Marital Status, Relationship Distress, and Self-rated Health: What Role for "Sleep Problems"?

J Health Soc Behav. 2015 Sep;56(3):341-55. doi: 10.1177/0022146515593948. Epub 2015 Aug 3.

Abstract

This paper analyzes data from a nationally representative survey of adults in the United Kingdom (Understanding Society, N = 37,253) to explore the marital status/health nexus (using categories that include a measure of relationship distress) and to assess the role that sleep problems play as a potential mediator. Findings indicate how it is not just the "form" marital status takes but also the absence or presence of relationship distress that is essential to self-rated health. We demonstrate two further findings that: (1) sleep problems act as a mediator of the link between marital status/relationship distress and self-rated health, most notably for those in cohabiting relationships with medium/high distress or who have a history of relationship loss, and (2) the mediating role of sleep problems differs for divorced men and women.

Keywords: health; marital status; mediation; relationship distress; sleep problems.

MeSH terms

  • Adult
  • Divorce / psychology
  • Female
  • Health Status
  • Humans
  • Male
  • Marital Status*
  • Marriage / psychology*
  • Middle Aged
  • Models, Theoretical
  • Sleep / physiology*
  • Sleep Wake Disorders / psychology*
  • Stress, Psychological / psychology*
  • United Kingdom