.01 | 0.04 | 0.02 | −0.01 |
| Current financial status | −0.70 | −0.82* | −0.88** | −0.84** | −0.88** |
| Children at home | −0.18 | −0.15 | −0.15 | −0.18 | 0.04 |
| Young child age | 0.12 | 0.12 | 0.11 | 0.12 | 0.18 |
| Oldest child age | −0.10 | −0.23 | −0.21 | −0.21 | −0.31* |
| Relationship duration | −0.06 | 0.03 | 0.02 | 0.02 | 0.06 |
| Relationship satisfaction | −0.40 | −0.27* | −0.29* | −0.27* | −0.31* |
| Loneliness | 1.49** | 0.16* | 0.20* | 0.19* | 0.21* |
| Self‐uncertainty mean | 0.65* | 0.98** | |||
| Partner uncertainty mean | 1.24** | 1.06** | |||
| Relationship uncertainty mean | 0.66** | 0.93** | |||
| Interference from a partner mean | 1.33** | ||||
| Slopes | |||||
| Self‐uncertainty | 0.50 | 1.21 | |||
| Partner uncertainty | 1.57* | 0.73 | |||
| Relationship uncertainty | 0.39* | 1.39** | |||
| Interference from a partner | −0.233 |
Note: The dependent variable is depression. Coefficients are unstandardized. Cell entries in the intercept category are the change in the intercept attributable to age, education, a change in the participant's employment status from pre to post‐outbreak, financial status before the outbreak, financial status since the outbreak, number of children living at home, ages of youngest and oldest children, relationship duration, relationship satisfaction, and loneliness or the within‐person mean, which represents the between‐person effect on that variable. The cell entries in the slopes category represent the within‐person slope over the course of the study. Self, partner, and relationship uncertainty, and interference from a partner were each assessed in a separate model. N = 313.
*p < 0.05, **p < 0.01, ***p < 0.001.
Relational uncertainty and interference from a partner predicting anxiety
| Combined model | Self‐uncertainty | Partner uncertainty | Relationship uncertainty | Interference from a partner | |
|---|---|---|---|---|---|
| Intercept | 10.78*** | 9.23*** | 8.98*** | 8.15*** | 9.28*** |
| Age | 0.04 | 0.09 | 0.10 | 0.06 | 0.13 |
| Education | 0.08 | 0.05 | 0.06 | 0.04 | 0.02 |
| Current financial status | −0.36 | −0.64 | −0.66 | −0.60 | −0.71 |
| Children at home | −0.08 | 0.03 | 0.05 | 0.09 | 0.13 |
| Young child age | 0.10 | 0.11 | 0.10 | 0.12 | 0.08 |
| Oldest child age | −0.11 | −0.28 | −0.26 | −0.25 | −0.27 |
| Relationship duration | 0.04 | 0.04 | 0.02 | 0.03 | 0.04 |
| Relationship satisfaction | −1.12 | −0.25* | −0.21* | −0.22* | −0.17* |
| Loneliness | 1.32* | 0.20* | 0.19* | 0.20* | 0.19* |
| Self‐uncertainty mean | 0.12 | 0.65 | |||
| Partner uncertainty mean | 0.64* | 0.85** | |||
| Relationship uncertainty mean | 0.45* | 1.14** | |||
| Interference from a partner mean | 0.52 | ||||
| Slopes | |||||
| Self‐uncertainty | 0.72 | 0.83 | |||
| Partner uncertainty | 0.09 | 0.27 | |||
| Relationship uncertainty | 1.18** | 0.42 | |||
| Interference from a partner | 0.47 |
Note: The dependent variable is anxiety. Coefficients are unstandardized. Cell entries in the intercept category are the change in the intercept attributable to age, education, a change in the participant's employment status from pre to post‐outbreak, financial status before the outbreak, financial status since the outbreak, number of children living at home, ages of youngest and oldest children, relationship duration, relationship satisfaction, and loneliness or the within‐person mean, which represents the between‐person effect on that variable. The cell entries in the slopes category represent the within‐person slope over the course of the study. Self, partner, and relationship uncertainty, and interference from a partner were each assessed in a separate model. N = 313.
*p < 0.05, **p < 0.01, ***p < 0.001.
Relational turbulence mechanisms predicting psychological distress facets
| Time point 1 (April 1–April 15) | Time point 2 (April 16–April 30) | Time point 3 (June 7–June 14) | |||||||
|---|---|---|---|---|---|---|---|---|---|
| Anxiety | Depression | Somatization | Anxiety | Depression | Somatization | Anxiety | Depression | Somatization | |
| Self‐uncertainty | n.s. | 0.19** | 0.14* | n.s. | n.s. | n.s. | n.s. | 0.32*** | 0.24** |
| Partner uncertainty | 0.22* | 0.26*** | 0.21*** | n.s. | n.s. | n.s. | n.s. | 0.18* | 0.21* |
| Relationship uncertainty | 0.23** | 0.21** | 0.21*** | 0.35** | 0.24* | 0.27** | 0.19* | 0.34*** | 0.28** |
| Interference | n.s. | 0.21** | 0.12* | n.s. | n.s. | n.s. | n.s. | n.s. | n.s. |
Note: N = 313.
*p < 0.05, **p < 0.01, ***p < 0.001.