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Annmarie Cano


The purpose of this study was to examine how communication patterns that foster or hinder intimacy and emotion regulation in couples--Validation and Invalidation--were related to pain, marital satisfaction, and depression in chronic pain couples attempting to problem-solve an area of disagreement in their marriage. Yule's Q, a measure of the magnitude of these sequences, was calculated for each sequence and correlated with pain, depression and marital satisfaction. There were no significant relationships. Gender and couple pain status moderated the associations between both sequences and base rates of Validation and Invalidation with the adjustment variables. Thus, both patients' and spouses' behaviors and adjustment depend on the gender of the patient and whether one or both partners have pain. This research demonstrates that interaction behaviors that foster and hinder emotion regulation in chronic pain couples should be attended to when assessing and treating pain patients and their spouses.

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